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HomeMy WebLinkAbout11509 Orchard Park DrENCROACHMENT PERMIT 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 . . . . . 19- 30000001 Date 1/02/19 Property Address . . . . . . 11509 ORCHARD PARK DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ PUENTE LINDSAY & ERICK 11509 ORCHARD PARK DR BAKERSFIELD CA 93311 Contractor ---------------- -- - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2291748 Permit Fee . . . . 420.00 Issue Date 1/02/19 valuation . . . . 0 Expiration Date . . Qty Unit Charge Per Extension BASE FEE 420.00 ---------------------------------------------------------------------------- Special Notes and Comments Block /concrete wall under 3' max with a wood fence on top not to exceed 61. Fence will be in the side /back yard behind sidewalk. Erick Puente (661) 706 -8717 ------------------------------------- ------------------- -- ---- --- - -- - - - - -- Fee summary Charged Paid Credited Due ----------- - - - - -- --- ---- - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 420.00 420.00 .00 CC Grand Total 420.00 420.00 .00 C0 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the perm time. it a It 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 (GRANTED) (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 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 or judicial tribunals of any kind whatsoever, arising out of connected with, or caused by applicant, or in any way arising from, the terms and provision of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the encroachment in the ordinary course of CITY's business, during the life of the 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 revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public property 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating. 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. 1 hayq read and acknowledge the above. ��, /% Applicant's Initials ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENCROACHMENT(Address required where available): // 'J%:P q �/�i �4►�►�� If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT d4j.74OZ-44, COMPLETE ADDRESS: // S09' /%r14",. DESCRIPTION OF ENCRO. planter, etc.): eo," Yere PHONE: _l �/ 7%G —k717 ?I7 FAX: CELL: PROJECT INFORMATION e4 (Example: Wood or wrought iron fence, concrete block wall, raised a PERIOD OF TIME FOR ENCROACHMENT: INI E OTHER: (Please Circle) U- &A, CONTACT PERSON 9!UX';9 f A00, m '/rd' PHONE: _ /� 70w —8 7/ 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, 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 upgn the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public propegy 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 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 are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $420.00 S :\PERMrfS\ENCROACH\Encroachment Permit Req Form.DOC Aug. 2017 RAKE RS FIELD Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right -of -way. (Street for proposed encroachment) (Address of proposed encroachment) SIGNED: 1.) Name: n S (�I, YV y Address: / j (% mqom plM'1G �Y 2.) Name: Qp pd5( Lk"A _ Address: -Iton IR k)A A par k C# 3.) Name: �C?,� Address:, 4.) Name: / A4"d Address: 7/ 5.) Name: Address: CJ U( ' a Z - 6.) Name: 6` # Address: I (;—bb 7% A wt : ( , I Ulf �" AgUyq�t `74 C-),49 Polk See Signatures needed for approval page By: (Owners Name) Phone Date: , Date: Date: Date: Date: Date:[ 2 �L-4A Z / z 7 /)$ U W N L M� W a. y�I Z Z a ri n: S' _ � S a s� E N m Z Z a ri n: S' _ � S a s� O) O N C f0 C E N O ��Ypp O C p E° sa m� N N � O C x p � o .2 n O a o O O V so C °c m .6 o 'n U i H CL O E eE os de L e E 0 y 0 8 i e 3 m 0 r O) O N C f0 C I I � � ct� m IMIS v IS i W Q O J rq -V;m PUD gjno _ J )fInMePIS Posodo.id 6ugslx3 — - — — m ?\' .moo I �\ o gbh O � O s o \ °R, j oS. $o$ v S z W LU �• o h ; Z 3 I� N o m CQ I�j� J 706 Emerald Park Ct - Google Maps GO gle Maps 706 Emerald Park Ct 11509 Orchard Park Dr Y Page 1 of 1 Image capture: Dec 2011 © 2019 Google Bakersfield, California Google, Inc. Street View - Dec 2011 11509 0,1 Park Drivt F https://www.google.com/maps/@35.348266,-119.1308743,3a,75y,l 15.05h,89.84t /data =! 3 m... 1/8/2019 706 Emerald Park Ct - Google Maps Go gle Maps 706 Emerald Park Ct 11509 Orchard Park Dr Page 1 of 1 Image capture: Dec 2011 © 2019 Google Bakersfield, California Google, Inc. Street View - Dec 2011 11509 0,1 Park Dnvr E https: / /www.google.comlmaps / @35. 348418, - 119. 130721 ,3a,60y,154.23h,81.44tldata =! 3m6... 