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Home My WebLink About10200 SIRRETTA PEAK PLENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 13-30000018 Date 4/10/13 Property Address 10200 SIRRETCA PEAK PL Application type description PW - ENCROACHMENT PERMIT Owner contractor ------------------------ --.______- STANDARD PAC CORP OWNER 15360 EARRANCA PW IRVINE CA 92618 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional deso . . Phone Access Code 1306693 Permit Fee 208.00 Issue Date 4/10/13 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA IN ENCROACHMENT 208.00 ------------------------------------------------------------- -------------- Special Notes and Comments March 27, 2013 11:32:58 AM mmendenhal. 4' white vinyl fence at back of sidewalk along Siretta. Peak Place and Grizzly Peak Drive. These are to be temporary until model homes are closed. Contact Person: Jake Persons 805-760-5341 --------------------------------------------------------- ------------------ 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 to revoke the permit at any time. Signature of Applicant (Owner/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 GRANTED ENIED) Said permit shall expire on date stated above. Signature of Engineer Additional Terms on the Back CERTIFICATE OF LIABILITY INSURANCE °A'E OA3 THIS CERTIFICATE IS ISSUED. AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EMEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the polity, certain policies may require an endorsement. A statement on this certificate does not confer Rghts to the certificate holder In HER of such endorsement(s). AOTUCER Risk insurance Services West, Inc. Newport Beach cA Office CONTACT IIG.vea): 19493 608-63D0 v (949) 608-6451 Am .a. Too Bayvi P" circle NBWDOrt Beach CA 92650 USA HBP Sm applies per policy Ter INSUREFOR AFFORDING COVERAGE NA It. INSURED INSUREPA: Steadfast Insurance Company 26387 Standard Pacific Corp. Ventura Division 757 Nile River Drive INSURERS: INSURER C Oxnard CA 93036 USA INSURERS INSURFRE INSURERF: PFASONAL&AWINARY $25,000,000 rE NUMBER: 5701 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO. THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND COND17IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested Ran LTR OF INSVPPXBEPOLICYNBOSEN F O —11— ", UNITS IABILRY G wsTY x Nc MMERCrA w HBP Sm applies per policy Ter is & condi ions EACHICOURRENCE $25,000,000 PF$100,000 EDEXPLAmmepeMWo AIMGJ.MBE[X]O eB PFASONAL&AWINARY $25,000,000 DE $30,ODO,000 GATCOMPIOPAGG GENLAGGREGATELRIAP1L1EGPER: PRODUCTSO$30,000,000 POLICY X PR T AUTOMOBILE LIANURY nOWBINER ANSLUELIMIT on en m'IP,,p—s ANY AUTO BCAILY INl11RY1Pora¢Uenn LTOS NE O EO ACT05 RRED.QA NON-0WNED AUTOS PROPERTYDAYNCE ¢¢,Heol VMBREW LIAa OR CH OCOLPAIRBS AGGREGATE CLAIHE WEE Deal FETENTOt OHO EMPLOVERSOU Vac VmN "a AnYPROPHISTORIPARTNERIBAECIrtM WC STATU OTH TORY LIMBS ER [IDEM C ... SPFCCaGA.F Sea, ❑ FA EA EM1WLOYEE IOC ONOFOPERATIONsfialow ES E L XPEA56POLTY LIST DESCRIPTION OF OPERNOTONSI WHATIONS I VEHICLES earls ACORD IN, Amin ... IRe.. SCRUEnb, R mon epee, B ax,4s1 Re installation Of a 4-0 white vi yl fence located behind the city. sidewalk on Lots 6-18, 127 and 127 Of Tract 6329-1, Project No. 1673, Project Name: windwood, Location: Bakersfield, CA. The City Of Bakersfield, itsRoger,ouncil, empployees, agents and volunteers are included as Additional Insured in. accordance With the policy provisions of tha General Liabil t policy. Self Insuretl Retention: Each occurrence SiR for Coy A & B - $1,000,000; Each Occurrence - cov c, 0 & E $],50000: Tfiird Party Action Over .Claims - $2,000,000; Annual Aggregate. Self Insuretl Retention - $15,000,000. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE EXPIRATION DATE THEREOF. NOTICE. WILL BE OEHVENeO IN ACCORDANCE WITH THE EOLT The city of Bakersfield AUTHORGID REPRESENTATIVE Attn: Public works Department 1501 ERUP Bakn ersfieldCAv93301 USA (�y/,J ��{ /y// M. a/L(ORa�9AA' PdfIK J6LlM6! /Y694 ✓'1lG @198 8.2010 ACO RD CORPORATION. All rights reserved. ACORD 25 (2010105). The ACORD name and logo are registered marks of ACORD 13 3ocxx�131 � �^ ENCROACHMENT PERMIT APPLICATION FORM u t c CITY OF BAKERSFIELD � PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE IFO BAKERSFIELD CA 93301 r� (661) 326-3724 Fax: (661) 852-2012 12 7 S aeG LOCATION OF ENCROACHMENT(Address required where available): toTs �O"ji% 7Q-• ra7,sq - 1, rea Aoo4�-ssFs _ O[r-Ase s 47TA caro aAt-11 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection APPLICANT INFORMATION FULL NAME OF APPLICANT --;'(9N AK0 r"Aclhc PtOrtiJ COMPLETE ADDRESS: 7<% NiLr- Kivern Qo... PHONE: ThJf--DnPSd1SL Sh✓l9or C. CfsvV( CELL: —6y). 6• .i3�� PROJECT INFORMATION ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): V tN\L� W I NOuocD Wlogt- PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or THER: �F. b(�Nyi Z ;A•LF. 0 (Please Circle) G 'I CONTACTPERSON Jew P`�SCr4s PHONE: 8Q IG-0--<3YI 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 tribunalsof 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. Property or rightof way where the same is located, and restore 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 evidencing the insurance required. The lype(s) and amounts) of insurance coverage required arc: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Form.DOC January 2009 B A- Iv E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager 41 FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 10200 Sirretta Peak PI Name of Applicant: Standard Pec Corp Description of Encroachment: Place temporary 4' white vinyl fence at back of sidewalk along Siretta Peak PI and Grizzly Peak Dr Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:PERMITS\ENCROACH\INSURANCE110200 Sirretta Peak Pl.doc h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 10200 Sirretta Peak PI Name of Applicant: Standard Pac Corp Description of Encroachment: Place temporary 4' white vinyl fence at back of sidewalk along Blue Brook Dr and part of Polished Rock Lane. Please review the attached encroachment permit and return to me at your earliest convenience. S: WERMIMENCROACNITRAFFIC\10200 Sifretla Peak PIAm