HomeMy WebLinkAbout2301 VALENTINE STENCROACHMENT 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 . . . . . 15-30000027 Data 7/20/15
Property Address 2301 VALENTINE ST
Application type description PW - ENCNOACHNENT PERMIT
Owner Contractor
ERISENO JUAN OWNER
2301 VALENTINE ST
BAEERSFIELD CA 93304
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Permit . . . ENCROACHWENT PERMIT
Additional desc . .
Phone Access Code . 1677657
Permit Fee . . . . 208.00
Issue Data . . . . 7/20/15 Valuation 0
Qty Unit Charge Per Extension
1.00 206.0000 EA PW ENCROACHMENT 208.00
_______________________________________________________
Special Notes and Comments
Will construct a 6' block wall behind
sidewalk around side/back yard at 2301
Valentine Street on Walton Drive.
Juan Briseno 401-900-2518
----------------------------_-----------------_._--------- ._----------
Fee
summary Charged Paid Credited One
---------------------------------------------------------
Permit Fee Total 208.00 208.00 .00 .00
Grand Total 206.00 208.00 .00 .00
Applicantacknowl Edges the right of the City Engineer, pursuant to a Bakersfield Municipal Code Chapter 12.20 to
revoke the permit t a,
Uloy
Signature of pplicant (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) (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661)326-3724 Fax: (661) 852-2012
CATION OF ENCR ACHMEPIT(Address re uued where available): ;x.501 1/O/Bn//-1 St
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPI
COMPLETE ADDRESS:
FAX: // /'D
CELL: �l V /OI - 6 �VO
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.): �(071�C'.V(�/L� 1��(7C� L-11Ct
PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE OTHER:
Men e //// //® J-17
. 1fA li /
CONTACT PERSON�.� JrG PHONE: W/ Vol
Applicant. agrees that if this application isgranted, 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
againstthem, 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 agrees that upon the expiration of the permit for which this application is made, if granted or upon the
revocation thereof b the 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: $208.00
S:\PERMITS\ENCROACli\Enc,oach.ent Pertait Req Fora DOC Sept. 2013
B a K E R S F l t -_ p
Public Works Department
1501 TNXk n Avenue
Sakerslield, California 83301
(661) 3263724
TO WHOM IT MAY CONCERN
We the undersigned, have no objection to the mnseuctiori of a fence beside the Sidewalk within Nie
public right-oLway,
ate!y�I99/(Ne- 51 6y:
(S[rtt; or prcpostd ercroechmnrzti ( wner5//N//tme) Ll
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Or Phnne�C(�Q 2 `-lOI -- I TCJ�
(Address of proposed encroachment)
SIGNED
1.) Name.e.
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A.
Date:
Address.
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2.) Name:
rl h'7, 1'v W Li 7-
Date:
Address:
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3.) Name:
L�f Cen�o d�c1I2�L� 2-
Date:
Address:
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4.) Name;
Akg-, Y �ihfi%rC�S U i2
Date ( I
Address:
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5.) name:
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Date: /IIZI IS
Address:2300
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6.) Name
'JAo URll�r�/�
Date:
Addre,93:5304
Evidence of Insurance for Mortgagee/Other
Interests FARMER 5
INSURANCE
Policy Number: 93151-06-70
Underwritten By: Mid -Century Insurance Company
Policy Type:
Next Generation Homeowners
6301 Owensmouth Ave.
Policy Status:
In Force
Woodland Hills, CA 91367
Term Effective:
12/11/200612:01 AM
Your Agent MaximoGSanchez
Renewal Date:
12/11/2015 12:01 AM
4300 Kale Rd Ste H
Insured
Juan Briseno
Bakersfield, CA 93313-2626
10%
2301 Valentine St
(661) 834-7300
Coverage F- Medical PaymentsTo Others
Bakersfield, CA 93304-7139
FAX' (661) 834-7400
$300,000 `\
msaachez@farmersagent'.corn
Your Insured Property
Property Address
2301 Valentine St, Bakersfield, CA 93304 7139
Coverages
CoverageLimit
Coverage 0000_
Limit
5_4
C0000.
