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HomeMy WebLinkAbout2724 KAIBAB AVEENCROACHMENT 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 . . . 15-30000037 Data 11/03/15 Property Address 2724 RAIHAE AVE Application type description PW - .NCROACHNENT PERMIT owner Contractor CRUZ FELIX OWNER 2724 KAIBAB AV BAKERSFIELD CA 93306 ____________________________________________________________________________ Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1735463 Permit Fee 200.00 ISSLe Date . . . . 11/03/15 Valuation . . . . 0 Qty Unit Charge Per Extension HAS. FEE 208.00 Special Notes and Comments Existing 2-1/2" block wall with pillars around front yard and 4' pillars at entryway in front yard. Felix Cruz (661) 808-9584 ---------------------------------------------------------------------------- Fee summary ----------------- Charged Paid Credited Due Permit Fee Total ---------- ---------- 208.00 __________ __________ 208.00 .00 .00 Grand Total 208.00 208.06 .00 .00 Applicant acknowledges the right of the City Engineer, revoke the p17 it at r time. Signa tur (Owner/Agent) pursuant to the Bakersfield Municipal Code Chapter 12.20 to 2 - 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)Sa' permit shall expire on date stated above. Signature of Engin�(lam -t ^_ gk Rai ENCROACHMENT PERMIT APPLICATION FORM a_ CITY OF BA KEILSII P.LU PUBLIC WORKS DEPARTMENT r 1501 TRUXTUN AVE BAKERSFIELD CA 93301 C P (661)326-3724 Fax: (661)852-2012 LOCATION OF ENCROACHMENT(Address required where available): I I'there is no address adjacent to work describe limits of work by distances from nearest exisung amee, APPLICANT INFORMATION FULL NAME OF u Z COMPLETE ADDRESS: 242v Kai ezA5 AU Vf PHONE: 61 8y $ q S ' 9 SAt<fR5 Fl!C 0 cA 9330(-. rwx: — CELL: —4,4k.L- PRO,3ECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrouihf iron fence, concrete block wall, raised planter, etc.): "- ,J Z t7 t e - PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: (Please Circle) CONTACT PERSON_. PHONE: 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 ot, 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 the re7pcat on there=f byttie City Engineer. all ican[ will it his own gust an6 a pe se remove the same from the public property or. right of way whre m ethe sae is locuted, 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 properry damage liability or both and required endorsements evidencing the insurance required.'fhe type(s) and amount(s) of insurance coverage required area Residences: Homeowners General Liability coverage in an amount of at Icast $300,000.00 Commercial: Comntemial Liability coverage in an amount of at least $1,000,000,00 Encroachment Permit Fee: $208.00 SAPLRMI'I'S\ISNCROACH\Encroachment Permit Req Fo..DOC January 2009 B A 1, E R S P 1 b L C Public Works department 1501 Tn.daun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM 1T MAY CONCERN: We the undersigned, have no objection to the construction of a fence be->lda the sidewalk wilnin the pubic fight-of•wcny, icia\c�R3 a�f ay; CtZ--2 ;Srtcet for proposed arcrocchmenl — ( wners Name) a��t1 (<t�tt3r�CS a�cL r (6k - kC) (Add,c. at praposcd vww,..dvnenQ 1.) Name'. Address: 2.) Name: le�,o/z cr.•. .�_ Address.�r---- ;.j Name:% .o /2 _ Address �77/. r1 7 s 4.) Name, r t Address. (x l) 5.) Name: Address: Address: � 5,) Name: Address' ®ice .Date' /G —/ _'/. Date/p—/ "j Date Date: I I _ Date: 10=�- Home Policy Information Homeowners Policy Information Page 1 of 2 Insuredte); Felix Cruz Policy Number. HA 0050163783-0 2724 Kaibab Ave Account Number. 