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HomeMy WebLinkAbout1005 JIMSON STsA ENCROACHMENT PERMIT in CITY OF BAKERSFIELD v o PUBLIC WORKS DEPARTMENT 4 1501 TRUXTUN AVE C w.r'`v® 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 . . . . . 13-30000009 Date 2/14/13 Property Address 1005 JIMSON ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor ________________________ __________. BERMUSED ARTORO OWNER 1005 JIMSON ST BAKERSFIELD CA 93307 -------------------------------------------------------------- Permit ENCROACHMENT PERMIT Additional deet . . Phone Meese Code . 1291319 Permit Fee . . . . 205.00 Issue Date . . . . 2/14/13 Valuation . . . . Qty unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT _________________ 208.00 ---------------------------------------------------- Special Notes and Comments Place 4' high wrought i n fence just behind sidewalkand along side of house up to house. Will be .,.;ding the utility boxes. Contact person: Arturo Bermudez (661) 834-6439 ___________________________________________________________________________ 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 time. /�°c&" '&Z"'"iJ'27v/ea f3 ela, luocz Signature of Applicant (Owner/Age) 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 GRANTED (DENIED) Said permit shall expire on date stated above. 4�e_ Signature of Qry Engineer Additional Terms on the Back / 3 eco o0_7 s 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: f _g % je0 .8�,yA4 U nL- Z /^ ^ � �jIM50N ST 5,4 16 LD LAl/F c7330 % Lv�/ 83y'6 37 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrou nt iron fence, concrete block wall, raised planter, etc...) 3. Location of proposed encroachment: (Example: Side a at back of sidewalk 0frontyar4at back of sidewalk) 4. Period of time for which the encroachment is to be maintained: fndefinft or Other. (Please Circle) 5. Is property part of a Homeowner's Association Yes f 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, orjudidial 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 of way where the same is located, and restored said public property or right of way to the condition as 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 types) and amounts) 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, ' 59EncroachmentPe its\ApplicatlonforEncroachment B A K E R S F I E L D Public Works Department 1501 Truxtan 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. d/sa>v ST BY.AeTi/zo (b�rtci for propose encroachment) (Owners nr I'bQoa: GG/- S3 VZ1•)- 3 9 (Address of proposed eneroaehri SIGNED: 1,) Name. Address. Date: y_ -Q 2) Name: # a Date Address: 3.) Name: O/Se /xJ i. Date: - 13- ( 3 Address: 4.) Name: 14 yyrllwl Date. ��f / Address. 5.) Name, Address: .' 6.) Name: ,l�piDate: �' /.�- /3 Address. %_ SaN 0 Memorandum of Fire Insurance AL FARMERS' and Subscription Agreement Policy Number: 915363741 This is a Memorandum of Insurance and a Subscription Agreement. Your signature at the end of this document is required. If our records do not show that you have provided us with a signed copy of this document, we reserve the right to terminate your coverage. Please keep a copy for your records. This Memorandum of Insurance is a summary description of the coverages for which you applied. When you applied for your insurance, Farmers® used an estimating program to calculate an Estimated Reconstruction Cost to rebuild your home. (See below.) You may have chosen to insure your home for the amount of the Estimate, or you may have selected a different amount. (See below.) It is your right and responsibility to determine the amountof your insurance coverage. Your agent cannot choose your coverage amounts for you. Please verify that all the information on this document, and your policy when you receive it, is complete and correct. Advise your Farmers agent of any changes that need to be made and thank you for doing business with Farmers. Policy Information Company Name: Fire Insurance Exchange Policy Number: 915363741 Effective Date: 02/13/2013 Household Number: 0573774914 Policy Type: Special Form/Townhouse Special Primary Insured and Property Address: Agent Information: ARTURO BERMUDEZ MAXIMO G SANCHEZ 1005 JIMSON ST 4300 WHILE RD STE H BAKERSFIELD, CA, 93307-6309 BAKERSFIELD, CA, 93313.2626 661-834-7300 Additional Named Insureds For This Policy MARIA BERMUDEZ Coverage Information Deductible applicable to each covered loss: $500 Coverage Description: Coverage Limit PACKAGE - COV A - DWELLING $223;000.00 PACKAGE - COV B - SEPARATE STRUCTURES $22,300.00 PACKAGE -COV C- PERSONAL PROPERTY $122,650.00 PACKAGE - COV D - LOSS OF USE $66,900.00 PACKAGE -COVE- PERSONAL LIABILITY L$30Q000. PACKAGE - COV F - GUEST MEDICAL $1,000.00 BUILDING ORDINANCE OR LAW COVERAGE 10% 316093 ::-n dSrs.e Vtp Page 1 of 5 95-41-365 Payment Information State Charges: ..................... $ Fee: .................................. - $ Total Due; ....................... _ $ Discounts and/or Surcharges: AF-AUTO/HOME DISCOUNT NS -NON SMOKER. NONE 0.00 (Fee is non-refundable) 921.32 AGE FIFTY PLUS ED -EXPERIENCE RATING PLAN DISCOUNT AST Property Information Policy Number: 915363741 Year Built: 1983 Square Footage: 1505 Square Footage includes all living area, specifically excluding the following: Garage, Basement, Attached Greenhouse unifier Solar Room, and all Detached Structures. Estimated Reconstruction Cost: $208,000.00 Coverage A, Dwelling Amount of Insurance: $223,000.00 The Estimated Reconstruction Cost is based on the unique construction characteristics of your dwelling, which you confirmed with our agent, and the geographic location of your dwelling. The Estimate is a guide to assist you in determining coverage for your dwelling. It is your responsibility to choose the coverage limit that is right for you. However; the Estimate is just that - an estimate. It is not a guarantee that your home can be rebuilt for the amount of the estimate. I have advised my agent of all features and conditions of my dwelling, and acknowledge that an independent inspection may be performed to validate this information. 316098. 12-11 0Sups wept Page 2 of 5 awNelua0 laa�75 — _ _ _ J J 09 E z �ell°'J 8 Wa0 ° Mloxap6 pesoEad m mg,,3 `o ' ct Ems cr- a I� a;z � O m z d Ad �: Q � J a U O Q co O f s W p ` W U z O O J awNelua0 laa�75 — _ _ _ J J 09 E z �ell°'J 8 Wa0 ° Mloxap6 pesoEad m mg,,3 `o ' ct Ems cr- a I� a;z � O m z d Ad �: Q �2 B A I> E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: February 19, 2013 SUBJECT: Encroachment Permit Application for: 1005 Jimson St Name of Applicant: William Culbertson Jr Description of Encroachment: Place 4' high wrought iron fence just behind sidewalk and alongside of house up to house. Will be avoiding the utilities boxes. Please review the attached encroachment permit and return to me at your earliest convenience. go'c/1-ala S?PERMITSENCROACHTRAFFI 1005 Jimson Stdoc P, A T� E R S F T E I, D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager-% FROM: Bob Wilson, Supervisor II, Subdivisions DATE: February 19, 2013 SUBJECT: Encroachment Permit Application for: 1005 Jimson St Name of Applicant: Arturo Bermudez Description of Encroachment: Place 4' high wrought iron fence just behind sidewalk and alongside of house up to house. Will be avoiding the utilities boxes. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:�PERMITMENCROACHUNSURANCE\1005 Jimson Stdoc