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HomeMy WebLinkAbout6915 MILL GLEN FOREST CT13AK� ENCROACHMENT PERMIT kyronsuusr�n cjti� APPLICATION L) a CITY OF BAKERSF1ELD � I PUBLIC WORKS DEPARTMENT ��va riv, 1501 TRUXTUN AVE [.. '�z1IG CIl3 BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 Y ..i CATION OF ENCItOACHME11TT(Address required where available): If there is no address adjacent to work describe Iimits of work by distances from nearest existing :street intersection. , C tIFTION OF ENCROACHM ENT (Example: Wood or wrought iron fence, concrete black wall, raised planter, etc.): A 10 �1 — y DG VC X t Z-� ,IRE+ k16D of TIME FOR ENCROACHMENT: xiI ��+' i�'E''t r OTHER: ~' 3 TAC1 PERSON y C ^C Wyc PHONE: d 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 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 in full force and effect for however long the encroachment remains. Applicant shall furnish the City Frisk 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 amounts) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 :'Gom'irier%sar. Corriniercral ,liability ;covcragetn.t, air► aunt. ofatlea;t$1 ;00.000,00:..' Encroachment Permit Fee: c$200 01 ! � %' S:\['E11;1v il'S \£ NC ROACH\Encroachment Permit Req Form.DOC January 2009 E A K E n S I~ I E L D Public Works Ueparttment 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. By: (Street For proposed encroachment) - ( wners Rime) Of > (Address of {proposed encroachment) SIGNED: Name: Address: .Name: � C � n b,,e_ '4- Name: U G s v Address :� Narne: Address: j Name: Address: } Name: Address: Date: I — z 2 L� Date: Date:'��/l Date: Date: ALLSTATE <TUE)JUL 22 2014 1B: ISART. 16: 12JNa. 71509005040 P 2 CERTIFICATE OF INSURANCE - COMMERCIAL ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL THIS CERTIFICATE 13 ISSUED AS A M47TER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. INTERESTED PARTY TYPE: Certificate Holder Description of Operation: DBA QUALITY WINDOWS CERiit-lCAiiE HOLDER NAMED INSURED Name and Address of Party to Whom tnis Certificate is Issued Name and Address of Insured CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301 -5201 JESUS TAVERA 1100 BRUNDAGE LN BAKERSFIELD, CA 93304 -3109 Location Address (if different than above) ARE and SPECIFIED PERIL LEGAL LIABILITY This is to certify that policies of insurance listed below havebeen Issued to the Insured named above subjectto the expiration date indicated below, notwithstanding any requirement, term orcondition of any contractorother documentwith respect to which this certificate may be issued or may pertaln. The insurance afforded by the policies described herein Is subject to all the terms, exclusions, and oonditionsof such policies. TYPE OF INSURANCE AND LIMITS Policy Number: 648603535 Effective Date: 05 -01 -2014 Expiration Date: 05 -01 -2015 COVERAGE SUMMARY BUSINESS LIAJ3 L Y AMOUNT COMPREHENSIVE LIAHIUTY S 11000,000 Each Accidental Event ARE and SPECIFIED PERIL LEGAL LIABILITY $ 50,000 Each Accidental Event MEDICAL PAYMENTS $ 10,000. Per Person PROPERTY INSURANCE Pa sP CIAL FORM ❑ BROAD FORM ❑ i3ASIC FORM ❑ 13UILDMS RISK SPECIAL FORM ❑ BUILDING ❑,Replaoement Cost ❑ Actual Cash Value ® CONTENTS $ 20,000 0 peplacement Cost ❑ Actual Cash Value Deductible 9 1,000 Wind �--I YES L: NO nd Deductible % 0 Exclude Wind ❑ -J ADDMONAI. COVERAGE S: EQUIPMENT BREAKDOWN MORTGAGE CLAUSE —The poll c contains a Modga a Clause in favor of Mort a ee Address CERTIFICATE PERIOD THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OF THE POLICY UN71LTHE POLICY IS CANCELLED OR EXPIRES, POLICY INCEPTION DATE: 05 -01 -2014 g 12:01 AM n 12:00 NOON Standard Time at the Iocetton of the Insured prong3©s, PROVISIONS This form is not the contract of insurance, butatteststhat a policy as identified above has been Issued. The provisions of the policy shall prevail in all respects. SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER; BUTFAILLRETO DO SO SHALL IMPOSE NOOBLIGA71ON OR LIABILITY OF ANY KIND UPON THE COMPANY, RS AGENTS OR REPRESENrAMVFS. JILL OLIVARES 07 -22 -14 Authorized Representative Date Clow 010`110 ce ikets copy COMMON POLICY CHANGE ENDORSEMENT Allstate Insurance Company Named Insured JESUS TAVERA Policy Number 648603536 Endorsement No. 002 Effective Date: 07 -22 -14 101 A.M., Standard Time (Agent Name ,TILL OLIVARES I I- POLICY CHANGES ENDORSEMENT DESCRIPTION (CONTU - -�I ITHE POLICY IS AMENDED AS FOLLOWS: INCREASE LIABILITY THE LIABILITY LIMIT HAS BEEN CHANGED FROM $300 =,000 TO $1,000,00 -0. THE LIABILITY MEDICAL AGGREGATE LIMIT HAS BEEN CHANGED FROM $600,00 °0 TO $2,000,000- THE PRODUCTS AGGREGATE LIMIT HAS BEEN CHANGED FROM $600,000 TO $2,000,000. ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME REMOVAL PERMIT If this policy Includes the Commercial Property Coverage Part, the following applies with respect to the Coverage Part: If Covered Property is removed to a new location that is described on this Policy Change, you may extend this insurance to include that Covered Property at each location during the removal. Coverage at each location will apply in the proportion that the value at each location bears to the value of all Covered Property being removed. This permit applies up to 10 days after the effective date of this Policy Change; after that, this insurance does not apply at the previous location. DM CW 30 0110 Allstate Insurance Company Agerd copy FROM RL.LSTJ4Tt Policy Number 648603535 Endorsement No. 001 SCHEDULE OF LOCATION CHANGES Allstate Insurance Company Named Insured JESUS TAVERA Effective Date: 07 -01 -14 12:01 A.M., Standard Time Agent Name JILL OLIVARES Loc. Bldg. Designated Locations Occupancy No. No. Address, City, State, Zig Code E FOLLO W NG PREMISES ARE ADDED: 002 001 1100 BRUNDAGE LN, BAKERSFIELD, CA 93304 -3109 WINDOWS WINDOWS DM Cw 34 01 10 Allstate Insurance Company insured Full Copy CERTIFICATE OF INSURANCE - COMMERCIAL ALLSTATE INSURANCE COMPANY - NORTHBROOK, IL THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTI FiCATE HOLDER. THiS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. INTERESTED PARTY TYPE: Certificate Holder Description of Operation: DBA QUALITY WINDOWS CERTIFICATE HOLDER NAMED INSURED Name and Address of Party to Whom this Certificate Is Issued Name and Address of Insured CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD, CA 93301 -5201 JESUS TAVERA 1100 BRUNDAGE LN BAKERSFIELD, CA 93304 -3109 Location Address (ir different than above) FIRE and SPECIFIED PERIL LEGAL. LIABILITY This is to certify that policies of insurance listed below havebeen issued to the insured named above subjectta the expiration date indicated below, notwithstanding any requlrement, term orcondttion ofarry contract or other docunentwith respect to whloh this oertificate may be Issued or may pertain. The insurance afforded by the policies descrl bed herein is subject to all the terms, exclusions, and conditions of such policies. TYPE OF INSURANCE AND LIMITS Policy Number: 649603535 Effective Date: 05 -01 -2014 Expiration Date: 05 -01 -2015 COVERAGE SUMMARY BUSINESS UABfUTY AMOUNT COMPREHENSIVE LIABILITY 4 1,000,000 Each Accidental Event FIRE and SPECIFIED PERIL LEGAL. LIABILITY $ 50,000 Each Accidental Event MEDICAL PAYMENTS $ 10,000 Per Person PROPERTY INSURANCE POUCYTYPE 0 SPECIAL FORM Q BROAD FORM F-� BASIC FORM F7 GUILDERS RISK SPECIAL FORM BUILDING F-1 Replacement Cost Q Actual Cash Value © CONTENTS $ 20,000 0 Replacement Cost F'� Actual Cash Value Deductible $ 1,000 Wind Deductible % o Exclude Wind E] YES x] NO ADDITIONAL COVERAGE'S: EQUIPMENT BREAKDOWN MORTGAGE CLAUSE -The polley contains a Mort a e Clause In favor of Mortgagee Address CERTIFICATE PERIOD THIS CERTIFICATE WILL REMAIN IN FORCE FROM THE INCEPTION OFTHE POLICY UNTIL THE POLICY IS CANCELLED OR EXPIRES, POLICY INCEPTION DATE: 05 -01 -2014 ® 12:01 AM [] 120 NOON Standard Time at the ImUon of the Insured premises. PROVISIONS This form is not the contract of insurance, butattests that a policy as identified above has been issued. The provisions of the policy shall prevail in all revects. SHOULD 1HEABOVE DESCRIBE D POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL WRITTEN NOTICE TO THE CERTIFICATE HOLDER, BUT FAIL URETO DO $O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. JILL OLIVARES 0722 -14 Authorized Representative Date Cl CW 01 01 10 Cerffivate Copy '11 1=1 !'