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HomeMy WebLinkAbout7110 MONITOR 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 . . . . . 14-30000044 Date 6/03/14 Property Address 7110 MONITOR ST Applicationtype description IN - ENCROACHMENT PERMIT Owner Contractor ________________________ __-____ RAMIREZ JOSE M & VIZCARNA 10UR OWNER — 4408 GOOD ST EARERSFIELD CA 93314 ___.________________________________________ Parini[ . . . ENCROACHMENT PERMIT .Additional desc . . Phone Access Code . 1478288 Permit Fee . . . . 206.00 Issue Data . . . . 6/03/14 Valuation Qty Unit Charge Per Extension EASE FEE 208.00 --------------------------------------------------------------------------- Special Note. and Comments Existing 4' high w ought it. fence in front yardbehind sidewalk. Lourdes Vizcarra (661) 717-0160 _______________ _ _____________________ Fee summary Charged Paid Credited Due Femit 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 revok the permit at any time. 4"UQ q� v OAA14- z ©U/uel V ez-r-a44 gnats ure of Ap ant (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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOREGRANTS . (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back Er; ENCROACHMENT PERMIT I �� + o APPLICATION FORM s u CffY OF BAKERSFIF IA) - PUBLIC WORKS DEPARTMENT ,t 1501 TRUXTLM AVE C n IPOR OAKERSFIEI.D CA 93301 ` (661)326-3724 Fax: (G61)852-2012. LOCATION OF ENCROACIIMENT(Addressrequired where available): ]]'there is no address adjacent to work describe limits of work by distances from nearest. existing: beet intersection. APPLICANT �r INFORMATION FULL NAME OF APPLICANT-tov9,06-- COMPLETE ADDRESS: JIM ploN a � �ST- PHONE: `0 �j DR'�F4SCi1l.I _C lF ";I13 Lr,t FAX: _ CELL: JaQ.l--Jb4- Joe, PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example. Wood or wrought iron fence. concrete block wall, raised planter, etc.): �Iknk Lr1- lkaO FLf4(K PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON.f/1�'1%F-( PHONE: Lf:,LP `O 1(,—() 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 orally other p,-rson 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 revocation thereof by Ore City Engineer, applicant will at his own cost and expense remove the sa ne from the nubile rp oMr or_riaht of way where the same is located, and restore said public property or right of wa+to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment. Applicant furtheragrees to obtain and keep all liability insurance required by the City Engineer it 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. Che type(s) and amount(s) of insurance coverage required arc: Residences: Homeowners General Liability coverage in an amount of at least $300.000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 Encroachment Permit S:\PERMIT$U-.NCROACH1Eneroachmem Permit Req "rm.rX)C January 2009 E A. K B R S P! E L D Public Works Department 1501 Truxtun Avenue bakerSnelo, California 83301 (661) 326-3724 TO WHOM IT MAY CONCERN: V%e the undersigned, have no objection to the construction of a fence beside the sidewalk within t -re public r ighbof--way. ('treat or prapased encroecbmeny Of rAddr s. of pro6osed enaroachmenp sy: ( wners Name i L) Name: Address: 7 3.) Name: Address �l03 ii7nh�Yd2 �/. 4.) Name Address: 5.) Name:. Address: 6.) Name: Address: Date: (-)-^ 13, Date: /: DaC er Date:' Date: Issued: 0710012010 Universal North America Insurance Company RENTAL DWELLING New Business ilTV Page P.O. Box 301030 Fort Worth, TA 76191-2038 FFE DECLARATION EFFECTIVE: 07129013 E Policy service: 1.866458-4262 DIRECT BILL Claims Service: 1-866-999-0898 Attached Endorsements Premium w ,universalnorthamerica.com Scheduled Properly Premium Policy Number From Policy Period To A ant Code CAVD0000008846-0 1 072913 07281412:01 AM STANDARD TIME 11147 NAMED INSURED AND ADDRESS: I AGENT: (661)397-2810 JOSE RAMIREZ LOURDES VIZCARRA 4408 JUDD RD BAKERSFIELD CA 93314 VROYGARZAu+ •••J ^Vy.y. Y.y 970 WIBLE RD BAKERSFIELD CA 93304 coverage Is provmee emere, premium ana uma or naomay m orro..o. Important Notices: Coverage for flood damage is not provided by this policy. Coverage for earthquake damage is not provided by this policy. Loss Assessment for Earthquake is NOT covered by this policy. Contact your agent for additional information