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HomeMy WebLinkAbout 1417 LUCERNE DRTO 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. Application Number . . . . . 12-30000012 Date 3/28/12 Property Address 1417 LUCERNE DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ --------__ TARANG0 DANIEL S OWNER 1417 LUCERNE DR BAKERSFIELD CA 93307 --------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional data . . Phone Access Code . 1165925 Permit Pee . . . . 208.00 Issue Date . . . . 3/28/12 Valuation Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 206.00 ----------------------------------------------------------------"___-------- Special Notes and Comments March 26, 2012 3:04:59 PM mmancashal. Place concrete block pillars and wrought iron fence at back of Sidewalk. Contact person: Daniel Tarango - 661-496-5232 ________________ Fee aumm ary Charged Paid Credited Due 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. T �r� rrjncz Signature of Applica t wn /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 THEREFORE NT (DENIED) Said permit shall expire on date stated above. Signature of City Additional Terms on the Back ENCROACHMENT PERMIT ro4 oFe4w,�Rs CITY OF BAKERSFIELD t2 PUBLIC WORKS DEPARTMENT w 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (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 place, erect, use and maintain an encroachment on public property or right of way as therein defined. Application Number . . . . . 12-30000012 Date 3/28/12 Property Address 1417 LUCERNE DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ --------__ TARANG0 DANIEL S OWNER 1417 LUCERNE DR BAKERSFIELD CA 93307 --------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional data . . Phone Access Code . 1165925 Permit Pee . . . . 208.00 Issue Date . . . . 3/28/12 Valuation Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 206.00 ----------------------------------------------------------------"___-------- Special Notes and Comments March 26, 2012 3:04:59 PM mmancashal. Place concrete block pillars and wrought iron fence at back of Sidewalk. Contact person: Daniel Tarango - 661-496-5232 ________________ Fee aumm ary Charged Paid Credited Due 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. T �r� rrjncz Signature of Applica t wn /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 THEREFORE NT (DENIED) Said permit shall expire on date stated above. Signature of City Additional Terms on the Back rz 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 ofBakersfield, 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 astherein defined. / 1. Full name of applicant and complete address including phone number: 0a.�..% Jz '_,c. a. J:..v;�.;�3v 1417 l _12 1:r T..4a .2�� 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...). �,,,.,.�.-la f-lr;�& GIlluc ,,,,i(. GL_:.C�=i-.i-.<.� 3. Location of proposed encroachment. (Example: Side yard at back of sidewalk or front yard at back of sidewalk) Fr,,t '/"A c-/ '�..rk ,-( _P_/ c✓/�i 4. Period of time for which the encroachment is to be maintained: definite or Other. ( ease Circle) 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 ugon 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 rightof the City Engineer, pursuant to Bakersfield. Municipal Code Chapter 12.20 to revoke the permit at any Time. S tEncroachmentPermitsV pplicationforEncmechment • B A K E R 5 F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (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. _ fir. BY: 1� od Tg�-ma (Street fo��r(y(roposed encroachment) (Owners NJ,amp) �e-7 ()f /Y./7 Pnb9(o J l)2, (Address of proposed encroachment) 1.) Nameherrn ( Date: j f7/i Z 6L r-}g6.o2 &3 Address it �z. �� INzf /,cr me 1)r. t- 2,) Name: Adores. 