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Home My WebLink About3402 BUCCANEER ROSE 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 . . . 15-30000036 Date 10/27/15 Property Address 3402 BUCCANEER ROSE AVE Application type daecription PW - ENCROACHMENT PERMIT Owner contractor ________________________ GOMEZ ERNEST a ERICKA S OWNER 3402 BUCCANEER ROSE AV BAKERSFIELD CA 93313 --------------------------------------------------------------------------- Permit. . . ENCROACHMENT PERMIT Additional deac . . Phone Access Code 1732700 Permit Fee 208.00 Issue Date 10/27/15. Valuation 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Com ents Will contruct a 6' high concrete block wall +/- 8- from the edge of curb. Ernest Gomez 661-741-3180 ---------------------------------------------------------------------------- Fee summary ---- Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. me S1 � C ovv\. Signature(Owner/Agent) rint 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) (DENIE)K)Said permit shall expire on date stated above. 7 t3 t) C Signature of City Engineer Evidence of Insurance for Mortgagee/Other Interests (continued) Mortgagees and Other Interests 1 st Mortgagee Loan Number Wells Fargo Bank NA#936 0357004217 ISAOA PO Box 100515 Florence, SC 29502-0515 Premium Details Annual Premium: $986.12 Fees: $0.00 Total Premium: $986.12 Balance One $0.00 Who Pays: Mortgagee Effective Dute 2nd Mortgagee 4/25/2013 Not Applicable This form is not the contract of Insurance. It is a memorandum of coverage limited to mortgagee/other interests, provided at their request and applicable Lathe dwelling or building at the location below. The provisions of the policy will prevail in all respects. This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy. Should the insurance policy be cancelled by the company before the expiration date thereof, notice will be given in accordance with the policy provisions. Mortgagee Deductible Clause The following provision appliesonly if a mortgagee is named in the declarations or renewal notice, and the mortgagee has foreclosed on the property priorto the date of loss: the applicable deductible for any interest of any mortgagee will be the smallest of the following amounts: The deductible stated in the declarations or renewal notice: or $1,000. This provision does not apply to lass or damage from earthquake, wind or windstorm including hurricane, tropical storm or cyclone, where a separate, increased deductible applies to loss or damage caused by any of these perils. MIM Authorized Representative 4388FUNS Endorsement Included farmers.com 10/19/2015 Date Page 2 &4ZSB9l5 9-13 4 A ENCROACHMENT PERMIT ° APPLICATION FORM CITY �<ER PUBLIC WORKSORKS DEPARTMENT K 0 1501 TRUXTUN AVE ®' C,tiJ Itr;� E32&3724 I6LD CA93301 852 -ru✓` (661)326-3724 Fax: (661) 852-2012-- LOCATION OF EINCROACHMFNT(Address required where available):3 LIuZ,.. If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICAN'P_FicbQS- �)r, ,� 4F -Z - — COMPLETEADDRESS:3t'Ill2 �` ACC4inZ0C t� PHONE:( I FAX: �,,� "� {� p- CELL:lldy,.t 7 PROJECTINFORMATION DESCRIPTION OF ENCROp4CHMENT (Example: Wood or wi planter, etc.): 111h�X i/1�(��/�.�—�� iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: IN EFINITE r OTHER: RVI. t C (Please Circle) CONTACTPERSONIir n�S��`-""'—'2 PHONE:�D�D� ---7!4J73/ Applicant agrees that if this application is granted, applicant shall indemnifv, 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 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 upon tl. revocation thereq( i>v theCiF,neincer ap�lican[will at his own and eeoease remove the same from the oublic prpperty_or r.cht of wrav_where the same_s located 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 property damage liability or both and required endorsements evidencing the insurance required. 'rhe type(s) and amount(s) of insurance coverage required aro: Residences: I-lomeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in all amount of at least $1,000,000.00 Encroachment Permit Fee: $205.00 S:\pL'RMI IS\f,NCROACH\Encroachment Permit Req Form.DOC January 2009 B A K E R $ P I B L C Public Works Department 1501 Tru rtun Avenue Bakersfield, California 83301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence benipe the sidewalk within the public right-of-way. //�� rrQ e"- ggF &- ►�uA By: hes{ on��Z fSlrce, or p'eposod •ncroechmenl (wners amn or 07— ph.reg13M —_- (Address of proposed enerorchmero SIGN 1 J Name. Address'. 2_) Name. Address: 3.) Name'. Address: 4) Name: Address. 5.) tdame. Address: / 3,) Name: Address: gut Date: Date / V aV Date' /I,/ Date: is Rate: Date: /V —),6G 15 Evidence of Insurance for Mortgagee/Other Interests (continued) Lender's Loss Payable Endorsement (Form 4388FU NS - Rev. May 1, 1942) 1. Lossor damage, if any under this policy, shall be. paid to the Payee named in the Declarations of this policy, its successors and assigns, hereinafter referred to as 'the Lender', in whatever form or capacity its interests may appear and whether said interest be vested in said Lender in its individual or in its disclosed or undisclosed fiduciary or representative capacity, or otherwise, or vested in anominee or trustee of said Lender. 2. The insurance under this policy, or any rider or endorsement attached thereto, as to the interest only of the Lender, its successors and assigns, shall not be invalidated nor suspended: (a) by any error, omission, or change respecting the ownership, description, possession, or location of the subject of the insurance or the interest therein, or the title thereto; (b) by the commencement of foreclosure proceedings or the giving of notice of sale of any of the property covered by this policy by virtue of any mortgage or trust deed; (c) by any breach of warranty, act, omission, neglect or non-compliance with any of the provisions of this policy, including any and all riders now or hereafter attached thereto, by the named insured, the borrower, mortgagor, trustor, vendee; owner, tenant, warehouseman, custodian, occupant, or by the agent of either or any of them or by the happening of any event permitted by them or either of them, or their agents, or which they failed to prevent, whether occurring before or after the attachment of this. endorsement, or whether before or after a loss, which under the provisions of this policy of insurance or of any rider or endorsement attached thereto would invalidate or suspend the. insurance as to the named insured, excluding herefrom, however, any acts or omissions of the Lender while exercising active control and management of the property. 