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HomeMy WebLinkAbout1215 MILLER STENCROACHMENT PERMIT LCY A PUBLIC DEPARR' M NT APPROVED 1501 TRUXTUN AVE VED BAKERSFIELD CA 93301 (661) 326 -3724 TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: Pursuant in 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 . . . . . 11- 30000007 Date 3/16/11 Property Address 1215 MILLER ST Application type description PW - ENCROACIRTENT PERMIT owner Contractor ------------------ - - - --- ---- - - - - -- RUIZ REYNA OWNER 2003 MT VERNON AV BAKERSFIELD CA 93305 Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code 1080464 Permit Fee 208.00 Issue Date . . . . 3/16/11 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments Unlock wall located 5' behind curb along Miller Street and behind in alley. --------------- - - - -- Fee Summary Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 206.00 .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. Signatt4 of A icant (Owner/ nt) Print acne I HEREBY CERTIFY THAT I RAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY BVTERFERE 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 THEREFOR r AN (DENIED). Said permit shall expire on date stated above. Signal= of City Engineer Additional Terms on the Back / 13ovova07 2 B D Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 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. 1. Full name of applicant and complete address including phone number: tL: 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) ( r "LI e..t 9 t�'1 3.. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintained: mc1liffnitel or Other. lea'se /Circle) 5. Is property part of a Homeowners Association Yes ✓ No 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, abplicant will at his own cost and expense remove the same from the public property or right of way where the same is located, and restored 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 evidenc- ing the insurance required. The type(s) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12,20 to revoke the permit at anytime. 5: \EncmachmentPermilsWpplip tionforEncroachment B A IC E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY We the undersigned, have no objection to the construction of a fence beside the sidewalk witnin the public right -of -way. —1 5 GJ,II 7 T' ey (Stor propQse Q 010r0eC unenr) (Owners Tan) Of ja aisCe vaL - /q (Address' of proposed ncroac Ent) SIGNED: 1.) Name: /1/- Address. 2,) Name: Address: 3.) Name: % Kj si c—D ro d,tz S Address: p /' rn 4.) Name: `J�'C C�tbf 1%Sa `�� Address: 5.) Name: Address: Date: Date: Date: n Date: 2j- I /— Date-3 6.) Name: )CHeS CiAterraz. Date: Address: FREEIA /AY FREEWAY INSURANCE SERVICES, Inc Lic No.: OF82773 sel 10 Due Dote P.O. Box 669 Phone: (714) 252 -2500 Policy We In Polley NO, Cypress, Cc 90630 Fox: (714) 252 -2599 hrspMnce Company Customer Service: (800) 300 -0227 1271839 Receipt No.: 2169028 Receipt Date: 3/8/2011 Transaction ID: 3328168 Issued By. Customer. Jorge Solis (BF2) REYNA RUTZ bf2 DL #: 1220 Oak Street 1215 Miller St Bakersfield, CA 93304 $ 0.00 Phone: (661)836 -0585 Phu..: (626) 315-1761 sel 10 Due Dote Checlopmmhsam Noie Na Policy We In Polley NO, hrspMnce Company 1271839 1- McGraw -PSI H03 Preferr Remlttonce Type Due Dote Checlopmmhsam Noie Na Amoent o 1 Total $ 0.00 Customer Signature: Broker Signature: '- . iii IWI 14: US 1/14LOGGi_`! I'IUY YhEFERRED PAGL B1 ACOR& EVIDENCE OF PROPERTY (INSURANCE OARIMm.O __ DNRLLING O00 03 -11.11 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A NATTER OF INFCRMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOM NOT AFFIRMATI'A3LY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE ODES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S). AUTHORIZED REPREBENTATNE OR PRODUCER, AND THE APOTR CNAL INTEREST. .,,.888- 269 -3334 COMRANY V FREENAY INSVRANCB 9BRVICES ED ED. 669 PACIFIC SPMCIALT4 INSURANCE CONPAN4 Cypra.M CA 90930 -rr_�. ¢mnu cave 'sus ccoe -- MOD. MEXpR IN6YRiD LWNNVMBIR PoYCYXYMBfA REYNA RDI2 33Y0339273 EERECmE iw*e gAma"rION pare 1111MEDIAML p3 -OB -11 p3 -D8 -12 RMINATRPPCREORE. TMIIMENADEEIRIOI RSMENROA1EIN 1213 MILLER ST SARERSFIELD CA 93305 THE POIJUSS OF INSVRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED FAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACI OR OTHER DOCUMENT WITH RESPECT TD WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCI i AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIM TS B HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. = WRAaEI PERxsI MRMS AMOUNT Of INfWawcs vcou—Ua __ DNRLLING O00 1.000 PERSONA LIAEILIT4 MEDICAL PAYMENTS I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THI[ EAPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACOOROARCE WITH THE POLICY PROVISIONS. MARK AND ADDRESS u Iurvanal ,8119 M-2009 ACORD CORPORATION. All dghb reservel. The ACORD "Me aAd lOga are reglsWmd MNRI P1 ACORD u Iurvanal ,8119 M-2009 ACORD CORPORATION. All dghb reservel. The ACORD "Me aAd lOga are reglsWmd MNRI P1 ACORD • B A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 18, 2011 SUBJECT: Encroachment Permit Application for: 1215 Miller St Name of Applicant: Rayne Ruiz Description of Encroachment. 4' Block wall located 5' behind curb along Miller St. and side of house in alley. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: TERMITSENCROACMNSURANC \1215 Millar SO= • B A k E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 18, 2011 SUBJECT: Encroachment Permit Application for: 1215 Miller St Name of Applicant: Reyna Ruiz Description of Encroachment: 4' Block wall located 5' behind curb along Miller St. and side of house in alley. Please review the attached encroachment permit and return to me at your earliest convenience. 3bel"ll shirr twte VT 111IRY e /17F vl "rw FWwr lf&lis// -r m4<. REad/k��teNTS Of 41' 6' F&IL , nf�tj ShbN1-O $f pi rkox cp t F1914 1°�W�IaE E— �s- up77oN, MDV F WPERMIT&ENCROACMTRAFFICN 215 Miller Stdoc