HomeMy WebLinkAbout10415 SHARKTOOTH PEAK DRBAR ENCROACHMENT PERMIT
t` '� ♦� CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
c�L1 0 (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 . . . . . 12-30000026 Date.
7/13/12
Property Address 10415 SHARKTOOTH PEAK DR
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
URIEE SUANA M OWNER
10415 SHARRTOOTH PEAK DR
BAKERSFIELD CA 93311
------------------------------------------------ ---------------------------
Permit . . . ENCROACHMENT PERMIT
Additional deco . .
Phone Access Code . 1220680
Permit Fee . . . . 208.00
Issue Date . . 7/13/12 valuation . . . .
0
Qty Unit Charge Per
Extension
EASE FEE
208.00
----------------------------------------------------------------------------
Special Notes and Comments
Construct 2 ft high concrete block
retaining wall at back of sidewalk.
-"---------------------------------
Fee summary Charged Paid Credited
Due
----------------- ---------- ----------
Permit Fee Total 208.00 208.00 .00
.00
Grand Total 208.00 206.00 .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.
I
Signature fApplicant wn gent) 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 I:
THEREFORED) (DENIED) Said permit shall expire on date stated above
Signature of City Engineer
Additional Terms on the Back
B A K E 2 S F i E L no
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: _r.t J c I rn
/t �/S llc I Taf/ � 6' ,� G/ (G7
2. Nature. or description of the encroachment for which this application is made: (Example:. Wood or,iron
fence, concrete block wall, raised planter, etc..:) �� h v �4 K'y r✓�/�r�' ��--i la u, n
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
Ile
A2i7 r ///Wa /�'i h/'rZ � � i r (^
4. Period of time for which the encroachment is to be maintaine Indefinite or Other
Please Circe)
5. Is property part of a Homeowners Association yes 6— 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, 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 upon the
revocation thereof by the City engineer, applicant will at his awn cost and expense remove the same from the public.
property or ncht 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 types) 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.
S\EncroechmeMPennitsW.ppGcationforEncroachmen[
B A I< R R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661)326-3724
TO WHOM IT MAY CONCERN:
We fire undersigned, have no objection to the construction of a fence beside the sidewalk within the
public right-of.way17L ar.
(Judet for proposal encroachment) wners 'xme)
(A udresv of pr000sed encroachmeno)
SIGNED:
1 ) Name:
Addres
2.) Name: mark r'aCCUc/p
Address: _ 10411 Shdrk4cr-41, PCOIF
3.) Name. ec,pci SA A O
Address:- 04(01 SAi'.n /c'Rks+4 Re»k
4 ) Name-
Address.
9) Name
Address:
5.) Name:
Address.
Date. n7 ��-��
DJ. 7
Date: �IZ�IZ
Date: //Z.//Y _.
Date,
Date.
Date:
Universal North America Ins. Co.
_ Processing Center'
P.O. 6az 9061. Carlsbad. CA 92018-9061
ARROWHEAD GENERAL INSURANCE
AGENCY,INC..
P 0 BOX 9061
CARLSBAD, CA 92018-9061
JUANA URIBE
10415 SHARKTOOTH PEAK DR
BAKERSFIELD, CA 93311
D -BILL: BANK OF AMERICA NA PAGE: 1
CA NEW GENERATION INSURANCE SERVIC
3117 19TH STREET
BAKERSFIELD, CA 93301
HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein.
COVERAGE PROVIDED WHERE PREMIUM OR LIMIT OF LIABILITY SHOWN FOR THE COVERAGE
- - - - -
- - - SECTION
I - - - -
- - - -
I - - -SECTION II- - -
COVERAGES A.DWELLING
BOTHER C.PERSONAL
SUMMARY OF PREMIUM:
D.LOSS
E.PERSONAL F.MEDICAL
AND LIMITS
STRUCTURES
PROPERTY
OF USE
LIABILdTY PAYMENTS
OF LIABILITY 317,000
31,700
221,90.0
126,800
100,000 1,000
THIS POLICY INCLUDES BUILDING CODE UPGRADE COVERAGE OF 10*s
FOR LOSS UNDER SECTION I,
WE COVER
ONLY THAT PART OF LOSS OVER THE
DEDUCTIBLE
STATED: $1000 LOSS DEDUCTIBLE
4/91
SPECIAL FORM
SUMMARY OF PREMIUM:
AHHO-SP CA
6/09
SPEC PROVISIONS CA
BASIC PREMIUM
$861
TOTAL PREMIUM
$457.00
ADDITIONAL PREMIUM
$404CR
POLICY FEE
$50.00
TOTAL PREMIUM
$457
TOTAL POLICY
$507.00
USP 00
9/11
UNA SIGNATURE PAGE
TOTAL THIS TRANSACTION
$0.00
PREM ALARM/FIRE PROT
$17CR
POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS
FORM NO
EDITION
DESCRIPTION LIMITS CHANGE PREMIUM DUE
PREMIUM
HO 00 03
4/91
SPECIAL FORM
AHHO-SP CA
6/09
SPEC PROVISIONS CA
AHHO-GRID
7/11
INSURANCE DISCLOSURE
AHHO-60
6/09
PREMIER SPECIAL COV
$95
UI GLB
3/09
UNA PRIVACY POLICY
USP 00
9/11
UNA SIGNATURE PAGE
HO 04 16
4/91
PREM ALARM/FIRE PROT
$17CR
NEW HOME CREDIT
$181CR
MATURE HOMEOWNER
$43CR
TILE ROOF CREDIT
$2GCR
DEDUCTIBLE $1000
$146CR
HOME INSPECT CREDIT
$86CR
CA BOR
7/11
INSUR DISCLOSURE BOB
AHHO-10
6/09
CA INS GUARANTEE ASN
AHHO-50
6/09
MOLD EXCLUSION
AHHO-7
6/09
CA HOMEOWNERS ENDMNT
AHHO-9
6/09
LENDERS LOSS PAY END
OCC: PRIMARY PGM: ELITE TERR: 046 BUILT: 2007 FRAME PRT CLS: 003
* CONTINUED
Date Issued: 01/10/12
Universal North America Ins. Co.
