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'
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permit ENCROP
Additional desc .
Phone Access Code . 1619
Permit Fee . . . . 20
Issue Date . . 9/0
Qty Unit Charge Per
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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
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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
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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
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-11%
$-80
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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
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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