HomeMy WebLinkAbout03-30000023
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ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 . . 03-20021249 . Date 3/25/03 3>~o.;>.,3
Property Address . . . 6~lrLbsT CANYON CT
Application description . PW - ENCROACHMENT PERMIT
Owner
Contractor
CARRILLO UBALDO
6511 LOST CANYON CT
BAKERSFIELD CA 93307
OWNER/BUILDER
BAKERSFIELD
CA 93301
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Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
68221
145.00
3/25/03
Valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
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Special Notes and Comments
TO PUT WALL ON SIDE OF HOUSE OUT TO
SIDEWALK 4' max. fence height within street right of way
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at 119Y time2
r Signature of Applican r Ownerl Agent)
~. rJ0<1lj Q Cux..' \ ~ 0
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.
Additional Terms on the Back
L
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 provisions 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 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 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.
tv ! Jzpv~ read and acknowledge the above.n'^' {j.L Applicant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
April 18, 2003
SUBJECT:
Encroachment Permit Application for Installation of 4' max high side yard wall to back
of sidewalk
Ubaldo Carrillo
6511 Lost Canyon Court
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of
a 4' high max.. side yard wall to back of sidewalk. The site is located at 6511 Lost Canyon Court.
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.
S:\PERMITS\ENCROACH\2003 Pennits\65 I I Lost Canyon Ct.doc
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~NUAL PREMIUM NonCE
FIRE INS.
DEPT.
F
From: FIRE INSURANCE EXCHANGE
LOAN NO. 0114278
DO NOT PAY THIS PREMIUM ~
TOTAL PREMIUM
POLICY NUMBER
F-91512-78-52
416.37
· :~FEB. 24, 2003
YOUR MORTGAGEE
HAS BEEN BILLED.
THE POLICY PROVIDES FOR ONLY THOSE COVERAGES DESCRIBED
IN THE POLICY SUCH AS PROPERTY AND lIABILITY. THERE
IS NO COVERAGE FOR THE PAY OFF OF THE MORTGAGE IN THE
EVENT OF DEATH OF THE INSURED OR SPOUSE.
EARTHQUAKE COVERAGE IS NOT PROVIDED UNDER THIS POLICY.
THIS IS NOT AN INVOICE - Attach to your policy.
AGENTS NUMBER
95-43-368
FARMERS INS GRP OF COS
.' PO BOX 25022
SANTA ANA CA 92799-5022
11.1.. i.l. II i..II.I.. I. I... 1.1.11..... I. I.. I. I. I. I. I
UBAlDO CARRILLO
6511 lOST CANYON CT
BAKERSFIELD CA 93307
of Iilsuranoeon your polioy have been adjusted to the n_ amounla shown, This adjustment wu made to match
GOlla of oonstruotion and values of pel'llOnal property during the put year.
may .bll i10t be adequate for your needs. If, after reviewing your polioy and your personal requirement., you feel
e 01' let. in.uranoe, pleue oontaot your Farmers Agent.
Al152201
A
FARMERS':
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For current coverage, retain with your policy re
Payment of the total premium on or before the RENEWAUDUE DATE shown continuel
RENEWAL/DUE
DATE
02/24/03
U
POL
NO. 95
SPECIAL HOMEOWNERS POLICY
AGENTI W. CHAN (661)836-4088 AGT.
PROP. LOC.I 6511 lOST CANYON CT
BAKERSFIELD CA 93307
FRAME CONST - PREM GRP 01 - YEAR CONST 98
$500 DEDUCTIBLE
DISC/SURCHG-NON-SMOKER, NEW HOME, SECURITY CREDIT, C
DESCRIPTION OF COVERAGES AMOUNT OF IN
DWELLING
OTHER STRUCTURES
PERSONAL PROPERTY
lOSS OF USE
PERSONAL lIABILITY
MEDICAL PAYMENTS TO OTHERS
EARTHQUAKE - - - - NOT COVERED
OTHER (SEE POLICY)
TOTA
THIS POLICY INCLUDES BUILDING ORDINANCE COVERAGE
The policy provides for only those ooverages desoribed in the policy. Coverages pertain to property e
payoff of the mortgage in the event of death of the insured or spouse.
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For current coverage, retain with your policy records
Payment of the total premium on or before the RENEWAUDUE DATE shown continues your insuranoe for the .ucoeeding12 month..