-P.ocessinq Center
A: 1
ARROWHEAD GENERAL INSURANCE
AGENCY, INC.
P O BOX 9061
CARLSBAD. CA 92018-9061
JUANA URIBE
10415 SHARKTOOTH PEAK DR
BAKERSFIELD, CA 93311
D -BILL: BANK OF AMERICA NA PAGE: 2
ADDITIONAL INFORMATION END#: 2 1/03/12
PRODUCER: 67203 (661) 327-1000
CA NEW GENERATION INSURANCE SERVIC
3117 19TH STREET
BAKERSFIELD, CA 93301
HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein.
POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS
FORM NO EDITION DESCRIPTION
LIMITS CHANGE PREMIUM DUE PREMIUM
CA
OOL
6/09
ORD OR LAW DISCLOSUR
CAH03-HPD
6/09
PREM DISC AVAILABLE
HO
24 90
1/93
WORKERS COMPENSATION
UG
105C
6/09
CONSUMER AFFAIRS
**
IMPORTANT
**
POLICY DOES NOT PROVIDE
EARTHQUAKE COVERAGE
**
IMPORTANT
**
'THE LIMIT OF LIABILITY
FOR THIS STRUCTURE (COVERAGE A) IS
BASED ON AN ESTIMATE OF
THE COST TO REBUILD YOUR HOME,
INCLUDING AN APPROXIMATE
COST FOR LABOR AND MATERIALS IN
YOUR AREA, AND SPECIFIC
INFORMATION THAT YOU HAVE PROVIDED
ABOUT YOUR HOME.
1ST LOAN NO. 232625155
MTG BANK OF AMERICA NA
PO BOX 961291
ISAOA/ATIMA
FORT WORTH, TX 76161-0.291
CHANGED: MORTGAGEE ADDRESS HAS BEEN UPDATED PER THEIR REQUEST.
*FEE SCHEDULE:
THIS. POLICY IS SUBJECT TO THE FOLLOWING FEES WHEN APPLICABLE.
INSTALLMENT PAYMENT FEE $7.00 PER PAYMENT
IF FULL ANNUAL PAYMENT NOT ELECTED
REINSTATEMENT FEE $15.00 PER REINSTATEMENT
IF POLICY CANCELLED AND WE AGREE TO
REINSTATE THE .POLICY
ALL FEES APPROVED BY THE CALIFORNIA DEPARTMENT OF INSURANCE.
THE POLICY FEE DISCLOSED ON THE FRONT PAGE OF YOUR DECLARATIONS PAGE AND
THE ADDITIONAL FEES DISCLOSED ABOVE ARE FULLY EARNED AND ARE NOT SUBJECT
TO REFUND IN THE EVENT THE POLICY IS CANCELLED..
* END OF POLICY DECLARATIONS
Date Issued: 01/10/12
INSURED 1 COPY
CA NEW GENERATION INSURANCE SERVIC
3117 19TH STREET
BAKERSFIELD, CA 93301
JUANA URIBE
10415 SHARKTOOTH PEAK DR
BAKERSFIELD, CA 93311
Thank you for your recent request to amend your policy with:
UNIVERSAL NORTH AMERICA INS. CO.
Enclosed is a revised declarations page reflecting changes recently made to your policy.
Please be sure to review your declarations page for accuracy. If you have any questions,
please contact your producer.
TO REPORT A CLAIM 24 HOURS A DAY
Call 1-866-519-1302
Online www.acmclaims.com
Policy Holder should report claims within 24 hours of time of loss.
TO MAKE A PAYMENT OR VIEW POLICY INFORMATION AND DOCUMENTS ONLINE:
www.arrowheadexchange.com
TO HEAR THE POLICY STATUS, PAYMENT DUE DATES/HISTORY OR TO PAY BY PHONE CALL:
1-800-447-1889
Administered by Arrowhead General Insurance Agency, Inc.
ARROWHEAD
General Insurance Agency, Inc.
Date Issued: 01/10/12
10417 Sharktooth Peak Drive - Google Maps
GoogleAddress 10417SharktoothPeak Drive
Add— is appmaimale
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https://maps.google.com/maps?l=q&source=s_q&hl=en&geocode—&q=10415+Sharktooth... 7/19/2012
B A h E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: August 22, 2012
SUBJECT: Encroachment Permit Application for: 10415 Sharktooth Peak Dr
Name of Applicant: Juana Uribe
Description of Encroachment: Construct a Thigh concrete block retaining
wall at back of sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
31PERMIMENCROACHURAFFI01 0415 Sharktooth Peak Dr.doc
•
S A I� E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager ,
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: August 22, 2012
SUBJECT: Encroachment Permit Application for: 10415 Sharktooth Peak Dr
Name of Applicant: Juana Uribe
Description of Encroachment: Construct a 2' high concrete block retaining
wall 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\10415 Sharktooth Peak Dr.doc