Loading...
HomeMy WebLinkAbout12203 Home Ranch DriveENCROACHMENT PERMIT CITY OF BAKERSFIELD ti PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE f,L��c. BAKERSFIELD CA 93301 4L�rO (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 . . . . . 17- 30000016 Date 3/29/17 Property Address . . . . . . 12203 HOME RANCH DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------ - - - - -- HESS CHRISTOPHER & SABRINA 12203 HOME RANCH DR BAKERSFIELD CA 93312 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1993187 Permit Fee . . . . 213.00 Issue Date . . . . 3/29/17 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 213.00 -------------------------------------------------- --- --- -------------- - - -- -- /► Special Notes and Comments �7 /� // 4"49? 6' Block wall behind sidewalk on Humbolt ��- C �� C-/}�-1_(J�/ d � K Way to match existing block wall on a y� Noriega Rd. Christopher Hess 203 -1725 e ��/�NG ►�iJl /�(y�/� �fuy/' ---------------------------------------------------------------------- - - - - -- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - -- - -- ---- - - - - -- -- -- - - - - -- -- -- ---- -- Permit Fee Total 213.00 213.00 .00 .00 Grand Total 213.00 213.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit any time. Sig natur pplicant ?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. r1 .. Signature of City Engineer Additional Terms on the Back �. �, .' '� ,% _�' �� ,� _ . _ t w� � Google Maps Google Maps 12203 Home Ranch Drive Page 1 o f 1 Imagery i�,2017 Google, Map data 1 2017 Google 20 ft https: / /www.google.com /maps/ @35.4055882,- 119.1384912,96m/data =!3m 1 ! 1 e3 ?h1= en &a... 5/19/2017 Q' 0 C\l C) 6 CD FB —AR ERs� ENCROACHMENT PERMIT �•► APPLICATION FORM d CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT '+tivt� 1501 TRUXTUN AVE qLl F 0 BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): RIO'S Nome Rich Or 84AKerS�r -elJ , cal 933/Z 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 Ci r;- S+oPKer He-SS COMPLETE ADDRESS: �2Z03 Nawte Re-,r►« Dr PHONE: 44ol- 2.03- /72s &YNer% -9ce Ic! xA 933IZ FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): (—cecr e—+e b I oLK PERIOD OF TIME FOR ENCROACHMEN INDEFINITE dr OTHER: (Please Circle) ' CONTACT PERSON Cf%,--S4eA cr IV5-s PHONE: C� & / " Z 03 -/ 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 b the he 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 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: $: �t3.1 S:\ PERMITS \ENCROACH \Encroachment Permit Req Form.DOC Aug. 2016 $AKERSFIEILD 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. 1 -1 umbo 18+ By:Ckr:S-b?ker' NC4J.'4 HeSs (Street for proposed encroachment) (Owners Name) 12203 Hc)&%f. gcsnGh cl r &1YtrS%2C ICI 91312 Phone- LU l'Z Z-S-- (Address of proposed encroachment) SIGNED: 1.) Name: Address: 12,241 *% "d- 14,4W 04 98312 2.) Name: Z4�001 Address: 1z'7-1y N "At r A/s' cN Pt- 3.) Name: 7—)(g DQ ✓'V- "1 Address: I ZU L t (uvu 4.) Name: i y>4- Address: C ! Jr. 5.) Name: � Address: 6.) Name: Address: ?��iY 1 �(.�u r 'Cf L ►/ • See Signatures needed for approval page Date: Z`i l7 Date: 71Z Y10 Date: Date: Date: ` Date: Nag 117 cL J� es+ I F� E R F I 1 1. 1 =� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Kirk Boland, Engineering Tech I DATE: April 7, 2017 SUBJECT: Encroachment Permit Application for: 12203 Home Ranch Dr Name of Applicant: Christopher Hess Description of Encroachment: 6' block wall behind the sidewalk on Hurnbolt Way to match existing block wall on Noriega Rd. Please review the attached encroachment permit and return to me at your earliest convenience. O,�Cfuar'�' jA,f a i vV�Y.se M U VVI Y�'tW �yu vi S' \PERMITS \ENCROACH \TRAFFIC \12203 Horne Ranch Dr.doc P� -O�D-3 I)C)N S 0 r o' y TO: FROM: DATE: SUBJECT: .000e B _A� R S' F T E L L> PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager 4C Kirk Boland, Engineering Technician I April 7, 2017 Encroachment Permit Application for 12203 Home Ranch Dr Name of Applicant: Christopher Hess Description of Encroachment: 6' block wall behind the sidewalk on Humbolt Way to match existing block wall on Noriega Rd. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \PERMITS \ENCROACH\INSURANCE \12203 Home Ranch Dr.doc Universal North America Ins. Co. D-BILL: PENNYMAC LOAN SERVICES LLC PAGE: 1 Processing Center D n rt- anal rnrkhnd rA 92016 -9061 RENEWAL GA: 1 PRODUCER: 58179 (951) 653 -2619 ARROWHEAD GENERAL INSURANCE STEVE NICHOLS INSURANCE SERVICES AGENCY, INC. 14420 ELSWORTH STREET STE 111 P 0 BOX 9061 MORENO VALLEY, CA 92553 CARLSBAD, CA 92018 -9061 CHRISTOPHER HESS AND SABRINA HESS 12203 HOME RANCH DR BAKERSFIELD, CA 93312 12203 HOME RANCH DR BAKERSFIELD, CA 93312 POLICY NO: HCA10 0 2 0 9 7 Policy Period: 4/18/2U16 to 4/ 1 d/ 2 U 17 HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein. COVERAGE PROVIDED WHERE PREMIUM OR LIMIT OF LIABILITY SHOWN FOR THE COVERAGE: I - - - - - - - - SECTION I - - - - - - - - I - - - SECTION II - - - COVERAGES A.DWELLING B.OTHER C.PERSONAL D.LOSS E.PERSONAL F.MEDICAL AND LIMITS STRUCTURES PROPERTY OF USE LIABILITY PAYMENTS OF LIABILITY 413,500 41,350 206,750 82,700 300,000 1,000 THIS POLICY INCLUDES BUILDING CODE UPGRADE COVERAGE OF 10% FOR LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF LOSS OVER THE DEDUCTIBLE STATED: $1000 LOSS DEDUCTIBLE. SUMMARY OF PREMIUM: BASIC PREMIUM $1426 ADDITIONAL PREMIUM $400CR TOTAL PREMIUM $1026 POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, FORM NO EDITION DESCRIPTION HO 00 03 4/91 SPECIAL FORM AHHO -SP CA 6/15 SPEC PROVISIONS CA AHHO -GRID 7/11 INSURANCE DISCLOSURE CA PHMITV 6/09 DWELLNG LIMIT NOTICE HO 04 95 11/92 WATER BACKUP AHHO -7A CA 6/15 SPECIFIED ADDL INS HO 04 90 4/91 REP COST -PERS PROP AHHO -82 CA 6/15 PERSONAL INJURY UI GLB 12/13 UNA PRIVACY POLICY USP 00 9/11 UNA SIGNATURE PAGE HO 04 16 4/91 PREM ALARM /FIRE PROT AGE OF HOME ADJSTMNT LOSS FREE CREDIT TRANSFR /RENEWL CREDT TILE ROOF CREDIT DEDUCTIBLE $1000 CA BOR 7/11 INSUR DISCLOSURE BOR AHHO -10 6/09 CA INS GUARANTEE ASN AHHO -50 CA 6/15 LIMITED FUNGI COVG AHHO -9 6/09 LENDERS LOSS PAY END OCC: PRIMARY TERR: 050 BUILT: 2005 FRAME * CONTINUED Date Issued: 03/29/16 1 COPY TOTAL PREMIUM $1026.00 POLICY FEE $45.00 TOTAL POLICY $1071.00 ENDORSEMENTS AND FORMS: LIMITS PREMIUM $5000 $20 50% $71 $141 $300000 $18 PRT CLS: 002 $99CR $127CR $71CR $71CR $42CR $240CR Universal North America Ins. Co. D- BILL : PENNYMAC LOAN SERVICES LLC PAGE: 2 Processing Center n onni f,_a�h,a re agn1R_anaa ADDITIONAL INFORMATION ARROWHEAD GENERAL INSURANCE AGENCY, INC. P 0 BOX 9061 CARLSBAD, CA 92018 -9061 AMED INSURED AND MAILING ADDRESS CHRISTOPHER HESS AND SABRINA HESS 12203 HOME RANCH DR BAKERSFIELD, CA 93312 y Nerioa: RODUCER: 58179 (951) 653 -2619 STEVE NICHOLS INSURANCE SERVICES 14420 ELSWORTH STREET STE 111 MORENO VALLEY, CA 92553 12203 HOME RANCH DR BAKERSFIELD, CA 93312 to HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein. POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS: FORM NO EDITION DESCRIPTION LIMITS PREMIUM AHHO -90 CA 6/15 WILDFIRE SUBLIMIT CA OOL 6/09 ORD OR LAW DISCLOSUR CAHO3 -HPD 6/15 PREM DISC AVAILABLE HO 24 90 1/93 WORKERS COMPENSATION UG 105C 6/09 CONSUMER AFFAIRS CA TPN 12/15 THIRD PARTY NOTICE ** IMPORTANT ** POLICY DOES NOT PROVIDE EARTHQUAKE COVERAGE ** IMPORTANT ** THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS NON - SUFFICIENT FUND BASED ON AN ESTIMATE OF THE COST TO REBUILD YOUR HOME, $25.00 INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA, AND SPECIFIC INFORMATION THAT YOU HAVE PROVIDED ABOUT YOUR HOME. 1ST PENNYMAC LOAN SERVICES LLC MTG PO BOX 690450 ATTN CUSTOMER SERVICE ISAOA ATIMA SAN ANTONIO, TX 78269-0450 THE FOLLOWING FORMS HAVE BEEN ADDED OR UPDATED: AHHO -SP CA(06/15) CA PHMITV (06/09) AHHO-7A CA(06/15) AHHO-82 CA(06/15) AHHO -50 CA(06/15) AHHO-90 CA(06/15) CAHO3 -HPD (06/15) CA TPN(12/15) *FEE SCHEDULE: THIS POLICY IS SUBJECT TO THE FOLLOWING FEES WHEN APPLICABLE. INSTALLMENT PAYMENT FEE $7.00 PER PAYMENT IF FULL ANNUAL PAYMENT NOT ELECTED REINSTATEMENT FEE $15.00 PER REINSTATEMENT IF POLICY CANCELLED AND WE AGREE TO REINSTATE THE POLICY NON - SUFFICIENT FUND FEE $25.00 CHARGED ON EACH CHECK /DEBIT CARD/ CREDIT CARD PAYMENT RETURNED UNPAID ALL FEES APPROVED BY THE CALIFORNIA DEPARTMENT OF INSURANCE. THE POLICY FEE DISCLOSED ON THE FRONT PAGE OF YOUR DECLARATIONS PAGE AND THE ADDITIONAL FEES DISCLOSED ABOVE ARE FULLY EARNED AND ARE NOT SUBJECT TO REFUND IN THE EVENT THE POLICY IS CANCELLED. Date Issued 1 03/29/16 * END OF POLICY DECLARATIONS *