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HomeMy WebLinkAbout11503 TRINITY PARK WAY MDENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3724 ) b �r 30 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 . . . . . 07- 30000038 Date 11/13/07' Property Address . . . . . . 11503 TRINITY PARK WAY MD Application type description PW - ENCROACHMENT PERMIT Owner Contractor -- ---- ----- ------- - -- - -- ------------------------ OGLESBY DEREK OWNER 11503 TRINITY PARK WY BAKERSFIELD CA 93311 ---------------------------------------------------------------------------- Permit . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 137643 Permit Fee . . . . 200.00 Issue Date 11/13/07 Valuation . . . 0 Qty Unit Charge Per Extension- 1.00 200.0000 EA PW ENCROACHMENT 200.00 ---------------------------------------------------------------------------- Special Notes and Comments Construct block wall in side yard at back of sidewalk per City standards. Derek Oglesby 333 -6068 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 200.00 200.00 .00 .00 Grand Total 200.00 200.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at anytime. of Applicant 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) C NST -1-T-t A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTED) (DENIED). Said permit shall expire on date stated above. Signature of City Engineer 0-7-30 Additional Terms on the Back 0 E A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 31, 2008 SUBJECT: Encroachment Permit Application for: 11503 Trinity Park Way Name of Applicant. Derek Oglesby Description of Encroachment: Construct 6' block wail behind sidewalk, this block wall is already built. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 6' block wall behind sidewalk, along side of house. 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. SAPERMITS \ENCROACH \11503 Trinity Park Way.doc D A I� E R :31 F I E L L� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: December 17, 2007 SUBJECT: Encroachment Permit Application for: 11503 Trinity Park Way Name of Applicant. Oglesby Derek Description of Encroachment: Build block wall on side yard, at back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. :F&00 G-a-6EEw T+faxt td/4X- c-i2ElG fS d -P d4w---- SAPERMIT&ENCROACHURAFFIM11503 Trinity Park Way.doc TO: FROM: DATE: SUBJECT: 0 B .A K E R S F I E L L) PUBLIC WORKS DEPARTMENT MEMORANDUM Ralph Korn, Risk Manager Marian P. Shaw, Civil Engineer IV, Subdivisions November 13, 2007 Encroachment Permit Application for Name of Applicant: Description of Encroachment: 11503 Trinity Park Way Oglesby Derek Build block wall on side yard, at back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\ PERMITS \FNCROACH\INSURANC \11503Trinity Park Way.doc . d I. APPLICATION FOR ENCROACHMENT PERMIT 07 3®00 TO TAE CITY ENGINEER OF THE CITY OF BMaRSFIELD, 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. 2. Nature or description of the 3. Location of the e-Sa-C 9 4. Period of time for which the encroachment is to be maintained: i'1 - e ' rl1 e _ .pp licant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and em loyees 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, arisin 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 ofsaid 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 . ro operty or right of way where the same is located, and restore said public property or n t of way to t ie condition as nearly as that in which it was before the placing, erection, maintenance or existence o said encroachment. Applicant further agrees to obtiin and keep all liability insurance required by the City Engineet in full force and effect for however Iong 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 is: Applicant acknowledges the right of the City Engine revoke the permit at any time. Date: 1 -.1 ) `0 .I 1 HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACMIi ENT (1) WILL (NOT) SGBST.AyTIALLY 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 PERIMIT SHALL EXPIRE Date: No. Signature of my Engineer ` C17Y Oir: 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. C � B I'd H 0 / s� (Street for puposed encroachment) (Owners Name) of Phone:// -333 -K06S Tn 6'S =2K� (Address of purposed encroachment ) SIGNED: 1) Name: �C A � E, Date: Address: •(-ol��� arl� I�✓�� ' 2) Name: _- D J� 1- e Y Z Date: o 1,410 0 7 .!address: (,-, i L Cc, Name: U • y o Address: 4) Dame: Address: 3) Name: 1 h t '� i2��..._. ._..� Date: Address: "l e AA/ ,4,1 6) Name: w ate: ADLI ., 7 Address: IN -• -� �..r+ z.. L l r- L7 AL. c.i vva A "AN LJci vct Interinsurance Exchange of the Automobile Club Members' Preferred Homeowners Policy Coverages and Limits Policy Change Declarations - Form 3 Insurance Is In effect only for the property, coverages and limits of liability shown on this declarations page and set forth In the Insurance policy and endorsements. These declarations, together with the contract and the endorsements In effect, complete your policy. YOUR NAME AND MAILING ADDRESS OGLESBY, DEREK 11503 TRINITY PARK WAY BAKERSFIELD CA 03311.8211 LOCATION OF RESIDENCE PREMISES (if different from mailing address above) HOMEOWNERS POLICY NUMBER CHO 004725750 POLICY PERIOD (PACIFIC STANDARD TIME) EFFECTIVE DATE OF THIS POLICY CHANGE: 10.10.2007 42:01 A.M. EXPIRATION DATE OF THIS POLICY: 08 -28 -2008 12:01 A.M. COVERAGES AND LIMITS OF LIABILITY - Coverages are subject to all conditions of this policy. YEAR BUILT; 2002 SUBJECT OP POLICY CHANCE THIS IS NOT A BILL Coverage and Limits Change This change increases your premium for the remainder of your policy period by $37 Yes $25,100 Unscheduled Personal Property Coverage C PREMIUM DISCOUNTS APPLIED TO YOUR POLICY Multi Policy New Home Roof Type Fire Alarm Deadbolt Single Story Loyalty 2 yrs COVERAGES AND LIMITS OF LIABILITY - Coverages are subject to all conditions of this policy. Pert ! Pmerty Coverages Description Deductible" Limits Dwelling Coverage A ** Yes $251,000 Other Structures Coverage B *" Yes $25,100 Unscheduled Personal Property Coverage C Yes $188,250 Loss of Use Other Coverages 1. (20% of the amount of Coverage A) No Building Code Upgrade Other Coverages 5. (10% of the amount of Coverage A) Yes The limit of liability for this structure Coverage A Is based on an estimate of 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. "A deductible or $1,000 will apply as Indicated per occurrence. "Coverage A and Coverage B - Guaranteed Replacement Cost Included. Part N Liability Covavauss Description Personal Llablllty Coverage D (Bodily Injury and Property Damage) - Each Occurrence Limits 500,000 (Personal Injury) In the Aggregate Medical Payments to Others Coverage E - Each Person Part N Workora' Comoansatlon and EmdoVere' Llfiblllty Covereaoe $1,000 Description Workers' Compensation Coverage F - Statutory Employers' Liability Coverage G (per Conditions Part IV Provision 3) Residence Employees - Outservant(s) 00 / Inservant(s) 00 THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE PROCESS DATE: 10.15 -2007 0A, PLEASE KEEP WITH YOUR POLICY (SEE REVERSE) 01ry 0001N /0.10 Awl- jr Q�WVI 01, Imp UPGRADE TO DIRECTV. 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