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HomeMy WebLinkAbout607 LAKE VALLEY DRenx ENCROACHMENT PERMIT OF dmvo.r 9 -� CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE .uu ® BAKERSFIELD CA 93301 C LI Ff (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 . . . . . 14-30000024 Data 3/26/14 Property Address 607 LAAE VALLEY DR Application type description PW - ENCROACHRENL FERmIT Owner Contractor CARO RANON nWNER 6D7 LAKE VALLEY DR BAKERSFIELD CA 93307 --------------------------------------------------------------------"__---- Permit . . . ENCROACHMENT PERMIT Additional dear . . Phone Access Code . 1445949 Permit Fee . . . . 208.00 Issue Date . . . . 3/26/14 Valuation . . . . 0 Qty Unit Charge Per Extension HAsa Faa 208.00 --------------------------------------------------------------------------- Special Notes and Comments 6' high wood fence behind sidewalk and behind face of the house around aide and back yard and 41 high fence, 2- high block and 2' high w ought i around front of house behind sidewalk. Contact Raman Caro (661) 380-9746 -------------------------------------------"_____------------------------_-- Fee summary Charged Paid Credited. Due Permit Fee Total 208 OQ. 208.00 .00 00 Grand Total 208.00 20e.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 %1...,..- (L - D( /Comlip CA T. Vi it,ln�ot 'Signature of Applicant (Owner/Agent) rine 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) CONE ITI ITE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THERETO ( RANTED' (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back A ENCROACHMENT PERMIT APPLICATION FORM u o CITY OF BAKERSF'IELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 �fF (667)326-3724 Fax: (661)852-2012 , LOCATION OF ENCROACHMENT(Address required where available): (n7 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection FULL NAME OF APPLICANT COMPLETE ADDRESS: (oQ-I 14-1 t- \/a � J r.J_ () r - PHONE: i - q -14 En ,. 6 rA ct33077' FAX: CELL: , ap ✓ �C� - �� �o PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, ised planter, etc.): �nt I I lOYt �LY1 C R�� ^It1 r T clna_L, cF- \,( .� E-Cnrr &yrdrOn Yxux;SeS. PERIOD OF TIME FOR ENCROACHMENT:INDEF►NIT ' or OTHER: ?) Q (Please Circle) (/ CONTACT PERSON Yr on CJ PHONE: \ (c L C) 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 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 upon the ,evocatio. thereof by the City Engineer- applicant will at his own cost and expense remove the same from the public property or rude of way where the same is located- and restore said 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 am: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1000,000.00 Encroachment Permit Fee: $208.00 S:\PERMITS;ENCROACH\Em:machment Permit Req Fmm.DOC January 2009 • B A K S R 6 F I fi L D Public Works Department 1501 Truktun Avenue Bakersfield, California 93301 (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the constructlon of a fence beside the sidewalk within the public right-ol-way. L ave \I411ey l�r,�e By:amvn Cciro ('van or propeu Cmroac rmtn wnen xmc nr (.,07 Lc,Vi� QnOc rw rn.�.. ((nu) 3iar0'�174� (Address of proposed cneroxdrmeitt) 1_) Name: f�.c(or In ii . YITPL Date: 312 q11 Address: $p 4 s- qV 1 �' _ 3307 -�]/ Jgq / jq 2) Name: Date' Address: ' 3,) Name: L .DauS7 � Address: Stn M;„AQ, 4,r PP lane Name:AddressLge�cIV4�-,y D'. x A Address: 4 6.) Name: NA(Lpe'lAoi (\ _GMiiraKe Date. Date: 1�I� Date: ONLY THE INSURANCE COVERAGES INDICATED BY A SPECIFIC LIMIT OF LIABILITY. AND/OR PREMIUM AMOUNT ARE PROVIDED. rte® INSURED: CARO,BRAMON & CECILIA RICK ISLE PDucY PERIon:04-03-2014 TO 04-03-2015 ENDORSEMENTS: FX3..04 02-07 FM91189 01-96 FX32000 02-.07 FX9291 02-07 CARO, RAMON & CECILIA 607 LAKE VALLEY OR BAKERSFIELD CA 93307-5884 dYFF116FIuIhIIFuulrhlhdrrlhPFlhlluYllllhlhhrll $440,00 04-03-2014 AGENT: RICK ISLE 661-322-9233 YOUR POLICY DOES NOT PROVIDE PROTECTION FOR LOSS DUE TO AN EARTHQUAKE. COVERAGES AND LIMITS SEC I SEC II A e. C 0 E F ZONE PROT CONST DWELLING STRUCTURES PERS PROP LIVE EXP PERS LIAB MEDICAL $218,700 $21,870 $164,025 $54,875 $300,000 $1,000 11 03 FRAME HOMEOWNERS FORM 3 POLICY THE FOLLOWING PROPERTY IS COVERED BY THIS POLICY: 607 LAKE VALLEY DR BAKERSFIELD CA. 933075884 $1,000 ALL PERIL DEDUCTIBLE RENEWAL EXTENSION CERTIFICATE (C!!ATE �pT p�LN.�1F)1 ((`��pcc ppI� yy ((``FDyM,�pp ppLN.JJ CORPORATE- ENTRE PRPP..f969YE.AARSHINUUA.LTBPRTNOFIELO,YMISSOUR1 85899-ODOI 02-17-2014TO1 INSURED - CARO, RAMON &.CECILIA 04 -X -85639L-4 THIS IS NOT A BILL OUR RECORDS INDICATE YOUR PREMIUM IS. BEING PAID BY YOUR MORTGAGEE. WEE HAVE SENT THEM A BILL FOR THE PREMIUM DUE, THIS NOTICE IS FOR YOUR RECORDS. MORTGAGEE - M&T BANK ITS SUCCESSORS AND/OR ASSIGNS AMENDED. DECLARATION 1JCLUDED RICK ISLE LIF ABOVE INFORMATION IS NOT CORRECT, SEE REVERSE SIDE PRINTED $440,00 04-03-2014 I:E B A k E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 26, 2014 SUBJECT: Encroachment Permit Application for: 607 Lake Valley Dr Name of Applicant., Ramon Caro Description of Encroachment: 6' high wood fence behind sidewalk and behind face of the house around side and backyard. 4' high fence consisting of 2' high block and 2' high wrought iron around front of house behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience S:WERMITS\ENCROACH\TRAFFIC\607 Lake Valley Dr.doc • B _-k 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: March 28, 2014 SUBJECT: Encroachment Permit Application for: 607 Lake Valley Dr Name of Applicant Ramon Caro Description of Encroachment: 6' high wood fence behind sidewalk and behind face of the house around side and backyard. 4' high fence consisting of 2' high block and 2' high wrought iron around front of house behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience, S:�ERMITS�NCROACHVNSURANCE=7 Lake Valley Mew \ p j. i