HomeMy WebLinkAbout1401 ANTONIA WAYPAk ENCROACHMENT PERMIT
4yWWORgf� S
CITY OF BAKERSFIELD
v b PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
cgLIFO (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 . . . . . 14-30000036 Date
4/30/14
Property Mareae 1401 ANTONIA WAY
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
PUENTE ROSEN OWNER
980 N MADISON AV
LOS ANGELES CA 90029
Permit ENCROACH148NT PERMIT
Additional deac .
Phone Aesa Code . 1962492
Perini[ Fee . . . 208.00
Fe
Issue Date 9/30/19 Valuation
0
Qty Unit Charge Per
Extension
BASE FEE
208.00
_______________________________________________
Special Notes and Comments
Existing 4• high chain link fence
around front of property behind
sidewalk.
Contact Leticia Gonzales (209) 345-4852
____________________________________________________________________________
a ry Charged Paid Credited
Fee mma
u___________ __________ __________
She
____ __________ __________
Permit Fee Total 208.00 209.00 .00
.00
Grand Total 208.00 208..00 .00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
Mr ke the per it t any time.
, u �--Q�rAn tl�y�Z x1 2
Signature of Applican wner/A(!!)nt) 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 RANTE� (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
r
^ ENCROACHMENT PERMIT
APPLICATION FORM ; ' C
CITY OF BAKERSF'IELD
PUBLIC WORKS DEPARTMENT
t 1501 TRUXTUN AVE
BAKERSFIELD CA 93301
r
(661)32(x3724 F":(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 APPI
COMPLETE ADDRESS:
PHONE:
FAX:
CELL:
PROJECT INFORMATION
DESCRIPTION OF ENCRO`A�CI{(��]ENT (Example: Wood or wrought'ifron fence,` concrete block wall, raised
planter, etc.): r �ti � �tvn� iPNNC � a (sdCijUC\ TMO Or1�'f�S�&]p\Ig_
PERIOD OF TIME FOR ENCROACHMENT: ODEFINITEbr OTHER:
CONTACT PERSON 1!1 Cjpt�7/I �PL-'-----, PHONE: 7f'A.. 1`` rm—
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 agrees that upon the expiration of the permit for which this application is made, if granted or upon the
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(&) 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
Encroachment Permit Fee: $208.00
S:\PERMITS\E:NCROACH\Encroachment Permit Req Form.DOC January 2009
•
B A I: B R S F I E L D
Public Works Department
1501 Tmxtun Avenue
Bakeraheld, 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 me
Public right-of-way.
�yU� FtY�ZDh�Q ,� Br: YVeM)'i
ncet rllpro��pase ((c��,a,crooc``me/ntq n1, wners zme rbc
x?a\coK-k1P�A L, 06;S 1-k pen,... Zbct- klLAS-LkR5Z
(Addras or proposed encroachment)
SIGNED
1.) NameDat_e_�—�Y
Address: IN I
2.) Name: 1 _ Date:
Address: �'iL ; ✓ cn
3J Name: jial2e,_la Date
Address: -K-
4.) Name: ra+e. 22Z1,22 0/� Date.
Address:/ clrO n.✓sn V14 !(d*
5.) Name: M nxt(19t' 3IA r) S 0 -RA p'\Jd Dater - 29 _ I l
Address:
6.) Name: Y0 �0 v1 he �C 42 1n Date: - 2- I - I -1
Address:
-
i�jra�
Evidence of Insurancc for Mortgaged0ther Interests a k F A R M E R 5"
'chis 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 the police will inevail in all respects. This certificate of
insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance 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.
Insured Information
Named Insured
RtiBEN PUENTE
Mailing Address
1401 Antonia Way, Bakersfield, CA 93304-5706
B:tl:asiidd- CA 93304-5706
Pro perry Address
1401 Antonia Way
Bakrnfield. CA 93304-5706
Policy Information
Policy Number 976057863
Company Name FIRE INSURANCE EXCHANGE
Policy Type NEXT GENERATION HOMEOWNERS
PuGcv Status IN FORCE
Coverage
Policy Term Effective Date
04/28/2014
Renewal Date
04/28/2015
Annual Premium
604.76
13"howe One
$62996
First Mortgagee
PENNYMAC LOAN SERVICES LLC
SAOA
PU BOX 29247
PIH)ENIX AZ 85038-9247
Second Mortgagee/Other Interest
No Additional Mcrtgages(s)/Other lmerest(s) available
Agent Information
Name lost A fred Zepeda
Address 1731 Had Acres Or Ste 104
Bakersfield, CA 933094888
Phone (661)381-7652 Fax 661-381-7654
Email jwpeda0fannersagent con
coverage Liforinalbull
Coverage
limit
DwefBng
$152,000
Extended Replacement Cost
$38,000
Personal Property
$114.000
Personal Liability
$300,000 ,
Deductible, applicable to each covered loss:
%1,000
Loan Number 29247 Who Pays MORTGAGEE
Mortgagee Effective Date 0428/2014
Loan Number
Mortgagee Effective Date
Mortgagee Deductible Clause
I'nr ane loss in which only the mortgagee's interest is adjustea and settled, not including any interest you may have in the properly or loss, the
urplirable deductible will be the smallest of the following amounts;
1. Fhe deductible slated in the declarations or renewal notice, or
'-. $ Loon
I he policy deductible stated in the declarations or renewal notice will apply to settlement of am, interest you may have In the property or loss
,08BPUNS Endorsement lnduded Y
+, 412 Print Date: 04/28/2014
]l%Nee'stirso
1 r! `v
Ainlonl ad Fnaeo. R p rsemativo
Form 438BFU NS
(Rev. May 1, 1942) x
LENDER'S LOSS PAYABLE ENDORSEMENT
1_ I. use 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 alt 'the Lender. in whatever form or capacity its interests may appear and whether saidinterest be vested in said Lender in its
indi, !dual or in its disclosed or undisclosed fiduciary or representative capacity, or otherwise, or vested in a nominee or trustee of said Lender.
