The URL can be used to link to this page

Home My WebLink About11812 JENLEE AVEBA I ENCROACHMENT PERMIT CITY OF BAKERSFIELD a PUBLIC WORKS DEPARTMENT 4.4f� 1501 TRUXTUN AVE C 4— P, 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 . . . . . 14-30000006 Date 1/28/14 Property Address 11812 dENDEE AVE Application type description PN - ENCROACHMENT PERMIT Omer Contractor ________ ________________________ EDRGEIE STEPHANIE OWNER 11812 SENIBE AV BANERSFIELD CA 93312 472-6543 --------------------------------------------------------------------------- Permit . . . ENCROACHNENT PERMIT Additional des, . . Phone Access Code . 1422419 Permit Fee . . . . 208.00 Issue Date . . . . 1/28/14 Valuation . . . . 0 pty unit Charge Per Extension BASE FEE 208.00 Special Notes and Comments January 28, 2014 11:09:21 AM penriguez. 6, foot tall wood fence about 8'6" behind sidewalk on side of backyard. Contact Terry Gaylord (661) 492-6543 ------------------------------------------ Fee summary Charged PaidCredited 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 any time. Signature of Jkpplicant (Owner/Agent) Print Nbme / 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) CONSITUIE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTE (DENIED) Said permit shall expire on date stated above. z1\ Signature of City Engineer Additional Terms on the Back e�xr; � °yc ouor..yRSi .ar U C 0 ' C xi Ifthere is no address FULL NAME OF t to work describe limits of work by distances from nearest existing street intersection. FAX: CELL: U 1 —II7 � PROJECT INFORMATION DESCRIPTION�OyFEINC/'g,�O,,ACrHMEN,'It (amp�t^e: Wood or roughtiron f�nce(�, concrete block wall, raised planter, etc.): IIA 1�`i/'l1 I A X.Y l MON 'y ILI Y' Q i lri �A Q,IU.X PERIOD OF TIME FOR ENCROACHMENT: DEFINA or OTHER: n v vele) CONTACT PERSO �W p UJ lQ%�j 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 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 property or ripht of way where thesameis 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 Encroachment Permit Fee: $205.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Fotm.DOC January 2009 ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 16611326-3724 Fax (6611852-2012 t to work describe limits of work by distances from nearest existing street intersection. FAX: CELL: U 1 —II7 � PROJECT INFORMATION DESCRIPTION�OyFEINC/'g,�O,,ACrHMEN,'It (amp�t^e: Wood or roughtiron f�nce(�, concrete block wall, raised planter, etc.): IIA 1�`i/'l1 I A X.Y l MON 'y ILI Y' Q i lri �A Q,IU.X PERIOD OF TIME FOR ENCROACHMENT: DEFINA or OTHER: n v vele) CONTACT PERSO �W p UJ lQ%�j 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 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 property or ripht of way where thesameis 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 Encroachment Permit Fee: $205.00 S:\PERMITS\ENCROACH\Encroachment Permit Req Fotm.DOC January 2009 B A X E R a F I E L D Public Worl<s Department 1501 Twun Avenue Bakersfield, Catifomra 83301 (661)326-3724 TO WHOM IT MAY CONCERN: WE the undersigred, have no objection to the construction of a fence beside the sidewalk within (':e puo;ic ryh:-of-way. cSlA2�9 (Own {S[ree, to: proposed er�.cVro�zc�blmtengnµ� q �//}� �� tnq ^�� /J i;`N� e �.