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Home My WebLink About4817 Beehan StreetENCROACHMENT 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 . . . . . 18- 30000015 Date 9/10/18 Property Address . . . . . . 4817 BEEHAN ST Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ GONZALES SILIA S 4817 BEEHAN ST BAKERSFIELD CA 93307 Contractor ------------------ - - - --- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2244689 Permit Fee . . . . 420.00 Issue Date . . . . 9/10/18 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments September 10, 2018 3:21:50 PM mmendenhal. Using current fence frame, add wrought iron in between posts - no higher than 3 1/2' and must be 4" gap in bertween wrought irons at top.. Standard T -11 (7/97) . L-JLnP of sight was approved by City Traffic Division. Contact person: Silla Gonzales 384 -5084 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------ -- --- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- --- - -- - - -- Permit Fee Total 420.00 420.00 .00 .00 Applicanf- 5%Wdges the right •®P the CRY L'Agineer, pu"uant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Signature of Appllc nt (Owner /Agent) Print Name Lj 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 (GRANTED) (DE ) Said permit shall expire on date stated above. r�- Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of connected with, or caused by applicant, or in any way arising from, the terms and provision of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the encroachment in the ordinary course of CITY's business, during the life of the 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 revocation thereof by the City Engineer, 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating. 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. qftf� ad and acknowledge the above. Applicant's Initials ENCROACHMENT PERMIT -�► - `�� APPLICATION FORM c� o CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE IFOR�1� BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): - If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT z( e'' COMPLETE ADDRE S: 4 Al �'PHONE•'r /A ^� i ' l N �- FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): 'S f,, �, (,� wee (� ✓b� -�— r� �l I ✓1 I r ►'� S s l _ -1 G -t PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE. or OTHER: (Please Circle) CONTACT PERSON PHONE: 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 revocation thereof by the City Engineer, 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 required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $420.00 S :\PERMITS\ENCROACH\Encroachment Permit Req Form.DOC Aug. 2017 M N N An C t N N m ON 00 0 Li Mu 0� n r ••_s t; r � -Al' - A i i 1 ri i 7 al 0 0 C7 00 N CD N c f0 N 7 d f0 U N 01 f0 E c o w U N C U y � v rn O Y � m 00 O N 00 $AKERS FIE L" 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. r (Street for proposed encroachment) (Owners IJ'AG, Name) , 22 —^2 Lk Phone. D L/0 — (Address of proposed encroachment) SIGNED: 1.) Name: Address: 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: 6.) Name: 'lil�:�li1.t l6 �a n s Address: / 6A tUl(,V_ S' • See Signatures needed for approval page Ca Date : Se ho 46 Date: "l ,/ / c� ! l Date: Date: Date: Date: q-" [ 0 --le MINIMUM SIGNAL IF APPLICANT I: PLEASE SUBMIT NEEDED FOR APPROVAL O PPLICA TION, BLE TO OBTAIN A REQUIRE IGNA TURF TTER STA TING REASON FO SSION. I I I i I 1 I I 1 1 1 . I I K4 %x X He61-7 CORNER LOT -------- Fxistin or PFo�sed $;Qe�k— Curb and Gutter Street Centerline ----------- ----------- - - - - --\ I II I 1 I I II I I II I' I I' I I' I I II i I� I' I I' I I' I I' I I' I I i------- - - - - -- II II I1 t I' I I - - - - - - - - - - - - - - - - - .WW7rZ ------------------------ _------- �xist +n�orPr�osedSidewo/k -- - - - - -_ Curb and Gutter Street Centerline .. .