HomeMy WebLinkAbout7814 HIDDEN CROSSING STENCROACHMENT 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 . . . . . 13-3G000019 Date
4/04/13
Property Address 7014 HIDDEN CROSSING CT
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
GAMING PANIC TAPIA 6 TAPIA E[1L OWNER
]814 HIDDEN CROSSING CT
BAKERSFIELD CA 93313.
------------------------------------ --__
Permit . . . ENCROACHMENT PERMIT
_______
Additional dean . .
Phone Access Cede . 1309939
Permit Fee . . . . 208.00
Issue Date . . . . 4/04/13 Valuation
0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
---------------------------------------------------------------------------
Special Notes and Comments
April 4, 2013 9:35:26 AM mmendeNal.
Existing 4' concrete wall at back of
sidewalk. Contact person: Pablo Tapia
(6611 397-7870
April 4, 2013. 9:36:34 AM ..denhal.
___________________1_.__.
___
---------------------------------
Fee s ary Charged Paid Credited
__________ __________
Due
----------------- __________ __________
Permit Pee Total 206.00 208.00 .00
.00
Grand Total 208.00 200.00 .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�
,_ 0,� LGzJ—�CPCct
Signature of Applicant (Owner/A ent) 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) CO UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE (iGRANTE1# (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
B A K a R s F I E L n
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $208.00
7o the City Engineer of the City of Bakersfield, California:
Put suant 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: 2", �, I, o C-1 aw"
2. Nature or description of the encroachment for which this application is
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)
iron
4. Period of time for which the encroachment is to be maintain : InLffnftle - or Other.
ease Circle)
5. Is property part of a Homeowner's Association Yes 74No
�Appiicant agrees that if this app
(�, l I /. ��) G( Mend and hold harmless the City, its
"l cruses of action or demands, whatsoever
officers agents and employees
Vu
against them, or any of them, b
of, connected with, or caused b
bunals of any kind whatsoever, arising out
G :ant or any other person or entity) or
maintenance of said encroachn
l . I :he aforesaid encroachment during the life
of said encroachment or until at
Applicant further agrees that yul
revocation thereof by the City
Property or richt of way where
nearly as that in which it was be 1p 1 /1j
Applicant further agrees to obte
however long the encroachmer
evidencing sufficient coverage V C-
J
ing the insurance required. The
application is made, if granted or upon the
[dense remove the same from the public
property or right of way to the condition as
ence of said encroachment.
ie City Engineer in full force and effect for
it Manager with a Certificate of Insurance
both and required endorsements evidenc-
s:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
any lime.
8 %EncroachmentPermitst pplkationforEneroachmenl
i
B A K E R S F I E LE L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661)326-3724
"TO WHOM IT MAY CON
We the undersigned, have no objection to the constriction of a fence beside the sidewalk within the
Public right
�-of-way. �8 /
Srtea for proposed
whets ame)
(Address of proposed encroachment)
1.) Name: y5c
�/�fc,epss�e/g
Date:
Address:
LsV
2.) Name: p /)
Date. 03 -zit.°! bin
Address:
3.) Name: -7,111
Date:
Address:Lo tie✓
4.) Name:
Date:
Address:
5.) Name:
Date:
Address:
6.) Name.
Date:
Address:
FARMERS NEXT GENERATION HOMEOWNERS POLICY
MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA
A Stock Company
TRANSACTIONTYPE DEC PAGE INCLUDES CHGS EFF: 04/01/2013
TLP Pd4o P.n, d is rffs, .h— Lrina end after the time for -hick nonlie3
. _ "ItlNdALUMER-
POLICY PERIOD .
_ PA €611ibX jt
93656-03-47
FROM: 10:
05-29-2012 1 05-29-2013
51MDAHO Met
1 12:01 A.M.
01
RII
ISSUING OFFICE:
23175 NOT Bennett St,
Hillsboro, OR 97124
This policy will continuo for wocessive policy periods, if. (1) we elect to continue this insurance, and (2) if you pay the renewal premium for each
successive policy period as required by our rotes, rules, forms and premium plans then w effect
NAMED INSURED AND MAILING ADDRESS: LOCATION OR DESCRIPTION OF RESIDENCE PREMISES:
PABLO TAPIA GAMING AND EULAIA TAPIA HUSBAND AND (Soon Us mslog Wass uden dwroBe stood)
7814 HIDDEN CROSSING CT
BAKERSFIELD CA 93313-5629
COVERAGES - We insure you for the coverages and tons indicated as covered by a sperifc lhnk on other notafion. Those Section I -Extensions of
Cocamge and Section N - Liability Etensions of Coverage that are not shown below apply as described in the policy.
