HomeMy WebLinkAbout4900 INA CTENCROACHMENT 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, creep use and
maintain an encroachment on public property or right of way as therein defined.
Application Number . . . 11-30000016 Data
9/05/11
Property Address 4900 INA CT
Appll CatiOn type description PW - ENCROACMENT PERMIT
Owner Contractor
SNOOK SUE OWNRR
4900 INA CT
BAFERSPIELD CA 93306
----------------------------------------------------------------------------
Permit . . . ENCROACHREW PERMIT
Additional dead . .
Phone Access Code . 1110808
Permit Fee . . . . 208.00
Issue Data . . . . 7/05/11 Valuation
0
Ory Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACiFENT
208.00
Special Notes and Comments
existing 3 ft. wrought iron fence in
front yard at back of sidewalk
Sae Snoak 871 -2358
_______________________________________________________ _ _
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 fin{e /
=lLo_ 11 ra LX c�NDD�
Signature plicant (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) CON ITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFOR � (DENIED). Said permit shall expire on date stated above.
SignaturVof City Engineer
Additional Terms on the Back
E A IG E R S F I• E L D
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 1 erein defined.
1. Full name of applicant andncompleteaddress including phone number: Z-
2. Nature or description of the encroachment f6r which thisapplication is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc..,)
, f .t
3, Location of proposed
4. Period of time fdr which the encroachment is to
5. Is property part of a Homeowner's Association
Side yard at back6f sidewalk or front yard at back of sidewalk)
J: Indefinite or Other.
(Please Circle)
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
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 en orsements 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 12.20to revoke the permit at
anytime.
5\EnomachmentPennitsWpplicationforEncroachment
Personal Express Insurance Company Policy Number: XH0205387
5301 Truxtun Avenue#100, Bakersfield, CA 93309 Sue Snook
UrIlk"aaea by Se.ai10ar. litnervnue Cliiop,un
HOMEOWNERS INSURANCE POLICY
Effective 09/22/2010 Declaration Number VIII
12 Mouth Policy Term Continuous from 09/22/2010 at 12:01 AM Local Time or Until Cancelled or Non -renewed
Mail To: Local Office:
Sue Snook 5301 Truxtun Avenue#100
4900 Ina Court Bakersfield, CA 93309
Bakersfield, CA 93306 (661) 634-4600 (800) 499-3612
RENEWAL POLICY DECLARATION
Thank you for renewing with Personal Express Insurance Company. Pleuse take the time to review year amoral renewal policy
declaration and call your local servicing office if you have any questions. We appreciate your amtinued trust in us.
Your 12 month Premium Charge is $ 412. Your mortg rge compuny has been billed.
Insurance is to be provided only with respect to the locammod and/or coverage(s) for which a limit of liability is specilied
and premium is charged, subject to all (i the conditions of this policy.
The limit of llnbilityr for this structure (Coverage A) is bused on an estimate of are 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.
Named Insured: Sue Snook
Property Description: Addreca: 49001na Coml, B ikeisfield, CA 93306
Comuuction: Pmme yearBuill: 1999 TercibuT
Protection Claar. 3 Roof: Tile.
Square Foomge: 1.200 Reconstruction cost per square foot $143
Section 1 Coverages: HO Limit Deductible of $ 500
Premium
A - Dwelling:. $171,000 applies to Coverages A,. B or C
$424
B- Other.Strocaues $17,100 for any one loss.
Incladed
C - Personal Property: $ 119,700
Included
D- Lossof Use: $34200
Included
Section II Coverages:
E- Personal Liability: .$ 300,000
$ 20
F -Medical Payments: Each Penson $ 1,000
Included
Each Accident $ 0
Included
Sections I & II:
$ 444
Additional Coverages:
$ 61
Credits/Debits:
$ A3
CA Surcharge:
$ 0
TOTAL:
$412
This policy is subject to the following Pores and endorsement, attached to and made part of policy:
PI 10011009. PH0081009. H004901000. 11004961000. 11016090109: P110131009, PH0141009, PHO 161001), P11070101009,
P11070111009. PH0981009. P14061761009, 438BFUNS, H000031000, HOW 04090& 11004161000, H024900801.1110171009.
PHO 181009
Countersigned:
PH Dec 1-b INSURED Date Primcd 07/05/2011
Personal Express Insurance Company Policy Number: XH0205387
5301 Tension Avenue #100, Bakersfield,. CA 93309 Sue Snook
uladu" inch by5cyuniu Innuran ti cant,"y
HOMEOWNERS INSURANCE POLICY
Effective 09/22/2010 Declaration Number 00]
12 Month Policy Term Continuous from 09/22/2010 at 12:01 AM Local Time or Until Cancelled or Non -renewed
Additional Coverages:
Form
Limit Premium
Personal Property Replacement Cost
11004901000
Refer to Fenn
$periled Add'I Ann Insurance Cov'A'
PH0081009
Refer to Fenn
' It 0. Plus
PHO011009
Refer to Nam
Identity Theft Coverage
PI1061761009
Refer to Form
Workers Compensation
Refer to Form
s Also includes 10% ofthe Coverage A limit of liability
that maybe ased for increased costs you inctndue to the entbrcement
of any ordinance or law regalatiig coustnmtion.
Additional Coverage Premium $ 61
Credits
Savings included in Total Annual Premium
Protective Device Credit
$-8
Century Age Credit
$ 21
New I folne C1 edit
$ -34
Non-Flamable Rool Credit
$ -30
Property Insurance Disclosure:
]'his Locution Includes Specified Additional Amount oflnun once for CoSsrage A - Dwelling.
Thi, Locazion Does Not Include Earthquake Coverage,
Thi, Location Does Notlnclude l3nilding Code Upgrade (Ordinance orLaw) Covemgo -Frim PH0041009 Not Purchased.
This Location Includes an Annual Inflation Guard of 2%,
Mortgagee l: BAC Home Loans Servicing, LP
ISAOA/AT[MA
P.O. Box 961206t°hvx-22
Fort Worth, tI'X 76161
Loan Number: 020512509
Mortgagee 2: Citibank FSB & it, afPilih[es & its
Successors and or assigns ATIMA
P. O. Box 7507
Springfield, 011 45501
Loan Number: 328887807
PH Dec2-1b INSURED Date Printed 07/05/2011
A r�-
M
I
B A K E R S F I E L D
Public Works Department
1501 Trurtun 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 or proppsetl ancr achineot) Own rs me)
"f Phnne. 3s
(Address of proposed encroachment)
awk1X1F
1.)..Name: ,..,r Date:
Address %�)
r k
2.) Name: <-� C ;;> >�� ��'k ��°�%' � - -Dafe:
Address. z '? 'CA
3.) Name: Dater
Address:
4.) Name: Date:
Address:
5.) Name: Date:
Address:
6.) Name: Date:
Address:
E A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: July 26, 2011
SUBJECT: Encroachment Permit Application for: 4900 Ina Court
Name of Applicant: Sue Snook
Description of Encroachment: Existing Y wrought iron fence in front yard
behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S? PERMITSIENCROACHMNSURANCM00 lna Ct.doc
�L
B T� E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor Il, Subdivisions
DATE: July 26, 2011
SUBJECT: Encroachment Permit Application for: 4900 Ina Court
Name of Applicant: Sue Snook
Description of Encroachment: Existing Y wrought iron fence in front yard
behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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