on how to obtain these coverages. COVERAGES - SECTION I LIMITS PREMIUM SUMMARY Coverage A. Diverting $190,000 Basic Coverages Premium Coverage B. Other Structures Attached Endorsements Premium INCL Scheduled Properly Premium $2,500 Fees Total Policy Premium &Fees $418.00 1 NCL -$30.00 1 $.00 1 $60.00 $448.00 $45 Coverage M. Medical Payments to Others LOCATION N / A FORM CONST YEAR USE NUM FAM OCCUP PROT CLASS TERRITORY 3 FR 2 P' Tenant 03 44 EARTNOUAKE INCLUDED COUNTY CODE PERSONAL PROPERTY REPLACEMENT COST N Kern N coverage Is provmee emere, premium ana uma or naomay m orro..o. Important Notices: Coverage for flood damage is not provided by this policy. Coverage for earthquake damage is not provided by this policy. Loss Assessment for Earthquake is NOT covered by this policy. Contact your agent for additional information on how to obtain these coverages. COVERAGES - SECTION I LIMITS PREMIUMS Coverage A. Diverting $190,000 $373 Coverage B. Other Structures $19,000 INCL Coverage C. Personal Property $2,500 N / A Coverage D. & E. Fair Rental Value/Additional Living Expense $19,000 1 NCL SECTION I COVERAGES ARE SUBJECT TOA $1000 ALL PERIL DEDUCTIBLE PER LOSS. COVERAGES - SECTION 11 LIMITS PREMIUMS Coverage L Personal Liability $300,000 $45 Coverage M. Medical Payments to Others $500 N / A LOCATION(S) OF PROPERTY INSURED 7110 MONITOR ST, BAKERSFIELD CA 93307 UNA DF CA DEC 01 11 Continued on Next Page... PAGE 1 Issued: 07/30/2013 PolityNumber From Policy Period To A ent Code CAVD0000008846-0 072913 PO BOX 40490 07291412:01 AM STANDARD TIME 1 11147 ADDITIONAL INTERESTS MORTGAGEE(S) FIRST MORTGAGEE SECOND MORTGAGEE OCWEN LOAN SERVICING LLC KERN SCHOOLS FCU ISAOA ATIMA ISAOA ATIMA PO BOX 4025 PO BOX 40490 CORAOPOLIS, PA 15108 BAKERSFIELD, CA 93384 LOAN NUMBER: 0687993513 LOAN NUMBER: 0005233490245 POLICY FORMS AND ENDORSEMENTS APPLICABLE TO THIS POLICY NUMBER EDITION DESCRIPTION LIMITS PREMIUMS AHHO-AAUNA 05-09 Notice of Consumer Rights I NCL AHHO-10 06-09 Imprenant Info- Insurance Guarantee Assn INCL ABHO-9 06-09 Lender's Lass Payable Endorsement I NCL CA OOL 06-09 California Ordinance or law Disclosure.Notice INCL CABOR 06-09 CA Residential Property Ins Bill of Rights INCL CA PWAITV 06-09 Important Message Regarding Dwelling Limit INCL DP 00.03 07-88 Dwelling Property Special Form INCL DWF-10 06-09 Modified Replacement Cost Coverage INCL DWF-30 06-09 Mold, Fungus, Wc4Dty Rot and Bacteria Eccl INCL DWF-SPCA 06-09 Special Provisions - California INCL UG 105. 06-09 Imporlantlnformation-ConsumerAffairs I NCL UG 112a 06-09 Residential Property Insntance Disclosure I NCL LI GLB 03-09 Privacy Notice I NCL USP 00 06-09 Signature Page INCL ASP 110-1.10A 06-09 Earthquake Insurance Offer I NCL DWF-12 06-09 Premises Liability INCL Deductible Adjustment $ —30 Policy Fees $ 60 THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS BASED ON AN This replaces all previously issued policy declarations, if any. This policy applies only t. accidents, occuaences, or losses which happen during' the policy period shown above. In case of loss under Section 1, only that pmtof loss over the stated deductible applies. This declarations page together with all policy provisions and any other applicable endorsements completes your policy. Please contact your agent if there are any questions pertaining to your policy. If you are unable to contact your agent, you may reach us at: 866-4584262 for Customer Service and 866-999-0898 for Claims. UNA DF CA DECO] 11 PAGE 2 J J Q U O O J auryai ue�7ae�iS J YI°x JS Gaa d �° 6uiicu3 05. �-L -.ESe a4z z W cr- wc � w m J J • B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 4, 2014 SUBJECT: Encroachment Permit Application for: 7110 Monitor St Name of Applicant: Jose Ramirez & Lourdes Vizcarra Description of Encroachment: Existing 4' high wrought iron fence in front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S.WERMITS\ENCROACH\TRAFFICV110 Monkor SLdoc • B A IS E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 4, 2014 SUBJECT: Encroachment Permit Application for: 7110 Monitor St Name of Applicant: Jose Ramirez & Lourdes Vizcarra Description of Encroachment: Existing 4' high wrought iron fence in front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:�PERMITS\ENCROACH\INSURANCE\7110 Monitor St.doc