Coverage A -Dwelling
$254,0000
__. _
tures
Coverage B - Separate Structures
$225,40000
Extended Replacement Cost _
$63,500
Coverage Loss of Use
$101,600
Coverage Personal Property
$190,500
Builth ng Ordma nce or Law
10%
Identity Fraud Coverage
$30,000
Coverage F- Medical PaymentsTo Others
$1,000
Coverage Personal Liability
$300,000 `\
Association Loss Assessment
+ Not Covered
Deductible
coversdloss
farmers.com
Deductible
0000.. _._.....
$1,500
25-8975 913 Page 1 of4
Evidence of Insurance for Mortgagee/Other Interests (continued)
Mortgagees and Other Interests
IstMortgagee___ Loan Number_ Effective Date 2ndMortgagee
Cinmortgage lnc - 2001699929 - 5/22/2009 Not Applicable
ISAOA
PO Box 7706
Springfield, OH 45501-7706
Premium Details
Annual Premium: $873.80
Fees .$0.00
Total Premium: $873.80
Balance Due: $25.19
Who Pays: Mortgagee
This form is not the contract of insurance. It Is a memorandum of coverage limited to mortgagee/other interests, provided at their
request and applicable to the dwelling or building at the location below. The provisions of thepolicy will prevail In all respects. This
certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by theinsurance policy.
Should the insurance policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the
policy provisions.
Mortgagee. Deductible Clause
Subject to all of the terms and conditions of the policy, the following. provision applies only be mortgageeis named in the declarations or
renewal notice; and the mortgagee has foreclosed on the property prior to the date of loss: The applicable deductible for any interest of
any mortgagee will be the smallest ofthe following amounts.
1. The deductible statedln the declarations or renewal notice or
2. $1,000.
This provision does not apply to loss or damage from earthquake, where a separate, increased deductible applies to loss ordanlage
caused by this peril.
Authorized Representative
438BFUN5 Endorsement Included
farmers.corn
259975 9-13
4/14/2015
Date
Page 2 of4
Evidence of Insurance for Mortgagee/Other Interests (continued)
B. Should legal title to and beneficial ownership of any of the property covered under this policy become vested In the Lender or its
agents, insurance under this policy shall continue for the term thereof for the benefit of the Lender but,. in such event, any privileges
granted by this Lender's Loss Payable Endorsement which are not also granted the insured under the terms and conditions ofth is
policy and/or under other riders or endorsements attached thereto shall not apply to the insurance hereunder as respects such
property,
9. All notices herein provided to be given by the Company to the Lender in connection with this policy and this Lender's Loss Payable
Endorsement shall be mailed to or delivered to the Lender at its office or branch described in the Declarations of the policy
Approved:
Board of Fire Underwriters of the Pacific,
California Bankers' Association,
Committee on Insurance.
farmers.com
2509)5 413
Page 4 of 4
Evidence of Insurance for Mortgagee/Other Interests (continued)
.Lender's Loss Payable Endorsement (Form 438BFU NS - Rev. May 1, 1942)
1. Loss or damage, if any, under this policy, shall be paid to the Payee named in the Declarations of this policy, its successors and
assigns, hereinafter referred to as 'the Lender', in whatever form or capacity its interests may appear and whether said interest be.
vested in said Lender in its Individual or in its disclosed or undisclosed fiduciary or representative capacity, or otherwise, or vested in
a nominee or trustee of said Lender.
