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Home My WebLink About503 LITTLEJOHN AVEBAENCROACHMENT PERMIT CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE .cam the BAKERSFIELD CA 93301 IFO (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 . . . . 15-30000024 Date 6/22/15 Property Address 503 LIITLEJOHN AVE Application type description PW - ENCROACHMENT PERMIT OWner Contractor ARREOLA HERMINIA OWNER 503 LITTLEJOHN AV BAKERSFIELD CA 93307 ________________._____________-__--__--_-_-_-_--_____________________________ Ps.it . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1663319 Permit Pee . . . . 208.00 Issue Date . . . . 6/22/15 Valuation 0 Qty tint Charge Per Extension HARE PEE 208.00 ---------------------------------------------------------------------------- Special Notes and Com eats Will c nstruct A 6' block all behind sidewalk around side/back yard. Will keep 2' clearance around utility vault and will keep a 2 1/2' distance from end of return before moving fence to end of sidewalk on Brahma St/Panama In. Herminia Morales (661) 346-7350 see summary charged .Paid Credited nue ____k a -Yy___ __________ ___---- __ ---- ___--- ____--- A lica �Ah the rb5t* the �4jOlgineer, p0suant ___ to 0 Bakersfield Municipal Code Chapter 12.20 to r vo t e p 1t a8an 6 7' Ak4 Si nature of Applicant (O r/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 ARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRANTED DENI4 Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back orwwA qty ENCROACHMENT PERMIT , 5 _ APPLICATION FORM o CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE C IFO 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. FULL NAME OF APPLICANT yl—krL /- nn r e COMPLETE ADDRESS: 3 ( a •1tig /,-2 ,PHONE: 1,�L 34G-33 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought ironfence, concrete block wall, raised '(� r planter, etc.): AL I ay r PAL� t 25)4( d�QOC �rr 1 PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON ✓ M-' r -Aa... PHONE: 3(1 L- 3 S� 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, orjudicial 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 agmes that upon the expiration of the permit for which this application is made, if granted or .. ... 11.___------'"""'"'..e...,..,. e6..n,.,. fmro rhe, of way where the same is located. and restore said public property or right of way to the common as 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: $208.00 Sept. 2013 S:\PERMITS\ENCROACMEneroachmem Permit Req Fortn.DOC B A K E R B F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (651) 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: (Seem for proposed encroachment(OwnersName) Of ehrore (Address or proposed encroechmen ) SIGNED 1.) Name: Date; G-13=.j,7� Address: 4 iO fS Yn N rn a 5 2.) Name: Zq 1 nk Ze- G C4 Date 6-/7-/G Address: _ / 1 t 1 C 5 011,7 .L�Le - 3.) Name: Address: back 4,) Name C -Sfnz f—)fi��rP'7 Date_/+_ Address: M1�(,2f}7 l y �( 5.)Name: Z, RA 2. R b r) Date: Address: S"e ]�1 ,m/o^r !. N Ave 5:) Name'. Sti �vA Cie Wc.i4- Date: 1/ Address: 35 int.. ChangeSummary Page 1 of 1 Change Summary Household# : 0511440825 Primary Insured: Herramia Morales Trans Data 06/22/2015 Trans Eff nate 06/22/2015 SUBJECT : 923006860 503 LITTLEJOHN AVE Old New BAKERSFIELD< DWELLING 186000 $923.58 1860 $9 4 PERS LIABIury _ 100000 $60.62 300000 $19.66 ROOF ACV %546.22 X$47.11 - POLICY : 41.11 - POLICY: 923006840 Item Changed Old New ..NEW FULLTERM PREM AMT ..�.._ _.... __. $97402._...._ _ :....._. ' POLICY Is SU6IECTED TO RATE UPPING. PREMIUM INCREASE $11.48 Insured's Si9natur i �J.�-' <� Date:Time: Change Summary Change Summary Page 1 of 1 Household#: 05]]440825 Primary insured: Herminia Morales Trans Data i 06/22/2015 Trans Eff Date 06/2212015 SUBJECT : 923006840 503 LITTLEJOHN AVE BAKERSFlELD CA 933077026 DWELLING 186000;923.58 186000 $941.45 _... _. _. __.... .._.._. ..._.._ 6.666_. . _ _.__. _.... PERS LIABILITY 100000 $6O.62 3---- $79.68 .. ...___w.._._ ROOF qCV X$46:22- X$47.11- 11- ..__. .__.., ,...,...... _...__ ...___. .._.._ _..._—_-_ . _ ....... _....___.__,_ �.......______.__...._.___._.._. POLICY: 923006540 Item Changed Old New NEW FULLTERM PREM AMT $974.02 _....,_...._...:_..m. 66.66.. __ 6..6...66 ._...:_.._.... ._._..._.._.__ SUBJECTED _ TECAP____'__.. POLICY IS SUBJECTED TO RATE CAPPING PREMIl1M INCREASE $11.46 Insured's Si9natur . i/ �� > ' (� Date: Time: /...__.O -o_._ ..mr ♦In___J_I ---- / L ._/ _1'__./..L.._��..�� "Ill.,G 13 R S 1: 1 E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 26, 2015 SUBJECT: Encroachment Permit Application for: 503 Littlejohn Ave Name of Applicant: Herminia Arreola Description of Encroachment: Construct a 6' block wall behind sidewalk around side/back yard. Will keep a 2' clearance around utility vault and will keep a 2 1/2' distance from end of return before moving fence to behind sidewalk on Brahma St and Panama Ln. Please review the attached encroachment permit and return to me at your earliest convenience. S ERMITS\ENCROACH\TRAFFIC\503 Littlejohn Ave.aoc B _1 I� E R S F T E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 26, 2015 SUBJECT: Encroachment Permit Application for: 503 Littlejohn Ave Name of Applicant: Herminia Arreola Description of Encroachment: Construct a 6' block wall behind sidewalk around side/back yard. Will keep a 2' clearance around utility vault and will keep a 2 1/2' distance from end of return before moving fence to behind sidewalk on Brahma St and Panama Ln. Please review the insurance certificate with the attached encroachment permit and return to me. at your earliest convenience. S \PERMITS\ENCROACMINSIRANCEM3 Littlejohn Ave.doc