HomeMy WebLinkAbout3003 AMBER CANYON PLTO 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 plac
erect, use and maintain an encroachment on public property or right of way as therein defined.
Application Number . . . . . 12-30000002 Date 1/27/12
Property Address 3003 AMBER CANYON PL
Application type description PN - ENCROACHMENT PERMIT
Owner Contractor
RAMIPEZ SALVADOR REYES 2004 FA ONNER
3003 AMEER CANYON PL
BAKERSFIELD CA 93313
Permit ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code 1159150
Permit Fee 108.00
Issue Date . . . . 1/27/12 valuation 0
Qty Unit charge Per Extension
BASE FEE 208.00
--_..-----------------------------------------------------------------------
Special Notes and CommentsI
Construct block wall along side yard to 4- k W N 1 A toJ —FV—q— C7Ztc>. 1-7-08.1.ar- A
sidewalk.
Salvador Reyes Ramirez
837-1205
---------------------------------------------------------------•------------
Fee cummary Charged Paid Credited Due
----------------- ---------- ------ -- --------------------
Pe=it 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
revoke the permit at any time.
l / f?iREZ
Signature of App -C ner/Agent) Print Name
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOIC'
APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NO
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND
WILL (NOT) CO TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION
THEREFO RANTE (DENIED) Said permit shall expire on date stated above.
Signatur4 of City Engineer
Additional Terms on the Back
ENCROACHMENT PERMIT
BAKE
OE�covraar�RS
F -o en
CITY OF BAKERSFIELD
ci b
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
cAy7F OR
(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 plac
erect, use and maintain an encroachment on public property or right of way as therein defined.
Application Number . . . . . 12-30000002 Date 1/27/12
Property Address 3003 AMBER CANYON PL
Application type description PN - ENCROACHMENT PERMIT
Owner Contractor
RAMIPEZ SALVADOR REYES 2004 FA ONNER
3003 AMEER CANYON PL
BAKERSFIELD CA 93313
Permit ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code 1159150
Permit Fee 108.00
Issue Date . . . . 1/27/12 valuation 0
Qty Unit charge Per Extension
BASE FEE 208.00
--_..-----------------------------------------------------------------------
Special Notes and CommentsI
Construct block wall along side yard to 4- k W N 1 A toJ —FV—q— C7Ztc>. 1-7-08.1.ar- A
sidewalk.
Salvador Reyes Ramirez
837-1205
---------------------------------------------------------------•------------
Fee cummary Charged Paid Credited Due
----------------- ---------- ------ -- --------------------
Pe=it 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
revoke the permit at any time.
l / f?iREZ
Signature of App -C ner/Agent) Print Name
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOIC'
APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NO
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND
WILL (NOT) CO TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION
THEREFO RANTE (DENIED) Said permit shall expire on date stated above.
Signatur4 of City Engineer
Additional Terms on the Back
B A K E R. S F I E L D
Public Works Department
1501 Truxtun 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: .7P"-s'i`r a"'
?inn t2., A� ii.,. i Pl.eov 3a`�-41"10W
r1" 10.1 9?�{'3. (66/ ) 95 -
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...)
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
T ,
4. Period of time for which the encroachment is to be maintained: ndenmte' or Other.
,(P s//%%eCiircle)
5. Is property part of a Homeowner's Association Yes __p[_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, orjudicial 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.
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 amounts) of insurance coverage is:
Applicant ackrowledgesN4 right of the City Engineer: pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
anytime.
5:\EncroachmentPermitsl ppricationforEncroachment
FARMERS
FARMERS NEXT GENERATION HOMEOWNERS POLICY
MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA
y AStock Company
'4 TRANSACTION TYPE: NEW BUSINESS EFF: 01/28/2011
The Poliey Period is effective as shown below and after the time for which applied.
POII[YNVMBM
,sP011(Y P[AI00
PONLV EOINON,i
439.33
FROM1-28-.2011
L0:
01-28-2012
STANDAAD'NME
12:01 A.M.
02
ISSUING OFFICE:
.23175 NW Bennett St.
94594-92-53 0
Hillsboro, OR 97124
This polity will continue for successive policy periods, 1f: (1) we elect to continue this insurance, and (2) if you pay the recur al premium for each
successive policy period as required by our rates, rules, forms and premium plans thenin effect.
NAMED INSURED AND MAILING ADDRESS: LOCATION OR DESCRIPTION OE RESIDENCE PREMISES:
SALVADOR RAMIREZ Peres w eadir4 odhess balm ot,ewneuited.)
3003 AMBER CANYON PL
BAKERSFIELD CA 93313-5483
COVERAGES- We insuee you for the coverages it li oin indicated as covered by a speeitic hour ox outer notauon. muse aecuon r - re -co runs or
Core., and Section 11- Liability Extensions of Coverage that are not shown below apply as described in die policy.
