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HomeMy WebLinkAbout2825 OCCIDENTAL STBA g ENCROACHMENT PERMIT in CITY OF BAKERSFIELD v d PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE C 9 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 . . . . . 14-30000051 Date 7/21/14 Property Address 2825 OCCIDENTAL ST Application type description PW - ENCROACHMENT PERMIT owner contractor ROSS SAERINA OWNER 2825 OCCIDENTAL ST EASPRSPIELD CA 93305 PermitENCROACHMENT PERMIT Additional . C . Phone Accesss Coo de . 1500214 Permit Pee . . . .00 issue Data 9/21/14 Valuation o ---------------------------------------------------------------------------- Special Notes and comments Will be building a wrought iron fence with a brick base and column 4' tall around the front yard. Sabrina Earrios Ross (661( 348-8585 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due _____ __ __________ __________ __________ Permit Fee Total $208 _oo. $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. �I a a�r�xt f7 r t ln(A Ea SS V Signature of Applicant (Owner/Agent) �rint 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) CqNS1IIVTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE G (DENIED) Said permit shall expire on date stated above. • V� Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT +, nc APPLICATION FORM O CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT t,'4vdr„® 1501 TRUXTUN AVE pg(; BAKERSFIELD CA 93301 ---A6611326-3724 Fax: (bb I) 852-2012 LOCATION OF NCgO C1IMF.NT Address required where available)),ag25 —. �eY elG/ �3 3D5 _ If theca is no address adjacent to work describe limits of work by distanees front nearest existing beet intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT // C>Y7nt.n , o p� ()-solos _ COMPLETE ADDRESS: 1:2225 0CC1 d(aIJ'ts.(,( j'- PHONF,: (UU )S 60.FCCYSi-%P.h c4 7S7?D5 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wroughtiron fence, concrete block wall, raised planer etc.):JC (x1C. and 11('f7C ht rr' q q 0,g \e— ... i1 T 7 PERIOD OF TIME FOR ENCROACHMENT: _DEFINITE or OTHER: nn �') a (Please Ci I ) CONTACT PERSO � , U.lr� J (!'�qj[_h i t].61 E.-�y19.. PHON 3 V F SS Applicant agreesthat 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 p,rson or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid encroachment during the lite 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 i where the same is located, and restore said public property or right of wav to the condition as it was before the placing, erection, maintenance or existence of said encroachment. Applicant further agrees to obtain andkeep all liability insurance required by the City Engineer it full force and effect for however long the encroachment remains. Applicant shall famish the City Risk Manager with a Gstificate, of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The types) and amotam s) of insurance coverage required are: Residences: t;omeowners General Liability coverage in an amount of at least $300.0n0.00 Commercial; Commercial Liability coverage in all amount oral least $1,000,000.00 Encroachment Permit Fee: $208.00 S:WE'.Rhtll'S+.NCROACN\Encroachment Permit Req Farm.DOC January 2009 E L D Public Work* Department 1501 Truxlun Avenue BakersfiHd, California 93301 (661)328-3724 TO WHOM iT MAY CONCERN: We the ght-of- a y, have no Objection to the construction of a tole beside the sidewalk within t -le Fabrcdgm-cr-way. Q tproposnd mutP n4n<� a a Ptrccuor romenu— { w—N¢me pQ� --� Ebna�� ob 54S 858S (Addmsx of peapaxed encroadiment) S)GNED: 1) Name: -fir ii , - _ Address: Y _ �'I u •illi �/� Address �ag AW- %%,_li!Si4 i a / Addre,VFr-Jvl'c • •_ .�.�� jG�� Date: LA . , 1 5.) Name:-�!r/~i hJNJ 12 %�+/,l ('r 6 Date. Address: vJr/i ., ii�c79'��"C�' i��II/� 9.