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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 ---------------------------------------------------------------------------- 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 ---------------------------------------------------------------------------- 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 r) la 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: /aW ��— 7LI roue dA�IC� 6A C- Date: Address'. _ iAQl4 Ka. l\ L; 5Ak«I A . 9ii IL 2..)Name : Tin Nq<D8NIE _ 61"101u0 Date Address: 'uWi ATN—imAA rA&, IS31Z 3.) Name: AYAN aM2 cHC( � MA4040SU Date y g-zS Address: K Z4! g4T41t4"1iA c ✓ 4.)Name:°4' C's& L�� Date: �'7'�J' Address: ''i �L LJ:t, J� �'`r�A2 5.) Name: e,#46 Date: Address: (BZ�AZnr,7+,h carni [Jy 933/1 _ 5.) Name'. [)&%.sb� dr /•/�si-� '�L Date: Address: !0_412�n -�- • .^. Y33M • 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 at, ez-00 srNW1`-WW: 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..