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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 a.0 Ei95`77f6) �r- 51PERMITS\ENCROACH\TRAFFIC\71015 Y�sta Ridge Dctloc