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HomeMy WebLinkAbout5005 OSWELL PARK DRBax ENCROACHMENT PERMIT CITY OF BAKERSFIELD ty PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE ® BAKERSFIELD CA 93301 O LIFO (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 . . . 13-30000025 Data 4/29/13 Property Address 5005 OSWELL PARK DR Application type description PW - ENCROACHMENT PERMIT owner contractor ________________________ _______------_- OROZCO SARA OWNER 5005 OSWELL PARK DR BAKERSFIELD CA 93307 Permit . . . ENCROACHMENT PERMIT Additional deet . . Phone Access Cade . 1318203 Permit Fee . . . . 208.00 Issue Date . . . . 4/29/13 Valuation Qty unit Charge per Extension EASE FEE 208.00 Special Notes and Comments April 29, 2013 10:03:29 AM penriquea. Concrete block pillars with 3 sections of block wall between wrought iron fence. Fence will be 4' high in front and side of house and then 6' high at face of house. ----------------------------------- _________________________________________ Fee summary Charged Paid Credited Due _________________ __________ __________ Pezmit 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 revok the permit at any ti e. , 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) CON TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTE ) DENIED) Said permit shall expire on date stated above. � .� Signature of City Engineer Additional Terms on the Back B A IC E R S F I E L D Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661) 326-3724 n APPLICATION FOR ENCROACHMENT PERMIT G �T g D Permit Fee $208.00 '7 To the City Engineer of the City of Bakersfield, California: 1 'Pursuant to the provisions of Chapter 12.26 of the Bakersfield Municipal Code, the undersigned applies for a permit to -place, erect, use and maintain an encroachment an public property or right-of-way as therein defined. 1. Full name of applicant and complete address including phone number: Sc&,a 0, o Z..CO SOOS 01 1-c- �1 Qa Pr (?,GIS e (of uA 5: Uq (.&1- 366 39`16 2. Nature or description of the encroachment for which this appplicaton is made: jdExample: Wood or wrought iron fence, concrete block wall, raised planter, etc...) Co GrE-Ft hlr�c.k P I�Gr< „-„}IN ;Low Sly of block II beiy.e¢ ,,i wrtoln± r i-FAce +af^l n3r i F¢ti iA l e'cIL i 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintained:ndefinite or Other. ase Circle) .5. Is property part of a Homeowner's Association Yes r No JApplicant 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 judiclal 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 en ineer applicant will at his own cost andexpense remove the same from the public Property or right 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 forceand 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. 5 \EncroachmenlPermiMa pplicalionf tEncroachment B A K E R S F I B L D Public Works Department 1501 Trumn Avenue Bakersfield, California 93301 (661) 326-3724 rO WHOM IT MAY CONCERN We the undersigned, have no objection to the construction of a fence beside the sidewalk within the Public right-of-way. lJ.�V_W_'t Qar kU! (Strjei or propose cnu oAchinent) Z wners ame) QE CAI (Address of proposed encroachmenp SIGNED: 1.) Name:Ch Address: a asWz[ �= v� r 2.) Name: a _e I .7 LCP 11 ch rZ Address: 5"/? Iii Osw �/ �2c-rl 3.) Name: Address: 4.)Name: J �`/ �fll' � �(J//P/ mss' ilC/Z Address: //o)-Address: 5-ZD3 Fly ira.y`nrh T ame: ° 6.) Name: JiJ, PR°iAot �' Address: Date: 0 Date: //)Z/o Date: Date: e Date: Date: L: 7 —Ly EVIDENCE OF PROPERTY INSURANCE THIS. EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PIaz6N��. 687-588-1140 COMPANY NAICe 25161 SfafBFa,m MIKE BOYER .9720 BRIMHALL RD State Falm General Insurance Company BAKERSFIELD, CA93312 INSURED LOAN NUMBER FOUCYNUMBER SARA OROZCO 7436482541 87-P&776&9 5005 OSWELL PARK DR EPPECmvE DATE EKMRAnoxoATECORMUED U"L BAKERSFIELD, CA 93307 02/232013 0212312014 X TERMINATED W CRECKED PROPERTY INFORMATION LOC Cn SDSSCNPRON 5005 OSWELL PARK OR BAKERSFIELD, CA 93307 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS. SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. urnounnnu CUVENABEIPFAILe/FORMS AMOUNTOFINSURANCE DEDUSmUE A -DWELLING $144,700 1000 &PERS PROP $108,525 Loss PAYEE GLOSS OF USE ACTUALLOSS L -PERS UAB $300,000 M-MED/PERS $1000 ') - A I,S - MORTGAGEE- OCWEN LOAN SERVICING LLC ITS SUCCESSORS AND/OR ASSIGNS PO BOX 4025 CORAOPOLIS PA 15108-8942 LOAN NO: 7436482541 BEFORE THE EXPIRATON DATE THEREOF, NOTICE WILL BE IN ACCORDANCE WITH THE POLICY PROVISIONS. NAMEANDADDRESS X MORTGAGEE ADDURONA- INSURED OCWEN LOAN SERVICING LLC Loss PAYEE LOAN ITS SUCCESSORS ANDIOR ASSIGNS 7436482541 PO BOX 4025 CORAOPOLIS. PA 15108-6942 AUTxowzED REPRES ENrnnvE �n ') - A I,S - ACORD 27 (2009/12) ( 01993-2003CORD GTRPORATION. All rights reserved. The ACORD name and logo are registered marks of AC D 1 1004383 142986.1 01-20-2013 E A h E R S F I E 1, D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager `d'C_ ) FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 29, 2013 SUBJECT: Encroachment Permit Application for: 5005 Oswell Park Dr. Name of Applicant: Sara Orozco Description of Encroachment: 4' Concrete block pillars with wrought iron fence in between. 6' fence starting at face of house. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S TERMITSENCROACHMSURANCE15005 Omell Park Dr.do TO: FROM: 12 B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II 1 Bob Wilson, Supervisor II, Subdivisions DATE: April 29, 2013 SUBJECT: Encroachment Permit Application for: 5005 Oswell Park Dr Name of Applicant: Sara Orozco Description of Encroachment 4' Concrete block pillars with wrought iron fence in between. 6' fence starting at face of house. Please review the attached encroachment permit and return to me at your earliest convenience. ,v�A7 3l 20� 3 d•lc. — f ovIDCj? NIX ldr 5-16#-r 1-/Ae i PMNye wrgl /J �y,���rwg7 sfra« 9c o6sce-v�y M� Oswell Park Dr.doc aa: �\\ƒ . �\\\ { ¥ » �\ c R\ g d ® \ Q) >� j x m: { ,� « w; \\� z / .09 3. 2 _ ~��`~° ----�.— \. gi%. !!Z o . / b.2 / ƒ / !! 4 !P ® 0 2 !| ! #a / ƒ �^ f �