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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 ------------------------ RAMIREZ CARLOS D & LUPE E 307 SOWERBY VILLAGE LN BAKERSFIELD CA 93307 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------- --- - -- -- ---- - - - - -- ---- - - -- -- ---- - - - - -- ---- - - - - -- 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 a! CO I -_j 1 �e u m V m ly J Z U 8!lIjJApas _ QD .Q9 ilpmaprs posodoJd Jo but; ;,X = ESi a ^-��.1 fi ('ice �+�1 \(�X �. w '•� Inc ��,J a j '. o CD C 3 O L�? v N "00e 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. rV o v �2 lj J SAPERMITS \ENCROACH\TRAFFIC \307 Sowerby Village Ln,doc