HomeMy WebLinkAbout12121 CACTUS FLOWER AVEBAKE ENCROACHMENT PERMIT
F e� CITY OF BAKERSFIELD
v o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
C . BAKERSFIELD CA 93301
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 . . . . . 13-30000028 Date
5/02/13
Property Address 12121 CACTUS FLOWER AVE
Application type description PW - ENCROAC Wr PERMIT
Owner Contractor
RAMOS ADEL A & ERNESTINA OWNER
12121 CACTUS FLOWER AV
EAEERSFIELD CA 93311
_______________________________________________________
permit . . . ENCROACHMENT PERMIT
________
Additional desc . .
Phone Access Code . 1319854
Permit Fee . . . . 208.00
Issue Date . . . . 5/02/13 Valuation . . . .
0
Qty unit Charge Per
Extension
1.00 205.0000 EA PW ENCROACHMENT
_
208.00
_____ _________________________
Special Notes and Comments
May 2, 2013 9:46:59 AM mmende hal.
Place 36" wood and stucco wall at back
of sidewalk in front of house - Contact
Person: Abel Ramos - 319-3697
Fee summary Charged Paid Credited
__________ __________
Due
__:_______________ __-------- __________
Permit Fee Total 208.00 205.00 .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.
Sign ure 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) QONS=E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE GRANTED (DENIED) Said permit shall expire on date stated above.
Signature of CRfSngineer
Additional Terms on the Back
B A tC E R S F I E L YJ
Public Works Deparlinem
1502 Truxtun Avenue
Bakersfield, California 93302
(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
piece, erect, use and maintain an encroachment on public property or right-of-wayfas therein dyfined, l 21 a_ Ito 1 7
1. Full name of applicant and complete address including phone number:
�ceJs E, r�, c �_ 93aii
2 Nature or description of the encroachment for whi this application is m made: (Exale: Wood or wrought Iron
fence. concrete block wall, raised planter, etc...) 4-0-1-t.C� A9A` ��
( )L'�O(.t c! S -C (Y (
3. Location of proposed encroach®ment: (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 maintai d: fndefrnke r other.
ase Circe)
5. is property part of a Homeowners Association Yes .__ — No
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 tribunals of any kind whatsoever, arising out
=of, connected with, or caused by applicanPs 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 perk 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 engineer, applicant will at his own cost and expense remove the same from the public
Property or right of way where the same is located, and restored said public property or right 01 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 evidenc-
:ng the insurance required. The type(s) and amounts) of insurance coverage ts:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit al
any lime.
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S F I E L D
Public Works Department.
1501 Truxtun Avenue
Bakersfield, California 83301
(661) 326-3724
TO WHOW IT MAY CONCERN:
We the unde-signed, have no objection to the construction of a fence beside the sidewalk within the
public fi9ht-06way.
�,.� (��, Wit✓ ey: 4 l-�
tS<rce, or propose amoachmenl) wners xme)
x IIQ I C i t to ei �✓ N n e (n a /- 3 1 5- 3 b i
;Address of proposal oncroaehmenp
t) Name'. NyIC ✓/9'f rr-- s�✓��, /�fiEh'.P1'3
Andress:. ,l2ilj� day 5 /�LueJPaP Z
2.) Narne: VL -Ag✓ ..10�.� ,,,.e~I to
Acdress: r2 -..o-, (`�.�-.h.<A,,,e..
C IA. ✓c oL LAZA ATG
3)Name: ��14 �q( r Ft�r�AlrE
Andress
4.) Name V I S .Sigh?T'
Address: _La 203 cgcras Flow i- A✓P
5) Name'. :15_ ,l R--1czGy,
Address._{ -I_ct au -
6)Name,
Address
Date: 01/ -JO -/S
Date'. Lj -, O-/3
Dale:`.3U- / s
Date y - 3 0 - 1,3
Date: q-0 (-(3
QBE Insurance Corporation IBANC OF AMERICA INSUHAMGt sttaV - Isvranr
One General Drive P.O. BOX 10246
C Sun Prairie, VVI 53596 VAN NUYS, CA 91410
B4 FIRST For Customer Service call: 1-866-318-2016
HomeownerDeclaration
ABEL RAMOS Policy: QHP174115B
12121 CACTUS FLOWER AVE Policy Period: 05/2712013 to 05127/2014
..BAKERSFIELD, CA 93311 Your Premium Total is $544 00 for 12 Months
Effective Time 12:01 A.M.'
