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
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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)
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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.).
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