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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