HomeMy WebLinkAbout5900 Chandler WayIY 6AK, ENCROACHMENT PERMIT
A& CITY OF BAKERSFIELD
` Tyr V PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
GARY IL�
BAKERSFIELD CA 93301
IF 1� (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 . . . . . 18- 30000019 Date 9/26/18
Property Address . . . . . . 5900 CHANDLER WAY
Application type description PW - ENCROACHMENT PERMIT
Owner
------------------------
RAMIREZ CARLOS
3429 WETZEL WY
BAKERSFIELD CA 93307
Contractor
------------------ - - - - --
OWNER
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Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 2252781
Permit Fee . . . . 420.00
Issue Date . . . . 9/26/18 valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 420.00
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Special Notes and Comments
Will construct a 4'Max wrought iron
fence with concrete block pillars in
between. Column at driveway will be
2 -1/2' max with metal pole not to exceed
4' tall.
Carlos Ramirez (661) 809 -4692
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Fee summary Charged Paid Credited Due
----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- -- - --- ---- - - ----
Permit Fee Total 420.00 420.00 .00 .00
Grand Total 420.00 420.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revok e p rmit time.
Signature of Applicant (Owner /Agent) 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
I
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i
Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of connected with, or caused by applicant,
or in any way arising from, the terms and provision of this permit or the placement, use (by applicant or any other person or
entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's
sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but
not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the
encroachment in the ordinary course of CITY's business, during the life of the 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 revocation
thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public property or right of way
where the same is 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating.
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 issuance evidencing sufficient
coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
1 have read and acknowledge the above.
CY.-Ipplicant's Initials
ENCROACHMENT PERMIT
APPLICATION FORM I
CITY OF BAKERSFIELD ` k
PUBLIC WORKS DEPARTMENT t
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3724 Fax: (661) 852 -2012
LOCATI N OF ENC OACHMENT(Address required where available): •!TVice
C41 /-? � C �iL
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:
PHONE: // / '-� U
FAX: /
CELL: 6
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concre a ock wa3 raised
planter, etc.): 6 1,1 Q/— UJ '
PERIOD OF TIME FOR ENCROACHMENr INDEFINITE o THER:
(Please e) �l
CONTACT PERSON >✓ PHONE:
%C�-t 1 r r� Zm c' ► ► c m i K 1 m 0-4 •cam;. y,
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
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 the
revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public
property or rigbt of way where the same is 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. 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: $420.00
S :\PERMITS\ENCROACH\Encroachment Permit Req Fonn.DOC Aug. 2017
BAKERSFIEIL
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(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. I
Syeo C�oit (E'Y lC % . r/'S l r
(Street for proposed encroachment) B
(Owners Name)
V -
Phone-
(Address of proposed encroachment)
SIGNED:
1.) Name:
Address: 4'
2.) Name: �[�P
Address:
3.) Name: /Aiy z''a v
Address:
4.) Name:��n,/f
Address:
5.) Name:
Address:
6.) Name:
Address
• See Signatures needed for approval page
Date: G S`- l O
Date: 7- -�2 J
Date: I J , J (?
Date: �?- 27 - /p
Date: l - ZS' / 6
Date:
(a4t �0 3 0(q'6
'
BAKERSFIE1,
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
TO WHOM IT MAY CONCERN:
Vie the undersigned, have no objection to the construction of a fence besr the sidewalk within the
public right-of-way.
S' ?0() d
t3y.
(Street fo, proposed erovachrrert)
?0c) C�t,r� (Owners �� �lGyj�
(Address of pr000sed encroachment)
SIGNED:
1.) Name:
Address:
2.) Name:
Address:
3,) Name:
Address:
4.) Name:
Address:
5.) Name:
Address:
6.) Name:
Address:
• See Signatures needed for approval page
Date: I -o 4� zz 0-
Date: '
Date:
Date:
Date:
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Renewal Landlords Package Policy
Declarations
Your policy effective date is June 25, 2018
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for property insured $539.00
Total $539.00
Your bill will be mailed separately. Before making a payment, please refer to your
latest bill, which includes payment options and installment fee information. If you do
not pay in full, you will be charged an installment fee(s).
The portion of the total premium shown above that is attributable to coverage for losses
caused by "acts of terrorism" to which the federal Program established by the "Terrorism
Risk Insurance Act ", as amended, applies is $0.00. SEE THE ENCLOSED
"POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE" --
AP3337-3.