3. In the event of failure of the insured to pay any premium or additional premium which shall be or become due under the terms of this policy or on account of any change in occupancy or increase in hazard not permitted by this policy, this Company agrees to give written notice to the Lender of such non-payment of premium after sixty (60) days from and within one hundred and twenty (120) days after due date of such premium and it is a condition of the continuance of the rights of the Lender hereunder that the Lender when so notified in writing by this Company of the failure of the insured to pay such premium shall pay or cause to be paid the premium due within ten (10) days following receipt of the Company's demand in writing therefor. If the Lender shall decline to pay said premium or additional premium, the rights of the Lender under this Lender's Loss Payable Endorsement shall not be terminated before ten (10) days after receipt of said written notice by the Lender. 4. Whenever this Company shall pay to the Lender any sum for loss or damage under this policy and shall claim that as to the insured no liability therefor exists, this Company, at its option, may pay to the Lender the whole principal sum. and interest and other indebtedness due or to become due from the insured, whether secured or unsecured, (with refund of all interest not accrued), and this Company, to the extent of such payment, shall thereupon receive a ful I assignment and transfer, without recourse, of the debt and all rights and securities held as collateral thereto. 5. If there be any other insurance upon the within described property, this Company shall be liable under this policy as to the Lender for the proportion of such loss or damage that the sum hereby insured bears to the entire insurance of similar character on said property under policies held by, payable to and expressly consented to by the Lender. Any Contribution Clause included in any Fallen Building Clause Waiver or any Extended Coverage Endorsement attached to this contract of insurance is hereby nullified, and also any Contribution Clause in any other endorsement or rider attached to this contract of insurance is hereby nullified except Contribution Clauses for the compliance with which the insured has received reduction in the rate charged or has received extension of the coverage to include hazards other than fire and compliance. with such Contribution Clause is made a part of the consideration for insuring such other hazards. The Lender upon the payment to it of the full amount of its claim, will subrogate this Company (pro rata with all other insurers contributing to said payment) to all of the Lender's rights of contribution under said other insurance. 6. This Company reserves the right tocancel this policy at any time, as provided by its terms, but in such case this policy shall continue in force for the benefit of the Lender for ten (10) days after written notice of such cancellation is received by the Lender and shall then cease. 7. This policy shall remain in full force and effect as to the interest of the Lender for a period often(10) days after its expiration unless an acceptable policy in renewal thereof with loss thereunder payable to the Lender in accordance with the terms of this Lender's Loss Payable Endorsement, shall have been issued by some insurance company and accepted by the Lender. farmers.com 88915 9-13 Page 3 of Evidence of Insurance for Mortgagee/Other Interests (cc) ntinued) 8. Should legal title to and beneficial ownership of any of the property covered under this policy become vested in the Lender or its agents, insurance under this policy shall continue for the term thereof for the benefit of the Lender but, in such event, any privileges granted by this Lender's Loss Payable Endorsement which are not also granted the insured under the terms and conditions of this policy and/or under other riders or endorsements attached thereto shall not apply to the insurance hereunder as respects such Property. 9. All notices herein provided to be given by the Company to the Lender in connection with this policy and this Lender's Loss Payable Endorsement shall be mailed to or delivered to the Lender at itsoffice or branch described in the Declarations of the policy. Approved: Board of Fire Underwriters of the Pacific, California Bankers' Association, Committee on Insurance. farmers.com 258975 9-13 Pa9e4of4 _ z a � O o w m Q I z € w C) w J w °a Q z U O O .i\.w11 o—.� f � ryMnaP sodoid �a 6uiisix3 I O w Q Ya0'6 E 5 i °w .2 w m z y_ Q • B _ T< E I-� S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager Od" FROM: Bob Wilson, Supervisor II, Subdivisions DATE: November 20, 2015 SUBJECT: Encroachment Permit Application for: 3402 Buccaneer Rose Ave Name of Applicant: Ernest & Ericka Gomez Description of Encroachment: Construct a 6' high concrete block wall +/- 8' from the edge of curb around side yard and back yard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \PERMITS\ENCROACH\INSUR NCE\ 402 Buccaneer Rose Ave.Coa 9 B AKERS 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: 3402 Buccaneer Rose Ave Name of Applicant: Ernest & Encka Gomez Description of Encroachment: Construct a 6' high concrete block wall +/- 8' from the edge of curb around side yard and back yard. Please review the attached encroachment permit and return to me at your earliest convenience. rRap S: PERMITS\ENGR0ACH\TRAFFIC\3W2 Buccaneer Rose Ave.doo