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Home My WebLink About11522 TRINITY PARK WAYBA ENCROACHMENT PERMIT o�a<wM s CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT a 1501 TRUXTUN AVE c® BAKERSFIELD CA 93301 9 IFO (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 . . . . . 14-30000005 Data 1/23/14 Property Address 11522 TRINITY PARR WAY Application type description PW - ENCROACHMENT PERMIT Owner. Contractor ________________________ PALLA DANIEL OWNER 11522 TRINITY PARR BAKERSFIELD CA 93311 ____________________________________________________________________________ Permit . . ENCROACHMENT PERMIT Additional ileac . . Phone Access Code 1420850 Permit Fee 208.00 Iseve Data 1/23/14 Valuation 0 Qty Unit Charge Per Extension BASE FEE 208.00 --___--- ______________________________ ial Notes and Comments January 23, 2014 11:07:14 AN penriquez. Existing 90' long, 2211 high concrete reinforced block wall along side of property. Contact Daniel Palla (661) 345-6613 ___ __ . paid Credted Fee eu mary Charged -------- Due ---- Perm't Fee Total 208.00 208.00 .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.. i/ M1-L� - - Y Sitnature of App' nt (Owner/Agent) Print Na 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) CP—NBILTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED (DENIED) Said permit shall expire on date stated above. fA1 Signature of City Engineer Additional Terms on the Back of BAKE ENCROACHMENT PERMIT APPLICATION FORM v p CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT C1501 TRUXTUN AVE LIFO BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): i (522 Ty(n t iv Prir Ic W a\ (Sa rc�iel ('a 8331\ If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT (larl .e.1 A1�rerA ?ck11 o- COMPLETEADDRESS: 115L2_ T'rnn Qark�,n�a�_ PHONE: ((o(ol) 345-{nbl 3akerPkt C.a 95311 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF (E+NC1ROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): JO teyllr Ir:YW 2Z, nnh �h ec,�MZ`I.2 rPiriFtcrMeCL b1oCr' . .-It --- �- > P PERIOD OF TIME FOR ENCROACHMENT:FINPFE oar OTHER: (Please Circle) CONTACTPERSON fiRYhP1 Ooh PHONE: (0(,t) 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 with, or 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 ty or right of way where the same is located and restore said public property or right of way to the condition 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 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: $208.00 S: NERMITSIENCROACHTncmnahment Permit Req Foem.DOC Sept. 2013 B A K E R S F i B L D Public Works Department 1501 TruMn Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN: Vire the undersigned, have nonobjection to the construction of a fence beside the sidewalk within tie public right -Of -way. T RS-� v.ray By nW*I Paha trcc; ar p CRACy l (tSmmcn zme} sr611. �tn H.t �fA-, rn= (Ad— c SIGNED Name: J--�r(c) j14 �"l" Address �9 I I1�ItTflhl ! r Vi r:�1w•'7�'-�fT 2) Name: Address: 3.j Name: Addresz 4.) Name:�- Address-. e. s, . 5 ) Name: 1 Address; 6.)1 Name. P,ddress: C Date: 1 -1"]-1L. Date: 1' I l - 14 i -1'i 1`f Date:' .d. •1 - � ( 1 Date: 1-20-14 Date: / - �-V ' California Capital Insurance Company Capital Insurance Group" Evidence of Insurance Insured: Palls, Daniel 11522 Trinity Park Way Bakersfield, CA 93311 Additional Interest Type: None (� Policy Number. 2 -HOC -1-1639659 Term Effective Date: 03/1812013 Expiration Date: 03/18/2014 Le al Text: Property Location: 11522 Trinity Park Way, Bakersfield, CA 93311 Property Description: Construction: Frame; Year Built: 2001; Territory: 54; Protection Class: 3 Basic Coverage Limits Limit Dwelling (Coverage A) $244,157 Other Structures (Coverage B) $24,416 Unscheduled Personal Property (Coverage C) $170,910 Additional Living Expense (Coverage D) $48,831 Personal Liability (Coverage E) $500,000 Medical Payments Each Person $1,000 Each Accident $25,000 Policy Deductible: $1,000 Additional/Optional Coverages Extended Replacement Cost Coverage Up to 200% of Coverage A Workers Compensation (Mandatary) Included Total Annual Premium $593.00 This is evidence that insurance is in force for the above insured effective 03/18/2013 and will remain in force until the policy is cancelled or until the end of the policy term. The policy is subject to the premiums, forms and company rules in affect as of the term effective date. Should coverage be canceled for any reason, the company will give the Additional Interest identified above the same advance written notice of cancellation as the named insured. Servicing Agency: TWIW Insurance Services, LLC -57530 5001 California Ave, Suite #150 Bakersfield, CA 93309 Telephone: (661) 616-4700 Process date: 01/2212014 CdI1fOTllld HOMEOWNER DECLARATION PAGE Total Premium California Capital Insurance Company— NAIC Code 13544 Capital ACIG Company Insurance, a CI(.. Company. Homeowners Policy— 1-10-3 — Special Form INSURED COPY Name and Address of Insured Servicing Agency - 57530 Palla, Daniel TWIW Insurance Services, LLC 11522 Trinity Park Way 5001 California Ave, Suite #150 Bakersfield, CA 93311 Bakersfield, CA 93309 Telephone: (661) 616-4700 _Policy p: 2 -HOC -1-1639659_ Declaration Type_ Extension Effective Date_ 03/1812013 Policy Period: From 0311812013 To 0311 812 014 12:01 arm. staedrdthre at the address Drthe Named IMUtadds sfaled.herein. Property Location: 11522 Trinity Park Way, Bakersfield, CA 93311 This is Declaration #: 4and when attached to the applicable forms, it completes the policy. Transaction Description:.