7290332399 Bakendeld. CA 93306-1939 Policy Period: r'2/08/2014-12/08/2015 661-808,9584 Policy Status: Active, remanded Lender's Loss Payable Payor: Direct Bill the Mortgagee Premium Totals 117 Basic Endorsement surGFar9es .Total. _... . $853.00 547.00 _ $0.00 $1,000.00 Location Information 2724 Kaibab Ave Bakersfield, CA 93306-1939 ' Package lntlicator Endorsement Gold Premier Eptlpraemenl Year Built Construction Type Territory Protection Class Mlles from Fire Dept 1958 Frame 044 002 001 Earthquake Zone WIntllHail Tiar Beach Plan Residence Typa Dwelling Use 01 _ n/e _. . rile ....Dwelling Primary RaofType Auxiliary Reefing. licantPoims Changed Co. pesi6on Shingles We 3 Form H03 Coverage Limits A. Dwelling $240,500.00 a. Omer Structures $24,050.00 C. Personal Property $168,350.00 D. Loss of Use Actual Losses Sustained In 24 Mos. E. Personal Liability $300,000.00 F. Mad/Pay Each Person $2,000.00 Deductible - All Penis $2,000.00 Dwelling Replacement Cost Endorsement 125% Capped Endorsements Summary Exceed All Endoreemenls Form Description princeData Limt P miins __ 438BFUNS Lender's Loss Payable 05142 117 California Residential Property Insurance Disclosure 07111 H0300CA Special Provisions - California 12/12 INOODO Privacy Statement 04/09 IN0100 Summary Of Right Notice 01/10 IN2004 Consumer Complaints And information 03104 IN2264 Important Information Concerning How Claims Impact Homeowners Rate 03/06 IN2499 Important Notice- Coverage A Dwelling Limit 10/08 10940 Ca Insurance Guarantee Assn 07/89 12801 PREMR Premier. Homeowners Endorsement 12112 :+ H090 MIND Worker' Cmarut.watign Resider, E,,[,v,aa 05/02 $0.00 12587P WREP Dm 125% 02/07 125 $26100 12121 747 MOLD Fungi. Or Bacteria Endorsement 12/01 10,000 $0.00 Y 12559 PPREP Personal Property Replacement Cost Endorsement 02/07 $0.00 H056 FRAUD Identity Thedi Or Identity Fraud Expenses Coverage 11105 545.00 'A H035 IAC Loss Assessment Creamed 12109 10,000 $2.00 H0216 ALARM Prerelease Name 01/00 2 ($26.00) https://aac.alliedinsurance.comlcenterllnquirylPolicyllndex.cfm?event=PolicyLookup 9/15/2015 Home Policy Information Page 2 of 2 Surcharges Information _.-..__----- Cotle Oeswip[ion Amount No SurebaTes Found Mortgagee/Other Payor Information Name Add. L.. Number Intamst LaEe I 1111. Wells Fargo BankNA 936 F0 Box 515 036]]11298 Motlgagee Florence,rm., SC 29502-0515 Discounts Applied Mulli-Policy Discount, Protective Devices Discount https://aac.alliedinsurmce.comlcenterllnquirylPolicyllndex.cfm?event=PolicyLookup 9/15/2015 B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 4Q— FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 16, 2015 SUBJECT: Encroachment Permit Application for: 2724 Kaibab Ave Name of Applicant: Felix Cruz Description of Encroachment: Existing 2'-1/2" block wall with pillars around front yard and 4' pillars at entryway in front yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: WERMITS\ENCROACHNNSURANCE2724 Kaibab Ave dw h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 16, 2015 SUBJECT: Encroachment Permit Application for. 2724 Kaibab Ave Name of Applicant: Felix Cruz Description of Encroachment: Existing 2'-1/2"block wall with pillars around front yard and 4' pillars at entryway in front yard. Please review the attached encroachment permit and return to me at your earliest convenience. S9 ERMITS\ENCROACMTRAFFIC\2724 Kaibab Ave.doc