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Home My WebLink About6416 MADAN 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 . . . . . 14-30000033 Date 4/22/14 Property Address 6416 MADAN ST Application type description PW - ENCROACNMENT PERMIT Owner Contractor SUARS. FRANCISCO S a GUILLFRMI OWNER 6416 MADAN ST BAKERSFIELD CA 93307 --------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional de.c . . Phone Access Code 1458959 Permit Pee .00 Issue Date . . . . 4/22/14 Valuation . . . . 0 --------------------------------------------------------------------- Special Note. and Comment. Will be coratructin, a 6- high concreted block all behind sidewalk and behind face of house around aide yard. Francisco Suarez 661-369-0074 ___________________________________________________________________________ Fee summary Charged Paid Credited Due Permit Fee Total 208 .00 208 .00 .00 .00 Grand Total .00 .00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke,the permit at any time. ='i i�./f_•r.A,�J .i'lC.eng� Clerminn ,irPz Signature of Applicant (Owner/Agent yj 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)C� LUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE% (DENIED)Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back an ENCROACHMENT PERMIT r APPLICATION FORM o CITY OF BAKERSFIELD PUBLIC. WORKS DEPARTMENT 1501 TRUXTUN AVE G FO 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 ,A( FULL NAME OF APPLICANTFy� COMPLETE ADDRESS: C4q4 M4p4A r f PHONE(_CCO FAX: CELL: PROJECT INFORMATION DESCRIPTION OF EN/GROAIC/H/MENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): _ �_�— —f7 [n�-� wa& PERIOD OF TIME FOR ENCROACHMENT: NDEFINIT or OTHER: (Please Circle)CONTACT PERSON nn •iii' is rey(,Ll PHONE:e-C, (J 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 o_oerty or tight 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 amounts) of insurance coverage required are: Residences: liomeowners 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 Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Form.DOC January 2009 • -- - B a K E R S F I B L L D Public Works Department 1501 Truiaun Avenue Bakerslield, California 83301 (661) 326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no obj8W0a to the construction of a fence beside the sidewalk within me public right-of-way. 6'Y/64p41L/ s% er:�nnusc c�,cYP.z [zioeto or proposed e�ncrroacsmen � ners ame nr 8.kersire1a rA YEL07 Phaee«E2 -3r 9'—oozy (Address of proposed encroachment) SIGNED: 1.) Name: 2.)Name: lNtl/t"JlnC4111-Ne� Date' 1)-fly'f(l Address: 7C e 7ONnL e- 3.) Name: Date Address: Wp r7 4.) Name: hi.L Y�Ct��l4�tS Date. T-% NAddress:- 5.) Name: Date: Address: 6.) Name: Date: Address: Apr 241408:62a Hopkins State Farm ✓-1 - 6613967947 p.2 A� o CERTIFICATE OF LIABILITY INSURANCE DAMRWRM040=i TYPEDFIN81{RANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR Ne(BATIVELY AMEND, ECLTEND.OR ALTER THE COVERAGE AFFOROED aY THE POLICIES BELOW. THIS. CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT eETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the c1IR14CRIS m4er is an ADDITIONAL INSURED, the policy(iss) must he endcrsed. 11 SUBROGATION IS WAIVED, sublet b. the (arms and co.dif c ns M the policy, certain pdicies mEy require an endmsement. A slatdlHMA on this cen gcde does not confer Tigris to the .dUlcate hcldx IS USES of such endorsement(.). wmalcER Adam Hopkins Agent, LIC#OF36319 Stat�e�ja� 5500 Ming Ave, Suite 160 Ct•�, Bakersfield Ca 93308 'Lute M.H. i. mwxpm F„ 661-396-7947 X - . Fn°1 xo.66fa96-T34T wo "IL .dam@Jam,".pki.om ImsuRE s acFORDHD covERacE u,uCN Aa, E.. INEVRm Suarez, FmnciscD&GuRermina 6416 Madan Street Bakersfield Ca 93307 ,wuRErzc. QT[Ta S INSURER D: INSURER.: GENLPWfl SATE Lmn"PLO$Pa"` PoLICY �..FC, LEL GENERN.AGGREG4lE 3 IN91RtER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE