HomeMy WebLinkAbout2606 HARMONY DRENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN. AVE
✓'"°''RY't BAKERSFIELD CA 93301
4LIFO(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 . . . . . 09-30000044 Date 12/03/09
Property Address . . . . . . 2606 HARMONY DR
Application type description PW - ENCROACHMENT PERMIT
Owner
ORTIZ FAMILY TRUST
2606 HARMONY DR
BAKERSFIELD CA 93306
Contractor
OWNER
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 963124
Permit Fee . . . . 208.00
Issue Date . . . . 12/03/09 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 208.0000 EA PW ENCROACHMENT 208.00
Special Notes and Comments I
CONCRETE BLOCK WALL ALONG EAST AND WEST
~S L4~ is h,
SIDES OF PROPERTY. WALL IS ALREADY
EXISTING. IN THE FUTURE, A WROUGHT IRON
FENCE AND PLANTERS MAY BE BUILT IN FRONT
OF PROPERTY. CONTACT: BOB ORTIZ,
871-4508
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 an time.
Signature of Applicant ((3wner/Agent) Print Naive
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 INHERE 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
R, EcEff vEHD
DEC 1 7 2009
PUBLIC WORKS DEPARTMENT
$ 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: December 14, 2009
SUBJECT: Encroachment Permit Application for: 2606 Harmony Dr.
Name of Applicant. Ortiz Family Trust
Description of Encroachment. Install concrete block wall along east
and west sides of property. Wall is existing.
In the future, a wrought iron fence and
planters may be built in front of property. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to install fence as described above.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
SAPERMITS\ENCROACH\2009 approval letters\2606 Harmony DrAoc
B ! Imo: E R S F I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions'
DATE: December 9, 2009
SUBJECT: Encroachment Permit Application for: 2606 Harmony Dr.
Name of Applicant.
Description of Encroachment.
Ortiz Family Trust
Install concrete. block wall along east
and west sides of property. Wall is
existing. In the future, a wrought iron
fence and planters may be built in front
of property. W PAS is LA' ,,j k-et 36,
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\2606 Harmony DrAoc
00000
B A Imo: E R S F I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: December 9, 2009
SUBJECT: Encroachment Permit Application for: 2606 Harmony Dr.
Name of Applicant Ortiz: F~mily Trust
Description of Encroachment: Insta) concrete block wall along east and
west sides of property. Wall i xisting.
In the future, a wrought iron fence and
planters may be built in front of property.
~t I s 4 " N kEE~; 84,
Please review the attached encroachment permit and return to me at your earliest convenience.
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B A K E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT _ 00000L41 4~
Permit Fee $208.00 ,~C~0To 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: 1,2, AL, e, i Yin
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2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc...)9C,~,-)~_~~~ Glla,`!~x
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3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
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4. Period of time for which the encroachment is to be maintained:(
rnl e or Other.
Ircle)
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 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
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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.
f~.~lL~'1f~hJl~J A VC, By: 2-0/6
(Street for proposed enc oachment) au (Owners Name)
Of g-Le 0~ ~q aF'#'1p,15q Phone:
(Address of proposed encroachment)
SIGNED:
1.) Name:
Address:
2.) Name:
Address:
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Date: (Z-A /0
Date: /,::I- 1C',
3.) Name: r
Address:
4.) Name:
Address:
5.) Name:
Address:
6.) Name: l
Address: Z661 KP0,gy Dr.
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Date: ' 147
Date: (;Z -()I.- d q
Date:
Date: Z Z - 67
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USAA CASUALTY INSURANCE COMPANY
f 1 :3800 Fredericksburg Road - San Antonio, Texas 78288
JSAX RENEWAL DECLARATIONS PAGE
Named Insured and Residence Premises
GAYLE D BERRY CZC
2606 HARMONY DR
BAKERSFIELD, KERN, CA 93306-1536
POLICY PERIOD From: 07/18/09 To: 07/18/10
(12:01 A.M. standard time at location of the residence premises)
COVERAGES AND LIMITS OF LIABILITY
MAIL MACH-1
Policy Number
006,80 34 10 90A
SECTION I A. Dwelling $500,000
C. Personal Property $375,000
D. Loss of Use (UP TO 12 MONTHS) $100,000
SECTION II E. Personal Liability - Each Occurrence $500,000
$1,000
F. MedicalPaymentstoOthers - Each Person
Your premium has already been-reduced by the following: $34.86 CR
FIRE/BURGLARY CREDIT
BASIC PREMIUM $1, 726 . og
OTHER COVERAGES AND ENDORSEMENTS
Form and Endorsements are printed on the following page. $418.35
DEDUCTIBLES (SECTION I ONLY)
We cover only that part of the loss over the deductible stated.
ALL'PERILS $1,000
DEDUCTIBLE CREDIT $191.75
THIS IS NOT A BILL. STATEMENT TO FOLLOW.
In Witness Whereof, this policy is signed on 05/19/09
tAlan Bennett, Secretary Stuart Parker, President
REFER TO YOUR POLICY FOR OTHER COVERAGES, LIMITS AND EXCLUSIONS.
ATTACH THIS DECLARATION TO PREVIOUS POLICY
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