� po -�()t i, dexpress 1l'.INAHf.r 5301 Truxtun Ave.. Ste 100 • Bakersfield. CA 93309 SILIA GONZALES 4817 BEEHAN ST BAKERSFIELD, CA 93307 -5113 RESIDENCE PREMISES 4817 BEEHAN ST BAKERSFIELD, CA 93307 -5113 Policy Number: 2006923901 Named Insured: SILIA GONZALES abc@abc.com Policy Period: 12:01 AM 911012018 - 911012019 Date of Notice: 9/10/2018 Policy Underwritten By: Integon National Insurance Company 24 Hour Claim Reporting: 1-800-09-3612 For Policy Information: 1-800-499-3612 www.Expressinsurance.com 9003682 Personal Express Insurance Services 5301 Truxtun Ave Ste 100 Bakersfield CA 93309 (661) 634 -4600 ONECHOICE HOMEOWNERS POLICY DECLARATIONS TRANSACTION TYPE: NEW BUSINESS Dear Policyholder, PAYMENT TYPE: MORTGAGEE BILLED PERSONAL EXPRESS INSURANCE SERVICES and PERSONAL EXPRESS INSURANCE are pleased to present you with your homeowners new business insurance policy. A bill for your premium is being sent to your mortgagee separately requesting payment of the premium. In the event of a loss, call our toll -free number 1- 800499 -3612 for 24 -hour claim reporting. Our dedicated professionals are ready to help 24 hours a day, seven days a week. Thank you for letting us be of service and if you have any questions, please contact PERSONAL EXPRESS INSURANCE SERVICES at (661) 634 -4600. MESSAGES PLEASE REFER TO THE "IMPORTANT NOTICES" SECTION OF THIS POLICY FOR IMPORTANT INFORMATION CONCERNING THIS POLICY. YOUR POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE YOUR POLICY DOES NOT PROVIDE COVERAGE FOR LOSS ASSESSMENT DUE TO EARTHQUAKE. SH DC 01 (01 -04) BASIC POLICY COVERAGES SECTION I PROPERTY COVERAGES LIMITS OF LIABILITY A. DWELLING $ 202,596 B. OTHER STRUCTURES $ 20,260 C. PERSONAL PROPERTY $ 141,818 D. LOSS OF USE 24 Months SECTION I DEDUCTIBLE We will pay only that part of the total of all loss and expense payable under Section I that exceeds: S 1,000 SECTION II LIABILITY COVERAGES LIMITS OF LIABILITY F. PERSONAL LIABILITY —EACH OCCURRENCE S 300,000 F. MEDICAL PAYMENTS TO OTHERS S 5,000 ADDITIONAL COVERAGES Equipment Breakdown Coverage Limit: $50,000 Deductible: $250 Extended Dwelling Replacement Cost Limit 50 % Amendatory Mold Endorsement Section I Limit: $10,000 Section 11 Limit: $50,000 Workers' Compensation ATTACHMENTS The following forms, endorsements and exceptions to conditions are part of the policy at time of issue. Please read them carefully. FORM NO. EDITION DATE TITLE HO 3000 01 06 HOMEOWNERS SPECIAL FORM SH 05 63 10 12 SPECIAL PROVISIONS - CALIFORNIA HO 24 90 0801 CALIFORNIA WORKERS COMPENSATION RESIDENCE EMPLOYEES HO 04 07 05 it CALIFORNIA PERSONAL PROPERTY REPLACEMENT COST LOSS SETTLEMENT SH 05 54 10 12 LIMITED FUNGI WET OR DRY ROT OR BACTERIA COVERAGE - CALIFORNIA FOR FORMS H02000 H03000 AND H06000 SH 05 60 1012 ADDITIONAL PERCENTAGE OF INSURANCE FOR COVERAGE A - DWELLING - MAXIMUM OF 50% FOR FORMS HO 2000 AND HO 3000 SI1 05 66 10 12 SECURITY PLUS ENDORSEMENT - CALIFORNIA SH 05 68 10 12 EQUIPMENT BREAKDOWN COVERAGE SH 06 01 0605 IDENTITY THEFT RESOLUTION ASSISTANCE SH 24 82 0204 PERSONAL INJURY SH DC 01 (01.04) !f you have chosen the Scheduled Personal Property Endorsement, please refer to that section which appears later In these policy declarations. PREMIUM INFORMATION BASIC PREMIUM $ 430 ADDITIONAL COVERAGES $ 67 TOTAL PREMIUM $ 497 POLICY CREDITS Included in the above premium are the following credits: Claims Free Discount Home Buyer Discount MORTGAGEE /ADDITIONAL INSUREDS /ADDITIONAL INTEREST Mortgagee Wells Fargo Bank, N.A. #708 Po Box 5708 Springfield, OH 45501 -5708 Loan #:0483379467 RATING INFORMATION RISK STATE RATING OCCUPANCY TERRITORY TAX CODE FAMILIES CONSTRUCTION YEAR TIER CA PRIMARY 20 1 FRAME 1970 FEET TO MILES TO PROTECTION BUILDING CODE ROOF TYPE HYDRANT STATION CLASS GRADING 0-500 0 -5 2 Architectural Shingles SOLID FUEL STOVE RATING DATE N/A 09 -10 -2018 Includes Copyrighted Material of Insurance Services Office, Inc with its pcnnission Copynght, Inswaiac Services Office, Inc 1988 -2019 IMPORTANT NOTICES SH DC 01 (01 -04) 3 • 13 =� I-_ E I- F T R 1 T) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III \ FROM: Michelle Mendenhall, Engineering Tech DATE: September 12, 2018 SUBJECT: Encroachment Permit Application for: 4817 Beehan Street Name of Applicant: Silia Gonzales Description of Encroachment: 4' high wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \TRAFFIC \4817 BEEHAN ST.doc .1 1, E R S F 1 I{ I. T PUBLIC WORKS DEPARTMENT MEMORANDUM �`�iN� TO: Jena Covey, Risk Managel'�` 4—,) FROM: Michelle Mendenhall, Engineering Technician DATE: September 12, 2018 SUBJECT: Encroachment Permit Application