HomeMy WebLinkAbout11301 JENLEE AVEBA
ENCROACHMENT PERMIT
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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
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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
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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)
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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.
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