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Home My WebLink About1641 OLIVE 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 . . . 15-30000022 Data 6/17/15 Property Address 1641 OLIVE ST Application type description PW - ENCROACHMENT PERMIT Gwber Contractor ________________________ -------------__________- HERNANDEZ JUAN C OWNER 1641 OLIVE ST BAKERSFIELD CA 93301 ---------------------------------------------------------------------------- Pert ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1659889 Permit Fee 2ae.00 Issue Date . . . . 6/17/15 Valuation 0 Oty Unit Charge Per Rxtenaion BASK eeE 208.00 ------------------------------------------------------------------------__-- Special Notes End Comments Place a 6' high concrete block wall behind sidewalk. Fence will be behind face of house around back yard only. Juan Hernandez (661) 201-7554 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 t( revoke the permit at a y time. IC GV CL Signature of Applicant (Owner/Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOIN( 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 I! THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back ENCROACHMENT 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 . . . . . 15-30000022 Date 6/17/15 '\6 �\� Property Address . . . . . 1641 OLIVE ST \ Application type description PN - ENCROACHMENT PERMIT V Owner - Contractor - ,Y\ HERNANDEZ JUAN C OWNER t 1641 OLIVE ST BAKERSFIELD CA 93301 Perm- -- ---PPPPPP PERM- \a Permit ENCROACHMENT PERMIT Additional de.c q Phone Access Code . 168 l \` Permit Fee . . . 20 208..00 0 \v\ V Issue Date 6/10/15 Valuation 0 Qty Unit Charge. Per Ex[208.00 EASE FHS 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Place a 6' high concrete block wall behind sidewalk. Fence will be behind face of house around back yard only. Juan Hernandez (661) 201-7554 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------------.------------------------------------------ Permit Fee Total 208.00 208.00 .00 ,DO 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 y tt / If 1711C Signature of 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 (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer I� 11K- 11N, Mu �1 ve q l� Additional Terms on the Back I96-4 "t a 0 tit ivr, BA xE ENCROACHMENT PERMIT OF�wvEe«QRS CITY OF BAKERSFIELD v o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 c9L10 (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 . . . . . 15-30000022 Data 6/17/15 Property Address 1641 OLIVE ET Application type description PW - £NCROACHsIENT PERMIT owner Contractor HERNANDEZ JUAN C OWNER 1641 OLIVE ST BAKERSFIELD CA 93301 Permit . . . ENCROACHMENT PERMIT Additional dese . . Phone Access Code 1659887 Peemit Fee 200,00 Issue Date 6/17/15. Valuation 0 pty Unit Charge Per Extension EASE FEE 200.00 Special Notes and Comments Place a 6high concrete block ,{x -r behind sidewalk. Pence will be b;ti d face at house around back yard only. +' Juan Hernandez (661) 201-7554 s ary Charged Paid edited Fee mm Due Permit Fee Total 208.00 208.00 .00 .Do Grand Total 208.00 20E.OD .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at an, yy ime. �!ii `✓��n� T" Signature of 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 THEREFOR - aid permit shall expire on date stated above. 1 — � Signa ure o i y Engineer Additional Terms on the Back BAK ENCROACHMENT PERMIT os� APPLICATION FORM o CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT ® 1501 TRUXTUN AVE I 0 BAKERSFIELD CA 93301 (661)326-3724 Fax; (661) 852-2012 LOCATIOROACHMENT(A dress required where available): _ If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION/ FULL NAME OF APPLICANT —j�—vr7 % lLLei It4 q Wt -L COMPLETEq�) ADDRESS: � /6/f / d J( d�+ Z- ] r PHONE: ,6/ 1 Cl'- Z, -'LEY p}Qlj 2rSYf¢/� l '( 7.1p✓�/ FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood Ior wt•,ought 'ron fence, concrete block wall, raised planter,etc.){p�,^ptC,y�ltc �n(t.�lC U.R. ` '''177 h91•� �i i PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: to &`v (Please Circle)CONTACT PERSON ft'd�vve 'W`F-. PHONE: (mob(' 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, 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 pmperty or right of way where the same is located and restore said public property or right of way 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 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 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 $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Form.DOC S ,. 