Discount (included in your total premium)
Protective Device 5%
WAllstate..
You're in good hands.
Page 1 of 3
Information as of May 4, 2018
Summary
Named Insured(s)
Carlos & MA Socorro Ramirez
Mailing address
3429 Wetzel Way
Bakersfield CA 93307 -8122
Policy number
914 339 464
Your policy provided by
Allstate Insurance Company
Policy period
Begins on June 25, 2018 through June
25, 2019 at 12:01 a.m. Pacific Time, and
continues until cancelled
Premium period
Location of property insured Beginning June 25, 2018 through June
5900 Chandler Way, Bakersfield, CA 93307 -5510 25, 2019 at 12:01 a.m. Pacific Time
Rating Information*
Please review and verify the information regarding your insured property. Please
refer to the Important Notice (X73145) for additional coverage information. Contact
us if you have any changes.
The dwelling is of frame construction and is occupied by 1 family
Dwelling Style:
Built in 1983;1 family; 1400 sq. ft.; l story; condition - Good
Foundation:
Slab at grade, 100%
Degree of slope:
0 -15 Degrees*
* Assumption based on your foundation type.
Attached structure:
One 2 -car attached garage
Interior details:
One builders grade kitchen
Two builders grade full baths
Interior - floorings *:
75% wall to wall carpet flooring
(acrylic /nylon)
One single fireplace
15% vinyl flooring
10% ceramic the flooring
(continued)
Your Allstate agency is
Arreola Ins Agency
6649 Ming Avenue
Bakersfield CA 93309
(661) 633 -2633
ANAMARREOLA @allstate.com
Some or all of the information on your
Policy Declarations is used in the rating
of your policy or it could affect your
eligibility for certain coverages. Please
notify us immediately if you believe
that any information on your Policy
Declarations is incorrect. We will make
corrections once you have notified us,
and any resulting rate adjustments, will
be made only for the current policy
period or for future policy periods.
Please also notify us immediately if you
believe any coverages are not listed or
are inaccurately listed.
MR,
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Renewal Landlords Package Policy Declarations
Policy number: 191 4 339 464
Policy effective date: June 25, 2018
Rating Information* (continued)
Interior - ceiling *:
Drywall ceiling, 100%
Interior - wall covering *:
Painted walls, 100%
'Assumptions are based on the age, style, and location of your home unless
specified by the customer.
Exterior wall type:
100% stucco on frame
Interior wall partition:
100% drywall
Heating and cooling.
Gas heating, 100%
Additional details:
Interior wall height - 8 ft, 100%
Fire protection details:
Fire department subscription - no
2 miles to fire department
Roof surface material type:
Tile
- 100% concrete the
Central air - same ducts, 100%
180 ft. to fire hydrant
'This is a partial list of property details. If the interior of your property includes custom
construction, finishes, buildup, specialties or systems, please contact your Allstote
representative fora complete description of additional property details.
Mortgagee
WELLS FARGO BANK NA 708 ITS SUCCESSORS & /OR ASSIGNS
P O Box 5708, Springfield, OH 45501 -5708
Page 2 of 3
Loan number: 0533899985
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Additional Interested Party
"
None
^
0
0
0
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Coverage detail for the property insured
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Coverage Limits of Liability
Applicable Deductible(s)
Dwelling Protection $269,916
- $500 All peril
2
Other Structures Protection $26,992
- $500 All peril
Personal Property Protection - $13,496
- $500 All peril
Reimbursement Provision
s
Fair Rental Income Protection Refer to Policy
°a
Liability Protection $300,000 each occurrence
8
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Renewal Landlords Package Policy Declarations
Policy number: 191 4 3394641
Policy effective date: June 25, 2018 Page 3 of 3 WAllstate..
You're in good hands.
Premises Medical Protection $1,000 each person
Fire Department Charges $500
Building Codes $26,992
Loss Assessments Not purchased*
Satellite Dish Antennas Not purchased*
* This coverage can provide you with valuable protection. To help you stay current
with your insurance needs, contact your agent to discuss available coverage
options and other products and services that can help protect you.
The limit of liability for this structure (Coverage A- Dwelling Protection) 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.
This policy does not cover earth movement including earthquake.
