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Home My WebLink About2916 LAUREL DR0A ENCROACHMENT PERMIT .A..oF„ CITY OF BAKERSFIELD t7 PUBLIC WORKS DEPARTMENT �, 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (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 . . . . . 14-30000037 Date 5/01/14 Property Address 2916 LAUREL DR Application type description PW - ENCROACHMENT P.IT Owner Contractor GALVAN JOHANNA OWNER 1455 JEWETTA AV BARERSFIELD CA 93312 ---------------------------------------------------------------------------- Perait . . . ENCAOACMENT PERMIT Additional deco . . Phone Access Code 1463751 Permit Fee. 208.00 Issue Date . . . . 5/01/14 Valuation 0 Qty Unit Charge Per Extension EASE FEE 208.00 5 Notes and Comments - high 4' high w ought iron fence all around 4 Will have a front yard bin between each 4" - 5" gap in between each wrought iron pole. Contact Evenlyn Galvan (661) 748-8567 Peesum-ary Charged Paid Credited ------------'----------------- Due ----------------- ---------- PCrmit Fee Total 2D8.00 206.00 .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 revoke thepermit �at/any time. / � cy 6,4—, grit— P T \ /Q � .T� ' eg Signature Applicant (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) CONSILTUTTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR GRANTE ) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax:(661)852-2012 JvOCATION OF ENCROACHMENT(Address required where available): 3-� If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION .XULL NAME OF APPLICANT_L.,9.,9 a � fOMPLETE ADDRESS: 'ISII L LA g nae 7Q r- 01, G'r2�U PHONE: FAX: _ CELL: PROJECT INFORMATION }DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought irof+n fence, concrete block wall, raised planter, etc.): �S 1fn�cr � �avt- 'tc� PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Picase Circle) f,ONTACTPERSON EVP_kt-(,, PHONE: Gfll)ir-l$L� 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. Appl icant further agrees that upon the expiration of the permit for which this application is made_ if granted or upon the right of way here the same is located. and restore said public property or right of way to the condition as 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: $205.00 S:\PERMITS'YENCROACH\Enenrachment Permit Req Form.DOC January 2009 B A K E R E F I E L D Public Works Department 1501 TMMUn Avenue Bakersfield, California 83301 (061) 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-ol-way. (jo-ca for propose encrov< mieri�t ZLiwn&s-}Ta�me nr 'jCllCe LEa]rvl 4Jr pn��.�f[..1)1�%Yst-lS%% (Address of proposed eneroadimans) SIGNED: 1.) Name: Address`. 2.) Name: r Address: 2_q 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date: o9 - L4 — 14_ Date: Date Q L( '1� Date: Date: Date: Evidence of Insurance for Mortgagee/Other Interests A& F A R M E R S 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 the policy will prevail 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 JOHANNAGALVAN ASINGLEWOMAN Mailing: Address 2916 LAUREL DRIVE BAKERSFIELD CA 93304-5728 Property Address 2916 LAUREL DR BAKERSFIELD CA 933045728 Policy Information Policy Number 945209196 Company Name FIRE INSURANCE EXCHANGE Policy Type LANDLORD PROTECTOR Policy Status M FORCE SCOTT BROWN Policy Term Effective Data 11/14/2013 Renewal Date 11/14/2014 Annual Premium 496.35 Balance Due $3.24 First Mortgagee FRUITVALE FINANCIAL LLC & NORTH STAR IRA INVESTORS ISAOA ATIMA 3200 21 ST ST STE 300 BAKERSFIELD CA 93301-3108 Second Mortgagee/Other Interest No Additional Mongagee(s)/Other Interests) available Agent Information Name SCOTT BROWN Address 6501 SCHIRRA CT STE 100 $183,000 BAKERSFIELD CA 93313-2114 Phone 661-837-4100 Fax Email Ibrown2@farmersagentcom Coverage Information Coverage Limit Dwelling $183,000 Extended Replacement Cost NONE Personal Property $9,150 Personal Liability $300,000 Deductible applicable toeach covered loss: $1,000 Loss Of Rents COVERED -12 Months Loan Number L628 Who Pays INSURED Mortgagee Effective Date 01/04/2012 Loan Number Mortgagee Effective Date Mort aqee Deductible Clause THEgFbLLOWING PROVISION APPLIES ONLY IF A MORTGAGEE IS NAMED IN THE POLICY: FOR ANY LOSS IN WHICH ONLY THE MORTGAGEE'S INTEREST IS ADJUSTED AND SETTLED, NOT INCLUDING ANY INTEREST YOU MAY HAVE IN THE PROPERTY OR LOSS, THE APPLICABLE DEDUCTIBLE. WILL BE THE SMALLEST OF THE FOLLOWING AMOUNTS: I. THE DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE, OR 2.$1,000. THE POLICY. DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE WILL APPLY TO SETTLEMENT OF ANY INTEREST YOU MAY HAVE IN THE PROPERTY OR LOSS President 438BFUNS Endorsement Included Y 257160 412 Print Data; 05/01/2014 Authomed Farmers Repoo.,, fte • h E R S F I E Ly PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 5, 2014 SUBJECT: Encroachment Permit Application for: 2916 Laurel Dr Name of Applicant Johanna Galvan Description of Encroachment: 4' high wrought iron fence all around front yard behind side alk. Will have a 4=5" gap in between eacX rought iron. t_7N65Zffs W ylpEWR4r_ Please review the attached encroachment permit and return to me at your earliest convenience. 3-/lC.lM1¢ O !N P/2-1 A/C-/ P/- E . F�xKs SrtGYtcP gE 06Wf919 iffE T71C090?7e-'96 t -a 770V aF r0E s1c5vHlx S?RERMITSENCROACMTRAFFICU916 Laurel Dcdoc A i B .A. I- E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 5, 2014 SUBJECT: Encroachment Permit Application for: 2916 Laurel Dr Name of Applicant: Johanna Galvan Description of Encroachment: 4' high wrought iron fence all around front yard behind sidewalk. Will have a 4°5" gap in between each wrought iron. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE\2916 Laurel Dr.doc