HomeMy WebLinkAbout11503 TRINITY PARK WAY MDENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326-3724
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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
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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
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Special Notes and Comments
Construct block wall in side yard at
back of sidewalk per City standards.
Derek Oglesby 333 -6068
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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.
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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
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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
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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)
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