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HomeMy WebLinkAbout3105 AMBER CANYON PLENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 13-30000044 Nate 6/24/13' Property Address 3105 AMBER CANYON PL Application type description PW - ENCROACHMENT PERMIT owner contractor ASCENC20 LILIA E OWNER 3105 AMBER CANYON PL BAKERSFIELD CA 93313 --------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1340678 Permit Fee . . . . 206.00 Ieeue Date . . . . 6/24/13 Valuation . . . . 0 Qty Unit Charge Per 1.00 208.0000 EA PW ENCROACHMENT ----------------------------------------------- Special Note. and Comment. June 24, 2013 2:50:42 PM mmendsnlral. Extend existing 6' fence on side yard not to back of sidewalk. New fence will be a concrete wall. Contact Person: German Vargas 661-350-2287 ---------------------------------------- ------ Pa. summary Charged Paid ----------------- ---------- ---------- Permit Fee Total 208.00 208.00 Grand Total 208.00 208.00 Extension 208.00 ------------------------ --------------------------- Credited Due ----------------- .66 .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. 1��, A _ �SC e rc C� a S� � "CD 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) CO TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTED (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back / ,;� 300000q q 8 A TG E R S F I E L n Public Worl Department 4501 TruA n 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 12.20 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. II 1. full name of applicant and complete address including phone numDec 's� G \O— V� t ccn "rr Qi fo(7i Qa�C7'7 P6�iO 2. Nature or description of the encroachment for which this applicaf`on is ma(e�: (Exa pie: C= wrought iron fence, concrete block wall, raised planter, etc ...) `'t, �6'C� `'��PJ Gt�l- U--ot� 3 Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at e. Period of time for which the encroachment is to be maintaine : Indefinite or Other. (P se Circ/le) 5. is properly part of a Homeowner s 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, or judicial tribunals of any kind whatsoever, arising 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 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 tv or right of way where the same is located, and restored said public property or right of way to me common as 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- ing the insurance required. The type(s) and amounts) 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. StEncroacM1mentPe�mOSW ppikationbff npoecM1ment E A K E R S F I E L D Public Works Department 1501 Twxtun Avenue Bakersfield, California 93301 (661.) 326-3724 TO WHOM IT MAY VVe the unde'signed, have no objection to the constr ction of a fence beside the sidewalk within the Pubii6 righi-o6way. 3loGr1OV) �-jS --AJ ed mroac mcnl} Cif !Address orproposcd encroadhment) SIGNED: By: 79wn-eM-F-Rle) 1) Name rote) Address. 'JOW Qnac 62rh in p! ?.) Name: Address: �" Name, r Address: 4.) Name: Address: 5) ,Name: 7 U Address. -) Name: AYtC.V� �o�7A Address r Date. Date,,,_ Date ti / Date Date. 'G l7i A Stock Company With Home Offices'in Bloomington, Illinois 900 Old River Rd Bakersfield, CA 9331.1-9501 Named Insured ATI K-23-3166-FA71 H F 001575 0046 VARGAS, GERMAN 8 ASENCIO, LILIA 3105 AMBER CANYON PL BAKERSFIELD CA 93313-5484 DECLARATIONS PAGE AMENDED APR 242013 Policy Number 75-CM-D15B-9 Policy Period Effective Date Expiration Date 12 Months .APR 16 2013 APR 16 2014 The policy period begins and ends at 12:01 am standard time at the residence premises. Loan #4502514643 Mortgagee JOMORGAN CHASE BANK, N.A. ITS SUCCESSORS AND/OR ASSIGNS PO BOX 47020 ATLANTA GA 30362-0020 Automatic Henewal - It the policy period is shown as 12 months, this policy will be renewed automatically sublect to the premiums, rules and forms in effect for each succeeding policy period. If this policy is terminated, we will give you and the Mortoaoee/Lienholder written notice in compliance with the oolicv orovisions or as required by law. as Loss Settlement Provision Policy) SECTION I SSea Al Replacement Cost - Simi ar Construction A Dwelling 187,000 Dwelling Extension up to 18,700 B Personal Property 140 250 C Loss of Use Actual Loss Article/$2,500 Agggregate Sustained Option ID SECTION II Option OL L Personal Liability $ 300,000 (Each Occurrence) Damage to Properly of Others $ 500 M Medical Payments to Others (Each Person) $ 1,000 Loss Settlement Provision Policy) SSea Al Replacement Cost - Simi ar Construction Bi Limited Replacement Cost - Coverage B Forms, Options, & Endorsements Homeowners Policy FP-7955.CA Homeowners Policy Endorsement FE -3422 Form 438bfu NSI�ndr Loss Pay FE -1313 Jewelry and Furs $7;500 Each Option JF Article/$2,500 Agggregate Increase Dwlg Up fo$ 37400 Option ID Ordinance/Law 10%/$ 18,700 Option OL Other limits and exclusions Your policy consists of this page, any endorsements and the policy form. Please keep these together. FP -70180 4303 251 1 N Prepared .JUN 072013 Deductibles - Section I. All Losses $ 1,000 In case of loss under thispolicy, the deductibles will be applied Per occurrence and will be deducted from the amount of the .%. Other deductibles may apply - refer to policy. Endorsement Premium Discounts Applied: Home Alert Home/Auto Utility Rating Cr Claim Record apply - refer to your policy JULIE NGO 951-695-2625 NONE 65S70RO CA !L S A R E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 28, 2013 SUBJECT: Encroachment Permit Application for: 3105 Amber Canyon PI Name of Applicant: Lilia Ascencio Description of Encroachment: Extend existing 6' fence on side yard out to back of sidewalk. New fence will be a concrete wall. Please review the attached encroachment permit and return to me at your earliest convenience. 0/3 r� S:'PERMITMENCROACHURAFFIC\3105 Amber Canyon Pl.doo B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM i, TO: Jena Covey, Risk Manager. FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 28, 2013 SUBJECT: Encroachment Permit Application for: 3105 Amber Canyon PI Name of Applicant: Litia Ascencio Description of Encroachment: Extend existing 6' fence on side yard out to back of sidewalk. New fence will be a concrete wall. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: WERM ITS\ENCROACH\INSURANCE\3105 Amber Canyon PLeoc r. 5 S� D Public Works Department 1501 Truxrun Avenue BakersfeW, Calitomia 93301 (651)325-3724 ENCROACHMENT PERMIT REQUIREMENTS t" Application 2 Permit Fee of $208.00 3. Drawing; Minimum 8 1/2 x 1 i showing encroachment on lot in relation to the existing curb, gutter and sidewalk, along with distances from curb, gutter and sidewalk to the encroachment, Drawing to include curb, gutter and sidewalk and any additional information that may assist the City in making a determination as to your request. 4 Type and Amount of Insurance Coverage for fence installation or construction for A. Residences Homeowners General Liability coverage in an amount of at lea =,0Ofi pO .' S Co er I Comm. General Li biiity coverage in an amount of at least 51:000.000.00 `nonal In ured1Verbia (For Commercial) .A. The cty rsfield, its mayor, council,. employees, agents and volunteers re added as ai insured's with respect to (i.e. the ins Ration of a c 'n link fence at 1501 Truxtun A.ve.). 5 u ncmaa,mmaaermvsnnso.ancePeou�remenro �^ r PAS COA/Cr��P 73 (-o CK- Xg X/� T--�7--��-P�a( ICflic,L 7