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Home My WebLink About5117 OSWELL PARK DRof B AKE S ENCROACHMENT PERMIT in CITY OF BAKERSFIELD v d 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 . . . . . 14-30000039 Date 5/22/14 Property Addreas 5117 OSWELL PARK DR Application type description PW - ENCROACHMENT PERMIT owner Contractor ------------------------ --------------__-------- SSIDORO AGUSTIN HERNANDEZ A AD OWNER 5119 OSWELL PARK DR RAKERSFIELD CA 93307 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional dean . . Phone Accese Code . 1493869 Pe=it Fee . . . . 208.00 Issue Date . . . . 5/22/14 Valuation . . . . 0 Qty Unit Charge Per Exten.ion EASE FEE 208.00 Special NOtes and Commenta Wood fence with Concrete pillar. in between the wood panels. Will .1.e new a block on the bottom for support. Fence will not exceed 6- tall. Augustin Hernandez (661) 343-6916 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- 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, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at y�time. I KI Iq$ture of A lican wner/Agent) Pr t 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) CqN3TIJ.UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFQRE RANTE , (DENIED) Said permit shall expire on date stated above. 1�11' 11 Z 211:VDI-, Signature of City Engineer Additional Terms on the Back BaxE ENCROACHMENT PERMIT t APPLICATION FORM CITY OF BAKERSFIELD � PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE IFO 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. CELL: DESCRIPTION OF ENCROACHMENT (Example: Wood or wrou ht iron fence, concrete block wall, raised planter tc.)- t - -Ct.lc, �I PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE orTO HER: //�� (Please Circle) CONTACTPERSON A � , (F'7 PHONE: \ 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 V opertv or right of way where the same is locatedand 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: I lomeowners 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 1 E L D public Works Department 1501 Truxiun Avenue Bakersfield, California 83301 (661) 326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to theconsWctlon of a fence beside the sidewalk Wiithin the public fight -of -way. lrem for propowd encroachment) Of (Address of proposed encroechmem) 1.) Name: Address: 2.) Name: Address: 3.) Name Address: a.) Name: Address: By: (OwnersName) Dater Date Date' .Date: ' > / — /'7 Date: 5—/5 - Date: 5 - / "-/5- Dates-/ /—/G% ACOR EVIDENCE OF PERSONAL PROPERTY INSURANCE H . 1DATE(MMAD35/1420Dr{Y""' 05/14/2014 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL. THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. AGENCY PNONE 661-633-2633 COMPANY FAX_ AMG---- Allstate Insurance Company AI--- ADDREss: Loan # 9000889966 Arreola Insurance Agency CA, LIC OH30214 $251,664 Coverage C(Contents) $188,748 Liability _CODE., 'sua coOE: All Peril Deductible AGENCY Annual Premium $877.00 (paid 2/5/14 in full) j IHSYRED LOAN NOMBER jpOLICY NUMBER 914151957 Agustin And Adelina Hernandez EFFEDPVEDATE E%PIRATIDNDATE 51170swell Park Or Bakersfield, CA 93307 CONTINUED UNTIL 02/25/14 1 02/25/15 1/ iERMIrvATELIFCHECxED --I—_ _ THIS REPLACES PRIOR EVIDENCE DATED: LOCATIDNIDESCRIPTION H Single Family Dwelling: Primary Residence COVERAGE INFORMATION LOANI COVERAGEIPERILEIFOR_M_S_ ( AM_O_UNTOFINSUR_ANCE I_ DEDUCTIBLE _ _ _ Preferred Homeowners;. Form HO -3 Loan # 9000889966 coverage.A (Building) Includes 150% Extended Replacement $251,664 Coverage C(Contents) $188,748 Liability $300,000 All Peril Deductible II $1,000 Annual Premium $877.00 (paid 2/5/14 in full) j CANCELLATION THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 10 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS ORAS REQUIRED BYLAW. AUUI I IUNAL IN I1IFI NAME AND ADDRESS Everhome Mortgage A Div Everbankisaoa H MORTGAGEE loss pnvEE AOOITIONAL INSURED LOANI P 0 Box 620138 , Doraville, GA 30362 THdRMEOREPREBENTAHmE Loan # 9000889966 Icowliul '"— V AGUKU GUKYVKA l ION 1 Yea 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: May 23, 2014 SUBJECT: Encroachment Permit Application for: 5117 Oswell Park Dr Name of Applicant: Agustin Hernandez Description of Encroachment: Concrete pillars in between wood panels. Will also have a block on the bottom for support. Fence will not exceed 6'tall. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SiPERMITS\ENCROACH\INSURANCE\5117 Oswe11 Pada Dr.doc • B A K E B S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 23, 2014 SUBJECT: Encroachment Permit Application for: 5117 Oswell Park Dr Name of Applicant: Agustin Hernandez Description of Encroachment: Concrete pillars in between wood panels. Will also have a block on the bottom for support. Fence will not exceed 6' tall. -51 Jr v� arra 6—� Please review the attached encroachment permit and return to me at your earliest convenience. -5*01WI4 SkETcpl ? 0.11-, fWuja--P f�'Ncic IS OUT511)r eIGblT Mfl� S9 ERMITSENCROACHURAFF105117 Oswell Park Dcdoc