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Home My WebLink About7501 STARGAZE DRIVEENCROACHMENT 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 . . . . . 13- 30000020 Date 4/08/13 Property Address . . . . . . 7501 STARGAZE DR Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ CEBALLOS OSCAR 7501 STARGAZE DR BAKERSFIELD CA 93307 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1311000 Permit Fee . . . . 208.00 Issue Date . . . . 4/08/13 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments April 8, 2013 10:57:32 AM mmendenhal. Existing 4' wrought iron fence at back of sidewalk. Contact person: Susana Ceballos 661- 431 -2722 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited - - -- ---- - - - - -- ---- --- - -- ---- - - - - -- ---- Due - - - - -- ----------- -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .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. �C j C ICES Signature of Applicant (Owner /Agent) ,-IrLvIC--k eGa. I (c5 Pnnt 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 ( RANTE (DENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 1 3 300c-06z0 Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 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. 1. Full name of applicant and complete address including phone number: l_+e _6C.l VL . -75 izvr k .s ' I d-1 1 1-S35 -1910 2. Nature or description of the encroachment for which this app 1( is made: (Ex mple: Wood or wrought iron fence, concrete block wall, raised planter, etc...) �.tn ` 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 4. Period of time for which the encroachment is to be maintain d. Indefinite Other. lease,Circ�le) 5. Is property part of a Homeowner's Association Yes No 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 :bf, 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 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 restored 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 evidenc- ing the insurance required. The type(s) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. S:\EncroachmentPermits\ApplicationforEncroachment B A K E R S F i E L D 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. �ay Z e - By CCU Qli C6 (Street or'ropose ncruachmentj (Owners—Name) (Address of proposed encroachment) SIGNED: 1 ) Name: Address:��5�,,;�,,,, Dr 2.) Name: Y a. Address: U L 3.) Name: v C�Yt �t �eZ Address: V S 4) Name: i—t,� Address: L/ 5) Name: �I CG. r - Address: 6.) Name: C� Address: 7 Date: Date: 03/J3113 Date: n I � ';S- Date: Date- Q3110113 Date: J/.19113 APR- 04- 2013(THU) 12:08 OMEGA INSURANCE ENDORSEMENT 140. 04 PAGE 1 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 PACIFIC SPECIALTY INSURANCE COMPANY (BEST RATED A ADMITTED) NAMED INSURED AND ADDRESS CEBALLOS OSCAR 7501 STARGAZE DR BAKERSFIELD, CA 93307 (FAX)661 326 6871 P.002 /004 WNG 0405597 -02 PRODUCER: B22481 (661)326 -6870 PRINCE FREDERICK A OMEGA FINANCIAL AND INSURANCE 400 H STREET BAKERSFIELD, CA 93304 CALIFORNIA -- HO -3 PREFERRED PERSONAL HOMEOWNERS * ** ENDORSEMENT OF DECLARATIONS * ** ENDORSEMENT EFFECTIVE DATE: 03/26/2013 POLICY NO: WNG 0405597 -02. POLICY TERM: 08/13/2012 TO 08/13/2013 12:01 A.M. STANDARD TIME AT THE ADDRESS OF NAMED INSURED AS STATED HEREIN. THE ABOVE POLICY HAS BEEN ENDORSED FOR THE FOLLOWING REASONS: C7 - ADD /INCREASE PERSONAL LIABILITY PROGRAM: HO -3 PREF COVERED PROPERTIES # OCCUPANCY USE # UNITS YEAR ROOF CONSTRUCTION # STORIES ROOF YR 1 OWNR PRIM 1 2003 COMP FRME 1 2006 SQUARE FEET PROPERTY ADDRESS: 7501 STARGAZE DR COUNTY: KERN 1,762 (SEE BELOW) FIRE EXTINGUISHER: FEET TO I- rMRANT : BAKERSFIELD MORTGAGEE: PLATINUM HOME MORTGAGE CORP. ITS SUCCESSORS AND /OR ASSIGNS PO BOX 5914 SANTA ROSA LOAN #: 9222109468 COVERAGE(S): * DED, UNLESS SPECIAL DED. BELOW $500 DEDUCTIBLE A DWELLING $259,000 LIMIT Y SO CA 93307 CA 95402 -5914 PREAfl TM INC 798.00 INSURED 04/03/2013: 20:27:46 SEE OVER PROCESS DATE: 04/03/2013 RPR- 04- 