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HomeMy WebLinkAbout2311 CASTRO LNENCROACHMENT 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 . . . . . 14- 30000071 Date 12/22/14 Property Address . . . 2311 CASTRO IN Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ TAMENY EDWARD L & IRMA V 2311 CASTRO LN BAKERSFIELD CA 93304 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1570035 Permit Fee . . . . 208.00 Issue Date . . . 12/22/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Existing 4' tall chain link fence around front yard. Edward Tameny 661 - 837 -2969 ---------------------------------------------------------------------------- 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 right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. kopa-a' �L�AA'54= r (Caw�n U Signature of Applicant (Owne ( ent) 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT / APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT_ JU-JL J1 4 kV- m mom= : TO IG COMPLETE ADDRESS: 9 am C& sArn La PHONFE„ FAX: CELL 1 3z, - ` q d l PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): 1 it 1A C-� PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON PHONE(J 2A��I Applicant agrees that if this application is granted, applicant shall 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-judicial, or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted or upon the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public prope , or right of wqy where the same is located, and restore said public property or right of way to the condition as 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 long the encroachment remains. Applicant 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S: \PERMITS \ENCIZOACI -I \Encroachment Permit Req FormDOC Sept. 2013 B A K E R S T B L D Public Works Oepartment 1501 Truxtun Avenue Bakersfield, California 93301 (661) 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. �C! �j liw By: (Street or proposed encroachment) -(Owners Name Of 1--S t 6 phnnrr (Address or proposed encroachment) SIGNED: Name: w Sg .Z. ✓Y /�r�,l�y� Address: ;1'3i 5 C-ASt1 ,c U4. 2:!) Name: 6'sa S G V e IC(.6) IL- Address: : %o y �sf ✓� � 33a4 3'.) Name: r _ ' Address; Yo/ Cas '-te 1-P) • C.1 - of 4) Name: t Au ij'd ..Address: 5.) Name: v pe . Address: S r 7 EC..LA 0 Date: Ag &elm&r y. Date: /a, Date: Date:I Date: 12 -Z f -/x__ 6.) Name: 'Rang& bCgL %.U, Date: Address: "11;:1 C A5 ;Ar® Llo. -e c'xT - TOWER SELECT INSURANCE COMPANY Homeowners Policy Renewal Certificate Insured Cony Policy No. HOS 1068697 Policy Period: From 10/15/2014 To 10/15/2015 Renewal Of. HOS 1068697 12:01 A.M. Standard Time Name Insured: edward tameny Address: 2311 Castro In Bakersfield, CA 93304 Agent: NORTHEAST AGENCY INSURANCE Address: C / O Lee Bryce Hernandez 1801 21st Street, Suite 3 Bakersfield,_ CA 93301 Agent Code: 69020OR In consideration of payment of the Renewal Premium indicated; the policy is hereby renewed by the Company for the period stated, subject to all agreements, stipulations, provisions, conditions and limitations the and endorsements thereto, excepts as stated below. It shall further be subject to any additional endorsements applying during the renewal period. This. renewal certificate shall have the same status as though'a new policy had been written with similar provisions, stipulations and agreements. If during the period that insurance is in-force under said policy or as renewed by this certificate, the policy, any authorized endorsements or filed rules and regulations affecting -the same are revised by statute or otherwise, so as to extend or broaden this insurance without additional premium charge, such extended or broadened insurance shall insure to the benefit of the assured hereunder. This is a Valuable document. The residence premises covered by this policy is located at the above insured address unless otherwise stated below Location: Construction Type Year Built Territory Prot. Class No. Families Hurricane Ded.: % Wind Ded. Ord./Law % Prot. Dev. Cr. Occupancy Value Up Frame 1959 044 1 1 Family N/A N/A 4.0% Owner Yes in case or a toss under section 1, we cover only that part of the loss over the deductible: $1,000 applies to all perils Coverage is provided where limit of liability is shown. except where otherwise provided Section I Coverage Limit of Liability Premium A. Building $213,500 Basic Policy Premium: $603 B. Other Structure $21,350 Additional Premiums: $0 C. Personal Property $149,450 D. Loss of Use $42,700 Section II Coverage Total. Location Premium: -$- 603... E. Personal Liability $100,000 ; Total Policy Premium: $603 F. Medical Payments to Others Forms and Endorsements See Sch $1,000 duce F Attached Issued Date: 08/20/2014 J/� ✓ %�-- HT011 (06/08) Authorized Signature s •r TOWER SELECT INSURANCE COMPANY Homeowners Policy Renewal Certificate Insured Copy AMENDED DECLARATION Amended Declaration #01 Effective: 12/22/2014 Supersedes any previous declaration bearing the same number for this policy period. Reason for amendment: Increase In Coverage E Policy No. HOSIO68697 Policy Period: From 10/15/2014 To 10/15/2015 Renewal Of: HOSIO68697 12:01 A.M. Standard Time Name