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
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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
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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
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