for: 4817 Beehan Street Name of Applicant: Silia Gonzales Description of Encroachment: 4' high wrought iron fence at back of sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \PERMITS \ENCROACH \INSURANCE \4817 Beehan Street.doc M1 Truxtun Ave., Ste 100 • Bakersfield, CA 93309 SILIA GONZALES 4817 BEEHAN ST BAKERSFIELD, CA 93307 -5113 RESIDENCE PREMISES 4817 BEEHAN ST BAKERSFIELD, CA 93307 -5113 Policy Number: 2006923901 Named Insured: SILIA GONZALES abc@abc.com Policy Period: 12:01 AM 9/10/2018 - 9/1012019 Date of Notice: 9/10/2018 Policy Underwritten By: Integon National Insurance Company 24 Hour Claim Reporting: 1-800-499-3612 For Policy Information: 1. 800.499 -3612 www.Expresslnsurance.com 9003682 Personal Express Insurance Services 5301 Truxtun Ave Ste 100 Bakersfield CA 93309 (661) 634 -4600 ONECHOICE HOMEOWNERS POLICY DECLARATIONS TRANSACTION TYPE: NEW BUSINESS Dear Policyholder, PAYMENT TYPE: MORTGAGEE BILLED PERSONAL EXPRESS INSURANCE SERVICES and PERSONAL EXPRESS INSURANCE are pleased to present you with your homeowners new business insurance policy. A bill for your premium is being sent to your mortgagee separately requesting payment of the premium. In the event of a loss, call our toll -free number 1- 800 -499 -3612 for 24 -hour claim reporting. Our dedicated professionals are ready to help 24 hours a day, seven days a week. Thank you for letting us be of service and if you have any questions, please contact PERSONAL EXPRESS INSURANCE SERVICES at (661) 634 -4600. MESSAGES PLEASE REFER TO THE "IMPORTANT NOTICES" SECTION OF THIS POLICY FOR IMPORTANT INFORMATION CONCERNING THIS POLICY. YOUR POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE YOUR POLICY DOES NOT PROVIDE COVERAGE FOR LOSS ASSESSMENT DUE TO EARTHQUAKE. SH DC 01 (01 -04) BASIC POLICY COVERAGES SECTION I PROPERTY COVERAGES LIMITS OF LIABILITY A. DWELLING $ 202,596 B. OTHER STRUCTURES S 20,260 C. PERSONAL PROPERTY $ 141,818 D. LOSS OF USE 24 Months SECTION I DEDUCTIBLE We will pay only that part of the total of all loss and expense payable under Section 1 that exceeds: $ 1,000 SECTION II LIABILITY COVERAGES LIMITS OF LIABILITY F. PERSONAL LIABILITY —EACH OCCURRE \CE S 300,000 F. MEDICAL PAYMENTS TO OTHERS S 5,000 ADDITIONAL COVERAGES Equipment Breakdown Coverage Limit: $50,000 Deductible: $250 Extended Dwelling Replacement Cost Limit 50 % Amendatory Mold Endorsement Section I Limit: $10,000 Section If Limit: $50,000 Workers' Compensation ATTACHMENTS The following forms, endorsements and exceptions to conditions are part of the policy at time of issue. Please read them carefully. FORM NO. EDITION DATE TITLE HO 3000 01 06 HOMEOWNERS SPECIAL FORM SH 05 63 10 12 SPECIAL PROVISIONS - CALIFORNIA HO 24 90 0801 CALIFORNIA WORKERS COMPENSATION RESIDENCE EMPLOYEES HO 04 07 05 11 CALIFORNIA PERSONAL PROPERTY REPLACEMENT COST LOSS SETTLEMENT SH 05 54 1012 LIMITED FUNGI WET OR DRY ROT OR BACTERIA COVERAGE - CALIFORNIA FOR FORMS H02000 H03000 AND H06000 SH 05 60 1012 ADDITIONAL PERCENTAGE OF INSURANCE FOR COVERAGE A - DWELLING - MAXIMUM OF 50% FOR FORMS HO 2000 AND HO 3000 SH 05 66 10 12 SECURITY PLUS ENDORSEMENT - CALIFORNIA SH 05 68 1012 EQUIPMENT BREAKDOWN COVERAGE SH 06 01 0605 IDENTITY THEFT RESOLUTION ASSISTANCE SH 24 82 0204 PERSONAL INJURY SH DC 01 (01 -04) !f you have chosen the Scheduled Personal Property Endorsement, please refer to that section which appears later in these policy declarations. PREMIUM INFORMATION BASIC PREMIUM $ 430 ADDITIONAL COVERAGES $ 67 TOTAL PREMIUM $ 497 POLICY CREDITS Included in the above premium are the following credits: Claims Free Discount Home Buyer Discount MORTGAGEE /ADDITIONAL INSUREDS /ADDITIONAL INTEREST Mortgagee Wells Fargo Bank, N.A. #708 Po Box 5708 Springfield, OH 45501 -5708 Loan#:0483379467 RATING INFORMATION RISK STATE RATING OCCUPANCY TERRITORY TAX CODE FAMILIES CONSTRUCTION YEAR TIER CA PRIMARY 20 FEET TO MILES TO PROTECTION HYDRANT STATION CLASS 0-500 0 -5 2 SOLID FUEL STOVE RATING DATE N/A 09 -10 -2018 IMPORTANT NOTICES 1 FRAME 1970 BUILDING CODE ROOF TYPE GRADING Includes Copyrighted Material of Insurance Services Otlice, Inc with its permission Copyright, Insurance Services 011ice, Inc 1998 -2019 SH DC 01 (01 -04) 3 Architectural Shingles