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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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