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HomeMy WebLinkAbout601 Digges LaneENCROACHMENT 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 . . . . . 19- 30000007 Date 4/04/19 Property Address . . . . . . 601 DIGGES LN Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ QUIR02 LORENA H 601 DIGGES LN BAKERSFIELD CA 93307 Contractor --------------- --- - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2333169 Permit Fee . . . . 420.00 Issue Date . . . . 4/04/19 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments April 4, 2019 10:10:00 AM mmendenhal. Build concrete block wall *at back of *6 foot sidewalk on side of house (Shinedale St). Owner will leave 60' clearance for line of sight per City standard S -11. Contact person: Luis Herrera Arreola 873 -5338 ---------------------------------------------------------------------------- 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 the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at ?ny, time. , C., Signature of kant (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 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. Applicant's Initials ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT L o 15 H e-crp_ra A cry of a COMPLETE ADDRESS: O 1 i a a e5 Lkn e . PHONE: (0 (191 — 112 `., tc ► CA q-1 0 FAX: CELL: &�� I — e ? 3 33 PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence; concrete block wall raised planter, etc.): U k PERIOD OF TIME FOR ENCROACHM NT: INDEFINITE o OTHER: trc e CONTACT PERSON �—y i 5 kq ce(a FN tTe -Acs PHONE: &&(— 8 -+ 3 -- S 33 b 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 propeM 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 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 :IPERMITS\ENCROACH\Encroachment Permit Req Form.DOC Aug. 2017 r r S 1 �r 19y63 Y- N t - 1 M }1 Q�� J ^n J T6452 -3 Go gle Maps 7148 Shinedale St or* - .' @@Eob Bakersfield, California Google Street View - Aug 2012 601 Digge .. .11. t Image capture: Aug 2012 © 2019 Google 4/9/2019 $AKERSFIELDO 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. (Street for proposed encroachment) -Coo 1 Q to lam,u . (Address of pro encroachment) SIGNED: 1.) Name: Address 2.) Name: Address: 3.) Name: Address 4.) Name: Address 5.) Name: Address: i • Address: � s i oois L14. • See Signatures needed for approval page (Owners Name) -1 Phone- (D 6 1 — -I 3 S Y3 )ate: 13 )ate: �- Date: ( Z2--C1) � " Date: -3 G� /�' �✓ Date: f0 Date: 3 Q - 03- /7 c) ul • We ul • rV IV ul® 0 t l t) CC)• CU e C) CUe (V SU e N t) r- O r~ t) ul 0 ul s O "le Us ul• O) ul • o� (V �-4 lLl• CU• �)• X ul CV ) CJ (U • Co Q] C) C) r CC) a Co • C) (U � • CO • Cl O r•0 r@ .v c) ul i(i • ul • c) ul • We ul • rV IV ul® 0 t l t) CC)• CU e C) CUe (V SU e N t) r- O r~ t) ul 0 ul s O "le Us ul• O) ul • o� (V �-4 lLl• CU• �)• X ul CV ) CJ (U • Co Q] C) C) r CC) a Co • C) (U � • CO • Cl O r•0 r@ Evidence of Insurance for Mortgagee /Other je;'� FARMERS Interests INSURANCE 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 to the 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. Policy Number: 91998 -69 -95 Underwritten By: Fire Insurance Exchange Policy Type: Next Generation Homeowners 6301 Owensmouth Ave. Policy Status: In Force Woodland Hills, CA 91367 Term Effective: 6/13/2018 12:01 AM Your Farmers Gary Lynn Been Renewal Date: 6/13/2019 12:01 AM Agent: 2217 E St Insured: Luis A Herrera and Zoila Q Herrera, Bakersfield, CA 93301 -3809 Husband & Wife as Joint Tenants (661) 322 -9502 601 Digges Ln FAX: (888) 886 -8254 Bakersfield, CA 93307 -7182 gbeen @farmersagent.com Your Insured Property PropertyAddress 601 Digges Ln, Bakersfield, CA 93307 -7182 Coverages Coverage Limit Coverage Limit CoverageA - Dwelling $193,000 Coverage B- Separate Structures $19,300 Extended Replacement Cost 25% ($48,250) Coverage D - Loss of Use $77,200 (In Addition to Coverage A Limit) Additional Living Expense Term 24 Months Coverage C - Personal Property $144,750 Coverage E - Personal Liability $300,000 Identity Fraud Coverage $30,000 Association Loss Assessment Not Covered Coverage F - Medical Payments To Others $1,000 Building Ordinance or Law (10% of Coverage A or B) Coverage A $19,300 Coverage B $1,930 Deductible Applicable to each covered loss farmers.com Deductible $500 25 -8975 9.13 Page 1 of 4 Evidence of Insurance for Mortgagee /Other Interests (continued) Mortgagees and Other Interests I st Mortgagee Loan Number Effective Date 2nd Mortgagee Bank of America NA 166350273 ISAOA ATIMA PO Box 961291 Fort worth, TX 76161 -0291 Premium Details Annuol Premium: $1,103.42 Fees: $0.00 Total Premium: $1,103.42 Balance Due: - $10.21 Who Pays: Mortgagee Mortgagee Deductible Clause 5/1/2007 Not Applicable The following provision applies only if a mortgagee is named in the declarations or renewal notice, and the mortgagee has foreclosed on the property prior to the date of loss: the applicable deductible for any interest of any mortgagee will be the smallest of the following amounts: 1) The deductible stated in the declarations or renewal notice; or 2) $1,000. This provision does not apply to loss 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. Authorized Representative 438BFUNS Endorsement Included farmers.com 4/3/2019 Date 25 -8915 9 -13 Page 2 of 4 I E L L) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk ManagerL�L'/ FROM: Michelle Mendenhall, Engineering Technician DATE: April 4, 2019 SUBJECT: Encroachment Permit Application for: 601 Digges Ln Name of Applicant: Luis Herrera Description of Encroachment: 6' block wall at back of sidewalk on side of house (Shinedale St.) Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANCE \601 DIGGES LN.doc PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall, Engineering Tech DATE: April 4, 2019 SUBJECT: Encroachment Permit Application for 601 Digges Lane Name of Applicant: Luis Herrera Description of Encroachment: 6' block wall at back of sidewalk on side of house (Shinedale St.) Please review the attached encroachment permit and return to me at your earliest convenien S 1PERMITS \ENCR0ACH \TRAFFIC \601 DIGGES LN.doc • TT [[ PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall, Engineering Tech DATE: April 4, 2019 SUBJECT: Encroachment Permit Application for 601 Digges Lane Name of Applicant: Luis Herrera Description of Encroachment: 6' block wall at back of sidewalk on side of house (Shinedale St.) Please review the attached encroachment permit and return to me at your earliest convenien S 1PERMITS \ENCR0ACH \TRAFFIC \601 DIGGES LN.doc