__ Extension Legal Text: a single man i Policy Summary —� Total Premium $593.00 Total _$593.00 This is not a Bill. Any premium due will be applied to the Account Bill. This is a replacement Declaration, counter signature is not required. TO REPORT A CLAIM, CONTACT THE CLAIM SERVICE CENTER: (800) 986.9974 Process date: 0/12212014 Named Insured: Palla, Daniel Homeowner Declaration Policy#: 2 -HOC -1-1639659 Declaration Type: Extension Effective: 0 311 812 01 3 Coverage Farm — 3 Property Location: 11522 Trinity Park Way, Bakersfield, CA 93311 Description: Construction: Frame; Year Built 2D01; Territory: 54; Protection Class: 3 Basic Coverage Limits and Premium Limit. Premium A Dwelling $244;157 $783.00 B Other Structures 24,416 C Unscheduled Personal Property 170,910 D Additional Living Expense 48,831 E Personal Liability 500,000 35.00 F Medical Payments Each Person 1,000 Each Accident 25,000 The limit of liability for this structure (Coverage A) is based on an estimate for 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. As a Company, we will make property evaluations from information provided by you in assessing the value of your home. As mentioned in the statement above, it is an estimate of the cost to rebuild your home; however, your home may cost mare to rebuild. It remains your sole responsibility to maintain a limit of liability for the described dwelling (Coverage A) that adequately corresponds to the .amount it would cost to reconstruct .your entire dwelling at current prices. Optional Coverages & Mandatory Fees Extended Dwelling Replacement Cost Coverage (Up to 200/ of Coverage A— Dwelling limit) 10.00 Contents Replacement Cost 78.00 Cal -Pak Coverage (Includes $24,416, 10 % limit for Ordinance or Law Coverage) Included Identity Fraud Expense Coverage Included Worker's Compensation (Mandatary) Included Other Premium 5.00 Subtotal for Basic and Optional Coverages 911.00 Premium Credits and Surcharges $1,000 Deductible Credit -196.00 Multi -Policy Discount -59.00 New Home Credit -11.00 Roof Type: Concrete -52.00 Total Premium Credits and Surcharges -318.00 Total Annual Premium $593.00 Annual Inflation Guard: 2 This: policy contains a $1,000 Deductible. Process deter 0112212014 Named Insured: Palla, Daniel Homeowner Declaration Policy #: 2 -HOC -1-1639659 Declaration Tvpe: Extension Effective: 03/18/2013 Coverage Form — 3 Property Location: 11522 Tdnity Park Way, Bakersfield, CA 93311 This policy does not provide Earthquake Coverage. Policy Coverage Forms:. EQUOTE (12/85) HO -3 (04184) 03-037 (07-11) HO -350 (09/87) HO -300 (03/88) HO -52 :(04184) HO -325 (12/85) HC -90 (09184) HO -322 (09/87) HO -243 (04/84) 03.304 (09199) 03-347 (05101) 03-331 (01/02) 02-083 (06/08) 03-486 (OV06) 03-390 (07109) 02-304 (07-11) 08-253 11112 PO -175 (07111) Process date 91/2212014 IMPORTANT NOTICE About Your Homeowner Insurance Protection Our goal is to provide the best possible coverage and premium. To accomplish this, we continually review our products and program to make sure we maintain a competitive price, excellent coverage, and a strong financial position. The 'Other Premium" on your attached Declaration page is the charge we include in your base Homeowners rate for the Workman's Compensation coverage that is required by California insurance Code 11593. CIG` offers a wide range of personal insurance products for you and your family, including Personal Automobile and Excess Liability protection.. By bundling your Auto and Homeowners coverage, you can get up to 35% in premium savings with our multi -policy discount (up to. 25% on your Personal Auto premium and up to 10% an your primary Homeowners premium). To make sure you are properly covered and receive all discounts you are eligible for, we encourage you to contact your CIG Insurance Advisor noted on the enclosed renewal declaration and learn more about the outstanding protectionand value we offer! We appreciate your business and look forward to assisting you with your insurance needs. CIG Delivers More. ContinuouslyTM 08-197 CA (09-121 Page 1 of t i � 1 P h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: January 28, 2014 SUBJECT: Encroachment Permit Application for: 11522 Trinity Park Way Name of Applicant: Daniel Palls Description of Encroachment. Existing 90' long, 22" high concrete reinforced block wall along side of property. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 8 PERMITSXENCROACMINSURANCEU 1522 Tnniry Park Way,doc TO: FROM: DATE: SUBJECT: • B A IK: E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM John Ussery, Engineer II Bob Wilson, Supervisor II, Subdivisions January 28, 2014 Encroachment Permit Application for: 11522 Trinity Park Way Name of Applicant: Daniel Palla Description of Encroachment. Existing 90' long, 22" high concrete reinforced block wall along side of property. Please review the attached encroachment permit and return to me at your earliest convenience. 2lcSll' - 4.r. W P9-(- /Jr dire ollz4floNs fj�zc oneeR NV9. tAjrF S:\PERWITS\ENCROACR\TRAFFIC\11522 Trinity Park Way.Eoc