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
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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
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Special Notes and Comments
Existing 4' tall chain link fence around
front yard.
Edward Tameny 661 - 837 -2969
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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.
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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
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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:
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2:!) Name:
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Address:
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3'.) Name:
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Address;
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4) Name:
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..Address:
5.) Name:
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. Address:
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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
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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
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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