2013 • B A K E R 6 F i E L D Public Works Department 1501 Tmxlun Avenue Bakersfield, California 93301 (661) 328-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the wnstructlon of a fence beside the sidewalk within t^,e public right-of-way. By: ,'ecm or propou encroec mens ersRama) or Ph... (Address of proposed muroedimen) SIGNED 1.) Name: X %-.? Date: tb JUwfr ?.JCy Address: '2,t iz� —C1 rJ Y 2.) Name: IDate: 20 IC9 Address: / 3.) Name. Date: y �fL `xoz, 4.) Name. Date. G- Address: 3o7( �Gy 5.) Name: 4 G Date:/,�7'�� Address: 6.) Name: Date: Address: A "I Evidence of Insurance for Mortgagee/Other Interests FARINSUMEcR S Policy Number: 94316-86-00 Policy Type: Next Generation Homeowners Policy Status: In Force Term Effective: 4/12/2015 12:01 AM Renewal Date: 4/12/2016 12:01 AM Insured: Ana Rodriguez and Selestino Hernandez 1641 Olive St Bakersfield, CA 93301-3101 Your Insured Property Property Address 1641 Olive St, Bakersfield, CA 93301-3101 Coverages Coverage Limit Coverage A -Dwelling $154,000 Extended Replacement Cost $38,500 Coverage C- Personal Property $115,500 Identity Fraud Coverage $30,000 Coverage E- Personal Liability $300,000 Association Loss Assessment Not Covered Deductible Applicable to each covered loss farmers.com Underwritten By Mid -Century Insurance Company 6301 Owensmouth Ave, Woodland Hills, CA 9.1367 YourAgent Maximo G Sanchez 4300 Wale Rd Ste H Bakersfeld, CA 93313-2626 (661)834-7300 FAX :(661)834-7400 msanchez@farmersagent.com Coverage Limit Coverage B- Separate Structures $15,400 Coverage D - Loss of Use $61,600 Building Ordinance or Law 10% Coverage F-Medeal Payments To Others $1,000 Deductible $1,000 2543575 993 Page 1 oft Evidence of Insurance for Mortgagee/Other Interests (continued) Mortgagees and Other Interests Ist Mortgagee Not Applicable Premium Details Annual Premium: $410.95 Fees: $0.00 Total Premium: $410.95 Balance Due: $11.24 This form is not the contract of insurance. It is a memorandum of coverage limited tomortgagee/other interests, provided at their request and applicable to the dwelling or building at the location below. The provisions of the polity will prevail in all respects. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should theiinsurance policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the policy provisions. Authorized Representative. farmem.com 6/16/2015 Data 2509)5 9-13 Page 2 oft Evidence of Insurance for Mortgagee/Other FARMERS Interests INSURANCE Pol icy Number: 94316-86-00 PolicyType: Next Generation Homeowners Policystates:. In Force Term Effective: 4/12/2015 12:01 AM Renewol Data 4/12/2016 12:01 AM Insured: Ana Rodriguez and Selestln o Hernandez Coverage A - Dwelling 1641 Olive St Coverage Bakersfield, CA 93301-3101 Your Insured Property Property Address 1641OIiveSt, Bakersfield. CA 93301-3101 Underwritten By: Mid -Century Insurance Company 6301 Owensmouth.Ave. Woodland Hills, CA 91367 Your Agent: Maximo G Sanchez 4300 Wible Rd Ste H Bakersfield, CA 93313-2626 (661)834-7300 FAX: (661) 834-7400 rasanch prVarmersagent.com Coverages Coverage Lmit Coverage _„ Limit Coverage A - Dwelling -„ $154,000 Coverage B- Separate Structures $75,400 Extended Replacement Cost $38,500 Coverage D - Loss of Use. _ $61,600 Coverage C- Personal Property $115,500 Building Ordinance or Law 10% Identity Fraud Coverage $30,000 Coverage F- Medical Payments To Others $1,000 Coverage E- Personal Liability $300,000 Association Loss Assessment Not Covered Deductible Deductible $1.000 Applicable to each covered loss farmers.com Page 1 of 2 25-Bss 913 Evidence of Insurance for Mortgagee/Other Interests (continued) Mortgagees and Other Interests I s[Mortgagee _ _..... Not Applicable Premium Details Annual Premium: $410.95 .Fees: $0,00 Total Premium: $410.95 Balance Due: $1124 This form Is not the contract of insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and applicable to the dwelling or building at the location below. The provisions of Che policy will prevail in all respects. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage affordedby the insurance policy. Should the insurance policy be cancelled by the company before the expiration date thereof, notice will be given inaccordance with the policy provisions. Authorized Representative farmers.com 6/16/2015 Date Page 2 oft 258975 9t3 w Y .� I� 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 26, 2015 SUBJECT: Encroachment Permit Application for: 1641 Olive St Name of Applicant., Juan Hernandez Description of Encroachment. Construct a 6' concrete block wall behind sidewalk around side/back yard only. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:%PERMITS\ENCROACH\INSURANCE\1641 Olive SLCoc