HomeMy WebLinkAbout307 SOWERBY VILLAGE 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- 30000055 Date 8/12/14
Property Address . . . . . . 307 SOWERBY VILLAGE LN
Application type description PW - ENCROACHMENT PERMIT
Owner
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RAMIREZ CARLOS D & LUPE E
307 SOWERBY VILLAGE LN
BAKERSFIELD CA 93307
Contractor
------------------ - - - - --
OWNER
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Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 1510205
Permit Fee . . . . 208.00
Issue Date . . . . 8/12/14 Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 208.00
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Special Notes and Comments
Will be constructing a 4' block pillars
with rod iron fence in front of house.
Will also be constructing a 6' high
brick wall behind the Public Works and
Building set backs along side of
property.
Carlos Ramirez 703 -3890
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Fee summary Charged Paid Credited Due
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A IicantPer �t F e °es the ri 'O td os o 00 00
pp gig g gfOtdthe C60r$�°ragineer, pj�-6uant to thy, Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time. T
Sign ture of Applicant Owner/ 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 (CANTEW (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF BAKERSI IELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3724 Fax: (661) 852 -2012
LOCATION OF ENCIIOACHMENT(Address required where available):
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPLICANT
COMPLETE ADDRESS:
APPLICANT INFORMATION
CELL: 77 ():, 12) C l 0
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): �.C�r,� r e e c,C �C tAD C- �` W t V4--v zoa i (,Or\
PERIOD OF TIME FOR ENCROACHMENT: NIIEF INITE) or OTHER:
(Please .Circle)
CONTAC'T ' PERSON , t�2\b5 � �� , rc-2— PHONE: Cn
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 encroat hment 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 Ci1y Ett incer. applicant will at his own cost and expense remove the same from the public
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 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 requited are:
Residences: l-lomeowners General Liability coverage in an amount of at least $300,000.00
Commercial: Commercial Liability coverage in an arnount of at least $1,000,000.00
Encroachment Permit Fee: $208.00
S: \l'EI7M[ I "S \ENCROACH \Encroachment Permit Req F'orm.13OC January 2009
B A K E R S T~ T IS L D
Public Works Department
1501 Truxtun Avenue
Bakersnetd, California 83301
(661) 328 -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.
(Stctt rO; FQ oSCd enCroAChineni' � Y ��
P P (0 wners Fame)
Of
(Address of proposed encroachment)
SIGNED:
1.) Name: CGL GJ( AgB'It Zj Date:
Address:
2.) Name: (rl G LUvra(.e-/
Address: 30 3
3,) Name: ( ��n1( n nA
Address: u/f1er- unf(nr�_et_
4.) Name: 5 V-,e /Q) aC�
Address:
�..
5.) Name:
Address'.
6.) Name:
Address: ,..I q 0.
Date: Fy-A/_16
Date: � L ( "
Date:
Date: ?,-z 2 - -
Date:
",14ersonal Express Insurance Company
5301 Truxtun Avenue #100, Bakersfield, CA 93309
Policy Number: XH0210415 -4
Carlos Ramirez
HOMEOWNERS INSURANCE POLICY
Effective 11/12/2013 Declaration Number 001
Policy Effective from 11/12/2013 to 11/12/2014 at 12:01 AM Local Time
Named Insured:
Carlos Ramirez
307 5owerby Village Ln
Bakersfield, CA 93301
Legal Text: Wife & Husband as Joint Tenants
Agency: 99000
Personal Express Insurance Services Inc.
5301 Truxtun Avenue Ste. #100
Bakersfield, CA 93309
(661) 634 -4600
- tL
RENEWAL Policy Declaration
These declarations together with the coverage forms, and endorsements added thereto, if any, issued to form a part thereof,
complete the above numbered policy.
Your full term Premium Charge is $ 461. An invoice with the payment plan will be mailed to you.
In return for the payment of the premium, and subject to all the terms of this policy, we agree to provide the insurance
stated in this policy.
Credits/Debits
-16%
COVERAGE
PREMIUM
Homeowners Policy HO 3
Section I Coverages
$ 402
Section II Coverages
$ 20
Additional Coverages
$ 39
TOTAL $ 461
Payment Plan: 50% Down & I Pmt in 5 Months
(/v
Countersigned :�
Date: September 19, 2013
Authorized Representatives
Date Printed 09/19/2013 INSURED Homeowners PHCoverNRE
,ea {,
' '`Declarations Number: 001
Effective Date: 11/12/2013
Page 3
Policy Number: XH0210415 -4
Carlos Ramirez
COVERAGE DECLARATIONS
Location Address: 307 Sowerby Village Ln Bakersfield, CA 93301
Basic Coverages:
Limit
Deductible
Section I Coverages:
Cov A - Dwelling
$ 199,000
$ 500
Cov B - Detached Structures
$ 19,900
$ 500
Cov C - Personal Property
$ 139,300
$ 500
Cov D - Loss of Use
$ 39,800
Section II Coverages:
Cov E - Personal Liability $ 300,000
Cov F - Medical Payments
Each Person $ 1,000
Each Accident $ 25,000
Property Insurance Disclosure:
c
This location Includes Specified Additional Amount of Insurance for Coverage A - Dwelling.
This location Does Not Include Earthquake Coverage.
This location Does Not Include Building Code Upgrade (Ordinance or Law) Coverage - Form PH0041009 Not Purchased.
This location Includes an Annual Inflation Guard of 4 %.
Additional Coverages
Personal Property Replacement Cost
Specifed Add'1 Amt Insurance Cov'A'
H.O. Plus
Workers Compensation
Form Limit Premium
H004901000 Refer to Form $ 0
PHO081009 Refer to Form $ 10
PH0411012 Refer to Forth $ 24
H024900801 $ 100,000 $ 5
Date printed 09/19/2013 INSURED Homeowners PHCoverageDmI
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D A h. E R S F I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: August 28, 2014
SUBJECT: Encroachment Permit Application for: 307 Sowerby Village Ln
Name of Applicant: Carlos & Lupe Ramirez
Description of Encroachment: 4' high wrought iron fence with block pillars
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 \ENChOACH \INSURANCE \307 Sowerby Village Ln.doc
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: August 28, 2014
SUBJECT: Encroachment Permit Application for: 307 Sowerby Village Ln
Name of Applicant: Carlos & Lupe Ramirez
Description .of Encroachment: 4' high wrought iron fence will block pillars
around front yard behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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SAPERMITS \ENCROACH\TRAFFIC \307 Sowerby Village Ln,doc