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HomeMy WebLinkAbout2531 PALM 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 . . . . . 15-30000011 Data 9/06/15 Property Address 2531 PALM ST Application type description PW - ENCROACHMENT PERMIT Ocm ALONZO GERARD E ERIN C 2531 PALM AV EARERSPSSLD CA 93' ------------------------------ permit ENCROP Additional desc . Phone Access Code . 1619 Permit Fee . . . . 20 Issue Date . . 9/0 Qty Unit Charge Per --------------------------------- Special Notes and Comments Construct a 9 ft high wrong 5 ft behind back of curb al and Palm streets, staying 5 around the return. Erin Alonzo 333-9967 837-6110 ---------------------------------- Pee sccmary Charged A IicarNTrIii®ge8 es the Ig oo a ao 0 PP 9 rtg6tL®f the °Ity: ° lgineer, pgysuant to ' Bakersfield Municipal Code Chapter 12.20 to revo the permit ta at time. nKI A-tDf)zy Signature of Applicant ( w e gent) 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 Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301. (661)326-3724 Fax: (661) 852-2012 LOCATION OF EN(NACHMENT(ANcrss required where available): , �9?, I y? y ., �( C' � GCa C0 II If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT COMPLETE ADDRESS- �-/a"1 '� � \'F\fYl `•�-} PHONE: fJ� 11-.t e''t • l -.Pi C� � J Q FAX: DESCRIPTION OF planter, etc.): 4„ - CELL: PROJECT INFORMATION (Example: Wood or wrought iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: NDEFINITE r OTHER: ,(� ,, (Pleas CONTACT PERSON E' i to 1'7 O Fl Z 0 PHONE: (r Applicant agrees tliat if this application is granted, applicant shall indemnify, defend and hold harmless the City, its officers agents andemployees 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 property or right of way where the same is located. andrestoresaid public property orright 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. Applicantshall 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: $208.00 S: IPnRMRSTNCROAC[rft .hittent permit Req Fein.DOC Sept. 2013 B A K E R$ F I E L D Public Works Department 1501 Tnnaun Avenue Bakersfield, California 83301 (661) 326-3724 TO WHOM IT MAY CONCERN We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. /m . � ,e -e By_ fhvn 2c� Seim orprop. C;)Eroachmem wnersName) or 1 P4 3 A y 1 (07 (Addrme of proposed ... m hmenp 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.)Name: el L/.�rctPrfl Address: .Z -(i.. /�-T'z/n,. 5'k �; zoo{ 5.1, Name: �\UBA ,Rlaye-_,�Q. Address: -RSiI L4 VI,,, 9k. 13AIG�RSF; SLD. LN, v133oy D I Date: Date: Date: y' V- IS i C. a F ( E L O Public Works Department 1501 7ruxlun Avenue aakersrield, Celifomie 93301 (561) 3263724 ENCROACHMENT PERMIT REQUIREMENTS Application 2, Permit Fee of $208.00 3 Drawing; Minimum 8 112 x 11 showing encroachment on lot in relation tothe existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination asto your request. a. Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage to an amount of at least $300,000,00 5 Commercial Commercial General Liability coverage inan amount of at least $1.000,000.00 2 Additional Insured Verbiage (For Commercial) A. The City of Bakersfield, its mayor, council, employees, agents and volunteers. .are added as additional insured's with respect to (i.e. the installation of a chain link fence at 1501 Truxtun Ave.) S Rncroacl,nen::IPermilstln5uranceP.epmremems Personal Express Insurance Company 5301 Truxtun Avenue #100, Bakersfield, CA 93309 Policy Number: XH0211544-4 Erin & Gerard Alonzo HOMEOWNERS INSURANCE POLICY Effective 03/31/2015 Declaration Number 003 Policy Effective from 12/02/2014 to 12/02/2015 at 12:01 AM Local Time Named Insured: Agency: 99000 Erin & Gerard Alonzo Personal Express Insurance Services Inc. 2531 Palm Street 5301 Truxtun Avenue Ste. #100 Bakersfield, CA 93304 Bakersfield, CA 93309 (661) 6344600 Date Printed 04/01/2015 INSURED AMENDED Policy Declaration These declarations together with the coverage forms, and endorsements added thereto, if any, issued to form a pan thereof, complete the above numbered policy. This change in your policy resulted in an additional premium of $ 14. This amount has been added to your payment plan. ! I 1 In return for the payment of the premium, and subject to a0 the terms of this policy, we agree to provide the insurance stated in this policy. Credits/Debits 111 COVERAGE PREMIUM Homeowners Policy HO 3 Section I Coverages $ 650 Section 11 Coverages $ 20 j Additional Coverages $ 100 I TOTAL $ 770 � I Payment Bill Full Payment ."