HomeMy WebLinkAbout400 LINNELL WAYenx ENCROACHMENT PERMIT
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CITY OF BAKERSFIELD
o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
O 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 publicproperty or right of way as therein defined.
Application Number . . . . . 13-30000023 Date 4/18/13
Property Address 400 LSNNELL WAY
Application type description PW - ENCROACHMENT PERMIT
owner Contractor
PAYEES DONNA J OWNER
400 LINNRLL WY
BAKERSFIELD CA 93307
-------------------------------------------------------------------------
Permit . . . ENCROACN4@NT PERMIT
Additional dear .
Phone Acres. Code 1315266
-
permit Fee . . . . 208.00
Issue Date . . . . 4/18/13 Valuation . . .
. 0
Qty Unit Charge Per
Extension
1.00 206.0000 EA PW ENCROACHIAENT
208.00
Special Notes and Comments
April 18, 2013 12:32:05 PM mmendenhal.
Existing 4- wrought iron fence at back
of sidewalk. Contact person: Dound
Genet 661-444-8414
Fee summary Charged Paid Credited
__________ __________ __________ __________
Due
_________________
Permit Pee Total 208.00 208.00 .00
.00
Grand Total 208.00 208.00 .00
.00
Applicant acknowle gas the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revoke the permit any time.
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Signal re of Applicant (0 ner/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 r \N1nT(DENIED) Said permit shall expire on date stated above.
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Signature of City Engineer
Additional Terms on the Back
3 ?jct�D23
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 1220: 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-w//ay/as therein defined. / '/
62 Full name of applicant and complete address including phone number: tP tow— 4`I` —A(l ,�./
Leny1V/4' Vit�ITL'Y O �./�J.t/6ZL GciGY JJ�nC )e F/CLQ{ C9- l'93�
Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
IIJJ fence, concrete block wall, raised planter, etc...)
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( location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back ofsidewalk)
1,-4,.2 Period of time for which the encroachment is to be maintains . Indeffrif a or Other.
ase Circle)
5. Is property part of a Homeowner's Association 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 judidial 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 grantedor
or right of way to me condition as
as that in which it was before the placing, erection, maintenance
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($) and air ount(s) of insurance coverage is: n
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
any time. ,_
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5 A K E R S F IB O
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
. (661)326-3724
1'O 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.
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(So-ee� o�r/proposatl encroachment) / wners 'zme
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(Address of proposed encroachmem)
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Name:
Address:
2.) Name:
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Address:
3.) Name:
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Date: 4l
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Date:- lo -i3
Date:
FARMERS NEXT GENERATION HOMEOWNERS POLICY
MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA
A Stock Company
TRAWACTIONTYPE OFFER OF RENEWAL
Tl.o PAi ,P...L.d 1..fGno..<<h.,.o..bAn and efineth..timn f—hicbaunlied.
roulriRiiEec ISSIJING OFFICE:
23175 NW Bennett St.
Hillsboro, OR 97124
This polky YAI tathm Fm seae sdve pdity pmiads, FE (1) we elect to continue this umucance, and (2) if you pry the ceoewal pre arra for each
successive policy pedad as mgolred by our vt., tole; forms sad pcetvium plays then m effect
NAMED INSURED AND MAIUNG ADDRESS: LOCATION OR DBaI RT1lON OF BRIBING PROMISES:
ISavmm M am. was oNe'du Ad:dl
FaIGNImD
-srnRDMIiiIIF
G..
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94932-59-02
FAOR
07-19-201]
rp_.
07-19-2013
12:01 A.M.
02
DONNA GENTET
400 LINMELL WAY
BA5IERSFIELD CA 93301-7094
COVERAGES- We hasucc you for the covetages and limits indicated as covered by
Coverage and Sc... IT - Liability Ex7ensiyns of Coverage that aie c
`: SEGPNSN L-PAOPERTV
A ftEIRS $-SJPda47Fitp)CMtiS C-7kRSON111PBW€RD'-CI -d=tOSSMust ,'.
CI dye nnn I D17.900 5134.250 271 1.600
750 1COVERED
u othet nomtion. Th.. Seedan I - E eoai. of
apply as described in the policy.
