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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 ---------------------------------------------------------------------------- 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 �/ Or Phnne�C(�Q 2 `-lOI -- I TCJ� (Address of proposed encroachment) SIGNED 1.) Name.e. hap ,(!! Z A. Date: Address. @ 1 11111 2.) Name: rl h'7, 1'v W Li 7- Date: Address: �7f3 J,21t(i�tl �iTr�. ltd-� P �13�y 3.) Name: L�f Cen�o d�c1I2�L� 2- Date: Address: 9 r-/ r. lznl:ne 5( 4.) Name; Akg-, Y �ihfi%rC�S U i2 Date ( I Address: k A4 /a)0. C�rDyi. 5.) name: 96r )1/A afy� Date: /IIZI IS Address:2300 OYO64- i%n 0 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 s105 -lir f, 5e-rG1 ? 0.1t. 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