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HomeMy WebLinkAbout7003 PINE FLAT DRENCROACHMENT PERMIT OF u4pp°0P'f� ,+ • i'+ CITY OF BAKERSFIELD v a PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE 4a„ >• 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 . . . . . 13-30000027 Date 5/01/13 Property Address 7003 PIN& PLAT DR Application type description PW - ENCROACHMENT PERMIT owner Contractor ------------------------ --- -------------------- MARTINEZ JOSE SR & ROSALINDA OWNER 7003 PINE PLAT DR EAPERSPIELD CA 93311 ---------------------------------------------------------------------------- Permit . . . ENCRGACNMb PERMIT Additional desc . . Phone Access Cede 1319706 permit Pee 208.00 Issue Date . . . . 5/01/13 Valuation . . . . 0 Qty unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT ------------------ 208.00 • Special Notes and Comments May 1, 2013 3:21:31 RM mmendenhal. Extend wooden side fence out to sidewalk. Contact person: Rosalinda Martinez - 661-412-4378 ------------------------------------i---------------------- pee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Pee Total 208.00 208.00 .00 .00 Grand Total 206.00 208.00 .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.24 j Signature of Applicant (Ownergent) 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) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back I o 0000 2% B a K E R 5 F I E L D 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 12.26 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 ndeefinetl 1 1. Full name of applicant and complete address including phone number Jose - 1�("�Q11(�C1 CC, Mafkri e'r -IbCZ Lnnfo E -V 01: 4- Citi lobi-�iiQ `13D 9 2. Nature or description of the encroachment for which this appiicat,'on is made: (xample: Wood or wrought 'roti fence, concrete block wall, raised planter, etc...) -f x 'l I`x f" t 1 i t� e b CnC-lt' A.�. r -. ;. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) c Period of time for which the encroachment is to be maintaine . IndefiNteor Other. ease Circie) 5. is property part of a Homeowner's Association as No Applicant agrees that if this application is granted applicant shall indemnify, defend and hold harmless the City, its officers agents antl employees against any and all liability, claims, actions, causes of action or demands, whatsoever 'against them, or any of them, before administrative, quasyudicial, orjudicial tribunals of any kind whatsoever, ansing out of, connected withor 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 lite 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 property or richt 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 evideri ,ng the insurance required. The type(s) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engine,, pursuant to Bakersfield Municipal Code Chapter 12.20 torevoke the permit at any time. i•@�wroacbmantPmmitsW pplkaPonbranvoachment 6 a K E R S F I B L LD Public Works Department 1501 Truxwn Avenue Bakersfield, California 93301 . (661)326-3724 TO WHOM, IT MAY CONCERN: 'Ale Ne unde-sioned, have no: objection to the constmctidn of a fence beside the sidewalk within the ' Pubic righl-of-way. r.. lSvvT pUsetl nv Uach nenlr wner5 Nzma .(o V) j - 411 - E/ 8 (Addresl of pr000eed xnerandimenp SIGNED 1)Name : Address 2.) Name: Acdress. 3.) Name: Address 4.)Name Address _ -1lki,'v,sL G�-CV on 5) Name: /c6K wdllV s E.). Name, `V CIG 3 ^2�,tiR-- Address Date: `7 -2CI- 13 Date. -,-/ - �) q `1 i) Date: e1 &,:fz Dates Ll --)� ^ �3 Date 2`3 Date: n )F /3 Universal North America Ins. Co. Praceasb,y Center LI -ITT ,,E__..: LL✓ 'P-FGC ET -N!'. PAGE : 1 P.O. Boz 9061. Carlsbad. CA 92018-9061 NE. Pu, ICY CA: PRODUCER: _} 661, 431-1,60 aPRnt .xF _ _=:n-Ec ,EUPs:22iTE '"n NE7c S[ .pm I7*.77i7. ^ Cy ri7r . �'1 �. ...... ... .... .�: ..... _.._ _ _ ... u.. ._.. . .. NAMED INC1IRED AND ADDREcg - — LOCATION !a d ,n boo, !