ANNUAL
PREMIUM
(!A045 IED NGHO - ENDORSEMENT AMENDING SECTION I PROPERTY CONDITIONS
56256 IED ENDORSEMENT EXCLUDING BODILY INSURY CAUSED BY ANIMALS
x6879 IED ENDORSEMENT APPENDING GENERAL CONDITIONS
258531 1104 CALIFORNIA NOTICE OF INFORMATION PRACTICES
DA099A IED FARMERS NEXT GENERATION HOMEOWNERS AMENDATORY ENDORSEMENT
DISCOUNTS
50 PLUS, AUTO/HOME, NON SMOKER, EXPERIENCE RATING PLAN, GROUP, AND CENTRAL BURGLAR
ALARM DISCOUNTS HAVE BEEN APPLIED TO YOUR POLICY.
applicable to taco covered loss:
$500
full4 Alllvlll U [ pay - aepacuts"
$ NONE Previous Balance
572.38 P.. W 701AP Rum OR.
Pees' atoll 58.00 0l IHS WW
II AM l0 ml NOT
IImIN. INAN0.5 OFR
Paymoup, rcv,di¢ SI.oOME99EDIDRI[OB1.
$ NONETotel.' INSURED PAYS
.SEE ADDITIONAL FEE INFORMATION BELOW
This Declarations page 4 part of your policy. It supscsedes andcontrols
anything to dao contrary. It is othecmist s.biottm alt other teens of the poky.
AGENT: DUSTIN GONZALES
AGENTPRONE (661) 589-0304 AGENTNUMBER:95 41 331
%9179 SMIONMN 1011 94932-59-02 (Candled on the Repeat Sid,)
coatao,OO�inng{{oat�u.
Au[oodzed Representative
05.•29.2012 (5979511
Addgiovel han . Sxfion II- haWliy Coverage. Propose of use n re &fial, Liles, slaw olheroke.
INCLUDES 10% BUILDING ORDINANCE COVERAGE (CALCULATED AS A PERCENTAGE OF COVERAGE
A OR B) AS APPLIED PER THE POLICY.
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,
ASK YOUR FARMERS AGENT ABOUT FLOOD INSURANCE.
INSURED PAYS PREMIUM.
IN THE EVENT OF A LOSS, AT ANY TIME, CALL US AT 1-800-FELPPOINT (1-800-435-7764)
MORTGAGEE OR OTHER INTEREST: I ADDITIONAL MORTGAGEE OR OTHER INTEREST:
MORTGAGEE DEDUCTIBLE CLAUSE
THE FOLLOWING PROVISION APPLIES ONLY IF A MORTGAGEE IS: NAMED IN THE POLICY:
FOR ANY LOSS IN WHICH ONLY THE NORTGAGEE'S INTEREST IS ADJUSTED AND SETTLED,NOT INCLUDING
ANY INTEREST YOU MAY HAVE IN THE PROPERTY OR LOSS,THE APPLICAHLE.➢IDUCTIBLE WILL BE THE
SMALLEST OF THE POLLOWING AMOUNTS:
1. THE DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE,OR
2. $1,000.
THE POLICY DEDUCTIBLE STATED IN THE DECLARATIONS OR RENEWAL NOTICE WILL APPLY TO
SETTLESEST OF ANY INTEREST YOU MAY HAVE IN THE PROPERTY OR LOSS.
Additional Fee Information
The "Fees" identified in the "Policy Activity" section above apply on a per -policy, not an account basis. The followmg
additional fees also apply.
In consideration of our agreement to allow you to pay in insstaUments, the following service fee(s) will apply:
For the Monody Recurring Electronic Funds Transfer (EFT) and fully enrolled in on-line billing (paperless)
option, a service charge of $0.00 per installment is applied per account.
For other Ivlonthly EFT payment plans, a service charge of $2.00 per installment is applied per account.
For all payment plans other than those listed above, a service charge of $5.00 per instillment is applied per
account.
If your account is for the payment of premiums on more than one policy; any change in these fees will not be effective
until the updated service fee information is provided for each of the policies.
In addition, the following fees also apply:
LATE FEE: $10.00 (applied per account)
RETURNED PAYMENT CHARGE: $25.00 (applied per each check, electronic transaction or other
remittancewhich is not honored by your financial institution for any reason including but not litnited to
insufticiern funds oI a closed account)
REINSTA'PEMENT FEE: $25.00 (applied per policy)
One or more of the fees or charges described above may be deemed a pact of premium under applicable law.
%479 XH®IRNI 1011 (4179512
I-.: FF R S F I F. L U
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer III
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: April 29, 2013
SUBJECT: Encroachment Permit Application for: 400 Linnell Way
Name of Applicant: Donna Haynes
Description of Encroachment: Existing 4' wrought iron fence behind
sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S: WERMITSkENCMAMTRAFFIC400 Linnell Way.doc
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Jena Covey, Risk Manager
FROM:
Bob Wilson, Supervisor ll, Subdivisions
DATE:
April 29, 2013
SUBJECT:
Encroachment Permit Application for: 400 Linnell Way
Name of Applicant: Donna Haynes
Description of Encroachment: Existing 4' wrought iron fence at back of
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: �PERMITS%ENCROACHUNSURANCEW00 Linnell Way.do
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