2!1Imuran^!ndN.taip i.v,or at..; oder or_nlorse^,"r,_t.,h-d Sher,... r_. -,be interest only Orrin L e t..i.c,:, d --- s
not be invalidated nor suspended: (a) by any error; omission, or change respecting the ownership, description; possession, or location oflhe subject of
the insurance or the interest therein, or the title thereto; (b) by the commencement of foreclosure proceedings or the giving of notice ofsale of any of
It, property covered by this policy by virtue of any mortgage or cruel deed; (c) by my breach of'wareauty. act, omission, neglect, or non-compliance
u hh antorthr, provisions of this policy. 4it ur ing any and all riders now or hereafter attached metal., by the named insured, the borrower,
naorsagor. trustor, vendee. owner, tenant warehouseman; custodian, occupant, or by the ugont of eAl-r'rr, any of them or by the happening of any
c, cin permitted by them or either of them, or their agents,. or which they failed to prevent, whether occurring before or after the attachment ofihis
crdorsmient.. or whether before or aber a loss., which under the provisions ofthis policy of insamnce or crop vrider or endorsement attached thereto
it Auld imnlidateor suspend the insurance as to the named insured, excluding therefrom, however, any acts or omissions of the Lender while
o,,o 6,ing active control said management of the property.
3. In the event of failure of the insured to pay any premium or additional premium vdtich shall be or become due under flit terns of this policy or on
accounl of anv change in occupancy or increase in musand not permitted by this policy, this Company agrees to give written notice to the Lender of
,och noo-pavment ofpremum art,::sixty (b0)du;sCum cal' »itlLl nus, :modrcd,,f:a„up iiiO)ours..A-i due dwo of such ii,r ten aad iso
Gond i li on of the continuance of the rights of the Lender hereunder that the Lender when so not; red 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 110) days fol lowing reoeut of the Company's demand in
„tiling therefor. if the Lender shall decline to pay said premium or additional premium, the rights of the Lender under. this Lender's Loss Pavable
Y.adonement shall not be terminated before ten (10) days after receipt of said written notice by the Lender.
-i. W hcnever this Company shall pay to the Lender any sum for lass or damage under this policy and shall claim that as to the insured no liability
I hercibr exists, this Company, at its option, may pay to the Lender the whole principal saw and interest and other indebtedness due or to become due
Don, the insured, whether secured or unsecured. (with refund of all interest not accrued), and this Company, to the extent of such payment, shall
I hereupon receive a full assignment and transfer, without recourse. of the debt and all rights and securities held as colimeral thereto.
-s 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
Pn,orion of such loss or damage that the sum hereby insured bears to the entire insurance of similar character on said property under policies held
h;. payable to and expressly consented to by the Londe^. Any Contribution Clause included in any pines, Building Clause Waiver r any Extended
h"om"age Endorsement attached to this container of insurance is hereby nullified, and also any Contribution Clause in any other endorsement or rider
mulched to this contract of insurance is hereby nullified except Contribution Clauses for the compliance with which the insured has received
I c(tacti oil in the rare charged or has received extension of the mvmage to include hazards other than fru sad entrant union with such Contribution
('mute is made a part of the consideration for insuring such other hazards. The Lender upon tine payment to it of tile `all amount of its claim, will
auhmgme this Company (pro ruts, with all other insurers contributing to said payment) to all of the Lender's rights of contribution under said other
nsurace.
r,. Ibis Company reserves The right b cancel this policy at any time, as provided by its terms, but in suchcase this policy shall continue in force for
Iho benefit ofine Lender for ten (10) days after written notice of such cancellation is received by. the Lender and shall then cease.
,. Phis policy shall remain in full force and effect to to the interest of the Lender for a period of ten (10) days after its expiration unless an
acceptable policy. in renewal thereof with loss thereunder payable to the Lender in accordmlN .;hh hm emns OF this Lorder's Loss Payable
l ndotserrism,.shal I have been Issued by some insurance company and accepted by the Lender.
8. Should legal title to and beneficial ownership of any ofthe property covered under this policy become vested in the Lender or its agents, insurance
under chis policy shall continue for the term thereof for the benefit of the Lender but, insuch event, any privileges granted by this Lender's Loss
1':wable Endorsement which are not also granted. the insured under the terms and conditions of this policy and/or under other riders or endorsements
Mulched thereto shall not apply t.^ the insurame p.rmrder 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.
1pprceed:
Bawd of Fire Underwriters of the Pacipc,
('ulifornia Bankers' Association.
C'ommiuce on Insurance.
B/A/Ii E R S F I E L E3
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 30, 2014
SUBJECT: Encroachment Permit Application for: 1401 Antonia Way
Name of Applicant: Ruben Puente
Description of Encroachment: Existing 4' high chain link fence around
front of property behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
&TERMIMENCROACMT13AFFIM1401 Antonia Way.doo
B A Ii E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Jena Covey, Risk Manager 4b J
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
April 30, 2014
SUBJECT:
Encroachment Permit Application for: 1401 Antonia Way
Name of Applicant: Ruben Puente
Description of Encroachment: Existing 4' high chain link fence around
front of property behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\ ERMITS\ENCROACMINSURANCE\1401 Antonia Way.doc