$232,000
$23,200
$174,000 $92,800 $300,000 $1,000
Deductible applicable to each covered loss:
SELTI9NN dABRIi R�.TEN310NB�-�.
;E.gIgN
.EXTENSIONtOFZQYERAGE
$ NONE
Op fitiYFA4rrF.°,
ANNUAL
$500
.........
_....... ,.. �, ... T .-<,
., ,.
E NgCOMMEA En7, `
'01�WDDRD1NnxD;,f,9
-'
PREMIUM
COST
..ius c D'f
�o#Billy P 't E
, rdRSDNALL iNRr 1BmaiEss7CNIY
$58,000
ICOVERED
1 10% 1 $30,000
INOT COVERED NOT COVERED1
$821.28
ENDORSEMENTS
LUUXG. BAMUOS OYLR
TND➢RSFAhAI tI�MAER
EDI110N}jf{jABER
. , s.. , -OESWPRON � � y =';'
' `
CA045A
1ED
NGHO - ENDORSEMENT AMENDING SECTION I PROPERTY CONDITIONS.
CA083A
2ED
NGHO AMENDATORY ENDORSEMENT (POLICYHOLDER EXPLAINER)
J6879A
IED
ENDORSEMENT AMENDING GENERAL CONDITIONS
25853.1
1104
CALIFORNIA NOTICE OF INFORMATION PRACTICES
438BFIT
542
LENDER'S LOSS PAYABLE ENDORSEMENT
ISCOUNTS
NON SMOKER, EXPERIENCE RATING PLAN, AND NEW HOME DISCOUNTS .HAVE BEEN APPLIED TO YOUR
POLICY.
DEDUCTIBLES
POLICY ACTNITY
Deductible applicable to each covered loss:
$ NONE
Previous Balance
$500
23.00
Premium
ANY 107AL' BADN(F OR
Fees `
HEN $7.00 OR 05 WILL
BE AITUN N YOUR NHS
LUUXG. BAMUOS OYLR
Payments or Credits
STMARFDUFRPONRKUN.
L$ NONE Total- MORTGAGEE PAYS
SEE ADDITIONAL FEE INFORMATION BELOW
This Declarations page is part of your policy. It supersedes and controls Countersignatu—re�
l Fd l/ [
anything to the contrary. It is otherwise subject to all other terms of the policy. /
AGENT:. PETE J. PIFER
AGENTPHONE: (661) 832-2000 AGENTNUMBERr 95 41 316 Authorized Representative
565479 5THED11ON 10-11 936.56-03-47 (Cordneed on the Rensse Side) 04-03-2013 15479511
B A K E R S F I L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: April 10, 2013
SUBJECT: Encroachment Permit Application for: 7814 Hidden Crossing Ct
Name of Applicant: Pablo & Eulalia Tapia
Description of Encroachment: Existing 4' concrete wall at back of
sidewalk.
b
Please review the attached encroachment permit and return to me at your earliest convenience.
q-1 i2 /z 0r3
6:\PERMITS\ENCROACH\TRAFFIC\7814 Hidden Grassing Ct.dac
H _-A h E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager -�— \/
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 10, 2013
SUBJECT: Encroachment Permit Application for: 7814 Hidden Crossing Ct
Name of Applicant: Pablo & Eulalia Tapia
Description of Encroachment: Existing 4' concrete 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\7814 Hidden Cmning Ct.doc
aufNelua� laeys _ — — `�
09 a
+aiiN` A Wnl
MMMapfS Paay�d m &ifiafx3 — � 0 5
f— a
J
sE
�E�B U �
o° SLI LQ
m
N
O
I
J
SE
aufNelua� laeys _ — — `�
09 a
+aiiN` A Wnl
MMMapfS Paay�d m &ifiafx3 — � 0 5
f— a
J
sE
�E�B U �
o° SLI LQ
m
Public Works Department
1501 TruzWn Avenue
Bakersfield, Callfomle 93301
(651) 326-3724
ENCROACHMENT PERMIT REQUIREMENTS
1 Application
2. Permit Fee of 8208.00
3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the City in making a determination as to
your request.
4. Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners General Liability coverage in an amount of at least 8300,000.00
B.mmercial
Com ial General Liability coverage in ail -amount of at least 81,000,000.00
2 1 Insured Verbiage (For Co rcial)
A. The City o er , its mayor, council, employees, agents and volunteers
are added a A insured's with respect to
(i.e. t stallation of a ch k fence at 1501 Truxtun P,ve.).
5 \E ncioaenmemPeimi'sllnsmaIcaRee uiremen is