� riie u 1 lov -------j-- V27= ! Buyer's Closing Statement ..... .. .. . ...... .... Stewart Title of California, Inc., Stewart Title of California, Inc. 8501 Brimhall Road, Suite 202, Bakersfield, CA 93312, (661) 588-9800 146y"er(s), 'Jesus fa,v"e" ra - Maria Tavera Lender(s) Valley Mortgage Investments, 6100 California Ave, Ste 122, Bakersfield, CA 93309 Property 1100 Brundage Lane Bakersfield, California 010-322-10-00 Closing Date 6/30/2014 Disbursement Date 6/30/2014 Proration Date 6/30/2014 Debit Credit . ......... . ...... . I . ......... ........ . .... ... ..... . . 1.1- ..... .... . .... . ...... Contract sates ­Loan ­­- 000.00 $76' .. . .. ........... ....... ...... .... .. . , ...... New Principal amount of new loan(s) Reposits ----- ----- - -------------- - Deposit or earnest money ............... ........ .... . ........... .... $1,590.00 Additional CWdi6 i ,nn .,I fin nil from locnc Tnvoro $48.517.81 credit for . owners policy /transfer . . tax .. ... ... ..... . ...... ... ......... .... ...... w.._.........,,.,,....,.__. $51 9.60 ....................._.._.._... '15, * ---- . ..... ....... _j:M....._.._...._._.,_-_rations .... ...... . . . ....... .. ... taxes ­­­­­­­-, -* ....... 6/26/2014 to .. ......... ----- - ...... .... .. .... - $7.86, --- ------- Commissions .. .................. . . ..... . .. . commission . I . I I d ., u , a , t . o 11 Legacy - % . . - Realty $1,100.00 .. ... .. ... ... . ...... _,......... .... .. .......... ------ ..... ... . ...... ...... .... ---- .. . . . ............ nrinin inn a rop to toaae Investments $2,265.00 Premiums . ... ....,.. ........... ... Homeowner's -* .. insurance , . - . . fo . r . 1 year to Allstate Insurance $839 00 .... .... .. Title dha�6 . Settlement or closing fee to Stewart Title of California, Inc - --- . . . . ......... $320.95 - - ---------- bwn-e-r"s 'ti't"*einsurance t'o*' Stewart "'T it'l"eof"Cali'for'n'ta','*I'n'c W6..00. L . ender's title insurance to Stewart Title of California, Inc . .... . $270...0.01 Lender's title pollay limit $35,000.00 ............. ... .... . ...... Owners title policy limit $76,000.UU . . ..... .. ...... ........ ........... .... ... ....... .. .. tn-abrsement Estimate to Stewart Title of California, Inc Notary/S . ign . u . p . fee . to . Si6kiiri title of California, Inc ,.-sq�rqln Fees ransfer ...... . ..... .. .. ........ -- .............._...__-•- -_.... Deed $16.00 Mortgage $84.00 Releases to Stewart Title of California, Inc. $100.W ..... ..... tft'y'/-C- 'o-u-n' t., ... p's Deed $83.50 to Stewart Title of California, Inc... Additional Charges . . ........ ...... ...... .. . ....... ... .. ...... ... !��j�naame r/Au to riuiu _.......__...._._..... ...._......_....._._.Subtotal:' .. $81,637.41 $80,637.41 Balance due from Buyer: $1,100.00 Totals: $81,637.41 $81,637.41 Jesus V r Page I e 8ulvaWao OWIS _ — — — -_j 11j ,09 10- v jo} }n8 W 9j►l? -YIUM$p .*s naSOdOJd �a 5u� }srx3 LQ �.J 10 E Z Ck5 8p 8ulvaWao OWIS _ — — — -_j 11j ,09 10- v jo} }n8 W 9j►l? -YIUM$p .*s naSOdOJd �a 5u� }srx3 E Z Ck5 8p ) 40G..�� °Q is 1 a -* I a -3 o00CCV5Z E A I<. E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 25, 2014 SUBJECT: Encroachment Permit Application for: 1100 Brundage Ln Name of Applicant: Jesus Tavera Description of Encroachment: 6' high fence with l' of bob wire on top around front of property. Verbal ok on height per Paul Helman in Planning. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SAPERMITS \ENCR0ACH \INSURANCE \1100 Brundage Ln.doc V • Y A K E R S F I E E ID PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 25, 2014 SUBJECT: Encroachment Permit Application for: 1100 Brundage In Name of Applicant: Jesus Tavera Description of Encroachment: 6' high fence with l' of bob wire on top around front of property. Verbal ok on height per Paul Helman in Planning. Please review the attached encroachment permit and return to me at your earliest convenience. SAPERMIMENCROACHURAFFIC\1100 Brundage Ln.doc 0/,