INDICATED. NOT THSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OMER DOCUMENT WITH PERIOD CERTIFICATE MAY BE ISSUED OR MY PERTAIN, THE INSURANCE PROROED BY THE POLICIES DESCRIBED HEREIN IS SUBIE S PECT TO NMICH RIOD RES MIS TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID OLAIMS_ TYPEDFIN81{RANCE E PalcrN a PIXILY EFF. IMIL BRE$ C�1NERm pLGENERALLI,1HILlry GAl1ASAN0E IF -1 EACH OCCVRRENE QT[Ta S MED E%PW-,E-Cmml S PERLOWN=8p9VIRJVRY $ GENLPWfl SATE Lmn"PLO$Pa"` PoLICY �..FC, LEL GENERN.AGGREG4lE 3 PNOpVLR-LOMPpPpGG b AIIlON0611P Waal[Y PXYAUTO ALLO W P SCHEDULED .qS ANUS IHTV$4WED IRF➢AV 1 EeeromO 5 IE W 5 pppILY IXJVRY(Pa Fersml 60DILY IHJVRY IPpe¢NeN] S PyA$E S — 5 UNBPELLALIAD X Fx�ss Lwe OCCUR ..E -MADE 37$A-VSU1- z 1lrovzma 1lroumts EACH OCCURRENCE 1. 3DV,0p0 AGcu� TE s RE Enlrous '(MMtltivryln IWRRER 0QE.S`WASHJx AU 1SCS'SETC.IAalLIrY Y/n fNYPRW0.RCRbAR}NEWEYELVTVE OFFICERbAENEEfl E%[BIpD)? E:1 Nin ny�.ea=nelma.- OESLPIPTIOM�OPEPPTpNSWav NIS � 0TH. , E.LEACH ACCIDPTF 9 EL DISEASE -FA EMPLO 8 ELq$EASE-POLICYLWJT $ mSCa1PTON OF OPBtATI W 81 LOCATIONS / V EN.GIIH (pCORU 1 Lt, Atl6pM51 gmaMF Sc11e0uN, mey M apFAetl II mac apace la nq W BCl AW W WE ABOVE OESCREED POLICIES BE CANCELLED BEPORE PIRATION BATE THEREOF, NOTICE. WILL BE DELIVERED IN WICE WITH THE POLICY PRtlJIS10NS, ACORD 26 (2014!01) TM ACORO name a nd I"a amMl mdmmksaf ACORD 1001486132809.902-04-2014 PREMIUM NOTICE STATE FARM INSURANCE COMPANIES AGENT ISSUED DECLARATIONS -------------------------------------------------------------- POLICY NUMBER I BILLING PERIOD I.AGENT CODE 87 -BA -V501-2 I FROM 11/02/2013 1 TO 11/02/2014 1 3371 LOCATION 6416 MADAN ST BAKERSFIELD, CA 93307-7030 INSURED SUAREZ., FRANCISCO S GUILLERMINA 6416 MADAN ST BAKERSFIELD, CA 93307-7030 MORTGAGEE SPECIALIZED LOAN SERVICING LLC ITS SUCCESSORS AND/OR ASSIGNS PO BOX 620188 ATLANTA, GA 30362-2188 Loan Number: 7435619655 PREMIUM $ 496..00. AMOUNT PAID $ 496.00 AMOUNT DUE $ .00 DATE DUE .AGENT NAME & ADDRESS HOPKINS, ADAM H 5500 MING AVE, SUITE 180 BAKERSFIELD, CA 93309 (661).396-7947 STATE FARM INSURANCE COMPANIES 900 OLD RIVER ROAD BAKERSFIELD CA 93311-9501 �0� rid i �A cbv (M *c�lbrlaq t -� �� 26(° DECLARATIONS We will provide the insurance described in this policy in return for the premium and .compliance with all applicable provisions of this policy. 87 -BA -V501-2 Policy Number Named Insured and Mailing Address SUAREZ, FRANCISCO & GUILLERMINA 6416 MADAN ST BAKERSFIELD, CA 93307-7030 (Coverage afforded by this policy is [provided by: I ISTATE FARM GENERAL INSURANCE COMPANY 1900.OLD RIVER ROAD. IBAKERSFIELD CA 93311-.9501 1 IA Stock Company with Home Offices in IBloomington, Illinois. I ------------------------------------- ---------------------------- The Policy Period begins and ends at 12:01. a.m. Standard Time at the residence. premises. 11/02/2013 Effective Date 12months-Policy Period 11/02/2014 Expiration of Policy Period --------------------------------------- Limit of Liability - Section 1 $ 158,800 Dwelling (Coverage A) Policy Type Homeowners Policy Dwell Repl Cost —Similar Construction Increase Dwlg Up to $31.,760 - Option ID Location of Premises 6416 MADAN ST BAKERSFIELD, CA 93307-7030 -------------------------------- Forms, Options, & Endorsements FP-7955.CA HOMEOWNERS. POL LSP B1 LMT RPLC COST -B OPT Of BLD ORD/LAW-10% FE -1313 LNDR LOSS PAY 2nd Mortgagee CITIFINANCIAL SERVICES INC ITS SUCCESSORS AND/OR ASSIGNS 427 N AZUSA AVE WEST COVINA, CA 91791-1348 Loan Number:. 200328 --------------------------.--- Prepared: April 21, 2014 559-916.5 1Automatic Renewal - If the Policy (Period is shown as 12 months, this (policy. will be renewed auto- Imatically subject to the premiums, (rules and forms in effect each (succeeding policy period. If this ]policy is terminated, we will give [you and the Mortgagee/Lienholder [written notice in compliance with [the policy provisions or as [required by law. I--------------------- [Deductibles - Section 1 $1000 [ALL LOSSES In case of loss under Ithispolicy, the deductible will be [applied per occurrence and will be (deducted from the amount of the ]loss. Other deductibles may apply 1- refer to your policy. 