HomeMy WebLinkAbout11015 VISTA RIDGE DRBA
ENCROACHMENT PERMIT
-�' ♦� CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
..,,� 1501 TRUXTUN AVE
V' µ ® BAKERSFIELD CA 93301
cALIF0 (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 . . . . . 12-30000024 Date 6/19/12
Property Address 11015 VISTA RIDGE DR
Application type description PW - ENCROACHMENT PERMIT
Own,
Contractor
------------------------ ------------------
MORALES ERNEST ERNEST 6 GWRIA OWNER
11015 VISTA RIDGE DR
BAKERSFIELD CA 93313
Permit . . . .ENCROACHMENT PERMIT
Additional deed . .
Phone Access Code . 1212034
Permit Fee . . . . 208.00
Issue Date . . . . 6/19/12 Valuation 0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW
ENCROACHMENT
-
---------------------------
208.00
Special Notes and Comments
Existing Brick retaining wall
at back
of
curb in front of house
Gloria Morales 661-412-7429
-----------------------------------------------------------------------
Fee summary 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 tc
revoke the permit at any time. /
W�.— (1/n�A
6 n �'Lnr st�cS
Signature of Applicant�/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) CTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION I:
THEREFORE K �`+�) (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
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 fora permit to
place, erect, use and maintain an encroachment on public property or right-of-way as therein d�refined.
1. Full name of applicant and complete address including phone number: F e a Tf /'))"f �
11616 L)'9TA
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)
Lack- 6T s;,Jc�itk-
4. Period of time for which the encroachment is to be maintained: Indefihf or Other.
(Please Circle)
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, orjudidfal 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
try or right of way where the same is located, and restored said public property or right of Way to the condition as
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.
3 \EncroachmentPennitsWpplicationforEncroachment
B A K E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(651)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 r ighbof-viay.
✓.p L
X .�m By: ��. i eST
(SarceTfor proposed encroac nnen!) (Owners Nzme)
(Addrees of proposed encroachnrenq)
SI
1.) Name. IVIG N\t/ 5 QL1 h11
Address. '-j[0;q I ljf5t04-
2.) Name.
Address.
3 } Name:
Address:
4.) Name.
Address:
rnlane it / V1 z -7929
6.) Name.
Address: J%H0. VAC?
:3)a
6.) Name:
Address: Ur
S - 7 7- /-Z
Date'. �J - 2-7' (2 -
Date: I - -t.7 - L'
Date g-4 —IF.
Date, ,Q,A.
` Balboa
ANUP
POBOX
25140
Santa Ana, CA 927995140
12&2907
ERNEST MORALES
11015 VISTA RIDGE DR
BAKERSFIELD, CA 93311-3237
Policy Number:
THN 000884843
Nate of Notioe:
10111111
Teta] Promium-
*Qn7.0e:+
Customer Carer 1.800.894.0976-
Claims:
.800:894:0976Claims: 1.888.768,2096 s
To Make a Payment:- 1800.894.0976
HOMEOWNERS NEW POLICY DECLARATION
Policyholder
Covered Property
Policy Term
Ernest Morales
11015 Vista Ridge Or
Bakersfield, CA 93311-3237
10/11/11 to 10/11/12 at 12:01 a.m.,
Standard at the address of the covered
property
Extended Replacement Cost 4H262E R1005
Agent
Underwriting Company
Policy Type
_
Banc of America Ins Sew Inc.
Po Box 25140
Santa Ana, CA 9:
_
Newport Insurance Company
_
Preferred
Other interests
$500,000
$5,000
$144.00
$13.00
BANK OF AMERICANA ISAOA ATIMA
P.O. BOX 961291
FORT WORTH TX 76161
Loan Number 209133060
_
Extended Replacement Cost 4H262E R1005
$7.00
Deductibles.
$7.00
All Peril Deductible (Section 1)
$500.00
Workers Compensation HO 90 7 82
Coverage and Premium Summary
Limits of Liability
Premium
Section 1
Coverage A - Dwelling
Coverage B - Other Structures
Coverage C - Personal Property
Coverage D - Loss of Use
- $310,000
$31,000
$217,000
$124.000
$580.00
$20.00
Coverage E - Personal Liability (each occurrence)
Coverage F -Medical Payments (each person)
$500,000
$5,000
$144.00
$13.00
Additional Coverage & Endorsements
_
Extended Replacement Cost 4H262E R1005
$7.00
Mortgage Payment Protection 41261E E1099
$7.00
Personal Property Replacement HO 04 90 04 91
$41.00
Workers Compensation HO 90 7 82
POLICY FEE
$25.00
Protective Device Included
Limited Fungi Included
01Ho1 OODEOOOI-EO310 -
!L
h E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager
wlJ
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: June 21, 2012
SUBJECT: Encroachment Permit Application for: 11015 Vista Ridge Dr
Name of Applicant., Ernest and Gloria Morales
Description of Encroachment: Existing brick retaining wall at back of curb
in front of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
&TERMITSENCROACHUNSURANCEN 1015 Vista Ridge Dr.doc
s
1B A h E R S F I E T D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: June 21, 2012
SUBJECT: Encroachment Permit Application for: 11015 Vista Ridge Dr.
Name of Applicant: Ernest and Gloria Morales
Description of Encroachment: Existing brick retaining wall at back of curb
in front of house.
Please review the attached encroachment permit and return to me at your earliest convenience.
'7/a21 u[z
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