} tsar -,e. Y��t A4'�a(.tix..t� Date: From:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT Msgt4858957.0.901 07/21/2014 11:22 Page 2 of 9 Mly Pnno' I'lanm 1W') NIH Nu. EW WINBW3(n ft WP: orf6anstK; Page 1 Pacific Specialty „� tlM INCREASE WELLING LIMIT MOURE, INSURANCE SERVICES PACIFIC SPECIALTY INSURANCE COMPANY P.O. 9W 40 FINANCIAL RATING: 'A' (EXCELLENT) BY AM BEST AINHEIM, G 92B15-0040 STATUS: ADMITTED Dinro01Va. W ePR000CER: SAPATHA ROSS B26746, (714)-699-7171 LCMAVIEsIREEMETUUBIE.104 ARS OCCIDENTAL ST PIONEER INSURWCE SERVICES INC BAKERSFIELD, CA 93305 12362 BEACH BLVD STE 30 STANTON, CA 9000 CALIFORNIA HO -3 Preferred Homeowners Insurance This is your Endorsements Page 0.. Aass'..--(N AIa 4.1 "�'ol vn 9uitlW nm Tnl, pity nu aan naenae im Ye blP,v'ry.�ae,utl ndennuMOMHWna9u 91 INCREASE WELLING LIMIT Us CORRECTIDM DF LOSS OF ME 74 AOD/INCREASE PERSONAL PROPERTY 0 INCREASE OTHER STRUCTWES CJ AW/INCREASE PERSONAL LIABILITY E—ops m . w:m, .sa w;mlv�TnN. sr nnlcFnsTlEr.n mems —Tana"m F— HeneOe yw account. Pay bills. For policy: service/questions contact ywr producer at (TI alA9al gl mcnu LM9 MAW .Yea,111 (For plains serv¢C) Please see next Page Por a tell list or coverages, Credits and agtustelenn applied to VWr glib, as '+ell u other Available options. ,e^_t. Ixv00N. Innis ' L%LESS.SPECIAI CEO. BELMI b1.000 A0 ................................................ ......... ................. .............................................. A WRLLLNG b134,MU.00 .................................................................:..—--............ ..... ...................... ....................... ........................ ...........E OR LAW COVERAGE ................................................................................................................................................................ e OTHER srauCl uRkS b13.4100.00 From:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT Msg#858957.0.901 07/21/2014 11:22 Page 3 of POI EY na: arc a I»xm ion tP.y Iyye: mM.GIRaxI lub nsu Pa9¢ S EIE ANIMAL LIABILITY E%CL IIS ION ................................................................................................................................................................... F NEftl[Al P4YMfNiS 41 Gpp.pp .................................................................................................................................................................. GpL NpN CAPPER PLBMBING iIP[NgRGE 6 No. OP YW.S P18 i0.pIPpLI XE E%[LNSiON ................................................................................................................................................................ P19 piVRW BOARp & SLIOF E%CELLS IAN .................................................:...............:................ ............................................. ................................. RFR ROOF REPL0.[ENENL [OST B ............IEE... CCA... OE ................................................................................................................................................................ PaIF� <mv apc Prtmno� (avl W liq, fcm: Ymeawl SISA]ly blryaPSRRpelilry wlAyEotldl "KIIIR W NrYP 602L"'. Anypnynrret irafirnrurri on Ivill be rr9nestrd aepaW ly ((fnpplicnGlr). Pleasereud)a policy cm efullyfor mRrrrtgn dttails. mnvml. W7m From:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT M5gi4858957.0.901 07/21/2014 11:22 Page 4 of 9 PoI'ry $Nn.,m..m Om�d cw" Po IlY No:1A'f 011581.@ (Dl) (PoY qp: CTT). CIRL'K I lub lT"A IA Page 3 Pulb,fXoY,T-Li .ULB A MUTING $134.000 A0 $691.00 ..........................................................:.:.................................................................................................... B OiNE0. 51FOCTWES .13,600.00 INC ....................................................... .............................................................................. ...................... ..... R.. ROOF ........... CGS. INC. ................................................................................................................................................................ Pmaml PltTwH [ PERSONAL PROPERTY $$7,000.00 INC. ................:..........................:......:............................................................................................... ............ ... C1 REPLACE COSI PERSONPL PROPERTY INC. ........ .................:................................ .... ................................................... ............... .................. .............. . LlUTW E PERSONAL LIABILITY$300,000.00 $25.00 ................................................ .L....... .... ........... .... ..... ...................... .---- .......................... ...... I........... EIP PNIMAL LI0.BIL ITY EXCLUSION ..INt. ............................................................................................................................................................... F NEO)CAL PAYMENTS $1,000.00 INt. .............................................................................................:..................:............................................... PI8 TRANSOLTHE EXCLUSION INC. ............................................................................................................................................................... P19 DIVING BOPRO & SLI OE fXCLL610N INC. ................................................................................................................................................................. Om P2 CHD[tW1tE DR LPNBWFAPGE I!. C. O L055 . DSE b26,0DD. DD INC. :........................................:..........................................:...........:.....:........:.............................100.................. R 63DRN MDRTWGEE CLPIISE $10 .......................................................................................................................................:......................... W1;1R1uICmOI CRF TELE ROOF CREDIT $25,04- ............. I ....................... .............................. ....................... ................................................................... 25.CD-................................................................................................................................................................ . U"1.N1 PdL NDN CORER PLIINRIIG SIIRCIWRGE d No. oP yedYS INC. ....................... ........................................... ........... ............................ ...................................f................... ` DED. UNLESS SPECIAL DED. DEC. .$1.000.00 IX[. .................... .................................................------ ............................ ......... .......:........................................ PDH, Cow ... o Pram:1507.00 ................................................ ............................. ...... .........:..................... ................... ........ ................. .. POLtll FEE (Fully eOrnM) 1Bo.00 ..............:.................................................................................................................................................: INSPECTION FEE (Fully EE,PW) $60.00 ..........:.......... ... ... ......... ...:............................. ......................... ................................... ....................... ...... Totel Poll Premium After the CM1bge: $577.0 TOUT POIICy Premium before the Clxnmef 16L5.W Dttrerace: "2.W MET Prorated Preelun CNenpet $26.61 1'rem6'bsm MbN •PeAa�spzlelry lalLylwl0.vl w:Nr.1 m.1-1-1 hs,— 6 mueer IS nor n.." AP�f paymem infarnzaiion will be regBmied n'ePmnlely ((fapplicable). Please readjv Dr policy carefully for 6TI1'ee'aSedRUai1l'. THIS POLICY DOES NOT INCLUDE OPTWHIA EARTNBWSE COVERAGE. From:PACIFIC SPECIALTY To:66185Z201Z ATTN:_TRI5H_CASTRUIT M5g#858957.0.901 07/21/2014 11:22 Page 5 of 9 r,i�9mmmein(lmnei55p1 %It, Nal MOM MO. ion LOY ip a CTH CTWK) Iuy meld Page 4 llmtdlm niM rvWn We Send Certain noti CeS SYCb 8S Coverage