1Policy Premium $496.00 LSP Al SMLR CONST -A OPT ID COV A-INCRDWLG FE -3560 BACK-UP FE -3422 HO -W POD END I Agent .Name & Address I HOPKINS, ADAM H 1 5500 MING AVE, SUITE 180 1 BAKERSFIELD, CA 1. 93309 (661)396-7947 I I 3371 .Agent's Code MORTGAGEE COPY DECLARATIONS We will provide the insurance described in this policy in return for the premium and compliance with all applicable provisions of this policy. 87 -BA -V501-2 Policy Number Named Insured and Mailing Address SUAREZ, FRANCISCO & GUILLERMINA 6416MADAN ST BAKERSFIELD, CA 93307-7030 ICoverage afforded by this .policy is (provided by: ISTATE FARM GENERAL INSURANCE COMPANY 1900 OLD RIVER ROAD ]BAKERSFIELD CA 93311-9501 I [A Stock Company with Home Offices in (Bloomington, Illinois. ------------------------------------- The Policy Period begins and ends at 12:01 a.m. Standard Time at the residence premises. 11/02/2013 Effective Date 12months-Policy Period 11/02/2.014 Expiration of Policy Period Limit of Liability - Section 1 $ 158,.800 Dwelling (Coverage A) Policy Type Homeowners Policy Dwell Rept Cost - Similar Construction Increase Dwlg Up to $31,760 - Option ID Location of Premises 6416 MADAN ST BAKERSFIELD, CA 93307-7030 ------------------------------------- Forms , Options, & Endorsements FP-7955.CA HOMEOWNERS BOL LSP B1 LMT RPLC COST -B OPT OL BLD ORD/LAW-108 FE -1313 LNDR LOSS PAY Mortgagee SPECIALIZED LOAN SERVICING LLC ITS SUCCESSORS AND/OR ASSIGNS PO BOX 620188 .ATLANTA, GA. 30362-2188 Loan Number: 74.35619655 Prepared: April 21, 2014 559-916.5 (Automatic Renewal - If the Policy (Period is shown as 12 months, this [policy will be renewed auto- lmatically subject to the premiums, Irules and forms in effect each [succeeding policy period. If this [policy is terminated, we will give -[you and the Mortgagee/Lienholder [written notice in compliance with [the policy provisions or as (required by law. I----------------------------------- IDeductibles — Section 1 $1000 TALL LOSSES In case of loss under (this policy, the deductible will be [applied per occurrence and will be Ideducted fromtheamount of the -(loss. Other deductibles may apply I- refer to your policy. I I I----------------------------------- [policy Premium $496.00 ------------------------------------- LSP Al SMLR CONST -A OPT ID COV A-INCR DWLG FE -3560 BACK-UP FE -3422 HO -W POL END I Agent Name & Address I HOPKINS, ADAM H 1 5500 MING AVE, SUITE 180 1 BAKERSFIELD, CA' 1 93309 (661)396-7947 I I 3371 Agent's Code MORTGAGEE COPY Adam Hopkins Agent, Jc. 4OF36319. 5500 Ming Ave, Suite 180. Bakersfield, CA 93309 Bus 661 396 7947 Fax 661 396 7347 adam@adamhopkins.org w .adamhopkins.org Tfie greaYesf compliment yap can glue is a mfeiref TO: FROM: B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions DATE: April 22, 2014 SUBJECT: Encroachment Permit Application for: 6416 Madan St Name of Applicant: Francisco & Guillerminia Suarez Description of Encroachment: Construct a 6' high concrete block wall behind sidewalk and face of house around side Yard. Please review the attached encroachment permit and return to me at your earliest convenience. ; 1,41 /r,Llt -c iS> llT ; S:WERMITS\ENCROACH\TRAFFIC\ 16 Madan Stdoc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 22, 2014 SUBJECT: Encroachment Permit Application for: 6416 Madan St Name of Applicant: Francisco & Guillermina Suarez Description of Encroachment Construct a 6' high concrete block wall behind sidewalk and face of house around side yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSUR NCE\ 16 Madan Stdoc