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Home My WebLink About3521 JEWETT AVEA ENCROACHMENT PERMIT o�ywaro.,, oh'S -0 CITY OF BAKERSFIELD d PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE r, 9 ® BAKERSFIELD CA 93301 9LIF0 (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 . . . . . 15-30000019 Data 5/21/15 Property Address 3521 JEWETT AVE Application type description PW - FNCRQACHMENT PERMIT Owner Contractor _________________ ________________________ FE INVS LLC OWNER 2607 RIO VISTA DR BAKERSFIELD CA 93306 ------------------------------------------------------------------------ Permit . , ENCROACHMENT PERMIT Additional deet . . Rhone Access Code 16a5019 Permit Fee 208.00 lceue Date . . . . 5/21/15 Valuation o Qty Onit Charge Per Extension 1.00 208.0000 EA PWENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Commerce Construct a new chair tfence in front yard a3521 Jewett t Avenue. 64 AII&Yi 'WJ Flavio Peres 978-9922 ________________________________________________________________ Fee a "' Charged Paid Credited Due -----i----------- ---------- ---------- ---------- ---------- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 20x.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. "ifllCar,6o 04L ZZ p 4e VC L Si ature of Applicant (Owner/Agent) Print Name 1 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. Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF APPLICANT COMPLETE ADDRESS: 3521 DESCRIPTION OF planter, etc.): _Ueg PHONE: FAX: CELL: PROJECT INFORMATION ENT (Example: Wood or wrought iron fence, concrete blockwall, raised PERIOD OF TIME FOR ENCROACHMENT: INDEFINIT r OTHER: (Please irc a t� r 1 CONTACT PERSON T\CM0 off? PHONE: 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, orjudicial 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 enemachmentor until such time that this permit is revoked. Applicant further agrees that upon the expiration of the permit for which this applicationis made, if granted or upon the revocation thereof by the City Engineer, applicant will at his own cost and expense remove the same from the public .property or right of way where the same is located, and restore said public property or right of way to the condition as nearly 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $208.00 5:\PERMITS\ENCROACII\IivcmacM1meni Permii Req Form. DOC Sept. 2013 B A K H R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661)326-3724 IT MAY CONCERN: We the undersigned, have n0 Objection t0 the con5hU0ti0n of a fence beside the sidewalk within the public right-of-way. So-ce�o popost cnCroncimeRnt�\R By: ww1�my �� Qf�.2 or (Address of proposed cncronchmmly) SIGNED 1.) Name:� Date: S••%S Address: ZS I V r -EL.,. E'-rf- z.>Name: i '�i�'°�5��rtr'. (n\�VnS Date , -s I� l Address F7l 1 3.)Name: C7OQJUin Date,S/Z��,r2_ Address: 9 4.) Name: Address: 5.) Name: Address: e.) Name: Address: Date. Date: Date: ACRO® EVIDENCE OF PROPERTY INSURANCE I DASi2y75 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREP4S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITONAL INTEREST. _ °NONE .661-325-2422 JOYCE LOGRECCO IRSDRANCE AGENCY 2124 P STREET AMERICAN MOSEN INSURANCE COMPANY BAKERSFIELD CA 93301 F.aa. .._.. 66L329-01031 E.;M— i 1CCieCCOlnaBvahoO. CO1 / IlUDR® N""SI N/A FB INV88TNENTS, LLC vrtv:nvEwlE Exve+A,an DAre 2607 RIO VISTA DR 5/21/15 5/21/16 RAXERSFIRLD, CA 93306 *xn.... EN.E ..7 3521 JENETT AVE., RAEERSPISLD, CA 93301-1612 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSUHANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. CW9IGCEIPFA0.SIFORMS ARWMTOF WRIRANDE OBNMTSE DWELLING DY -1 FIRE ARD EXTENDED COVERAGE (RENTAL) PREMISES LIABILITY $80,000 $300,000 $1,000 SHOULD ANOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INY ACCORDANCE WITH THE PoLICY PROVISIONS. MVEM1DADCR W TO NEON IT MAY CONCERN NTRTGNIEE LGSS PAYEE LLLRKHPL—REO LqW s N/A AIITggQ_FDRSgF851TATVE W AV�✓"'� l/( ACORO 27 (2(I09112) v Ta:u-cwa ewn- ,.,. „y,,,a..�.,..... The ACORDnameandlogoale .a ,IACORN J J z i U d 1 d 1 Fd i� W �Q J 09 ; L rw«°a5 aPo°a°,d a 5was.3 — O Q W� a m I� %g co LQ 6 J E R S F I E L. D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: May 28, 2015 SUBJECT: Encroachment Permit Application for: 3521 Jewett Ave Name of Applicant FE Invs LLC Description of Encroachment. Construct a chain link fence in front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 404, ( Ir S'.\PERMITS\ENCROACMTRAFFIC\3521 Jewett Ave doc TO: FROM: DATE: SUBJECT: 6 • S r f L' L L PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager 4k--, Bob Wilson, Supervisor II, Subdivisions May 28, 2015 Encroachment Permit Application for: 3521 Jewett Ave Name of Applicant: FE Invs LLC Description of Encroachment. Construct a chain link fence in front yard behind sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:WERMITS\ENCROACH\INSU1 NCE\3521 Jewett Ave,d.