HomeMy WebLinkAbout10915 HOWELL MOUNTAIN DRENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661)326-3724
TO THE CIN 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 . . . . . 15-30000034 Date 9/14/15
Property Address 10915 HOWELL MOUNTAIN DR
Application type description PW - ENCROACHMENT PERMIT
Owner contractor
GARCIA JOSE R a HORTENCIA R OWNER
10915 HOWELL MOO AIN EA
BAKERSFIELD CA 93312
Additional
. ENCROACHMENT PERMIT
Additional deae .
Phone Access Code . 1709393
Permit Pee . . 200.00
Issue nate 9/14/15 Valuation o
Qty Unit Charge Per Eateneina
BASE FEE 208.00
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Special Notes and Comments
2 1/2 feet e rete block wall with a 6'
high wooden fence on top. TOtsl is 6' at
the highest point.
Hostencia. Garcia (661) 331-9313
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Fee summary Charged Paid Credited nue
-------------- ----- --- ----------
Permit Fee Total 200.00 206.00 .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
rev a permit at
Signature of Applicant (Owner/Agent) riot 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 (GRANTED) (DENIED) $aid permit shall expire on date stated above.
Signature of City Engineer
AKe ENCROACHMENT PERMIT 17-)
APPLICATION FORM
Cil V O f3AKP;RSI3 ELU
PUBLIC WORKS DEPARTMENT
*I 1501 TRUXTUN AVE
C Y" " BAKERSFIELD CA 93301
(661) 326-3729 Fax: (661) 852-20L2
LOCATION OF ENCROACIIMENT(Address required where available):
If there is no address adjacent to work describe limits of work by distances Prom nearest existing street intersection.
,APPLICANT INFORMATION n /�,�,,• I
PULL NAME OF APPLICANT n)t 5C Pte_ 4-_� PrtA A. r6�-�- ---
COMPLETE ADDRESS: PHONE: Ual -,36_1_. 4�1 I3
oglit I yy\,o Wn FAX: _
3'N Z CELL: __.. .—.
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (`xa2mPlc: N'ood or wrought iron
planter, etc.): rte]"n • {rte •1_�g,i oj(A.I Y1 rvF
PERIOD OF TIME FOR ENCROACHMENT:
INDEFINITF or OTHER:_,
CONTACT PERSON
(Please Circle)
4 PHONE:
(I/1
a 2-LialI • –I-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 adminislfalive, 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 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 upon n the
revocation thereof b • he City, Fngincer. applicant will at his own cost and expense emove the same from theup blip
praperty� or righl of way, where the same_s.located and restore said public property or right of way to the condition as
nearly as that in which it wasbefore 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 amounts) of insurance coverage required are:
Residences: Homeowners General Liability coverage in an amount of at least $300.000.00
Commercial: Commercial kiability, coverage in all amount of at least $L000,00(600
Encroachment Permit Fee: $205.00
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S9PL'Rh1 1"I'S+.NCRCIACH\8ncroachnhent Permit Req Fomh.DOC January 2009
Fax Server 9/9/2015 9:35:12 AM PAGE 4/011 Fax Server
Ihterinsurancs Exchange of the Rutomoblle Club
AAA YourHome Advantage - Homeowners Pollcy Coverages and Llmlts
0 Renewal Declarations - Form 3
We aro pleased to after you a renewed for your homeovmam Insuranw polloy. To renew your policy, sand at least the minlmum
payment on or before the due data. Ineumnce Is In affect only for the oovaragae and limits of liability shown on this declaration
page and as act forth In the Insurance policy and endorsements. Thane dodaradons, together with me contract and the
andomamams In effect, completes your policy.
GARCIA. HORTENCIA AND GARCIA, J05E
10915 HOWELL MOUNTAIN OR
BAKERSFIELD CA 93312.61181
THIS FOLICY Is, VFSCTIVS
FROM: 104MO15 1201 A.M.