SOelnViaS and Caneallation OOHOeS W the TOlIWI04: OANI OF MERITS 1130 S FIGUFAOA ST LOS AKKFLES, CA 90015 Loan No, 2100071026 l—madda.,..Me leaning Yaov ofwnztruet ion: 195G M.1-111 0 TILE Type: rN Condition: Unknown Livhry Area Square Foobge: 1,188 Stated Ate: d NUWer M Unit,: 1 Roof Type: Unk. ...lila, Category: STI SIT, > 2 Car Porcn es/.ecRs: 20h Sq- Ft- Ftreplace(s): 0 Estivated Value! UW.000.00 Additional AdluSt®enb Insure] Value: b134.000.00 .ailing I.II.I. Mtt.ud: APRAISAL The Melling deverVES Should be In 8Wunt SVPHCient W replace the M®e In the dose of a total 1055. PleaSe RPeren Ce the requiradents of In Suran Ce Regulation 21SS.e5 re3ardin, estimating Mellih, roplacemont cost. Please be aware that it is ultivately the insured'S 1USLUnSlb111ty to obtain adequate insurance wvrage. If you feel that the Walling replacement -It eItbdtld mbave is insuffi Cient, ya should Incrwse the cou Tega W the appropriate amount, The follwmt statement IS required by tmiNrnia insurance Code SeCtion 10103: 'The nen of nabllity for. tai,. SRueture (COoerage A) is based on an estivate of the COIL W rebuild your roue, inoludm, an appro.imate COSI rorlaWr UM materials in your area, and speCifid infonetien that you have provided about Your =a.' From:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT Msg#858957.0.901 07/21/2014 11:22 Page 6 of 9 wR.r',ma'am'U—v cm» NBC, No. CRO 0411W/q (Ol) (Coy "I WbC10GRj Page 5 Your of Seems not Wntain the rollwin9. Coverage options: - Be PREMIER PACKAGE - Al 25% FATF.DED REPLRCEMENP LOST - AN HlATER RACKUP COVERAGE - C! CNMNCEMENT-0EVIELRY, GOLWARE OR COMPUTER EOOIP.(SEE SUBUNITS) CdA PERSONAL COMPUTER SYSTEMS - COB PERSONAL COMPUTER PROGRAMS - OC DATA RE-CREATION OR HOE FREEZER WHIENES LWEMGE C5 SCHEDULED PERSONAL PROPERTY - Ib INCRXINSCHED.PROP.IM BUSINESS DI SUPCRIDR HERE MIT. PACKAGE IT ANIMAL LIABILITY - E2 PERSONAL INJURY LIABILITY IS PERS. TIN. FEES DIED TO 07HER - N EARTHQUAKE 11 IDENTITI IUBFE T2 IDENTITY THEFT WI CUT ID ALERT Please contact your producer to learn .abut these .coverage options. Your policy pralo Was not 1mNh the Tollaulnq pralue Cred1K: CRG GATED COMMUNITY CREDIT - COR RETIREMENT COMMUNITY CREDIT CRI BURGLARY PROTECTION CREDIT - taP FIRE PROTECTION CREDIT GRD GATED RETIRPNEM CR4M, CREDIT NPV MULTI PVLICY DISCOUNT HEW NCMY ACQUIRED NMR DISCEQNT 5 NEWER HOME CREDIT Please Contact your prJdueer to set if yUj Qualify TOP any additional praiup Credits. a `lane If a pA N,t plan is utilizer. a fully .,,W Service charge will beloved for each lnst.1hem.1 payment. vade by the ]IONIC. The mO.E.D. Soff"Do charge applied per Installment payment IS $10.00. service Charges arm det—D,. at the time a. Payment plan Is 111 -taut'. seryl cu dN-1-C are not tharyM on dwn payments, He Installments not tendvO due to early payment of your premium balance. m' on The entire premlut payment. M installment Invol Ge will be sent to the Insured dete111ng the rryulred peya ent —P1 end pgynent due data. Payments must be YBCBived 1, Our Orion prior to the due date Or the polity Hill be C..Celled for ndn-pay art of presto.. ps tl' mut Far yWr Protection ca.....hin lav rf,r,E, the Poll pni ng to Appear On thin form: Any pen.O Mo ve-IN111 presents false Or frayl leN 1111. for the payment of a las is guilty of a the and may be Subject to flnes And Contlneeenl in state prison. Any revisions,. changes and/or comctlons made on the printed application after the Inebriation has been submitted online aro not reflected on this heclePations page and are not part oP the applseatlon for insurance. If any ineonatim on the DeclarationsOnce is inaccurate, please notify US In writing via 0 Hail to: analreel FYOm:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT Msg#858957.0.901 07/21/2014 11:22 Page 7 of 9 papa rc..o ae..el. 3141 Xa.QAi BfIYA)911031 (POY:YR', CTIbCI1Q:K) lulylv.Lla page 6 MmMl. U9vrUCe SdNi. AUH: UMenriti.9 DCPt. rD 0. c0 Mani.. eA 