Loading...
HomeMy WebLinkAbout11301 JENLEE AVEBA ENCROACHMENT PERMIT 0��,�wouES I CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 LIFO (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 . . . . . 11-30000029 Date 11/17/11 Property Address 11301 JENLEE AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor ________________________ ________________________ JOHNSON RODNEY R & MARGARITA F OWNER 11301 JENLBE AV BAKERSFIELD CA 93312 ---------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional nese . . Phone Access Code . 1151596 Permit Fee . . . . 208.00 Ieaue Date . . . . 11/19/11 Valuation . . . . a Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ____________________________________________________________________________ Special Notes and Comments November 17, 2011 2:36:57 PM mmendeMal. Concrete and wood block fence at back of sidewalk on aide yard - Jewetta Avenue Rodney Johnson - 661-319-6530 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited One ---- ___------- ___ __________ __________ __________ __________ Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .0000 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. f/s — IIRODA1O, Y (2.-Ji04tjS0^J gnatur 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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (DENIED) Said permit shall expire on date stated above. Signature of Citnngineer Additional Terms on the Back 2 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 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: EOhV E y R. ,(OMA) SQ,/ 11301 S60LEF_ AVE .1!5W,-BF1 LP-C4?33iz GG! -3/9-6530 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...) /QA)e_R TF f%40fJG /SWI) IMMO FELL& 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) S)DE YA90 ALOI✓G SEWED 4. Period of time for which the encroachment is to be maintained: Af definit or Other. ase Circle) 5. Is property part of a Homeowner's Association yes XNo 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 fv or right of way where the same is located, and restored said public property or right of way to the condition as 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. 59EncroachmentPeimits W pplioationforEncroachment 6 A K F 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. J EWEd By IZoJJNEY K, Joif ✓5cn/ (Street or propusa encroachment) pwners ame) Of (Address of proposed encroachment) SIGNED 1.) Name: � Address: 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: 6.) Name Address. Date: /D—/(,—// Date: /V—l6C /// Date: Date: Date: Date: Exchange of the Automobile Club oInterinsurance Members' Homeowners Policy Coverages and Limits Multi Policy Roof Type Mature Fire Alarm Deadbolt Renewal Declarations - Form 3 Loyalty 9 yrs We are pleased to offer you a renewal for your homeowners insurance policy. To renew your policy, send at least the minimum payment on or before the due date. Insurance is in effect only for the coverages and limits of liability shown on this declarations PREMIUM SUMMARY page and as set forth in the insurance policy and endorsements. These declarations, together with the contract and the endorsements in effect, complete your policy. Additional Coverages YOUR NAME AND MAILING ADDRESS (Named Insured) Basic Coverages Less HOMEOWNERS POLICY NUMBER CIGA JOHNSON, RODNEYAND JOHNSON, MARGARITA CHO 006287786 Payments Employees 11301 JENLEE AVE BAKERSFIELD CA 93312-3021 POLICY PERIOD (PACIFIC STANDARD TIME) $1,303 - $762 + $42 + $9 + + $53 + THIS POLICY IS EFFECTIVE $645 + If you choose to pay less than the full balance outstanding, a $5 fee will apply to each installment billed, as stated in your FROM: 0341-2011 12:01 A.M. TO: 0341-2012 12:01 A.M. LOCATION OF RESIDENCE PREMISES (if different from mailing address above) YEAR BUILT: 1888 COVERAGES AND LIMITS OF LIABILITY - Coverages are subject to all conditions of this policy. Part I Property Covemoss Description Deductible' Limits Dwelling Coverage A'• Yes $306,000 Other Structures Coverage B.. Yes $30,600 Unscheduled Personal Property Coverage C Yes $229,500 Loss of Use Other Coverages 1. (20% of the amount of Coverage A) No Building Code Upgrade Other Coverages 5. If 0% of the amount of Coverage A) Yes The limit of liability for this structure (Coverage A) is based on an estimate of the 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. ' A deductible of $1,000 will apply as indicated. Part I limits may have been adjusted to reflect an updated replacement cost. "Coverage A and Coverage B -Guaranteed Replacement Cost Included. Part If Liability Coverages Description Limits Personal Liability Coverage D (Bodily Injury and Property Damage) - Each Occurrence $500,000 (Personal Injury) in the Aggregate Medical Payments to Others Coverage E - Each Person $5,000 Part IV Workers' Compensation and Emolovem' Liabiifty Covaraass Description Workers' Compensation Coverage F - Statutory Employers' Liability Coverage G (per Conditions Part IV Provision 3) Residence Employees - Outservant(s) DO 1Inservant(s) 00 PREMIUM DISCOUNTS APPLIED TO YOUR POLICY Multi Policy Roof Type Mature Fire Alarm Deadbolt Single Story Loyalty 9 yrs PREMIUM SUMMARY Additional Coverages Basic Coverages Less Liability Medical Residence Endorsements CIGA TOTAL Discounts. Payments Employees Assessment PREMIUM $1,303 - $762 + $42 + $9 + + $53 + _ $645 + If you choose to pay less than the full balance outstanding, a $5 fee will apply to each installment billed, as stated in your billing statements, which are part of these declarations. THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE. s¢omnrtai PROCESS DATE: 01-11-2077 - (SEE REVERSE) open ewe J ] 0 �- r I 40- • R S F I E L D 13 A K E PUBLICMEMORANDUM WORKS RMENT TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 23, 2012 SUBJECT: Encroachment Permit Application for'. 11301 Rodney &nlee Avenue garitaJohnson Name of Applicant: Description of Encroachment: Concrete and wood block fence at back of sidewalk on side yard — Jewetta Ave. reviewed the attached encroachment permit to allow the Engineering and Traffic staff has 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. &TERMIMENCROACN18011 Approval Letters\11301 Jenlee Ave.doc • B _1 h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO:—Refph-KnTn,-Risk Manager 3.'� FROM: Bob Wilson, Supervisor II, Subdivisions "N�l DATE: January 6, 2012 SUBJECT: Encroachment Permit Application for: 11301 Jenlee Ave. Name of Applicant: Rodney & Margarita Johnson Description of Encroachment: Concete and wood block fence at back of sidewalk on side yard — Jewetta Ave. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:WERMIMENCROACMINSURANCEt113D1 Jenlee Ave.doc 0 B A I-�: E R 5 F I E L ll PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: January 6, 2012 SUBJECT: Encroachment Permit Application for: 11301 Jenlee Ave Name of Applicant: Rodney & Margarita Johnson Description of Encroachment: Concete and wood block fence at back of sidewalk on side yard — Jewetta Ave. Please review the attached encroachment permit and return to me at your earliest convenience. I— 116-- -00/-Z- 0. a/2 0. (c . fi�'Vcc stta fcp myr p(zoM IVF 10- S:WERMITS\ENCROACN\TRAFFIC\11301 Jenlee Ave.doc