Insured: edward tameny Agent: NORTHEAST AGENCY INSURANCE SER Address: C /, O Lee Bryce Hernandez 1801 21st Street, Suite 3 Address: 2311 Castro Ln Bakersfield, CA 93301 Bakersfield, CA 93304 Agent Code: 69620OR In consideration of payment of the Renewal Premium indicated, the policy is hereby renewed by the Company for the period stated, subject to all agreements, stipulations, provisions, conditions and limitations thereof and endorsements thereto, excepts as stated below. It shall further be subject to any additional endorsements applying during the renewal period. This renewal certificate shall have the same status as though a new policy had been written with similar provisions, stipulations and agreements. If' during the period that insurance is in force under said policy or as renewed by this certificate, the policy, any authorized endorsements or tiled rules and regulations affecting the same are revised by statute or otherwise, so as to extend or broaden this insurance without additional premium charge, such extended or broadened insurance shall insure to the benefit of the assured hereunder. This is a Valuable document. The residence premises covered by this policy is located at the above insured address unless otherwise stated below Location: Construction Type Year Built Territory Prot. Class No. Families Hurricane Ded.: % Wind Ded. Ord. /Law % Prot. Dev. Cr. Occupancy Value Up Frame 1959 044 1 1 Family N/A N/A 4.0% Owner Yes In case of a loss under Section 1, we cover only that part of the loss over the deductible: $1,000 applies to all perils except where Coverage is provided where limit of liability is shown. otherwise provided Section I Coverage Limit of Liability Premium A. Building $213,500 Basic Policy Premium: $623 B. Other Structure $21,350 Additional Premiums: $0 C. Personal Property $149,450 D. Loss of Use $42,700 Section II Coverage Total Location Premium: $623 E. Personal Liability $300,000 Total Policy Pr6mium: $623 F. Medical Payments to Others Forms and Endorsements See Sch $1,000 dule F Attached Endorsement Additional Premium: $16 Issued Date: 12/22/2014 / A�_ HTOI 1 (06/08) Author- ized Signature „ r This schedule, effective 12:01 A.M. 10/15/2014 forms,a part of Policy No. HOS1068697 Issued to: edward tameny SCH -F Amended Schedule "F” - Forms, Endorsements and Schedules CACIGA 1001 01 03 - California Insurance Guarantee CAHOIV 10 04 06 08 - Important Information - Consumer Affairs CAHOIV 2014 10 12 - California Residential Property Insurance Disclosure HO 00 03 10 00 - Homeowners 3 Special Form HO 01 04 09 06 - Special Provisions - California HO 04 96 10 00 - No Sect. II Day Care and Limited Sect. I Coverage HO 24 90 08 01 - Workers Compensation Residence Employees!- CA Number of Inservants: 0 Number of Outservants 0 H09 07 10 09 10 - California Earthquake Hazards Reductions H09 07 11 07 11 - California Residential Property Insurance Bill of Rights H09 08 03 09 10 - California Earthquake Coverage Offer and Disclosure HOIV 1008 02 04 - Hazardous Substance Liability Exclusion' HOIV 1009 02 04 - Animal Liability - Reduction of Limits HOIV 2001 10 12 - California Homeowners Composite Endorsement HOIV 2008 02 04 - Extended Replacement Cost Endorsement HOIV 2010 02 04 - Homeowners Replacement Cost - Personal Property HOIV 2011 02 04 - Protection Devices or Security Measures. Fire Alarm: Smoke Detectors Only Burglar Alarm: Deadbolt Locks Sprinkler: None HOIV 2315 02 04 - Fungus, Rust, Wet or Dry Rot, or Bacteria Limited Cov. HT 011 06 08 - Renewal Certificate IL9 07 40 06 08 - Privacy Notice HO 04 46 10 00 - Inflation Guard: 4% YOUR POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. SC HF 00 12 97 J I U I •o Q' J � U 0 0 J Cr- .09 -WiMO .7 41no F- .yiomopjS pesodawd .ro 6uj }atx3 lb o u m I sows Q it .. I� � M1 � v< gn r -FilI ° #p7 ,.ut; { �- X,.�I �A ,Tni'i}•�,: y #t 9sy yActa;i 'F to R� 1t�) sI ;11'1 ;!j 3 a oxa , G n. Mv tr 5 errs � Gin f1 44 IN a M. S5_�i C fyI. }tl�lJ�.. 'v . »T M_ R k'.a,lY.. ..._� {� y Y B R�1 iSt I� - ... I 17 L l tt sA g S t ql �i Ill d1 ' ... q _ yi l �I w1 J a r jr .S D y� �I ........... #y}�l,'� �yt t!� r, > •f§i yr1 '� l it ..Gir dl�� .'i t .1 ' �+.. �xa° fie'• l 's^.�,:,.... #j IR® .A�t t,�.�� �+ ("1[`� r. I - "Y 4t "� 11 t�3 �,f a ,e� `a _�E"�• S d 3 k4 FG. a 6 W) f an r I0 FY » 1a1 [ S s } I gg •f�1 tai Chi ' � Il'��. �,,; I I Rat � - � � � ��` y— 4?• PA y 10 .00� E , A K E R S F I E L E) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: December 23, 2014 SUBJECT: Encroachment Permit Application for: 2311 Castro Lane Name of Applicant: Edward & Irma Tameny Description of Encroachment: Existing 4' tall chain link fence around front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. O v- S: \PERMITS \ENCROACH \TRAFFIC \2311 Castro Ln.doc 4W B A I<. E R S F I E L n PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager dt FROM: Bob Wilson, Supervisor II, Subdivisions DATE: December 23, 2014 SUBJECT: Encroachment Permit Application for: 2311 Castro Lane Name of Applicant: Edward & Irma Tameny Description of Encroachment: Existing 4' tall chain link fence around front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \2311 Castro Ln.doc