UBALDOCARRILLO . .
SPECIAL HOMEOWNERS POLICY POLICY NO.F-91512-78-52
AGENTf W. CHAN (661)836-4088 AGT. NO. 95-43-368
PROP. LOC.. 6511 LOST CANYON CT
. .BAKERSFIELD CA 93307
FRAME CONST - PREM GRP 01 - YEAR CONST 98
$500 DEDUCTIBLE. ....." .
DISC/SURCHG-NON-SMOKER, NEW HOME, SECURITY CREDIT, CLAIMS FREE
DESCRIPTION OF COVERAGES AMOUNT OF INSURANCE
DWELLING. . .116,000
OTHER STRUCTURES . 11,600
PERSONAL PROPERTY 63,800
LOSS OF USE 34,800
PERSONAL LIABILITY 300,000
MEDICAL PAYMENTS TO OTHERS 1,000
EARTHQUAKE - - - - NOT COVERED
.. OTHER (SEE POLICY)
RENEWAL/DUE
DATE
02/24/03
TOTAL PREMIUM
THIS POLICY INCLUDES BUILDING ORDINANCE COVERAGE
PREMIUM
396.37
INCL
INCL
INCL
20.00
INCL
INCL
416.37
The policy provides for only those coverages described in the policy. Coverages pertain to property and liability if shown. There is no _rage far the
payoff of the mortgage in the event of death of the insured or spouse. See reverse for Important InfonnatJon.
~
'......'C1tf 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.
Lrd COd" ,t?1/1 r r -
(Street f puposed encroachment)
Bv: Vb~\r&o Qur,'\\ ~
(Owners Name)
of
C
sed encroachment)
Phone: 6b I - <(J!- ~"!' 6 S
SIGNED:
/'
1) Name:
Address:
2) Name:
Address:
3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
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Date: ~/1(1~, ~ 100 ~
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Date: v _
Date: 3 - % - 0 ~
Date: "3.t--{ (.) ., (j.>
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Date:"
Date: 3 -\3 - Od-
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Bi\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 14, 2003
SUBJECT: Encroachment Permit Application for 6511 Lost Canyon Court
Ubaldo Carrillo
4' side yard wall extended to back of sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\6511 Lost Canyon Ct.doc
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B~t\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 14, 2003
SUBJECT: Encroachment Permit Application for 6511 Lost Canyon Court
Ubaldo Carrillo
4' side yard wall extended to back of sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\TRAFFIC\6511 Lost Canyon Ct.doc
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ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 . .
pin number . . . . . .
Property Address
Application description
03-30000023 Date 4/22/03
7567
6511 LOST CANYON CT
PW - ENCROACHMENT PERMIT
Owner
Contractor
CARRILLO UBALDO OWNER
6511 LOST CANYON CT
BAKERSFIELD CA 93307
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee
Issue Date
ENCROACHMENT PERMIT
77750
.00
4/22/03
Valuation
o
Qty Unit Charge Per
1.00 .0000 EA PW ENCROACHMENT
Extension
.00
Special Notes and Comments
PUT WALL ON SIDE OF HOUSE OUT TO
SIDEWALK 4' MAX FENCE HEIGHT WITHIN
STREET RIGHT OF WAY. FEES PAID IN
PERMIT NUMBER 03 20021249
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Grand Total .00 .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.
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, ar 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 provisions 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 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 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.
I have read and acknowledge the above.
_Applicant's Initials
'"
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 . .
pin number . . . . . .
Property Address . . .
Application description
Owner
03-30000023 Date 4/22/03
7567
6511 LOST CANYON CT
PW - ENCROACHMENT PERMIT
Contractor
CARRILLO UBALDO OWNER
6511 LOST CANYON CT
BAKERSFIELD CA 93307
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
77750
.00
4/22/03
valuation
o
Qty Unit Charge Per
1.00 .0000 EA PW ENCROACHMENT
Extension
.00
Special Notes and Comments
PUT WALL ON SIDE OF HOUSE OUT TO
SIDEWALK 4' MAX FENCE HEIGHT WITHIN
STREET RIGHT OF WAY. FEES PAID IN
PERMIT NUMBER 03 20021249
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Grand Total .00 .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.
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 provisions 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 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 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.
I have read and acknowledge the above.
_ Applicant's Initials