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HomeMy WebLinkAbout12503 Lanai AveENCROACHMENT PERMIT 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- 30000025 Date 10/12/18 Property Address . . . . . . 12503 LANAI AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor ----- ------------- - - - - -- ------------------------ GUTIERREZ JULIAN S & CLAUDIA I OWNER 12503 LANAI AV BAKERSFIELD CA 93312 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2260834 Permit Fee . . . . 420.00 Issue Date . . . . 10/12/18 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments October 12, 2018 1:35:15 PM mmendenhal. Construct 6' concrete block wall at back of sidewalk on side of house (Walea Dr). Will follow City Standard T11 for sight line distances. Contact person: Claudia Gutierrez 599 -1891 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - -- -- ---- - - -- -- ---- - - - --- ---- - - - - -- ---- - - - - -- Permit Fee Total 420.00 420.00 .00 .00 Grand Total 420.00 420.00 .00 .00 Applicant acknowledges the rigrt of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. u(0 C ll (_ 7 Signature of Applicant (Owner /Agent) 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 GRANTED) IED) Said permit shall expire on date stated above. ( *�� Signature of City Engineer Additional Terms on the Back CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 4 ' �aRY 1� 1501 TRUXTUN AVE BAKERSFIELD CA 93301 lL� �LIr'n tit (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- 30000025 Date 10/12/18 Property Address . . . . . . 12503 LANAI AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor ----- ------------- - - - - -- ------------------------ GUTIERREZ JULIAN S & CLAUDIA I OWNER 12503 LANAI AV BAKERSFIELD CA 93312 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2260834 Permit Fee . . . . 420.00 Issue Date . . . . 10/12/18 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments October 12, 2018 1:35:15 PM mmendenhal. Construct 6' concrete block wall at back of sidewalk on side of house (Walea Dr). Will follow City Standard T11 for sight line distances. Contact person: Claudia Gutierrez 599 -1891 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - -- -- ---- - - -- -- ---- - - - --- ---- - - - - -- ---- - - - - -- Permit Fee Total 420.00 420.00 .00 .00 Grand Total 420.00 420.00 .00 .00 Applicant acknowledges the rigrt of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. u(0 C ll (_ 7 Signature of Applicant (Owner /Agent) 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 GRANTED) IED) Said permit shall expire on date stated above. ( *�� 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. ead and acknowledge the above. t �1 Applicant's Initials If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT l-I U-0 &G O k,'3 0 1l DESCRIPTIO(((� OF ENCROA planter, etc.): 1. O N-.A P. PHONE: FAX: CELL: PROJECT INFORMATION (Example: Wood or wrought iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: INDEFINIT or OTHER: ( e CONTACT PERSON (L 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 prope 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: $420.00 S :IPERMITS\ENCROACH\Encroachment Permit Req Forrn.DOC Aug. 2017 3 4-w 0117 1 O lurvvA blA 6410 21638 Noriega Rd - Google Maps GO gle Maps 21638 Noriega Rd 12503 Lanai Page 1 of 3 Image capture: Jun 2016 © 2018 Google Bakersfield, California Google, Inc. Street View - Jun 2016 12503 tar https: / /www.google.com/maps /place / 12503 +Lanai +Ave, +Bakersfield, +CA +93312/ @35.... 10/19/2018 12503 Lanai Ave - Google Maps Go gle Maps 12503 Lanai Ave Page 1 of 2 Imagery 02018 Google, Map data 02018 Google 20 ft 12503 Lanai Ave Bakersfield, CA 93312 https: / /www.google.com /maps /place/ 12503+ Lanai+ Ave, +Bakersfield, +CA +93312/ @35.... 