HomeMy WebLinkAbout2935 OSWELL STENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3724
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to place, erect, use and
maintain an encroachment on public property or right of way as therein defined.
Application Number 10- 30000033 Date 8/03/10
Property Address . . . . . . 2935 OSWELL ST
Application type description PW - ENCROACHMENT PERMIT
Owner
------------------ - - - - --
MORRIS MELVIN
11618 S HAAS AV
HAWTHORNE CA 90250
Contractor
------------------ - - - - --
OWNER
----------------------------------------------------------------------------
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 1022367
Permit Fee . . . . 208.00
Issue Date . . . . 8/03/10 Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 208.00
----------------------------------------------------------------------------
Special Notes and Comments
6' wrought iron fence at back of
sidewalk. Fence is already built.
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----- ------ -- - - -- ---- - - - - -- -- -- - - - - -- ---- - - - - -- ---- - - - - --
Permit Fee Total 208.00 208.00 .00 .00
Grand Total 208.00 208.00 .00 .00
Applicant acknowledges the righ a City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit ny time.
(-; Wz 0 C
Signature of Applicant !Agent) Print Name
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING
APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT)
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2)
WILL (NOT) CONS111UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFO DENIED). Said permit shall expire on date stated above.
Signature. of City Engineer
Additional Terms on the Back
9 K 6_ Xi 5 P ] E - D
Public Works dal:wrtmant
1501 Truxtun Aienue
Bakersfield, Callforrile 93301
(661) 326 -37'24
APPLICATION FOR ENCROACHMENT PERMIT
Permit Pee :1208.00
/0 360000 2--, S
�lo s
To the City Engineer of the Clty of Bakersfield, California:
Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to
place, erect, use and maintain an encroachment on public property or right -of -way as therein dettned,
1. Full narrt� of ap 'cant arn� complete address Inc ;ludiln�,p�hone number: OV
2. Nature or description of the encroachment for which this application Isrr)ads; (Exe �pfe: Wood or wmuglht Iron
fence, concrete block wall, raised planter, etC...j �` �'� �w �� C
3, Location of proposed encroachment: (Exampl(v Sid yarl at back of sidewalk or front yarn of b ck of side aC t
r�
4. Period of time for which the encroachment is to be maintains 6fl 1e aOr C(P e rQe d
5. Is property part of a Homeowner's Association —Yes — L-'� No
,applicant agrees that if this application is granted, applicant sh all indemnify, defend and hold harmless the City, its
officers agents and employees against any and all liability, claims, actions, causes of action or demands, whatsoever
against them, or any of them, before administrative, quasi Judi vial, or judicial tribunals of any kind whatsoever, arising out
of, connected with, or caused by appiioant's placement, erection, use (by applicant or any other person or entity) or
maintenance of said encroachment. The applicant. further agoses to maintain the aforesaid encroachment during the life
of said encroachment or until such time that this permit is revcked.
Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or
- M _• L•.. ___& ..A -v &nun ►arnetvP the same from
ItlYVWUVII_LVACV_�y,J u.•. v.•� v....�.lT_.__ __.._,....�„_ _
property or right of w my whera.Me some is loc�ecl, and restored said public property or right of way to the con
nearly as that In which it was before the placing, erection, maintenance or existence of said encroachment.
Applicant further agrees to; obtain and keep all liability insurance required by the City Engineer In full force and effect for
however tong the encroachment remains. Appiiatnt shall furnish the City Risk Manager with a Certificate of Insurance
evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc-
ing the Insurance required. The type(s) and amounts) of inst.Irance coverage Is:
Applicant acknowledges the right of the City Engineer, pursuant to 3akersfield Municipal Code Chapter 12.20 to revoke the permit at
any time,
s;\It ncroachmeMPeTrdb %ppliwlianforl °ncroachment
P.d XUA 13r83SHI dH Wd90 =8 OTOE 91 Tnr:
B A K E R S F I B L D
Public works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(881) 326 -3724
TO WHOM IT MAY CONCERN:
We the undersigned, have no objection to the construction of a fence beside the sidewalk within the
public right- of•way.
9trcet or proposed oncroacitment)
(Addrass of proposed eneroechmont)
SIGNED:
1.) Name:
Address:
2.) Name: vo 1!
Address:
By,
wners NVIOF
Phon
Date;; 5 7S
Date: A � [ 1
�� a � d
3.) Name: 1 -.� Date: -a-► - I
Address: ...�_
4.) Nam
Addr
5.) Nare
Addy
6.) Nary
Add
Data: 1-2 1 1 a
Date: '�kt W ,
Date: t
p'-CI XUJ IBC63SUI dH WdS0 ; B 0102 91 Inc
I*
I--,'/ w�
S _. __Y' .. t .i1 '1. O
public works Department
1601 TruKtvn Avenue
9akers1le1d, C',11ftmia 93;101
(961) 326 -3724
ENCROACHMENT PERMIT Rt;RUIREMENTS
1. Application
2, Permit Fee of $208,00
3. Drawing; Minimum 8 1/2x 11 showing encroachment on lot in relation to the
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the toity in making a determination as to
your request.
4, Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners General Liabillty eoveragi.- in an amount of at least $300,000,00
B. Commercial
Commercial General Liability coverage in an amount of at least $1,000,000.00
2. Additional Insured Verbiage (For Commercial;
A. The City of Baker field, its mayor, council, employees, agents and volunteers
are added as additional insured's with 'espect to
(i.e, the installation of a chain link fence at 1501 Truxtun Ave.),
9; lEncra9chmentPerm1141 In:surznoeRequlremenIs
t. •d Xad 13r83SU-1 dH wd50 c e 010B 91 Or
„
FARMERS
RV/ ❑ FARMERS INSURANCE ❑MID- CENTURY
EXCHANGE EXCHANGE INSURANCE CO.
INTERIM CERTIFICATE AS TO EVIDENCE OF PROPERTY INSURANCE
THIS IS NOT AN INSURANCE POLICY. THIS IS ONLY A VERIFICATION OF INSURANCE. IT DOES NOT IN ANY WAY AMEND, EXTEND OR ALTER THE
COVERAGE PROVIDED BY THIE POLICIES LISTED BELOW.
Named
Insured MELVIN MORRIS
Address • 2935 OSWELL ST
BAKERSFIELD, CA 93306
95 -07 -36 602491156
Agent Policy No.
This is to certify that this policy for the above named insured is in force as follows:
This interim Certificate As To Evidence of Insurance shall expire sixty days from 12:01 A M.
OCTOBER 2 , year 2010 unless cancelled prior to such date by written notice to the mortgagee.
Location of property covered if other than above:
®Building Coverage & Perils
$ 800,000 AMT. OF INS.
1st Mortgagee
Name &
Address
2nd Mortgagee
Name &
Address
❑ Fire, EC
❑ VMM
❑ Optional Perils
❑ Special Form
❑ Replacement Cost
❑ Extended Replacement Cost
❑ Functional Building Value
❑ Actual Cash Value
❑Business Personal. Prop. Coverage & Perils
DEDUCTIBLE: $ 1000.00
$ AMT. OF INS.
❑ Fire, EC
❑ VMM
❑ Optional Perils
❑ Special Form
❑ Replacement Cost
WIND /HAIL DEDUCTIBLE: %
1st Loan No.
0 nd Loan No.
Countersigned ' Z)
UTH I RIZED REIVESENTATIVE DATE
56 -2239 10 -07 Copy Distribution: Insured, Mortgagee, Agent and Office PAGE 1 OF 1
Commercial Certificate of Insurance FARM E R S
A&
Agency ANTHONY MARTINEZ INSURANCE
Name
Issue Date (MM /DD/YY) 08/02/10
& 811 11TH AVE
Address DELANO, CA 93215
This certificate is issued as a matter of information only and confers no rights
upon the certificate holder. This certificate does not amend, extend or alter the
St. 95 Dist. 07 Agent 36
coverage afforded by the policies shown below.
Companies Providing Coverage:
Insured
Company A Truck Insurance Exchange
. MELVIN MORRIS
Letter
Name . 2935 OSWELL ST
Company B Farmers Insurance Exchange
& • BAKERSFIELD, CA 93306
Letter
pany C Mid - Century Insurance Company
Address
Lef1e
Company
Letter
Coverages
This is to certify that the policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding
any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance
afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by
paid claims.
Co.
Ltr.
Type of Insurance
Policy Number
oc Y
Policy Effective
Date (MM/DDNY)
Policy Expiration
Date (MWDDNY)
Policy Limits
oY
•
General Liability
602491156
08/02/10
08/02/11
General Aggregate
$ 11000,000
•
Commercial General
602491156
08/02/10
08/02/11
Prod
ate omp /OPS
ggre
�' g
$ 1.000,000
Liability
Personal &
- Occurrence Version
Advertising Injury
$
Contractual - Incidental
Each Occurrence
$
Only
Fire Damage
(Any one fire)
$
Owners & Contractors Prot.
Medical Expense
(Any one person)
$
Automobile Liability
Combined Single
All Owned Commercial
Limit
$
Autos
Bodily Iri ury
Scheduled Autos
I
(Per person
$
Hired Autos
Bodily Injury
$
Non -Owned Autos
(Per accident)
Garage Liability
Property Damage
$
Garage Aggregate
$
Umbrella Liability
Limit
$
Workers' Compensation
Statutory
and
Each Accident
$
Disease - Each Employee
$
Employers' Liability
Disease - Policy Limit
$
Description of OperationsNehicles /Restrictions /Special items:
Certificate Holder
Cancellation
•
Should any of the above described policies be cancelled before the expiration date
Name
thereof, the issuing company will endeavor to mail 30 days written notice to the
&
certificate holder named to the left, but failure to mail such notice shall impose no
Address
oblig o or liability o any kind upon the company, its agents or representatives.
Authorized Represent five
56 -2492 4 -94 Copy Distribution: Service Center Copy and Agent's Copy H -ol
I � � i
�'��
���
R�
0*� 411110
B A K E R S F I E L Z�
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August 9, 2010 .
SUBJECT: Encroachment Permit Application for: 2935 Oswell St
Name of Applicant: Morris Melvin
Description of Encroachment: 6' Wrought iron fence at back of sidewalk.
Fence is already built.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: \PERMITS \ENCROACH \INSURANC\2935 Oswell St.doc
B A I�:. E R. S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August 3, 2010
SUBJECT: Encroachment Permit Application for: 2935 Oswell Street
Name of Applicant: Carlos Acuna
Description of Encroachment: 6' Wrought iron fence at back of sidewalk.
Fence is already built.
Please review the attached encroachment permit and return to me at your earliest convenience.
S: \PERMITS \ENCROACH \TRAFFIC\2935 Oswell St.doc
flu (,. 17, 2010
G�
�li- tC9