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Home My WebLink About1921 LEMAY AVEENCROACHMENT 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 . . . . . 14-30000048 Date 7/01/14 Property Address 1921 LEMAY AVE Application type description PW - ENCROACHMENTPERMIT Owner Contractor ------------------------ ------------------------ MALMO MELVIN R 6 SHIRLEY T OWNER 1921 LE MAY AV BAKERSFIELD CA 93304 ---------------------------------------------------------------------------- Permit. . . . ENCROACMENT PERMIT Additional desc . . Phone Access Code 1492339 Permit Fee 208.00 Issue Date 7/01/14 Valuation 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Existing chain link fence at back Of sidewalk. Contact: Melvin Ramirez Palen 661-836-1835/932-6159 ---------------------------------------------------------------------------- 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 any time. /jl%GG��G�^� Sign urs o 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RA TE (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 Fm: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): Iq - 3 eouoo ` '8' If there is no addressadjacent to work describe limits of work by distances from nearest existing >.beet intersection. FULL NA COMPLE CELL:06.1..._ l,3op.' 61!5? PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, co tcrete block wall, raised planter, etc.): C.\\O..Iry L/NIk PERIOD OF TIME FOR ENCROACHMENT: NDEFINIT or OTHER: (Please trele) CONTACTPERSON 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 dectands, whatsoever against them, or any of them, bufote administrative, quasi-judicial, orjudieial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicants placement, erection, use (by applicant or any 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 progem or right of way where the same is locato and restore said public properly or right of wav 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 it full force and affect 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. I he type(s) 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 $ L000,000.00 Encroachment Permit Fee: $208.00 S:IPERM 11 SIENCROACH\Encroachment Permit Req Form.DOC. January 2009 • Z'' � . B A K E R S F I E L D Public Works Department 1501 Tmxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN: We the ucdersigne0, have no objection to the construction of a fanoe beside the sidewalk within t',e public right-cf-wey. Mm�,�-t t�C�'� By, e.i rN Pc�.e-I ( heel Ar proposed neroxchi nti (wners xme yr 1911 4--P,-,4 iii e-- ehnn,. 6(Q1- `�3�A IS3S (Addren of pmposed encmachm,n) SIGNED: '.)(tame:jn�yi fi L4&4_jei Address: Si�2S' Le,YM o„ oj, 2.) Name: Address. 3.) Name: Address: 4.) Name'. Address: 5) Name: Address: 01 Date: 6-2--N— Date -2--N_Date Date: Date: Z;gz Date: Date:% This ENDORSEMENT Page, with Policy Jacket Form 4323 and Forms And DUPLICATE Endorsements Listed Below AMENDS Your HOMEOWNERS POLICY CHANGE # 01 EFFECTIVE 06-10-14 INSURER: HARTFORD UNDERWRITERS INSURANCE CO. 200 HOPMEADOW STREET, SIMSBURY, CT 06089 POLICY NO: 55 RBC943184 RESIDENCE PREMISES PALEO,SHIRLEY JANE 5 MELVIN RAMIREZ S J,421_ LE MAY AVE 4 ncnrarn rn czzna Policy Period 12:01 A.M. Standard Time at the Residence Premises FROM: 05-01-14 TO: 05-01-15 TERM: 1 YEAR PRODUCER NAME: CODE: 751950 Customer Service: 1-800-423-0557 Claims Service: 1-877-805-9918 TOTAL POLICY PREMIUM: $848.00 COVERAGE IS PROVIDED WHERE A LIMIT OF LIABILITY IS SHOWN FOR THE COVERAGE. COVERAGES LIMIT OF LIABILITY SECTION I A. DWELLING $ 201,000 B. OTHER STRUCTURE $ 20,100 C. PERSONAL PROPERTY $ 140,700 D. LOSS OF USE $ 40,200 SECTION II E. PERSONAL LIABILITY: EACH OCCURRENCE F. MEDICAL PAYMENTS TO OTHERS: EACH PERSON $ 1,000 DEDUCTIBLE -SECTION I: WE COVER ONLY THAT PART OF A LOSS OVER $ 500 ON 45501 COUNTERSIGNED BY BAEERSFIELD CA 93309 ------------------------------------- ------------------- AUTHORIZED AGENT ----CONTINUED ON PAGE 2 ---- Form H-420 (facsimile) n • B 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: July 9, 2014 SUBJECT: Encroachment Permit Application for: 1921 Le May Ave Name of Applicant: Melvin & Shirley Paleo Description of Encroachment: Existing 4' high chain link fence around front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. ,1n a /rr,,,t - o-(- tll'f Ali,/trots -7_ 3 5:\ PERMITS\ENCR0ACH\TRAFFIC\1921 Le May Ave dM B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Managert,—�J \ FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 9, 2014 SUBJECT: Encroachment Permit Application for: 1921 Le May Ave Name of Applicant: Melvin & Shirley Paleo Description of Encroachment: Existing 4' high chain link fence around front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. $iPERMITS\ENCR0ACH\INSURANCE\1921 Le May Ave.doc