TO: 10434010 12:01 AM.
aUILT:2a14
CBtf r prme"v Caverades
Description Deductible" Limits
Dwslling Coverage A•• Yes $320.000
Omar Struc ume Coverage B^ Yee $32,000
Unscheduled Personal Property Covarage C Yea $240,000
Loss ofUao Other COVOM205 1. (20% of the amount of Coverage A) Yea
Building Cade Upgrade Other Covaregae 5..(10% of the Amount of 00Varegs A) Yee
The limit of liability for this atruclure (Coverage A) Is based on an estimate of the cast to rabulld your home, Includlno an approximate cost
for labor and materials In your area, and specific Information that you have provided about your home.
"A deductible of 60 applies to any covered lose resulting from discharge, leakage or overflow Of water or steam them any plumbing, beating,
air conditioning or firm oprinMer system, or any fixture or appliance. A deductible of 61,000 applies to any other covered loom
Pad I limits may have boon Increased using an Inflation factor.
Coverage Aand Coverage B -Guaranteed Replacement Cost Included
Part II Liability Covered"
Description
Limits
Personal Liability
Coverage D(Bodily Injury and Property Damage) - Each occurrence $300,000
PREMIUM SUMMARY
(personal injury) In the Aggregate
Medical Payments to Others
Coverage E • Each Person $1,000
9m10 Coverages, Lasa Lou try Mealfa Raaemca El
Description
TOTAL
Worlrore' Compensation
Coverage F - Statutory
Employaral-latellity,
Coverage G(par Candlllons Pan IV Provision 3)
Rmltlence Employeas• Oumervem(a) 03 fIn waad(a)00
PREMIUM DISCOUNTS APPLIED TO YOUR POLICY
.Multi Polley Nen Home Roof Typo Mature Fine Alarm slhgla story
Loyalty 1 Yea
PREMIUM SUMMARY
Additional Ommgea
9m10 Coverages, Lasa Lou try Mealfa Raaemca El
, CILIA
TOTAL
mucov,z Pea saw Err o& 3
Asses rent
PREMIUM
$1,314 +'- S20 + + + +1
$382
• Ifyou choose to pay less than the full outstanding balance, ass lam applies to each lnstalimont billed, as eloped In your billing
statements
which aro pad ofthoes declarations, The to may be redwood lfyou select to pay Loin; ourauMmallo payment plan,
THIS PCLICY ODES NOT PROVIDE COVERAGE AGA[ NST THE PERIL OF EARTHQUAKE.
17" PROCESS DATE: 011.04.2015 PLEASE KEEP WITH YOUR POLICY (SEE REVERSE)
B A K E R 6 F I E L C
Public Works Department
1501 Trumun Avenue
Bakersfield, Galifornla 83301
(661) 326-3724
TO WHOM IT MAY
We the undersigned, have no objection to the construction of a fence be>Ne the sidewalk within the
public right-ol-way.
DRI 6) rYLounin1ti � , BY. 3c5p-ji�-
'rce:.or prcpos encr nchingp; 933IZ (0wneri Name)
(Address or proposed encroachmenQ
1) Name:
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Date:
Address'.
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2..)Name :
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Date
Address:
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3.) Name:
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Date y g-zS
Address:
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4.)Name:°4'
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Date: �'7'�J'
Address:
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5.) Name:
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Date:
Address:
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5.) Name'.
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Date:
Address:
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B _A- h E R S F I H L. D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer III
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: September 15, 2015
SUBJECT: Encroachment Permit Application for: 10915 Howell Mountain Dr.
Name of Applicant: Jose & Hortencia Garcia
Description of Encroachment: 2 Y. foot concrete block wall with a 6' high
wooden fence on top. Total height is 6' at
the highest point.
Please review the attached encroachment permit and return to me at your earliest convenience
C'FeNce tfoa/rr /S 8r Flow
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S'.\PERMITS%ENCROACMTRAFFICN 0915 Howell Mountain D, d.o
E' h L R S P' I F. L i>
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager 1\ Imo_/
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: September 15, 2015
SUBJECT: Encroachment Permit Application for: 10915 Howell Mountain Dr.
Name of Applicant: Jose & Hortencia Garcia
Description of Encroachment: 2 M foot concrete block wall with a 6' high
wooden fence on top. Total height is 6' at
the highest point.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S'.\PERMITS\ENCROACH\INSURANCE\10915 Howell Mountain D,A..