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.
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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:
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2.) Name:
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Address:
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3.) Name:
Address:
4.)Name:
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Address:
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ame:
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6.) Name:
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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
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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.
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