--t � ' Countersigned: _ `� Date: October 9, 2014 Authorized Representatives Date Printed 04/01/2015 INSURED Declaration Number: 003 Effective Date: 03/31/2015 Page 2 it LOCATION SCHEDULE Policy Number: XHO211544-4 Erin & Gerard Alonzo Insurance is to be provided only with respect to the location(s) and/or coverages) for which a limit of liability is specified and premium is charged, subject to all of the conditions of this policy. structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost for labor and materials in your area, and specific information that you have provided about your home. Location Address: I 2531 Palm Street Bakersfield, CA 93304 I i Location Information: Construction: Frame Year Built: 1946 Roof: Composition Shingles Square Footage: 1,354 Protection Class: 3 Territory: 55 i I I i i Date Printed 04/01/2015 INSURED Declaration Number:. 003 Effective Date: 03/31/2015 Page 3 Policy Number: Y -H0211544-4 Erin & Gerard Alonzo COVERAGE DECLARATIONS Location Address: 2531 Palm Street Bakersfield, CA 93304 Basic Coverages: Limit Deductible Section 1 Coverages: This location Does Not Include Earthquake. Coverage. Cov A - Dwelling $ 246,000 $ 500 Cov B - Detached Saturates $ 24,600 $ 500 Cov C - Personal Property $ 172,200 $ 500 Cov D - Loss of Use $ 49,200 Limit Premium Section 11 Coverages Cov E - Personal Liability $ 300,000 Cov F - Medical Payments Each Person $ 1,000 Each Accident $ 25,000 Property Insurance Disclosure:. This location Includes Specified Additional Amount of Insurance for Coverage A - Dwelling. This location Does Not Include Earthquake. Coverage. This location Includes Building Code Upgrade (Ordinance or Law) Coverage, per Form PHO041009. This location Includes an Annual Inflation Guard of 4%. Additional Coverages Form Limit Premium Personal Property Replacement Cost HO0490 1000 Refer to Form $ 0 Specified Add'1 Amt Insurance Cov'A' PHO081009 Refer to Form $ 10 H.O. Plus. PHOOt 1012 Refer to Form $ 36 Ordinance or Law PHO041009 $ 246,000 $ 49 Workers Compensation HO24900801 $ 100,000 $ 5 Date Printed 04/01/2015 INSURED Ho ...... PHC,,.,„s,o,,1 Declaration Number: 003 Policy Number: XH0211544-4 Effective Date: 03/31/2015 Erin & Gerard Alonzo Page 4 RATING CREDITS AND DEBITS Date Printed 04/01/201 INSURED PaCRda. Savings included in li Credits/Debits Percentage Total Annual Premium Roofing Material. 0% $0 Mature Owner -5% $-36 New Home Credit 0% $0 Protective Device (Maximum 10% Credit). -6% $44 Smoke Alamr/Detector Included Deadboh Locks Included Fire Extinguisher Included ' Total Credits/Debits Applied I I I -11% $-80 I I I I i i I Date Printed 04/01/201 INSURED PaCRda. Declaration Number: 003 Policy Number: XHO211544-4 Effective Date: 03/31/2015 Erin & Gerard Alonzo POLICY INDEX Date Printed 04/01/2015 INSURED es—,?HP,1,d.. Description Page ! Homeowners Insurance Policy Policy Index Location Schedule 2 Coverage Declaration 3 Homeowners Ratings Credit and Debits 4. Mortgagee Declaration 5 Forme List L I I I I I Date Printed 04/01/2015 INSURED es—,?HP,1,d.. " THE BEST FOR L SS 661-618-0460 8132 Jacaranda Rd., California City, CA 93505 fencingbygeorge@yahoo.com George K Palfrey / Owner- Bonded Estimate DateJ / L Name Home Work Address cell Fax ciw Zip Map loc Dkiep 3 ceG , L C' � d Approx. No of Ft 1100 Height Type r20+JGates `l Type of Post 13c-lM r< Picket size 1 X 4 1 X 6 On Steel Post add_ Cover_ Western Red Cedar Clearing of existing fence line add_ White Wood Customer will clear fence line— Chain-link/Iron Tear out and haul off included Total cost:�I kCX This. contract serves as an invoice. Price gooclfor 30 We require 10% down for all jobs $5,000 and above and balance paid to installer upon completion. kny alteration or deviation from above specificationsinvolving extra cost will be executed only upon written orders, and will iecome an extra charge over and above the original estimate. Rocks, soil conditions, foundations, stem walls, sewer pipes, 'RIVATELY OWNED UNDERGROUND SPRINKLER; WATER LINES OR ANY OTHER UNDERGROUNDS OBSTRUCTIONS MAY INCREASE 'OUR COST FOR EXTRA LABOR AND MATERIALS. THE FENCE BUILDERS WILL NOT BE RESPONSIBLE FOR, NOR WILL PAY FOR IEPAIRS OF .DAMAGES TO PRIVATELY OWNED OBSTRUCTIONS. Location of property lines is customer's responsibility.. We trongly recommend a pin survey be done. UPON ACCEPTANCE, IF CUSTOMER INSISTS ON CANCELING THIS PROJECT, THE ;USTOMER WILL BE CHARGED 25% OF THE TOTAL BID, AND FOR ALL -MATERIALS DESCRIBED.ABOVE. All work will be completed n a manner according to standard fence practices. All work shall be performed att he company's convenience contingent upon lelays beyond our control. Giving the builders approval to perform work,: whether written or verbal constitutes customer mderstanding and acceptance of the above forms: and conditions. _ The Fence Owner Representative `� Customer Acceptance Date