•Standard Time at the address of the Named Insured
I�4"`iiAim w«' rkx^n-M' yti��Aswd,�"i
Namy ea I.rar,?alal ..„z".. .:-. r,rx
I
Location -Name Address.
Location 001 - 12121 CACTUS
FLOWER AVE. BAKERSFIELD. CA.
93311 12121 CACTUS FLOWER AVE BAKERSFIELD CA 93311
THIS POLICY DOES NOT PROVIDE COVERAGE FOR WATER DAMAGE CAUSED BY FLOOD. DAMAGE CAUSED BY EARTHQUAKE
IS ONLY COVERED IF EARTHQUAKE APPEARS UNDER THE "ENDORSEMENTSIFORMS" SECTION WITH A PREMIUM CHARGE.
POLICY INCLUDES COVERAGE FOR ORDINANCE OF LAW, OF UP TO 10% OF COVERAGE A LIMIT OF LIABILTY.
THE LIMIT OF LIABILITY FOR THIS STRUCTURE (COVERAGE A) IS BASED ON AN ESTIMATE OF THE COST TO REBUILD YOUR
HOME, INCLUDING AN APPROXIMATE COST FOR LABOR AND MATERIALS IN YOUR AREA, AND SPECIFIC INFORMATION THAT
YOU HAVE PROVIDED ABOUT YOUR HOME.
r a&3 awv'vv'*%`w» #��$"£''��='"'E$+^ =i.
Section lyD,'eductibles t9`N'»:+ ',,.. °s+4a.
;P±vx +R'e'ati�i'�vncPi
MIND?In case of a loss under Section 1. ve cover only that part of the loss over the deductible stated.Deductible Section I $I,000, except $1,000 applies to Windstorm or Hail.
These declarations, togetherwith the emerege tumble), common policy conditions and forms, and endorsements, if any, issued to form a part
thereof, complete the above numbered policy.
H05031(10111) Created by XMRENEWASN O 1032013 XMPRINT 04103/201320:11 MT
Cov.
Oescrlption
Limit
Premium
Section I
A
Dwelling
$245,000
$376
B
Other Structures
$24,500
INCL
C
Personal Property Unscheduled
$171,500
INCL
O
Loss of Use
$49,000
INCL
Section 11
E
Personal Liability
5300.000 Each Occurrence
$116
F
Medical Payments
$1,000 Each Person
$13
Total Item Premium:
$505
r a&3 awv'vv'*%`w» #��$"£''��='"'E$+^ =i.
Section lyD,'eductibles t9`N'»:+ ',,.. °s+4a.
;P±vx +R'e'ati�i'�vncPi
MIND?In case of a loss under Section 1. ve cover only that part of the loss over the deductible stated.Deductible Section I $I,000, except $1,000 applies to Windstorm or Hail.
These declarations, togetherwith the emerege tumble), common policy conditions and forms, and endorsements, if any, issued to form a part
thereof, complete the above numbered policy.
H05031(10111) Created by XMRENEWASN O 1032013 XMPRINT 04103/201320:11 MT
/L
R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Jena Covey, Risk Manager I&
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE:
May 13, 2013
SUBJECT:
Encroachment Permit Application for: 12121 Cactus Flower Ave
Name of Applicant: Abel & Ernestine Ramos
Description of Encroachment: Place a X high wood and stucco wall at
back of sidewalk in front of house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANCE\12121 Cactus Flower Avs.doc
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: 12121 Cactus Flower Ave
Name of Applicant: Abel & Ernestine Ramos
Description of Encroachment: Place a X high wood and stucco wall at
back of sidewalk in front of house.
Please review the attached encroachment permit and return to me at your earliest convenience.
,5-/lq /2013
hR(7
S:\PERMITS\ENCROACH\TRAFFIC\12121 Cactus Flower Ave.doc
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