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
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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