2013(THU) 12:08 OMEGR INSURANCE ENDORSEMENT NO. 04 PAGE 2 MCGRAW INSURANCE SERVICES PaciticSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 COVERAGE(S): A2 ORDINANCE OR LAW COVERAGE B OTHER STRUCTURES $25,900 LIMIT C PERSONAL PROPERTY $129,500 LIMIT CRR RETIREMENT COMMUNITY CREDIT CR1 BURGLARY PROTECTION CREDIT CR3 MODIFY DEDUCTIBLE Cl REPLACE COST PERSONAL PROPERTY D LOSS OF USE $51,800 LIMIT E PERSONAL LIABILITY $300,000 LIMIT ElE ANIMAL LIABILITY EXCLUSION F MEDICAL PAYMENTS $1,000 LIMIT NEW NEWLY ACQUIRED HOME DISCOUNT P1 COPPER PLUMBING ENDORSEMENT 14 NO. OF YEARS PIS TRAMPOLINE EXCLUSION P19 DIVING BOARD & SLIDE EXCLUSION S NEWER HOME CREDIT SUBTOTAL PREMIUM: (FAX)661 326 6871 P.003/004 WNG 0405597 -02 PREMIUM INC INC INC 160.00 40.00- 24.00 INC INC 25.00 INC INC 24.00 - INC INC INC 136.00- 487.00 THIS POLICY DOES NOT INCLUDE OPTIONAL EARTHQUAKE COVERAGE. SUBJECT TO FORM NO(S): THE APPLICATION AND ITS STATEMENTS AND REPRESENTATIONS. POLICY FORM : CA- HO -3(P) (ED. 1) ENDORSEMENT CODES: CAM1 (ED. 1); HO -90 (9 -84); NM- CA -MEPL (04/02); NM -CA -POI (11/01); NM- CA -TW1 (05 /02); NY07; NYM1; )?M1- CA- HO(P)(ED.1); PM3 (ED. 2); PM4 (ED. 1); PMll (ED. 3); PM 17 (ED. 1); PM18 (ED. 1); PM19 (ED. 1); PM20 (ED. 2) INSURED 04/03/2013: 20:27:46 PROCESS DATE: 04/03/2013 OLD TERM NEW TERM TERM CHANGE ENDORSEMENT TOTAL PREMIUM: $462.00 $487.00 $25.00 $9.60 FULLY EARNED POLICY FEE: $30.00 $30.00 $0.00 $0.00 FULLY EARNED INSP. FEE: $40.00 $40.00 $0.00 $0.00 TOTAL CHARGE: $532.00 $557.00 $25.00 $9.60 TERM FACTOR: .384 THIS POLICY DOES NOT INCLUDE OPTIONAL EARTHQUAKE COVERAGE. SUBJECT TO FORM NO(S): THE APPLICATION AND ITS STATEMENTS AND REPRESENTATIONS. POLICY FORM : CA- HO -3(P) (ED. 1) ENDORSEMENT CODES: CAM1 (ED. 1); HO -90 (9 -84); NM- CA -MEPL (04/02); NM -CA -POI (11/01); NM- CA -TW1 (05 /02); NY07; NYM1; )?M1- CA- HO(P)(ED.1); PM3 (ED. 2); PM4 (ED. 1); PMll (ED. 3); PM 17 (ED. 1); PM18 (ED. 1); PM19 (ED. 1); PM20 (ED. 2) INSURED 04/03/2013: 20:27:46 PROCESS DATE: 04/03/2013 APR- 04- 2013(THU) 12:08 OMEGA INSURANCE FNDORSEMENT NO. 04 PAGE 3 MCGRAW INSURANCE SERVICES PacificSpecialty.com P.O. BOX 40 ANAHEIM, CA 92815 -0040 (800)303 -5000 (FAX)661 326 6871 P.004 /004 WNG 0405597 -02 P016 (ED. 1), P09 (ED. 2), P05 -HO (ED. 1), PM2 (ED. 2), PM7 (ED. 1). FRAUD STATEMENT IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, INCOMPLETE OR MISLEADING INFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING THE COMPANY. PENALTIES MAY INCLUDE IMPRISONMENT, FINES, OR DENIAL OF INSURANCE BENEFITS. COVERAGE APPLICABLE ONLY WITHIN THE U.S.A., ITS TERRITORIES, AND CANADA. POLICY FEE IS FULLY EARNED (RETAINED). FOR CLAIMS REPORTING PLEASE CALL (800)962 -1172. FOR POLICY SERVICE PLEASE CONTACT YOUR PRODUCER AT (661)326 -6870. INTERNAL PRINT CODES: CA- H03(P) -POL (ED.2.1);CA- H03(P) -END (ED.9.2) INSURED 01/03/2013: 20:27:46 PROCESS DATE: 04/03/2013 APR- 04- 2013(THU) 12;08 OMEGA INSURANCE 4100 H Sircct BAK[RSFIELD,CA 93304 (661)326 -6870 (661)326 -6071 FAX SK ..- � Y yw •yam.. . (FRX)661 326 6871 P.001 /004 From: Fax: 7— g (/ Pages: / !T" Phone; (Z 7 a Date Re: GC: .... `–� 0 ci 2 . Urgent For Review C7 Please CDmment ❑ Pit, ,- Reply 9 Comments: U' ❑ Picase Reryelc Y.. - ..0000 Y A T--: E R ' I E L Z� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 7501 Stargaze Dr Name of Applicant: Oscar Ceballos Description of Encroachment: Existing 4' wrought iron fence at back of sidewalk.- Please review the attached encroachment permit and return to me at your earliest convenience. I S: \PERMITS \ENCROACH \TRAFFIC \7501 Stargaze Dr.doc 4 0. .D� I� E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 10, 2013 SUBJECT: Encroachment Permit Application for: 7501 Stargaze Dr Name of Applicant: Oscar Ceballos Description of Encroachment: Existing 4' wrought iron fence at 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 \7501 Stargaze Dr.doc V v w v a. i m f� N } d N 2 Vf d T C M N J V