958 -MO For claims reporting. please call: 1-800-062-11M Far ealiq ServlCe. Plea Se Cdll: 1-800-303-5000. From:PACIFIC SPECIALTY To:6618522012 ATTN:_TRISH_CASTRUIT Msg#858957,0.901 07/21/2014 11:22 Page of 9 n,l:y l'saar•,..m (nnwcrnl WRY nils BOUN Inns" J(W) fees rype: Mit(ST0.'R) ] %.1,918 Page y enpnue ref—ee,W m Yam PoIH Based on the information you have Provided. your Policy has been issuM subjact to the following coverage Mrse and endorsements. Please rete that same or mese ndorsenenle may ltnit certain porthole of your Hu"11e. ot11H1 ami optional maerages that you have Selected. These are summary descriptions only. Please read the actual policy fans and endorsements to'determine the exact level of coverage your oncommW Policy provide$. We highly recPiwend revicr'ing your coverage with your insurance producer. J Io3 (Po.11J a.... no This is your basic Coverage faand it is smirs.y ith odect to the verlous endonsements noted below. NlIn" 11 r n oar uv tom This endorsement provides state -.sedated coverage: for a re,istered domestic partner. 1111.0 11"1 Wuevs'Comnmaldv This endorsement —Ices state-mve.td workers compensatl. coverage for residence employees. .11{1 will Inc.) 11. htlulan This anWrsement evaluate coverage for losses stemming directly or indirectly from %old, fungi, nildov. spares, ret or dry rot, or similar organisms, regardless of cause. twaaLa,trll NmrI Pul—ri; lids. raebla. This endorsement exclWes coverage for lasses steaming directly or indirectly from noteria. Hdatt. milder, vires, fungi, Hold, or their after, Wootodhs or other metabolic Products. TMs endorsement further defines the terms 'terrorism' and 'war and extrudes loss due to either from your poo err. 11 ail ymr R'navoralb Pauvbv This endorsement .....hies the to, we rill take to safeguard your prjsonal inforsstion. Th15 endorsement outlines the loss Pitiable Procedure when a mortgage company is listed in the Ddlafeticns. "To,min ...Loup F.amronm. rn l6. rv— Pol.m This endorsement alters some of the cancellation and non-renwal provisions of year Dolt cy Now to adhere to currant talttornia inearmmde laws and regulations. Pew, iTtl3) thou ,.0 ar ua vbwmav C9.na M, T��+.o This endorsement notes that. should a toss occur by deliberate. Ser(s) by a present or past tenant of the property, the deductible will be increased to $2,500. This indorsement is not applica0le 1f the ty11q d[dpctible stated in the Declarations is ss.om. flv (rd.+_i Ws 9m11rnwnPdv'u'm lou 6111.nn+l�IbmiYP ynv Porvla This endorsement amends The loan settlement provision of your policy to provide use with an option to make a Claim order this polity ror los Or dee a, to buildings on un astral. sash value basis. Ndla(11.1, TH.,1.. Whoa. TMs endorsement evil Was coverage for any loss stemming treat the use or presence Of a trampoline an the insured prenises, fdolp roe. 1-. Yx env../, evmivu.p acyl am sl{b ryy eo cur. Tti, mWrsement exclWes coverage forany loss stemming from the use or pre,anttbf a swremie, Pool Slide. d1Wng Ward, or similar sbuetur, on the insured Premises. oimrAu From:PACIFIC SPECIALITY To:6618522012 ATTN:_TRISH_CASTRUIT Msg#858957.0.901 07/21/2014 11:22 Page 9 of 9 Po1LY Nu:L1"GWIW&t-031 P.l lliytrye tllTl.11lQKj ]uh 14, Sli Page 8 .tm on. I, imam .a.a This endorsement automatically increases Yar dwelling Coverage limit )% annually to help the amount of reverage provided by yWr policy W ROW pace ttltn inflation. Ifolm Ver, It 15 iYpartant that YOUPeriOaically view the coverage praulded by your hill, as the amount and type Of insurance yW purchased is ultimately yWr decision. This includes ensuring that yW have adeQuate Coverage in the event of a Terga Or total 1055. Pa13](Ei 3l a. re hoe Giamnaa Thie endorse0ent Inereals, SOCtial limits of personal property. mtagn. it xnnPm'��mnm.m (inm,ry xa�x�m omn This endorsement notes that, should your property become vacant or unoccupied, your policy will