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
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cave 'sus ccoe
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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.
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