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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. S tEnaoaChmenlPe�mital4pylicanonforancroacnment f;� • -- E a 1: E R S --- - 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 �I J �ro•aws waomd ro 6uNaxg — —I � £,`6 (� m � O mo � Q �I J �ro•aws waomd ro 6uNaxg — —I � £,`6 (� m