You have elected not to purchase a CEA earthquake policy.
Your policy documents
Your Landlords Package policy consists of the Policy Declarations and the following documents. Please keep them together.
• Landlords Package Policy - AP529
• California Standard Fire Policy Provisions - AP1862 -1
• Policyholder Disclosure Notice of Terrorism Insurance
Coverage - AP3337 -3
• California Landlords Package Policy Amendatory
Endorsement - AP1023 -3
• California Landlords Package Policy Amendatory
Endorsement - AP2305
Important payment and coverage information
Here is some additional, helpful information related to your coverage and paying your bill:
► Coverage A - Dwelling Protection includes an approximate increase of $13,075 due to the Property Insurance Adjustment
provision using the Marshall Swift Boeckh Publications Building Cost Index. Coverage C - Personal Property Protection
adjusted accordingly.
► Do not pay. Mortgagee has been billed.
Allstate Insurance Company's Secretary and President have signed this policy with legal authority at Northbrook, Illinois.
Thomas J. J. Wilson
President
Susan L. Lees
Secretary
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Policy Endorsement
Policy number: 914 339 464
Policy effective date: June 25, 2018
The following endorsement changes your policy.
Please read this document carefully and keep it with your policy.
Policyholder Disclosure Notice Of Terrorism
Insurance Coverage - AP3337 -3
The federal Terrorism Risk Insurance Act, as amended, (the Act), establishes a
temporary federal Program (the federal Program) providing for a system of
shared public and private compensation for certain insured commercial property
and casualty losses resulting from "acts of terrorism," as defined in the Act.
The Act, as amended in 2015, defines an "act of terrorism" as any act or acts
that are certified by the Secretary of the Treasury —in consultation with the
Secretary of Homeland Security, and the Attorney General of the United
States —to be an act of terrorism; to be a violent act or an act that is dangerous
to human life, property, or infrastructure; to have resulted in damage within the
United States, or outside the United States in the case of certain air carriers or
vessels or the premises of a United States mission; and to have been committed
by an individual or individuals as part of an effort to coerce the civilian
population of the United States or to influence the policy or affect the conduct
of the United States Government by coercion.
Your insurance coverage includes coverage for losses caused by "acts of
terrorism" to which the federal Program applies. This coverage is subject to all
other terms, conditions, limitations and exclusions of your policy.
Disclosure Of Federal Share Of Compensation For Insured
Losses
Insured losses caused by "acts of terrorism" to which the federal Program
applies would be partially reimbursed by the United States Government under a
formula established by federal law. Under that formula, the United States
Government generally reimburses 85% through 2015; 84% beginning on January
1, 2016; 83% beginning on January 1, 2017; 82% beginning on January 1, 2018;
81% beginning on January 1, 2019 and 80% beginning on January 1, 2020, of
covered terrorism losses exceeding the statutorily established deductible paid
by the insurance company providing the coverage.
You should also know that the Act, contains a $100 billion cap that limits United
States Government reimbursement as well as insurers' liability for losses
resulting from certified ads of terrorism when the amount of such losses in any
one calendar year exceeds $100 billion If the aggregate insured losses for all
insurers exceed $100 billion, your coverage may be reduced.
Disclosure of Premium
The portion of your annual premium that is attributable to coverage for losses
caused by "acts of terrorism" to which the federal Program applies is $0.00.
Page 1 of 1
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F I E I_ T)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Managerq(___1 �"
FROM: Michelle Mendenhall, Engineering Technician
DATE: October 31, 2018
SUBJECT: Encroachment Permit Application for 5900 Chandler Way
Name of Applicant: Carlos Ramirez
Description of Encroachment: 4' wrought iron fence in front of house
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S' \PERMITS \ENCROACH \INSURANCE \5900 CHANDLER.doc
•
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ed Murphy, Engineer III ,�✓�
�h
FROM: Michelle Mendenhall, Engineering Tech
DATE: October 31, 2018
SUBJECT: Encroachment Permit Application for 5900 Chandler Way
Name of Applicant: Carlos Ramirez
Description of Encroachment: 4' tall wrought iron fence with concrete
block pillars in between. Column at
driveway will be 2 %' max with 4' metal pole
✓n
Please review the attached encroachment permit and return to me at your earliest convenience.
S: \PERMITS \ENCROACH \TRAFFIC \5900 CHANDLER.doc