HomeMy WebLinkAbout11517 EQUINOX AVEENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3724
APPROVED
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, Brat, use and
maintain an encroachment on public properly or right of way as therein defined.
Application Number . . . . . 11- 30000009 Date 4/08/11
Property Address 11517 EQUINOX AVE
Application type description PW - ENCROACHMENT PERMIT
Owner
Contractor
______________ __________
CEBALLOS SPEED 6
------------------------
MELISSA OWNER
11517 EQUINOX AV
BAKERSFIELD
CA 93312
-----------------------------------------------------------------------
Permit .
. ENCROACHMENT PERMIT
Additional desc .
.
Phone Access Code
. 1086552
Permit Fee . . .
. 208.00
Issue Data . . .
. 4/08/11 Valuation 0
Oty Unit Charge Per Extension
BASE FEE 208.00
Special Notes and Comments
Place an approx 3 ft retaining wall
with 6 ft wood fence on top along side
of house to back of yard on Campfire Dr.
661 - 304 -4160
Fee ummary
_ __
Charged
__________
Paid
----------
Credited Dus
---------- ----------
"__e__________
Permit Fee Total
208.00
208.00
.00 .00
Grand Total
208.00
208.00
.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 > /
G S L�ft L\ C / /OC
Signatp 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
THEREFOREr(CT (DENIED). Said permit shall expire on date stated above.
40
Signature of City Engineer
Additional Terms on the Back
B A K E R S F I E L D
Public Works Department
1501 Truxem 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: /4 s
115 eQ_iA„y Ave. Lk4fSLr 1 CA 93 /j 2 6/3or/- 2ZLe)
2. Nature or description of the encroachment for which this application ismade: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc...) c .cl-r, II we. // For rlrl- �, '>^ d'(# u"4k
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 maintainec . Indefi ' e or Other.
(PlleeaseCircle)
5. Is property part of a Homeowner's 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, 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 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
any time.
6\ EncroachmentPermitslApplicalionforEncroachmenl
FARMERS NEXT GENERATION .HOMEOWNERS POLICY
MID - CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA.
an
TRANSA(RDNTYPE Flu INCLUDES CHANGES EFFECTIVE: 09/14/2010
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A OANWNG
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S7AN0AM7ME
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10- 28-2011
12:01 A.M.
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ISSUING OFFICE:
23175 NR Bennett St.
Hillsboro, OR 97124
This Paul, will cauthme I" sarannive polity par,&, IE (1) me tileet to continue skis insurance, and (2) if you pay the renewal premium for eeb
.successive policy period as required by our cares; ndes; Torras and pmmuam plans Sum in effect
RAMED INSURED AND MAILING ADDRESS- LIOUT OR � � OFF RQI I PREMSEk
EFREN CEBALLOS AND MELISSA CEBALLOS, og.
11517 EQUINOX AVE
BAKERSFIELD CA 93312 -6513
y,,,, ..,. are caverages ar a aeons marcated as covmd by a specific limit oc oiler ooiadoa. Those Section I - Evrnsioos of
Covmge and Sr<rion II - Dabiliry Eareasions of Coverage th tam me shown below cooly as desedbed m the odicv.
•AUTO /HOME,
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SECTION I- EXTENSIONS OF COVERAGE
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OF COVERAGE -.
ANNUAL
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¢966.55
ENDORSEMENTS
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IDENTITY SHIELD COVERAGE
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LENDER'S LOSS PAYABLE ENDORSEMENT
258531
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CALIFORNIA NOTICE OF INFORMATION PRACTICES
•AUTO /HOME,
NON SNORER,
EIRPERIENCE
RATING.
PLAN,
AND NEN HOME
DISCOUNTS
HAVE
BEEN
APPLIED TO
YOUR POLICY.
applicable on each covered loss.
$1,500
MUDAUIOIY lovoice i acluded
$ 968..55 Previous Balance DUE
Premium
Fees ANY "INAP mma OR
GEDN $7.00 09 a
Payments. e, Credits SOL N ANMD 10 YOUR
NOT SUING. limmas
$ 968.55 Total DUE BUN 57.00 ARE DUE UPON
REOIPL
MORTGAGEE PAYS
This Declarations page . is part ofyour policy.. It supersedes and controls
anything to the contrary: It is otherwise subject to all other terms of the policy.
AGENT: DAVID H. ISRAEL
AGENTPHONE (916) 395 -3939 AGENTNUMBER: 95 32 369
Countersignature
ll� V
Authorized Representative
WS4713RO EDNOR 4 (0 93705 -05 -00 (Couknxed on the Rever, Side) 09 -15 -2010 647011
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B A K E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 993301
(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.
maw
(SVeeL FOr r By: (:r, ynt1T3 s
ppkr�encoac
mnLnL) (Owners Name)
cx 1fr /7 C -'n ..:..,, .ov, Unu„ lc6l- 3ay -Y /6a
(Address of proposed eneroachme,)
SIGNED
1.). Name: �it� Date:
Address: 70 C,
2.) Name: te
Address: v
3.) Name: C{� Date
,d,.
Address: 37 t t CixwP=�'rt Dr
S.) Name.
Address:
5) Name:
Address:
6.) Name
Address:
Date:
Date:
Date:
I
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: April S, 2011
SUBJECT: Encroachment Permit Application for: 11517 Equinox Ave.
Name of Applicant: Efren & Melissa Ceballos
Description of Encroachment: T Retaining wall with 6' wood fence on top
along side of house to back of yard on
Campfire Dr.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
1517 Equinox Ave.doc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
John Ussery, Engineer II
FROM:
Bob Wilson, Supervisor ll, Subdivisions
DATE:
April 8, 2011
SUBJECT: Encroachment Permit Application for: 11517 Equinox Ave.
Name of Applicant: Efren & Melissa Ceballos
Description of Encroachment: 3' Retaining wall with 6' wood fence on top
along side of house to back of yard on
Campfire Dr.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:IPERMITSIENCROACKTRAFFIM11517 Equinox Ave.doc