Loading...
HomeMy WebLinkAbout11109 CAMINO MAJORCA MDENCROACHMENT PERMIT`L 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 . . . . . 05- 30000105 Date 11/15/05 ►`i` L < cis 3�ff Property Address . . . 11109 CAMINO MAJORCA MD i�l� �l7 J' ATN (11 Digits): 001- 241- 10 -00 -3 Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------ - - - - -- SIEGEL BETTINA KARIN ------------------------ OWNER /BUILDER 11109 CAMINO MAJORCA BAKERSFIELD CA 93311 BAKERSFIELD CA 93301 (661) 663 -9531 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 470211 Permit Fee . . . . 150.00 Issue Date . . . . 11/15/05 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 150.0000 EA PW ENCROACHMENT 150.00 ---------------------------------------------------------------------------- Special Notes and Comments ADDING VINEL FENCE IN THE FRONT YARD. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --- -------- - - - - -- ---- - - - - -- Permit Fee Total 150.00 ---- - - - - -- ---- - - - - -- 150.00 .00 ---- - - - - -- .00 Grand Total 150.00 150.00 .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. 11/sypl_ 6zo � 4. orj1=L 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE ORANTE D (DENIED). Said permit shall expire on date stated above. Signature o City Engineer Additional Terms on the Back 0 S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: *0 Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 5, 2006 SUBJECT: Encroachment Permit Application for 11109 Camino Majorca Name of Applicant Siegel, Bettina Karin Description of encroachment. Front yard fence behind sidewalk not over 4' high Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of a front yard fence behind sidewalk not over 4' high. The site is located at 11109 Camino Majorca. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. SAPERMIMENCROACH\_Approval memo.doc B A I� E R.. S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 23, 2005 SUBJECT: Encroachment Permit Application for 11109 Camino Majorca MD Name of Applicant Siegel Bettina Karin Description of encroachment. Adding vinel fence in front yard behind sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SAPERMIMENCROACHUNSURANQ11109 Camino Majorca.doc F A K E R S F I I R L i7 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 28, 2005 SUBJECT: Encroachment Permit Application for 11109 Camino Majorca Name of Applicant Siegel Bettina Karin Description of encroachment front yard fence behind sidewalk not over 4' high Please review the attached encroachment permit and return to me at your earliest convenience.(f 9 lov. 2°!, 204T �r SAPERMITS \ENCROACH \TRAFFIC \11109 Camino Majorca.doc APPLICATION FOR ENCROACHMENT PE&MIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CAiLIFORNLA: 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. 1. Full name of applicant and complete address including. hone number: f J eM_i, g_ �a_r'v\ 2. Nature or description of the encroachment for which this application is made: 3. Location of the proposed encroachment: 6' r . 4. Period of time for which the encroachment is to be maintained: o r-e"/ C r _ Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless 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 -u on the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the Du lic Proyert X or right 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 Eng' eet 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 ype(s) and amount(s) of insurance' coverage is: COO 1001 ow Applicant acknowledges the right of the City Engineer, pursuantao Bakersfield Municipal...Ccde,,ChppWr 12.20 to revoke the permit at any time. Date: q- ignature o App i ant (owner dr epresent ve PERMIT I HEREBY CERTIFY THAT I ILAVE 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 PUBLIC 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 (GRANTED) (DENIED). SAID PERMMIT SHALL EXPIRE Date: ignature of ity Engineer No. ' aTY OF. BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right of way. �l 0 C re W.w r. a w` or LL-- e: Bv: e, �1 �" a S , e Q- (Street for pupose encroachment) (Owners Name) V of k lk o A �)M d l- rc- g Phone: (Address of purposed encroachment) SIGNED 1) Name: r' Z 22te: Address: •` No YYi!'�-v zCA- 2) Name: Date: 11 U .Address: �.�..�1� � � (1 � r ( G 3) Name: Date: Address: M13 C� Ct�w�iv�� Wl av 4) Game: Date' 1 � - t 2 � O sr Address: pp 5) Name: wA 1( cL Dete: \ Or Address: M\ \\I e3 S!2Q C. CL 6) Name: Date: Address: .1...L 04 Ale 00- 0& 11/15/2005 12:43 6613973447 Policy Change Propose) Named Insured (:E TTINA' K SIEGEL 1109 CAMINO MAJORCA .tSFiELD CA 93311 CIS INSURANCE SPECS. PAGE 01/01 IN TRAVELERS HOMEOWNERS POLICY Your A►gettey's Name and Address CALIFORNIA INS SPECIALISTS PD BOX 5579 BAKE:RSFIELD, CA 513389 Your Policy Number: 976759223 633 1 Fox' Policy Service Call: (661) 397 -3944 Your Account Number: 976759223 For Claim Service Call: 1- soo- cLAxM33 Policy Period FROM: 02- 27•-05 To: 02 -27 -06 12c01 A.M. STANDARD TIME AT THE RESIDENCE PREMSES Change Effective Date: 11/08/05 Location of Residence Premises 111)9 CAMINO MAJORCA BAKIRSFIELD CA 93311 P retaum for This Change. $ 7.00 Reasons for Change: Increase to Personal Liability Change to Account Credit Section I - Property Coverages Limits of Premium Liability A - DWELLING $ 128,000 $ 324.00 B - OTHER STRUCTURES 12,800 INCL C - PERSONAL PROPERTY 89,500 INCL D - LOSS OF VSR 38,400 INCL Section 11- Liability Coverages E — PERSONAL LIABILITY (BODILY INJURY MO PROPERTY DAMAGE) EACH OCCURRENCE F - MEDICAL PAYMENTS TO OTHERS- EACH PERSON $ 300,000 $ 1,000 33.00 INCL Policy Forms and Endorsements m „ HO -3 CA (10 -92) Honueown�ara 3 Special Form HA -300 CA (04 -04) Special Provisions 56494 CA (03 -99) Personal Property Replacement Cast $ 47.00 °= 56512 CA (03 -99) Additional Replacement. Cost Protection 4.00 5$273 (12 -99) Additional Replacement. Cost Protection Increased, 30.00 Amount - Maximum Additional Amot.nt of Insurance 50% ° HO -027 CA (07 -02) Limited Fungi Other NCiorobes or Rot m� Remediation d �= Limit of Liabij.jty: $5,000 43813FU NS (05 -42) Lenders Loss Payable Xndorsement. T, 55769 (0300) Workers Compensation and Employaxs � INCL n�!�1 o� Liability Insurance Endorsement 4. Total Premium $ 438.00 °= u� .�_ Continued on next page Agent Copy Page 1 of 3 P4-880S 1 ^97 478/OWN534 0E98! 5 ✓.v-0 a�Ur c g /C) / !� , (\- ,e- w C? go \� 0 (' 4,Ny ,.