Loading...
HomeMy WebLinkAbout12281 PIERCE 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 . . . . . 14- 30000063 Date 10/27/14 Property Address . . . . . . 1930 CARVER ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor - ------------------------ ----------------------- INGLESIA DE RESTARUACAION LA S OWNER 12281 PIERCE ST ARLETA CA 91331 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1546217 Permit Fee . . . . 208.00 Issue Date . . . . 10/27/14 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Place 6' stone and wrought iron fence /��._, &%r 151"" around property at back of sidewalk. �c�( 1 v' I �� ' "" L/@ Contact person: Victor Alonzo 661 -483 -7549 --------------------------------------------------------------------------- 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 rmit at a y ime. ign re A plicant (Owner /Agent) rint 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) SUBST ALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL N CON TUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS 'i HEREFORE ( RANT (DENIEDSaid permit shall expire on date stated above. fll--'S� City Engineer Additional Terms on the Back 10/21/2014 12:30 5596383336 'c�► CERTIFICATE OF LIA PRODUCER MeiAnonite insurance Services PO Box .976 Reedley Ca 93654 INSURED Iglesia be Restauracion Liar Senda, Antigua 1930 Carver St Bakersfield CA 93307 MENNONITE AID PLAN .2:3 l� PAGE 02/02 B I LITY I N S U RAIN C E DATE (MMIDOMWY) 3.0/21/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FLIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, INSURERS AFFORDING COVERAGE NAIL 0 INSURERAI CuiC7.eOne Insurance Co GENERAL AGGREGATE INSURER D: PRODUCTS - COMP /OP AGG INSURER C! COMBINED SINGLE LIMIT (Ed nerldent) INSURER D; SONLYINJURY (Par pairem) IN8URCR C; RCDILY INJURY (Pnr!Iccldent) THE POLICIES OF INSURANCE L.I°TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PC ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED 145REIN IS SUBJECT TO ALL THE TEF POLICIES. AGGREGATE LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, GENERAI, LIABILITY X I COMMERCIAL GENERAL LIABILITY CLAIMS MADE L"I OCCUR GEN'L AGGREGATE R E LIMIT APPI,IFO PE: POLICY F7 I M M LOC AUTOMOW40 LIABILITY ANY AUTO ALI. OWNED AUTOS SCI- GOULFD AUTOS HIRED AUTOS NON-OWNED AUTOS AdE LIABILITY ANY AUTO SSS I UMBRELLA LIABILITY OCCUR ED CLAIMS MACE DEDUCTIBLE EMPLOYERS' VAfSILRY PROPRIETOwPARTNERIRXFCUTIVP F7 ,.ERIMEMISER EXCLUO €C? OTHER 9609 -180 1 10/10/1.41 10/10/15 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES Construction of fence on church property. ICY PERIOD INDICATED, NOTWITHSTANDING RICH THIS CERTIFICATE MAY BE ISSUED OR MS, EXCLUSIONS AND CONDITIONS OF SUCH LIMIjS EACH OCCURRENCE 11, 000, 0 0 0 ISCS fEn ocqurrenbb $ r 00 Q r 0 0 MED CXP {Any owne Doman) $ 000 PRRBONAL 6 ADV INJURY $ �• / 00o, 0 0 0 GENERAL AGGREGATE / LO —0r' 0 0 0 PRODUCTS - COMP /OP AGG S. ! 0 0 0 r 0 0 0 COMBINED SINGLE LIMIT (Ed nerldent) IF SONLYINJURY (Par pairem) R RCDILY INJURY (Pnr!Iccldent) $ PROPERTY DAMAGE (Per ecCldent) AUTO ONLY. RA ACCIDENT $ RTHER THAN EA ACO IJTO ONLY: AGO EACH Q0OURRENOF $ 8 $ AGGREGATE, g WC STATU• OTIi- IMI;C� ft, E.L„ EACH ACCIDENT $ E.L. 1318PASE -CA EMPLOYE • S 81. DISEA0111 -POLICY LIMIT City of Bakersfield SHOVLDANYC PTHEASOVEbFSCRIUEDPOLICIESBE CANCELLED BEPORE THE EXPIRATION Department DATE THEREOF, THF. ISSUING INSURER WILL ENDEAVOR TO MAIL 3 O.. DAYS WRITTEN of Public Works DATE TO THE CERTIFICATE HOLDER NAMED TO THELFFT, BUT PAILLIPMTObOsoSHALI. �^ ^ 1 Tru.XtT, n Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THR INSURER, ITB AGENTS OR \� sfield CA 93303. REPRESENTATIVES.. y� AUTWORI2Ep RCPRESENi'ATNC .. vgrp 0 jf68 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD B A K E R S F I E L D Public Works Department 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. (Strcei for proposed encroachment) (Address of proposed encroachment) qo1 SIGNED: 1.) Name: Address: By: (0wners name) t)hont.-!M2--�DD!52�' 2. Name: �f ie Address: 3.) Name: L- Address: t � 4.) Name: ���Y� U. 1� C l Add ress: - -S.4I i fa(2 5.) Name: �- Address: I '� ' Date.: /0 �' Date / Date: Date: J L L Date: 6.) Name: /� U Date: i �} C f r Address:���1' 10121/2014 12:30 5596383336 MENNONITE AID PLAN PAGE 01/02 Mennonite Aid Plan Mennonite - insurance Services FO Box 878. 1 i 10 J Street Reedley CA. 93654 Telephone (559) 635 -2327 FAX (559) 638 -3336 FAX COVER SHEET Frow Jeremy Linscb.eid, General Manager Date: a �t (7f ' To: �utL(tNc., Wor-k5 L'44 ttlnl.: Regarding: _;z Aq a A ao FAX #: �' / �'.S� � (off Wages including cover: rR If you do not receive all of the pages, please call us at 559 - 638 -2327, 9:00 am -5:00 pm. Of L A Imo:. E R S F I E L I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Cov , Rak Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 29, 2014 SUBJECT: Encroachment Permit Application for: 1930 Carver St Name of Applicant: Iglesia de Restauracion La Senda Antigua Description of Encroachment: Place 6' high stone and wrought iron fence around property at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \1930 Carver St.doc 40 '00.� -01 ------ E A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 29, 2014 SUBJECT: Encroachment Permit Application for: 1930 Carver St Name of Applicant: Iglesia de Restauracion La Senda Antigua Description of Encroachment: Place 6' high stone and wrought iron fence around property at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. I If S1PERMITS \ENCR0ACH \TRAFFIC \1930 Carver St.doc VII --T- �' y k } �r k+ ..... rfcsg FA3, �a 4�f �;' a y�}'r' £,o fa �* ,�fifi{H g f�''G c �.���z^. y a 44' T a t Y µ 4 i yE L