3.) Name: Adores 4.) Name: Adores r< 5.) Name ( IC'ai—rL &- J'"t�raS Address: 14//,X Lucerne ur 6.) Name: Address: IdZuj Date: 3/�(G�0 6'33-/3?oi Dater r� Dater 7vg'67/.)- Date: Date: .3 /P—&J 12— CRPRCHRB513a - 3/7/2012 5:15:00 PM PAGE 2/003 888-294-5658 FYI 80 25140 Sant, Ane. CA W7996140 lacus DANIEL TARANGO 1417 LUCERNE OR BAKERSFIELD, CA 93307-6058 Policy. Number: THN 000557647 Data of Notice: 03/07/12.....__._... Total Premium: &574:60 .. custome7Care; I1:800:894.0976 Claims: 1.888.768.2096 To Make a Payment: _:1:800:894.0978.. _ _. HOMEOWNERS RENEWAL POLICY DECLARATION Policyholder-.Cev4r4d Proves PolloyTene Daniel Tarango 1417 Lucerne Or 08/01/11 to 08/01/12 at 12:01 a.m., Bakersfield, CA933D7-6058Standard at the. address of the covered Property Agent any PaIlpy:TYPe Banc of America' Ins Sery.'Inc. Newport Insurance Company Preferred Po Boz 25146, Santa Am, CA 92799 Otherinterests BANK OF AMERICANA PO BOX 962291 ISAOAATIMA', - FORTH WORTNTX 76161. - Loan Numbdr MI)457164 DeduaHhtess All Peril Deductible (Section 1) $500.00 Coverage.aiW Ptemlum Summary -:1lmits Of Liability <Prandum Section I Coverage A -Dwelling $151,000 $431.00 Coverage B -Other Structures $151100 Coverage C - Personal Property $75,500 ($17.00) Coverage D - Loos of Use $30,200 Section It Coverage E - Personal Liability (each occurrence) $300,000 $104.00 Cove F - Medical Payments each eraon $1,000 $1100 AddtWMI COveuge&EMalonanentf .. Ddendsd R9plaaernentboSt 4H262E R1005 $8.00 Mortgage Payment Protection 411261E E1099 $7.00 Personal Property Replacement HO 04 90 04 91 $30.00 Workers Compensation HO 90 7 92 Discounts and;Sureharges Limited Fungf:-- Included tt 01H01UWE(X3014k)= CRPRCHRBS13a 3/7/2012 5:15:00 PM PAGE 3/003 888-224-5658 k:. , . :. Foam DeaorMlElort Form S Form Dowrlptlon Foan 9 Homeowners Policy -Special Form HO DO 03 04 91 No Seo 11 For Home Day Care XO 04 96 04 91 Pollcy laoket H2151 R1099 Additional Coverages H260E R1099 Mold And Fungi Limitation H452EOO E0502 Actual Cash Value H51 -BE OOE0903 Reg Domestic Partners- CA H552E 04EO605 Special ProvislonsCallfomle H730E 04RO606 Lenders. Loss Payable 438 BFU. NS Property Insurance Disclosure H617E 04RO211 CA Ordinance OR Law Disclosure H799E.04E1206 Notiftatlon of Ins Practices H439E 0501 Property Bill of Rights H597E 0480211 PKwcy Notice Consumer AffalrSCallfomla ingtortam iti(oymn0on Policy includes coverege for Ordinance or Law. The limit of I labllity for this structure (Coverage A) Is based on an estimate of the cast to rebulid your home, including an approximate cost for labor and materials In your area, and specific Information that you have provided about your home. K The Total Policy Premium amount will be Increased to raflect any Installment fees. If you elect a non-Electronlc Fund Transfer (EFr) Installment billing plan, an Installment Billing Fee of $4.00 will be. charged for each installment (except down payment) . Your Total Policy Premium will be Increased to reflect this additional amount. POLICY DOES NOT INCLUDE ROOD OR EARTHQUAKE COVERAGE. 011401-00DE0001,IM910 � � .a �~ /< \± \� '157 \S \2 � / � TO: FROM: DATE: SUBJECT: B A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager `'W Bob Wilson, Supervisor II, Subdivisions April 12, 2012 Encroachment Permit Application for: 1417 Lucerne Dr. Name of Applicant: Daniel J Tarango Description of Encroachment: Place concrete block pillars and wrought iron fence at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANCE\1417 Lumerne Dr.doc TO: FROM: Y A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions DATE: April 12, 2012 SUBJECT: Encroachment Permit Application for: 1417 Lucerne Dr. Name of Applicant: Daniel J Tarango Description of Encroachment: Place concrete block pillars and wrought iron fence at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\TRAFFIC\1417 Lumme Dr.doc