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Home My WebLink About7700 CANYON CLOVER DRENCROACHMENT 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 . . . . . 15-30000018 Date 5/11/15 Property Address 7700 CANYON CLOVER DR Application type description PW - ENCROACHMENT PERMIT Owner Contractor BAREA RAOL & ANA s OWNER 7700 CANYON CLOVER DR BAKERSFIELD CA 93313 -------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional deac . . Phone Access Code . 1639020 Permit Fee . . . . 208.00 Tssue Data . . . . 5/11/15 Valuation . . . . 0 Qty Unit Charge ear Dx[enaion BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Will be constructing a 6' high concrete block wall a and aide and back yard behind the sidewalk, will follow the. lo'x 10' line of sight at the back of property due to neighbor's driveway. Raul or Ana .Barba (310) 800-4996 or (310) 743-3340 ---------------------------------------------------------------------------- Fee sommarry Charged Paid Credited Due ----------------- ---------- ---------- ------ A lica rBfst ' ' te's the rY0 t°*f the V4��pu� weer, PP erm1V9'. a3d�9 revoke th rmit at any time. Signature of Applicant (Owner/Agent) p°6°Osuant to tgg° Bakersfield Municipal Code Chapter 12.20 to 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 (GRR (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back or,B�X6Rs ENCROACHMENT PERMIT APPLICATION FORM o CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE C L,FO BAKERSFIELD CA 93301 (661)326-3724 Fax: (6151) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. — APPLICANT INFORMATION KCL d FULL NAME OF APPLICANT &&&C, 64,: COMPLETE ADDRESS: r%%�ICCCt/LWA\CId/r�/4)r- PHONE:. 22I'��R tF-1rcAk9333 -3 FAX: CELL JQ 0_` t-�L PROJECT INFORMATION C�j 1 O� " 3 '- 33-tU M4 DESCRIPTION OF ENCROACHMENT (Example: Wood or planter, etc.): 6,01, C,4 -elk - "015`ec&- /ter' iron fence, concrete block wall, raised PERIOD OF TIME FOR ENCROACHMENT: EFINIT or OTHER: �J p l� Please Circle) `3 i p - W d0 7 C ( CONTACT PERSON �M�i,`— CTi 1 'N `1vl of b Lt PHONEry -r.j � — �'�+_ ' n tl— 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 againsfthem, or any of them, before administrative, quasi-judicial, orjudicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (b) 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 unon [I 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 restore salt 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $205.00 S:\PERMITx�-NCROACHNF:n .h -em 11eemh Req Form.DOC Sept. 2013 B A K E R B F I E L D Public Works Department 1501 Truxlun Avenue Bakersfield, California 93301 (661).3263724 TO WHOM T MAY CONCERN We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. C�1 N r�N int Lg �} /e By. a n�� r arm isir l or pro( std encronchmeny (wners dame) -, or ��O /?�� Onl G d LSC i� �rFnn . �a� / ?,tie05 (Address or proposed ejicronchmenr .,.� 1.) Name: Address: 2.) Name: Address: 3:) Name: -1 5�h. N S'LdlfG 'b4 Address: 10, N.F-e 4.) Name: f fl 41, 11 gc LSC'"y Address: 5.) Name: �t`t �- QS Address: 5S 00 1 t L. CC -4 5.) Name: �/ yLQ.- YJ�,ltn S7J Ute Address' Date* ,t Date: Date: - % Date: Date: 5-U-- t S) - ALLSTATE INSURANCE COMPANY Calendar Date: 05/11/2015 Home. Office Policy Number: 914489627 09/28 Northbrook, Illinois Insured RAUL O & ANA SILVIA. BARBA Address 7700 CANYON CLOVER DRIVE City BAKERSFIELD St.: CA Zip Code: 93313 Home Phone No.: 661-858-0570 ADD SECTION I AND II COVERAGES LIMITS Family Liability Protection: $300000 ADD SECTION I AND II COVERAGES LIMITS Guest Medical Protection: $1000 Conditions respecting Binder - Such insurance as may be bound by this service request: 1. is afforded in reliance by the. Company on the statements made by the insured; 2. shall be effective on the date, and at the time stated,but in no event sooner than such date and time. 3. is subject to the terms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such policy. 