2. The insurance under this policy, or any rider or endorsement attached thereto, as to the interest only of the Lender, its successors
and assigns, shall not be invalidated nor suspended: (a) by any error, omission, or change respecting the ownership, description,
possession, or location ofthe subject ofthe insurance or the interest therein, or the title thereto; (b) by the commencement of
foreclosure proceedings or the giving of notice of sale of any of the property covered by this policy by virtue of any mortgage or trust
deed; (c) by any breach of warranty, act, omission, neglect, or non-compliance with any of the provisions of this policy, including
any and all riders now or hereafter attached thereto, by the named insured, the borrower, mortgagor, trustor, vendee, owner,
tenant, warehouseman, custodian, occupant, or by the agent of either or any of them or by the happening of any event permitted
by them or either cfthem, or their agents, or which they failed to prevent, whether occurring before or after the attachment of this
endorsement, or whether before or after a loss, which under the provisions ofthis policy of insurance or of any rider or endorsement
attached thereto would invalidate or suspend the insurance as to the named insured, excluding herefrom, however, any acts or
omissions of the Lender while exercising. active control and management of the property.
3. In the event of failure of the Insured to pay any premium or additional premium which shall be or become due under the terms of
this policy or on account of any change in occupancy or increase in hazard not permitted by this policy, this Company agrees to give
written notice to the Lender of such non-payment of premium after sixty (60) days from and within one hundred and twenty (120)
days after due date of such premium and it is a condition of the continuance of the rights of the Lender hereunder that the Lender
.when so notified in writing by this Company of the failure of the insured to pay such premium shall pay or cause to be paid the
premium due within ten (10) days following receipt of the Company's demand in writing therefor. If the tender shall decline to pay
said premium or additional premium, the rights of the tender antler this Lender's Loss Payable Endorsement shall not be terminated
before ten (10) days after receipt of said written notice by the Lender.
4. Whenever this Company shall pay to the Lender: any sum for loss or damage under thispolicy and shall claim that as to the insured
no liability therefor exists, this Company, at its option, may pay to the Lender the whale principal sum and interest and other
indebtedness due or to become due from the insured, whether secured or unsecured, (with refund of all interest not accrued), and
this Company, to the extent of such payment, shall thereupon receive a full assignment and transfer, without recourse, of the debt
and all rights and securities held as collateral thereto.
5. If there be any other insurance upon the within described property this Company shall be liable under this policy as to the. Lender for
the proportion of such loss or damage that the sum hereby insured bears to the entire insurance of similar character on said property
under policies held by, payable to and expressly consented to by the Lender. Any Contribution Clause included in any Fallen Building
Clause Waiver or any Extended Coverage Endorsement attached to this contract of insurance is hereby nullified, and also any
Contribution Clause in any other endorsement or rider attached to this contract of insurance is hereby nullified except Contribution
Clauses for the compliance with which the insured has received reduction in the rate charged or has received extension of the
coverage to include hazards other than fire and compliance with such Contribution Clause is made apart of the consideration for
insuring such other hazards. The Lender upon the payment to it ofthe full amount of its claim, will subrogate this Company (pro rata
with all other insurers contributing to said payment) to all of the Lender's rights of contribution under said other insurance.
6. This Company reserves the rightto cancel this policy at anytime, as provided by its terms, but in such case this policy shall continue
In force for the benefit ofthe Lender torten (10) days after written notice of such cancellation is received by the Lender and shall than
cease.
7. This policy shall remain in full force and effect as to the interest ofthe Lender for a period often (10) days after its expiration unless an
acceptable policy in renewal themofwith loss thereunder payable to the Lender in accordance with the terms of this Lender's Loss
Payable Endorsement, shall have been issued by some insurance company and accepted by the Lender
farmers.com
15-8975 913 Page 3 of4
A
l
B A h E P S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager c.
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: July 28, 2015
SUBJECT: Encroachment Permit Application for: 2301 Valentine Street
Name of Applicant Juan Briseno
Description of Encroachment: Will construct a 6' high block wall behind
sidewalk around side/back yard.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S\PERMITS\ENCROACMINSURANCE\2301 Valentine Std.c
S A I E R 5 F I E L U
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
John Ussery, Engineer III
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
July 28, 2015
SUBJECT:
Encroachment Permit Application for:
2301 Valentine Street
Name of Applicant:
Juan Briseno
Description of Encroachment:
Will construct a 6' high block wall behind
_
sidewalk around sidelback yard.
Please review the attached encroachment permit and return to me at your earliest convenience
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