The URL can be used to link to this page

Home My WebLink About4220 DOWNPATRICK CTsnx ENCROACHMENT PERMIT oF,cwaw> s J' in CITY OF BAKERSFIELD n PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE ,own ud BAKERSFIELD CA 93301 cgL1FO (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 . . . . . 14-30000038 Date 5/20/14 Property Address 4220 DONNPATRICK CT Application type description PW - ENCROACHMENT PERMIT Owner Contractor ________________________ GAI.GOS DEAN 6 HONNIB OWNER 4220 DOWNPATRICK CT BAKERSFIELD CA 93313 ______________________ _ . . . . . ENCROACHMENT PERMIT Par.1. Additional desc . Additional Phone Across Code . 1902208 Fee . . . . 208.00 Fee Issue Date 5/20/19 Valuation Issue /20/14 0 Sty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACMENT 208.00 ---------------------------------------------------------------------------- special Notes and Comments Existing 4• high concrete block wall at back of sidewalk. contact: Bonnie Gallegos 834-2157 ____________________________________________>_________-_.__________.________ Fee summary Charged PaidCredited In Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, revoke the permit at any time. � ) Signature of Applicant (Own-dr/Agent) pursuant to the Bakersfield Municipal Code Chapter 12.20 to Print Name I HEREBY CERTIFY THAT 1 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 (t RA TE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 4dan ER ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT `® 1501 TRUXTUN AVE c FIFO LS BAKERSFIELD CA 93301 _ (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address requiredwhere available): 4220. Downpatrick Court Bakersfield, CA. 93313 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT Bonnie F. Gallegos COMPLETE ADDRESS: 4220 Downpatrick Court PHONE: 661-834-2157 Bakersfield, CA. 93312 FAX: _ CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): Concrete Block Wall PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACTPERSON Bonnie Gallegos PHONE: 834-2157-703-2157(Cell) 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 thatthis permit is revoked. Applicant further agrees that upon the expiration of the permit for which this application is made, ty or rightf way where the same is located, and restore said public property or right of way to the condition as as that in which it was beforethe 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 anamount 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:\PERM ITS\ENCROACH\Encroachment Permit Req Fonn.DOC January 2009 B A K E R B F 1 E L D Public Works Department 1501 Twxtun Avenue Bakersfield, California 83301 (661) 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. 4220 Doronpateick Court By: Bonnie Gallegos 'trees or proposa encroac inenl wners ams Of same Phpne, 661-834-2157 (Addrass or proposed enc"o hmenQ SIGNED: 4�t1:1),IK'a1tl 1.) Name: r Date: Address: 2.) Name: '' 'w Date: 'nCUA Address: 3.) Name. C-�^." 13 Date Address: ^ - 4.) Name: Address: 5.) Name: Address: 6.) Name: Address: Date: Date: Date: Jbeclaration Number; 001 Effective Date: 06/03/2014 Page 3 Policy Number: XH0101602-15 Bonnie Gallegos COVERAGE DECLARATIONS Location Address: 4220 Downpatrick Court Bakersfield, CA 93313 Basic Coverages: Section I Coverages Limit Deductible Cov A - Dwelling $ 288,000 $ 500 Cov B - Detached Structures $ 28,800 $ 500 Cov C - Personal Property $ 201,600 $ 500 Cov D - Loss of Use $ 57,600 ectino B Coverages: PHOO81009 Cov E -Personal Liability $ 300,000 Cov F - Medical Payments PHOO11012 Refect to Form $ 1,000 Each Accident — Property Insurance Disclosure: This location Includes Specified Additional Amount of Insurance for Coverage A - Dwelling. This location Does Not Include Earthquake Coverage. This location Includes Building Code Upgrade (Ordinance or Law) Coverage, per Perm PH0041009. This location Includes an Annual Inflation Guard of 4%. Additional Coverages Form Limit Premium Personal Property Replacement Cost H004901000 Refer to Form $ 0 Specifed Add'1 Amt Insurance Cov'A' PHOO81009 Refer to Form $ 10 H.O. Plus PHOO11012 Refect to Form $ 34 Ordinance or Law PH0041009 $ 288,000 $ 58 Workers Compensation H024900801 $ 1001000 $ 5 Date Printed 04/09/2014 INSURED H— PHm, D -i 7—ca -C� 7—ca • r B A S E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 4j FROM: Bob Wilson, Supervisor Il, Subdivisions DATE: May 23, 2014 SUBJECT: Encroachment Permit Application for: 4220 Downpatrick Ct Name of Applicant: Dean & Bonnie Gallegos Description of Encroachment: Existing 4' high concrete block wall at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:WERMITStENCROACH\INSUR NCEW220 Downpatrick CtAoc