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Home My WebLink About14024 CALLE ELEGANTEENCROACHMENT 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- 30000062 Date 10/09/14 Property Address . . . . . . 14024 CALLE ELEGANTE Application type description PW - ENCROACHMENT PERMIT Owner --------------- --- - - - - -- SMITH JOHN PAUL & DINA M 14024 CALLE ELEGANTE BAKERSFIELD CA 93314 Contractor ---------------- -- -- - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1538651 Permit Fee . . . . 208.00 Issue Date . . . . 10/09/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Will be removing 6' high wood fence and replacing with a 6' high block wall behind sidewalk. Fence will be behind face of house and around side /back yard. Dina Smith (661) 679 -4181 ---------------------------------------------------------------------------- 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 re oke t rmit at ny time. Signature of Applicant (Owner /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) SUBSTAWPA� LLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL qqT )/CONSTI- T=l -,TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTS[ ) � DEN(IIE\D) Said permit shall expire on date stated above. City Engineers Additional Terms on the Back CITY OF BAKE PUBLIC WORKS DI 1501 TRUXTL BAKERSFIELD (661) 326 -3724 Fax: LOCATION OF ENCROACIIMEAIT(Address required If there is no address adjacent to work describe limits of work by FULL NAME OF APPLICANT, COMPLETE ADDRESS: / t) OF planter, etc.): A( l 64, F�- PERIOD OF TIME FOR ENCROACHMENT: CONTACT PERSON W I Ll - W- rT PERMIT 4 PO. 'FIELD ARTMENT AVE 4.93301 61) >152 -2012 available): from nearest existing street intersection. PHONE: FAX: CELL: &41 340- ? iron fence, concrete block wall, raised V IVER: 711 I1 5R iv >" e7 le) PHONE: Applicant agrees that if this application is granted, applicant shatl, 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 judicia; , or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, b se (by applicant or any other person or entity) or maintenance of said encroachment. The applicant further agrees t', 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 fb� which this application is made, if granted or upon the property, or right of way 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, mainte ance or existence of said encroachment. Applicant further agrees to obtain and keep all liability insurance' quired by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall furnish ibe 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 cover, Commercial: Commercial Liability coverage in an Encroachment Permit Fee: $20$.00 an amount of at least $300,000.00 of at least $1,000,000.00 S:( PERM t1'S1[;NCROAC14\Encroachment Permit Req Form.DOC I January 2009 B A K E 12 S F I L b Public Works Departmeri 1501 Truxtun Avenue Bakersfield, California 933101 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a ence beside the sidewalk within the public right -of -way. ar /4o; y 6-1 I ie I e & y, t (Address o5�proposcd cncroachmenr SIGNED: &ec'� A ( 1 _) Name: - GC. 1 Address: - 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: LIZ= 5.) Name: rs Address: Z05 g � 6.) Name: Address: el -1r- 7al .-g1v/ Date: /d11 Date: Date: Date: fv -Date: ly Date: California HOMEOWNER DECLARATION PAGE California Capital Insurance Company — NAIC Code 13544 Capital A CIG Company Insurance Co. @ a CIG Company Homeowners Policy — HO -3 — Special Form INSURED COPY Name and Address of Insured Servicing Agency - 23180 Smith, John P & Dina 14024 Calle Elegante Bakersfield, CA 93314 Eagle West Premier Insurance Agency P.O. Box 13100 Bakersfield, CA 93389 Telephone: (661) 835 -4542 Policy #• 2- HOC -1- 1660420 Declaration Type: Extension Effective Date: 07/15/2014 Policy Period: From 07/15/2014 To 07/15/2015 12:01 a.m. standard time at the address of the Named Insured as stated herein. Property Location: 14024 Calle Elegante, Bakersfield, CA 93314 This is Declaration #: 6 and when attached to the applicable forms, it completes the policy. rransaction Description: Extension Policy Summary Total Premium $904.00 Total $904.00 This is not a Bill. The premium will be billed to your mortgage company. This is a replacement Declaration, counter signature is not required. TO REPORT A CLAIM, CONTACT THE CLAIM SERVICE CENTER: (800) 986 -9974 Process date: 05/27/2014 Named Insured: Smith, John P & Dina Homeowner Declaration Policy #: 2- HOC -1- 1660420 Declaration Type: Extension Effective: 07/15/2014 Coverage Form — 3 Property Location: 14024 Calle Elegante, Bakersfield, CA 93314 Description: Construction: Frame; Year Built: 1992; Territory: 54; Protection Class: 3 Basic Coverage Limits and Premium Limit Premium A Dwelling $357,065 $1,173.00 B Other Structures 35,707 C Unscheduled Personal Property 249,945 D Additional Living Expense 71,413 E Personal Liability 300,000 25.00 F Medical Payments Each Person 1,000 Each Accident 25,000 The limit of liability for this structure (Coverage A) is based on an estimate for the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. As a Company, we will make property evaluations from information provided by you in assessing the value of your home. As mentioned in the statement above, it is an estimate of the cost to rebuild your home; however, your home may cost more to rebuild. It remains your sole responsibility to maintain a limit of liability for the described dwelling (Coverage A) that adequately corresponds to the amount it would cost to reconstruct your entire dwelling at current prices. Optional Coverages & Mandatory Fees Extended Dwelling Replacement Cost Coverage (Up to 200% of Coverage A — Dwelling limit) 10.00 Contents Replacement Cost 117.00 Cal -Pak Coverage (Includes $35,707, 10% limit for Ordinance or Law Coverage) Included Identity Fraud Expense Coverage Included Subtotal for Basic and Optional Coverages 1,325.00 Premium Credits and Surcharges $1,000 Deductible Credit - 293.00 Renewal Credit -44.00 Roof Type: Tile -84.00 Total Premium Credits and Surcharges - 421.00 Annual Inflation Guard: 4 % This policy contains a $1,000 Deductible. This policy does not provide Earthquake Coverage. Total Annual Premium $904.00 Process date: 05/27/2014 B 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 9, 2014 SUBJECT: Encroachment Permit Application for: 14024 Calle Elegante Name of Applicant: John & Dina Smith Description of Encroachment: 6' high block wall behind sidewalk around side /back yard. Please review the attached encroachment permit and return to me at your earliest convenience. b.�--, Z4 PI' S: \PERMITS \ENCROACH \TRAFFIC \14024 Calle Elegante.doc f 40 .00010 B � Imo. E R S F I E L L PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 9, 2014 SUBJECT: Encroachment Permit Application for: 14024 Calle Elegante Name of Applicant: John & Dina Smith Description of Encroachment: 6' high block wall behind sidewalk around side /back yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\ PERMITS \ENCROACH \INSURANCE \14024 Calle Elegante.doc