—,—,j aad,*sr I I I �,_� 1•IY'.Y 111:3.. .. .. .".:`Ia I I ?nn1 PT_T.1T: rT -TlrV BAi1.ERS1-lELU. CA 99311 POLICY NO: HCA1005915 Policy Period: 1/02/2013 to 1/02/2014 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 B OTHER C.PERSONAL D.LOSS E.PERSONAL F.MEDICAL AND LIMITS STRUCTURES PROPERTY OF USE LIABILITY PAYMENTS OF LIABILITY 278,000 27,800 194,600 111,200 100,000 1,000 THIS POLICY INCLUDES BUILDING CODE UPGRADE .COVERAGE OF 10% FOR LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF LOSS OVER THE DEDUCTIBLE STATED: $1000 LOSS DEDUCTIBLE SUMMARY OF PREMIUM: BASIC PREMIUM $742 TOTAL PREMIUM $394.00 ADDITIONAL PREMIUM $348CR POLICY FEE $50.00 TOTAL PREMIUM $394 TOTAL POLICY $444.00 POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS: FORM NO EDITION DESCRIPTION LIMITS .PREMIUM HO 00 03 4/91 SPECIAL FORM AHHO-SP CA 6/09 SPEC PROVISIONS CA AHHO-GRID 7/11 INSURANCE DISCLOSURE CA PHMITV 6/09 DWELLNG LIMIT NOTICE HO 04 95 11/92 WATER BACKUP $30 AHHO-60 6/09 PREMIER SPECIAL COV $82 UI GLB 3/09 UNA PRIVACY POLICY USP 00 9/11 UNA SIGNATURE PAGE HO 04 16 4/91 PREM ALARM/FIRE PROT $15CR NEW HOME CREDIT $186CR LOSS FREE CREDIT $37CR TILE ROOF CREDIT $22CR DEDUCTIBLE $1000 $126CR HOME INSPECT CREDIT $74CR CA BOR 7/11 INSUR DISCLOSURE BOR AHHO-10 6/09 CA INS GUARANTEE ASN AHHO-50 6/09 MOLD EXCLUSION AHHO-7 6/09 CA HOMEOWNERS ENDMNT MODIFIED REPLACEMENT COST 50& AHHO-9 6/09 LENDERS LOSS PAY END OCC: PRIMARY PGM: ELITE TERR: 046 BUILT: 2011 FRAME PRT CLS: 003 * CONTINUED Date Issued: 01/02/13 Universal North America Ins. Co. Processing Center D -BILL: WELLS FARGO BANK PAGE: 2 P.O. Boz 9061. Carlsbad. CA 92018-9061 ADDITIONAL INFORMATION GA: 1 PRODUCER, 154945 (661) 431-1780 ARROWHEAD GENERAL INSURANCE TRENEA SMART INSURANCE AGENCY INC AGENCY, INC. 5550 CALIFORNIA AVE #101 P 0 BOX 9061 BAKERSFIELD, CA 93309 CARLSBAD, CA 92018-9061 NAMED INSURED AND ADDRESS LOCATION (if different from insured address) JOSE MARTINEZ JR AND ROSALINDA MARTINEZ 7003 PINE FLAT DR BAKERSFIELD, CA 93311 POLICV NO: HCA1005915 Policy Period: 1/02/2013 to 1/02/2014 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 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. 381681865 MTG WELLS FARGO BANK P.O. BOX 680001 ISAOA DALLAS, TX 75368 *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: 01/02/13 2013-05-01 14:31 BKRORP1 0000000000 » Fax Server P 1/1 ARROWHEAD*GENERAL INSURANCE AGENCY, INC. Endorsement TD: 1203049 M -N POLWYINFORMATION PROOUCERINPORMATION lanae Nemo: JOSEMARTING2JR Nemo: TRENEA $mnRT INSVRANCG AGENCY, INC Cbengr ERenlmone: D510=1313Al AM PST TnmmROeteI 0V0IM0100AHPMl'ST Pmgnm Code. CAUIIPraduwr Coda: 151965 ame P.1h,srmard: HCA1005915 Ma0lna Atltlrreq. Sound S,mnaa IPI -RT 5550CALIFORNMAVEpl01 LI—fEuelnm.: HOME SA63NRSFIEL0.EA;5)N CumpuAv: Submlllydbye TRENEASMART UNIVERSAL NORTH AMERICA INSURANCE COMPANY+ELITE PMno: "IA31.17K COVRRAGRR CURRGNTLIMIT MW LIMIT COVERAGE E-Parsonal Lidbility $100.000 5300,000 PRE HI MSUMMARY ORIGINAL POLICY PREMIUM; $394.00 PMIW POLICY PREMIUM: $,110.00 •T PREMIUM DIFFERENCE FOR THIS TERM (PRO -RATED): Small Please campldc Ihls requast I. Wapdimty, sign the appropriate line and retain a copy of this Corm for your records. Producer X DaW-Timc_am/pm Signature 1.grdo to the aforementioned a.", rcqueal(a). I understand that ndditionol underwriting will lake plxe whcn this cadarremcnt is me Iw d and preemed and may affect the acceptability ofdlil Hale i further understand that ifmy polity is eunrntly cancelled, this endarsemeat can not take cfiber unloss my eovemga in.;.,Wed. Tf my policy is r.idstmcd, the aorliest etfcetive data will be tho min nah ment date. Transmission of this request is nota guamaitm ofeavamga. Insured x Date _Tim. _MNpm Sivature Y I E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 13, 2013 SUBJECT: Encroachment Permit Application for: 7003 Pine Flat Dr Name of Applicant: Jose Jr. & Rosalinda Martinez Description of Encroachment Extend wooden side fence out to the sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: IPERMITS\ENCROACHIINSURANCEV003 Pine Flat Dcdoc • B A k E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 13, 2013 SUBJECT: Encroachment Permit Application for: 7003 Pine Flat Dr Name of Applicant: Jose Jr & Rosalinda Martinez Description of Encroachment: Extend wooden side fence out to the sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 5ie rTGf/ O'kI — Pl au�EP NSG -- __ — _ <tr*wucrG—XCe�U6 T-&iff' _ - _ 1 &WERMITS\ENCROAMTRAFFIC0003 Pine Flat Dr.d= / ��✓� --- It T f N. Nq