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HomeMy WebLinkAbout3408 DEMING CTENCROACHMENT 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- 30000054 Date 7/24/14 Property Address . . . . . . 3408 DEMING CT Application type description PW - ENCROACHMENT PERMIT Owner Contractor RAMIL MICHAEL P & MARISA A OWNER 3408 DEMING CT BAKERSFIELD CA 93309 (661) 827 -0772 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 1501832 Permit Fee . . . . 208.00 Issue Date . . . . 7/24/14 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments 6' high concrete block wall behind face of house around back yard. Will follow the 10, line of sight rule in the back because of an alley access. Adrian Hernandez (661) 304 -6424 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due P mi Fee Total 208.00 208.00 .00 .00 rand Total 208.0ttheity .00 .00 Appli t acknowledges4th right oineer, pur suant to the Bakersfield Municipal Code Chapter 12.20 to rev he permit at a e. r tl%((%ti f- rririt�- L° �--- S&AiVe of Appl Own Agent) Pr'nt 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 C DIS.-CLL TE 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 E �j APPLICATION FORM CITY OF BAKERSF'IELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENC'ROACIIMENT(Address required where C 14 g 33 c�9 If there: is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION :.FULL ll;lt N E OF APPLICANT — o ,,,.,_ Del tv Lr , 4e- v ha, y,d t! z- COMPLE`I'E ADDRESS: _� � 6 3' LD M h g C1, , PHONE: Oct, K e-l-s T i'.= I d 01 41330 q FAX: w CELL: 7 DESCRIPT ON OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): cGVV0—C,+ e.. l ock (Please Circle) Applicantt 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 there, 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 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, maintenance or existence of said encroachment. Applicant: further agrees to obtain and keep all liability insurance required by the City Engineer it 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 Liabilit}7 coverage in.an amount of at least, $300,060.00 Commercial: Commercial liability coverage in an amount of at least $1,000,000.00 Encroachment Permit Fee: $208.00 S : \PEltM [TS\ NC R0ACH\Encroachment Permit Rcq I'orm.DOC January 2009 B A IC E R S T B 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. (Street for pro"pos d encroacllinent) Of {Address of proposod enerotichment) SIGNED: 11.) Name? Address: 2.) name: Address: 3 j Dame: Address: 4.) "Nam Address 5.) Name: Address .} Name; Address (Orners Name} r Date: _ l Date: Date: �IQZ'g�fT Date: Date: -7 Date_ — ��-- /L ME110ED. Property & Casualty Company DWELLING FIRE DECLARATIONS Policy # DL190294 -00 New Business Effective: 02103/2014 MERCED PROPERTY & CASUALTY COMPANY P.O. BOX 834 ATWATER, CA 95301 1- 800 - 348 -6747 Named Insured and Address: Your Agency's Name and Address: Joe E. Hernandez and Delia C. Hernandez Mennonite Insurance Services, Inc. 3408 Deming Court P.O. Box 878 Bakersfield, CA 93309 Reedley CA 93654 Phone: 559 - 638 -2327 Policy Number: Policy Term: From 02/03/2014 to 02/03/2015 12:01AM DI-1 90294-00 Standard Time at the insured premises. Payment Plan: Full Pay Insurance is to be provided only with respect to the location's) and /or coverage(s) for which a limit of liability is specified, subject to all of the conditions of the policy. Location of Property Insured - 3408 Deming Court Bakersfield CA 93309 Limits of Policy Coverages and Limits of Liability Liability Premium Basic Coverage Limits and Premium Section 11- Liability Coverages L- Personal Liability $300,000 $80 Medical Payments (DF) $5,000 Each Occurrence $25,000 Other Coverages and Mandatory Fees Personal Injury $8 Additional Residence Occupied by Insured $20 Total Annual Premium: $108 THIS IS NOT A BILL Schedule of Forms and Endorsements • CP0401 (1 -73) Comprehensive Personal Liability Endorsement • DP0034 (1 -77) Renewal Plan • DP -300 (12 -92) Special Provisions • HO -82 (4 -84) Personal Injury • HO -90 (9 -84) Workers Compensation Residence Employees • MM -6 (2 -86) Amendatory Comprehensive Personal Liability Endorsement • MMH50 (1 -83) Additional Residence Owner Occupied • SFP -1 (8 -86) Standard Fire Policy Endorsement Coverage afforded is subject to policy limits, terms and conditions. 0" "0:51�k ��>✓ Countersigned Page 1 of 2 Policy # DL190294 -00 Process Date: 0211012014 Q a` Z 4 L; ; #R9 T 4%ryo _ j/ivM$P!S pasodald m 5uf;srx3 LIB 4 Ic I� t� IV m � U c� ! v, J J ai J J 0 xara �w m m fl E K E R S F I E L L3 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 25, 2014 SUBJECT: Encroachment Permit Application for: 3408 Deming Ct Name of Applicant: Joe & Delia Hernandez Description of Encroachment: 6' high concrete block wall behind face of house around backyard. Will follow the 10' line of sight rule in the back because of an alley access. Please review the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \TRAFFIC \3408 Deming Ct.doc 'a l N 7?/t4 40 B A K E R S F I E L L) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager Aj FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 25, 2014 SUBJECT: Encroachment Permit Application for: 3408 Deming Ct Name of Applicant: Joe & Delia Hernandez Description of Encroachment: 6' high concrete block wall behind face of house around backyard. Will follow the 10' line of sight rule in the back because of an alley access. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \3408 Deming Ct.doc