10/19/2018 BAKE RS FIELD Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right -of -way. (Street for proposed encroachment) Cj ? (Owners Name) F , G �--C 1 ji vC %mil V1 I ��J l Phone t QAQ` (Address of proposed encroachment) SIGNED: 1.) Name: ��� �� Address: Z�' �= \l`1Lv /J ow- 2.) Name:(�-f Address: 3.) Name: Address: 'e r 4.) Name: Address: 5.) Name: Address: iL� 1 Um,a � A 1� 6.) Name: Address: 5 l b C) K) Gu An��•. • See Signatures needed for approval page Date: I U I l - Date: W-I I - I\/ Date: 5 1 Date: Date: %(. I it 11'� Date: N) /n l l l U a� ALA W vie \ a A t 7: l� =t C x _ 0 Q' 3 a� O C �E N O v � N O C N O 8 G G 0 0 OD 0 N N a 0 U 0 s� N �+ 0 V a O E _E y ywy m O n$ a= a� H o° � g e .S °o o u $o O p a� U o m .6 U O a' a aE n a c b' C S G E a° °u C 3 T to U f personalexpress INSURANCE 5301 Truxtun Ave., Ste 100 • Bakersfield, CA 93309 JULIAN GUTIERREZ CLAUDIA GUTIERREZ 12503 LANAI AVE BAKERSFIELD, CA 93312 -8262 RESIDENCE PREMISES 12503 LANAI AVE BAKERSFIELD, CA 93312 -8262 Policy Number: 2003539359 Named Insured: JULIAN GUTIERREZ Policy Period: 12:01 AM 111412018 - 111412019 Date of Notice: 11/25/2017 Policy Underwritten By: Integon National Insurance Company 24 Hour Claim Reporting: 1. 800. 499.3612 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: RENEWAL Dear Policyholder, PAYMENT TYPE: MORTGAGEE BILLED The PERSONAL EXPRESS INSURANCE SERVICES and PERSONAL EXPRESS INSURANCE are pleased to present you with your homeowners renewal insurance policy. A bill for your premium is being sent to your mortgagee separately requesting payment of the premium. In the event of 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 Coverage C Limit has been increased at no additional charge. To keep pace with rising replacement costs, your property coverage limits have been upgraded. 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 $ 376,397 B. OTHER STRUCTURES $ 37,640 C. PERSONAL PROPERTY $ 263,478 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: $ 500 SECTION II LIABILITY COVERAGES LIMITS OF LIABILITY E. PERSONAL LIABILITY — EACH OCCURRENCE $ 500,000 F. MEDICAL PAYMENTS TO OTHERS $ 5,000 ADDITIONAL COVERAGES Amendatory Mold Endorsement Section 1 Limit: $10,000 Section 11 Limit: $50,000 Workers' Compensation Water Backup Limit: $5,000 Deductible: $500 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 0106 HOMEOWNERS SPECIAL FORM SH 05 63 10 12 SPECIAL PROVISIONS - CALIFORNIA HO 24 90 0801 CALIFORNIA WORKERS COMPENSATION RESIDENCE EMPLOYEES SH 00 15 0106 SPECIAL PERSONAL PROPERTY COVERAGE FORM HO 3000 ONLY HO 04 07 05 11 CALIFORNIA PERSONAL PROPERTY REPLACEMENT COST LOSS SETTLEMENT HO 04 60 1000 SCHEDULED PERSONAL PROPERTY ENDORSEMENT (WITH AGREED VALUE LOSS SETTLEMENT) SH 04 55 0104 IDENTITY FRAUD EXPENSE COVERAGE SH 04 95 0107 WATER BACK -UP AND SUMP DISCHARGE OR OVERFLOW SH 05 54 10 12 LIMITED FUNGI WET OR DRY ROT OR BACTERIA COVERAGE - CALIFORNIA FOR FORMS H02000 H03000 AND H06000 SH 05 60 10 12 ADDITIONAL PERCENTAGE OF INSURANCE FOR COVERAGE A - DWELLING - MAXIMUM OF 50% FOR FORMS HO 2000 AND HO 3000 SH 24 82 0204 PERSONAL INJURY SH 26 56 10 12 SECURITY PLUS ELITE ENDORSEMENT - CALIFORNIA SH 06 01 0105 IDENTITY THEFT RESOLUTION ASSISTANCE SH DC 01 (01 -04) 40 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall, Engineering Tech DATE: October 19, 2018 SUBJECT: Encroachment Permit Application for: 12503 Lanai Avenue Name of Applicant: Julian & Claudia Gutierrez Description of Encroachment: 6' block wall at back of sidewalk on side of house (Walea Dr) Please review the attached encroachment permit and return to me at your earliest convenience. \ S:\PERMITS\ENCROACH\TRAFFIC\12503 LANAI AVE.doc R S' F I E L Z) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Michelle Mendenhall, Engineering Technician1� DATE: October 19, 2018 SUBJECT: Encroachment Permit Application for: 12503 Lanai Avenue Name of Applicant: Julian and Claudia Gutierrez Description of Encroachment: 6' high block wall at back of sidewalk on side of house (Wa /ea Dr) Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\ PERMITS \ENCROACH \INSURANCE \12503 LANAI AVE.doc