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time withrespect to the designated property .insurance policy on the last day of such limited period; provided, however, that. the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. THIS REQUEST IS SUBJECT TO POLICY TERMS AND IS EFFECTIVE ONLY IF THE POLICY NOTED ABOVE IS CURRENTLY IN FORCE Effective 02 : 34 P.M. 05/11/2015 Policyholder's Signaatuur�/e DBrik Obllljen ./��'"Y 00064148 CO1. (310)373-9839 PHONE Agent/Agency Name Agent # Location Agent's Phone # AR417 Page 1 of 1 } 914489627ZZZZZZ00064148AR4 IXA1 + EVIDENCE OF INSURANCE Date 05/12/2015 Countersigned at Torrance Authorized Agent Derik Obuljen 24430 Hawthome #202 Torrance St.: CA Zip Cade: 90505 (310)373-9839 PHONE (310)37 -6761 F Agent Signature Page 2 of 2 EVIDENCE OF INSURANCE Coverage afforded by the policy is provided by the ALLSTATE INSURANCE COMPANY , NORTHBROOK, ILLINOIS Number :914489627 First Mortgagee Loan Number : 1980688665 Insured's name,mailing address and zip code: RAUL 0 & ANA SILVIA BARBA 7700 CANYON CLOVER DRIVE BAKERSFIELD St:: CA Zip Code: 93313 Location of Premises (If different than shown above): 7700 CANYON CLOVER DRIVE BAKERSFIELD CA Zip Code: 93313 MORTGAGEMHIRD PARTY INFORMATION FIRST MORTGAGEE Name JPMORGAN CHASE BANK NA ITS SCRS WOR ASSIGNS ATIMA Address P 0 BOX 47020 City DORAVILLE St.: GA Zip Code: 30362 The POLICY PERIOD. will begin on The POLICY PERIOD and PREMIUM the date shown and will continue PERIOD will begin at 12:01 a.m. Standard with no fixed date of expiration. The Time on 09/28/2014 t.09/28/2015 PREMIUM PERIOD will be Annual and begins on the same date shown. Insurance is provided as follows: POLICYTYPE- DELUXE HOMEOWNERS Policy Limit of Liability Section 1. Dwelling Protection $231653 Total Annual Policy Premium $579p0 Family Liability Protection $300000 Personal Property Reimbursement Deductibles $2500 to loss to the covered property from all insured perils. PROVISIONS:This form is not the contract of insurance. The provisions of the policy shall prevail in all respects. All premiums for the insurance policy shall be computed in accordance. with Allstate's nates, forms, premiums and minimum premiums applicable to the insurance afforded which are in effect at the inception of the insurance and upon each anniversary thereof, including the date of interim changes. It is understood that should the insuranceprotection evidenced herein terminate for any reason, due notice will be given to the Insured, to the mortgagee, and to all other interested parties in accordance with the standard mortgagee clause , (438 BFO). A copy of the Policy Declarations reflectingthe annual premium will be sent, if required, to the mortgagee and to any otherinterested parties. Page 1 oft O 1 a I J O o U (b J � E Im �Ou 3aaa 1= o g.Fi I� L 1 E R 5 F 1 E L. 17 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 28, 2015 SUBJECT: Encroachment Permit Application for: 7700 Canyon Clover Dr Name of Applicant: Raul & Ana Barba Description of Encroachment: Will be constructing a 6' high concrete block wall around side and back yard behind the sidewalk. Will follow the 10'x 10' line of sight at the back of property due to neighbor's Please review the attached encroachment permit and return to me at your earliest convenience. S'.\PERMITS\ENCROACH\TRAFFIC\7700 Canyon Clover or doc k 0 FROM: R S F I F L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager 4u Bob Wilson, Supervisor Il, Subdivisions DATE: May 28, 2015 SUBJECT: Encroachment Permit Application for 7700 Canyon Clover Dr Name of Applicant: Raul & Ana Barba Description of Encroachment: Will be constructing a 6' high concrete block wall around side and back yard behind the sidewalk. Will follow the 10'x 10' line of sight at the back of property due to neighbor's driveway. Please review the insurance certificate with the attached encroachment permit and return to me. at your earliest convenience. S 9PERMITSIENCROACMINSURANCEV700 Canyon Clover or doc