Deductible applicableto each covered loss:
$5,000
POLICY ACTIVITY
q
SECTION,I-PROPERTY,,
"
439.33
SECTION Ili LIABILITY`
25.00
VOWELNNO
B SEPAFAiF„SIAUITWG
CPEISONALMOPERIY
`. D LOSS OfUSE k
F PERSONAL LIABILITY F MEDICAL PAYMENTS TO CRIERS"
$304,000
$30,400
$228,000
$121,600
Erdi ousus oa beh Penas
$300.,000 $1,000
Total
OVER 5700 ARE DUE UPON
SECTION f • EXTENSIONSOF COVERAGE
,.,
RECEIN.
SECTION II • (OVERAE EXTENSIONS
OF COVERAGE
ANNUAL
EIOENDED REPIACHUNI
>COST COVERAGEA
CONTFNOREPLACEMINT
rCOST COVERAGEC
BUILDING
-OR
ORDINANCE.
LAW''
IOfNNW EPdUO{INER40E
PERSONAL INJURYLOSS
`
ASSESSMENT "
PREMINM
$76,000
COVERED
10'%
$30,000
INOT COVERED
NOT COVERS➢
$439.33
ENDORSEMENTS
MUORSEMENTNUSPAR
ORION NUMBER
DBCRIPNON;' '
CA045
258531
IED
1104
NGHO - ENDORSEMENT AMENDING SECTION I PROPERTY CONDITIONS
CALIFORNIA NOTICE OF INFORMATION PRACTICES
DISCOUNTS
50 PLUS, AUTO/HOME, NON SMOKER, EXPERIENCE RATING PLAN, AND NEW HOME DISCOUNTS
BEEN APPLIED TO YOUR POLICY.
HAVE
Deductible applicableto each covered loss:
$5,000
POLICY ACTIVITY
q
Pmvmus Balance
439.33
Premium
25.00
Fees
ANY'TOTAL' BALANCE OR
CREDIT STIR OR LESS
WILL BE APPLIED TO YOUR
Payments or Credits
NEXT BILLING. BALANCES
Y NONE
Total
OVER 5700 ARE DUE UPON
RECEIN.
INSURED PAYS
This Declarations page is pat of your policy. It supersedes and controls
anything to the contrary. It is otherwise subject toall other terms of the policy.
AGENT: HOPE V. CORTEZ
AGENTPHONE: (661) 334-1105 AGENTNUMBER:95 41 341
565179 RECEPTION 4-10 94594-92-53 (Confined on the R&. Side
Countersignature,
IAS`
AuthorizedyzedVRepmsentatiec
03-16-2011 C547931I
6 A IC E R S F I B L D
Public Works Department
1501Truxtun Avenue
Bakersfield, California 93301
(661)326-3724
TO WHOM IT IMAY
We the undersigned, have no objection to the construction of a fence beside Me sidewalk within the
Pubic jrphhtt-of-way.
/YiiP e BY: Ss�tuy POOR Rh�)ii%Y[2
(brroa for propos.. encroachi f) L•`Hners Name)
I
9j�� nnn<E�ji
(Address or pr pose. encroxehmenc)
SIGNED:
t) Name:
Address:
2..) Name:Y'Al lli�J(..Y_
Address: 7520 &zAA fire. i>I"fLLs
3) Name: CiANb CPOr.-MYV;;,Qb
Address:-0,IUo Ci g, '1+1U 5�
4.) Name: i Y4AU;t, res
Address' n .4u:.c-��2� C�,Ecv•�a,a
5.) Name: w):ES J.EL "7 A44 Lp,
Address'icy') Gi!/-flrI LTL' 1-+-S7f 5
6.) Name' �P/71f �er1?GUi�isi_
Address: 36pn RL [3c✓ rwoYn a Pl_
Date: 1—a6 — 1A
Date: 1 —2C0- 17
Date: 1' 140' Ua--
Date: }� 26 b
7-
Date: (� L4- �2
Date: -126-/2=
•
F I F L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: February 1, 2012
SUBJECT: Encroachment Permit Application for: 3003 Amber Canyon PI
Name of Applicant: Salvador R Ramirez
Description of Encroachment: Construct block wall along side yard to
sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
&TERMITS\ENCROACHTRAFFICl3003 Amber Canyon PILdoc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Jena Covey, Risk Manager
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
February 1, 2012
SUBJECT:
Encroachment Permit Application for: 3003 Amber Canyon PI
Name of Applicant: Salvador R Ramirez
Description of Encroachment: Construct block wall along side yard to
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
IL) 1L. a i`�
S9PERMITSIENCROACHVNSURANCE13003 Amber Canyon Pl.doc