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