1/8/2019 0 s 0 0 ALLIED PROP AND CAS INS CO 1100 LOCUST ST DES MOINES IA 50391 -1100 (800) 282 -1446 AGENCY EDWARD JACK HERRERA BAKERSFIELD CA AMENDED DECLARATIONS The limit of liability for the structure (Coverage A) is based on the 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. NAME INSURED AND ADDRESS PUENTE, LINDSAY PUENTE ERICK 11509 ORCHARD PARK DR BAKERSFIELD, CA 93311 -9466 HOMEOWNERS POLICY POLICY NUMBER: HMC 0049963771 -3 ACCOUNT NUMBER: 7281118404 Policy Period From. 12 -17 -17 To: 12 -17 -18 12:01 A.M. Standard Time Effective Date of Change 103118 The described residence premises covered hereunder is located at the PREVIOUS POLICY NUMBER HMC 0049963771 -2 above address, unless otherwise stated herein. (No., street. City. state, Zip Code) SUN WEST MORTGAGE COMPANY INC ISAOA 6131 ORANGETHORPE AVE STE 500 BUENA PARK, CA 90620 -4903 MVFRAa'.F ANn 1 IMITC n;= I IARII ITV SECTION I SECTION II A. DWELLING B. OTHER C. PERSONAL D. LOSS E. PERSONAL F. MEDICAL PAY PREMIUM STRUCTURES PROPERTY OF USE LIABILITY EACH PERSON H090 12567P 05/02 02/07 Calif Work Comp Replacement Cost ACTUAL LOSSES SUSTAINED 20.00 315,100 31,510 223,721 IN 24 MOS. 300,000 2,000 FOR LOSSES ARISING UNDER SECTION I, WE WILL PAY ONLY THAT PART OF THE LOSS IN EXCESS OF $1,500. COVERAGE DESCRIPTION PREMIUM COVERAGES DESCRIPTION PREMIUM H03 01 /00 Special Form 819.00 H090 12567P 05/02 02/07 Calif Work Comp Replacement Cost 20.00 Gold Package 12559 02/07 Per Prop Repl 16558 07/11 Equip Breakdown 29.00 12747 12101 FungVBacteria H0216 01/00 Prem Alarm Prot 20.000R 12669 02/14 Back -up of Sewer 14.00 11796 07/11 CA Res Prop Dis 438BFUN 05/42 Lenders Loss Pay IN0000 04/09 Privacy Stmt IN0100 01/10 Important Notice IN2004 03/04 Consumer Info IN2264 03/06 Merit Rating IN2499 10/08 Important Notice 10940 07/89 CA Ins Guarantee 12601 03/15 Premier Endrsmnt H0300CA 10/14 Spec Provisions IN2709 12/15 Important Notice IN2710 01/16 Thrd Prty Dsgnee IN2722 02/17 Important Notice TOTAL PREMIUM 862.00 Additional Residence Occupied RETENTION CREDIT By Insured NO ADDL PREMIUM Mortgage Loss Payee or Other Interest Loan Number e SUN WEST MORTGAGE COMPANY INC 1ST ISAOA MORT •e. a •e ALLIED PROP AND CAS INS CO Authorized RPnrP.SP.nt9tivP _ DIRECT BILL LUB3 18322 006708 INSURED COPY 7281118404 47 Nationwide` is on your side AGENCY - 84 - 51226 EDWARD JACK HERRERA BAKERSFIELD CA D_ 003016 003016 47 HOS PUENTE, LINDSAY PUENTE, ERICK 11509 ORCHARD PARK DR BAKERSFIELD, CA 93311-9466 ALLIED PROP AND CAS INS CO 1100 LOCUST ST DES MOINES IA 50391-1100 HOMEOWNERS POLICY NUMBER HMC 0049963771 -3 ACCOUNT NUMBER 7281118404 The enclosed information reflects changes made to your policy. Please review carefully. If you should find any in- formation that is inaccurate, please contact us. We are pleased to serve your homeowners insurance needs. Our company is committed to providing superior service to our policyholders. Your satisfaction is our first priority. For questions, changes or to report a claim .... Call us toll free at 1- 800 - 282 -1446 ■ Monday through Friday 7:00 a.m. - 11:00 p.m. (CST) ■ Saturday 8:00 a.m. - 4:30 p.m. (CST) ■ To report a claim, simply call our toll free number above any day, 24 hours a day. Information about your policy .... • Special Notices. These notices, when included, point out specific items concerning your policy. • Coverage and Endorsement Forms. Provides policy and coverage information. • Billing. Any premiums which are unpaid will be billed separately. Pay from that bill rather than this policy. • myAlliedPolicy.com. View your policy and payment history online. YOUR DISCOUNTS .... Your premium shown on the declarations page reflects savings because you qualified for these discounts or spe- cial rating. For information on qualifying for additional discounts, contact your agent. DISCOUNTS APPLIED Multi - Policy - Qualifying home and auto policy with us Protective Device - burglar, fire or smoke alarm system Age of Construction Discount Roof Rating Discount Home Purchase Discount Personal Status Discount 8.0% Claims Free Discount Retention Credit - Length of time insured. JL0207S (08 -02) DISCOUNTS AVAILABLE Multi - Policy - Qualifying home and auto policy with us Protective Device - burglar, fire or smoke alarm system Age of Insured Discount Age of Construction Discount Roof Rating Discount Home Renovation Disc. Home Purchase Discount Personal Status Discount Gated Comm. Discount Claims Free Discount Retention Credit - Length of time insured. Multi -Line Discount DIRECT BILL LUB3 18322 006707 7281118404 47 P I>; I F'_ S F I E L I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Michelle Mendenhall, Engineering Technician DATE SUBJECT: January 10, 2019 Encroachment Permit Application for: 11509 Orchard Park Dr. Name of Applicant: Description of Encroachment Lindsay & Erick Puente Block/concrete wall under 3' max with a wood fence on top not to exceed 6'. Fence will be on the side /back yard at the back of sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S \ PERMITS \ENCROACH \INSURANCE \11509 Orchard Park.doc PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall. Engineering Tech DATE: January 10, 2019 SUBJECT: Encroachment Permit Application for: 11509 Orchard Park Drive Name of Applicant: Lindsay & Erick Puente Description of Encroachment: Block/concrete wall under 3' max with a wood fence on top not to exceed 6'. Fence will be on the side /back yard at the back of sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. S. \PERMITS\ENCROACH \TRAFFIC \11509 ORCHARD PARK.doc