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HomeMy WebLinkAbout3509 M 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 . . . . . 15-30000039 Date 11/20/15 Property Address 3509 M ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ______________________ GARCIA JORGE RAMOS k VELVETH OWNER 26496 EAWARDIA WY MDRRIETA CA 92563 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1746288 Permit Fee . . . . 208.00 Issue Date . . . . 11/20/15 Valuation 0 Qty Unit Charge Per EXtension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments 4' high concrete block pillars with 2' high wrought iron in .between pillars. Fence is behind sidewalk in front yard. Sorge Ramos (9517 520-5496 __________________________________________________________ Fees ary Charged Paid Credited umm_________ ____________________ Due ____ __________ __________ Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 AO Applicant acknowledges theright of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 tt revoke the permit at any time. �— r lig r W�ar.�.c�T' -�✓c ,�„�S Signatur6 of Applicant (Owner/Agent) Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOINC 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 Ic THEREFORE (GRANTED) (DENIED) Said permit shall expire on date stated above. City Engineer - ® Insurance.,, rA Uh,tp Mutual Cumpanq Customer Information JORGE RAMOS VELVETH RAMOS 28496 BAUVARDIA WAY MURRIETA, CA 91563-7438 Date Prepared: 11/19/2015 Policy Period: 11/19/2015 to 11/19/2016 DWELLING LOCATION 3509 M ST BAKERSFIELD, CA 93301-1624 PRIMARY COVERAGES Landlord Pnncciiun'' Polic,: OA428o037 Agent Information WINCI (ESTER K ASSOC INS SERVICE 41956 IVY ST STE 110 MURRIET.A, CA 92562-8805 Phone Number: (951) 296-6678 Email: insuTanceb�quotetowin.com Agent '4: 172131 Dwelling Other SCrucNres Personal Property I Loss of Use Premises 6iability Medical Pavmen[s 5268.600 $2(,.860 $5,0(10 $26,860 $300.000 151;000 DEDUCTIBLES All Perils Deductible Amount $1.500.00 PREMIUM SUMMARY Premium Primary Cover ages - Special $631 AO Other and Optional Coverages $17.00 Discounts and Surcharges $0.15 Your total policy premium for 12 months is $648.1 S fcca hvurancv Compnm) of Amcri,u - ® Insurance,, d Liber" Muwal Company OTHER AND OPTIONAL COVERAGES Personal Injury. Wrongful Eviction, Privacy Invasion Extended Dwelling Coverage- 50% Building Ordinance or Law Coverage Total DISCOUNTS AND SURCHARGES License, Tae or Fee: California Seismic Safety Fee Total Sake,, 6samncc Cumpam oPAmcrica Landlord Protection" Polio 11: OA4266617 Limit Premium Included $17.00 10%, Included $17.00 Premium $0.15 $0.15 • B A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 16, 2016 SUBJECT: Encroachment Permit Application for: 3509 M Street Name of Applicant: Jorge Garcia Description of Encroachment: 4' high concrete block pillars with a 2' high wrought iron fence in between pillars. Fence is behind sidewalk in front yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: WERMIMENCROACHMNSURANCE 509 M Stdoc B K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 16, 2016 SUBJECT: Encroachment Permit Application for: 3509 M Street Name of Applicant: Jorge Garcia Description of Encroachment: 4' high concrete block pillars with a 2' high wrought iron fence in between pillars. Fence is behind sidewalk in front yard Please review the attached encroachment permit and return to me at your S:WERMITS�NCROAMTR FFI=509 M SLdoc