only provide coverage for the perils of fire or lightning, Unclaimed or hall (unless otherwise exCluded). Seek¢, or volcanic eruption. He other [oa er ops .111 he afforded by your policy until the property 1e as larger vacant or en OCCVpied. iia (1y. 11 111. AM Hint finl.w Witlfm fldin Ui US u This endorsement cads a special limit of coverage to your Policy of bASoo total property and a01Hng Coverage for 'wildfire stake, evict and aeh Casale not reported to ue within forty-five (45) days. a able6 D'vl Jsui �alv� This Tendorsement excludes [Overage for satellite dishes. antennas, their Components and ndeftong hardware. pJsa 1Pa. a Cwnn This endorsement enhances theft Coverage in the policy form by including coverages such as losses caused by ,halt that beaus away hrm the rcidmeo. ®isms. r,ueo..n ammo man." wx mm This endorsement amends the loss settlement provision of your policy W include ro erage, didiect to your Pali Cy limits, for uplraaes In oul atng construction that are required due W building Codes, lma or ordinances. . 1.nn.-1.xon+.0 v.al 11 "g 1 This Coverage amends the loss settledent provisions of Spur )Clity fon to provide Coverage for personal property (Coverage'[) on a r1placaueat cost oaels. 1f this. CU.rsaeent is not ...lied, personal property 1a Settled on an actual cash varve hasis, with the. deduction of aeoreCiatlon. m xa. rplama. a, 4-11.1nae mawim This endorsement excl Wes 11e0111ty and medical payments Coverage for CMily Injury or property damage Caused of Or orl,lh,11, Ton any animal. m u lm (u.e) n4x+Tmm tan co�mg mrlmni�a mm lmol'Umn This Pendorsement amends year polity form to autesot Lolly provide Coverage for roofs (and roe, Components) on a replacement Cost basis. Pa mNo. Y]RnIY�1lw1il e m ae ak PNortmmi This endorsement aaends loss pays., provtslon5 Oryoupolicy Nr the lienholder noted oo your paltry pecla MI.I. 1-1 mm,om., cbnm(ryaob Raoance.noo" Say" lo.l FYOm:PACIFIC SPECIALTY T0.:6618522012 ATTN:_TRISH_CASTRUIT Msg44858957.0.901 07/21/2014 11:22 Page 1 0£ 9 THE McGraw Group OF ,gFFILIATED COMPANIES Northern California -3601 Haven Avenue - Menlo Park, CA 94025-1033 - 800-828-3003 - 650-780-4800 - Fax:650-7804848 Southern California - P O. Box 40 - Anaheim,. CA 9281 M040 - 800-3035000 - 714-998-2190 - Fax 714596-3158 F A C S I M I L E T R N S M I S S I O N Date: 07/21/14 Time: 11:22:06 From: CHRISTIAN GARCIA To: ATTN:_TRISH_CASTRUITA Pacific Specialty Insurance Co 3601 Haven Avenue Menlo Park, CA 94025 6618522012 USA Number of Pages Including Cover Sheet: 2 If you have a problem with this transmission, please call: 800 303 5000 If .faxed on thermal paper .and signature required, please copy first. ------------------------------------------------------------------------------- Dear Insured, Attached is the revised declarations page as requested. Should you have any further questions or concerns., please feel free to contact our dedicated customer service department at 800-303-5000. Thank you. .Best Regards, Pacific Specialty Insurance Company ixeunwce n Mn,� Sa„c,. G accvirra 1'.1111 L E R S F I E L J_> PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 25, 2014 SUBJECT: Encroachment Permit Application for: 2825 Occidental St Name of Applicant Sabrina Ross Description of Encroachment: Wrought iron fence with brick base and column 4'tall around front yard. Please review the attached encroachment permit and return to me at your earliest convenience. L S:\PERMITS\ENCROACH\TR FFIC\2828 Ocddenlal Stdoc TO: FROM: DATE: SUBJECT: • E A- K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager Bob Wilson, Supervisor II, Subdivisions July 25, 2014 Encroachment Permit Application for: 2825 Occidental St Name of Applicant: Sabrina Ross Description of Encroachment: Wrought iron fence with brick base and column 4'tall around front yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: PERMITSNENCROACHMNSURANCEP825 Owidentel Sl.doc