��,t"�� Or �� ,�x� I�C.� 1 II/Q. LJAK- Iv,2l�L�t'Fnne. �� ! r-1y�_ jAddress or proposed cncroschmem) �— SIGNED I Name: F�(`yrnn �fsl � Date:kaoress 2. 3.7 Name: Date: Address. 18'o f J-cL �J_jw lam') ,, 3.) Name. l i J/�-r,VF='� \ fj✓:/� W` • Date: I Address:mak, izFc POIR 4.) Name: Date:///1:2 Address: Z/": / ✓ s.) Name: <J. QFr , :J /�7 Date: t 7 - Address: Address: [c819 _(e,,,/� A� 6.} Name: I�r; jJ < Date: Address, _, j_ Ir Caner k�� universal Ivortn Amenca Ins.. Co. Processing Center D -BILL: NATIONSTAR MORTGAGE PAGE: 1 ARROWHEAD GENERAL INSURANCE GEICO INSURANCE AGENCY, INC AGENCY, INC. ONE GEICO BLVD P 0 BOX 9061 FREDERICKSBURG, VA 22412 CARLSBAD, CA 92018-9061 NAMED INSURED AND ADDRESS LOCATION lit different from ls.u,.d address) STEPHANIE D BURGEIS AND 11812 JENLEE AVENUE TERRY GAYLORD BAKERSFIELD, CA 93312 11812 JENLEE AVENUE BAKERSFIELD, CA 93312 POLICY NO: HCA1504529 Policy Period: 4/02/2013 to 4/02/2014 HOMEOWNERS DECLARATIONS 12:01 A.M. Standard Time at the Address of the Named Insured as Stated Herein. COVERAGE PROVIDED WHERE PREMIUM OR LIMIT OF LIABILITY SHOWN .FOR THE COVERAGE j - - - - - - - - SECTION I - - - - - - - - I - - -.SECTION II- - -11 SPEC PROVISIONS CA COVERAGES A.DWELLING B OTHER C.PERSONAL INSURANCE DISCLOSURE D.LOSS E.PERSONAL F.MEDICAL DWELLNG LIMIT NOTICE AND LIMITS STRUCTURES PROPERTY OF USE LIABILITY PAYMENTS UNA PRIVACY POLICY OF LIABILITY 238,500 23,850 119,250 47,700 100,000 1,000 PREM ALARM/FIRE PROT THIS POLICY INCLUDES BUILDING CODE UPGRADE COVERAGE OF 10% FOR LOSS UNDER SECTION I, WE COVER ONLY THAT PART OF LOSS OVER THE DEDUCTIBLE STATED: .$500 LOSS DEDUCTIBLE SUMMARY OF PREMIUM: BASIC PREMIUM .$682 ADDITIONAL PREMIUM $95CR TOTAL PREMIUM $587 TOTAL PREMIUM $587.00 POLICY FEE $4.5.00 TOTAL POLICY $632.00 POLICY SUBJECT TO THE FOLLOWING SURCHARGES, CREDITS, ENDORSEMENTS AND FORMS: FORM NO EDITION DESCRIPTION LIMITS PREMIUM. HO 00 03 4/91 SPECIAL FORM AHHO-SP CA 6/09 SPEC PROVISIONS CA AHHO-CRID 7/11 INSURANCE DISCLOSURE CA PHMITV 6/09 DWELLNG LIMIT NOTICE HO 04 90 4/91 REP COST -PERS PROP UI GLB 3/09 UNA PRIVACY POLICY USP 00 9/11 UNA SIGNATURE PAGE HO 04 16 4/91 PREM ALARM/FIRE PROT LOSS FREE CREDIT TILE ROOF CREDIT DEDUCTIBLE $500 RENEWAL CREDIT CA BOR 7/11 INSUR DISCLOSURE BOR AHHO-10 6/09 CA INS GUARANTEE ASN AHHO-50 6/09 MOLD EXCLUSION AHHO-7 6/09 CA HOMEOWNERS ENDMNT MODIFIED REPLACEMENT COST 50$ AHHO-9 6/09 LENDERS LOSS PAY END OCC: PRIMARY PGM: ELITE Date Issued: 03/29/.13 TERR: 050 BUILT: 1998. FRAME * CONTINUED $68 $14CR $34CR $20CR $61CR $34CR PRT CLS: 00 i </c nlao see .phbllo'3 040,0kwl TO: FROM: DATE: SUBJECT: R S F I F L D PUBLIC WORKS DEPARTMENT MEMORANDUM Jena Covey, Risk Manager Bob Wilson, Supervisor II, Subdivisions January 28, 2014 Encroachment Permit Application for: 11812 Jenlee Ave. Name of Applicant: Stephanie Surgets Description of Encroachment: 6' tall wood fence about 8'6" behind sidewalk on side of backyard. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: WERMITS\ENCROACH\INSURANCE\11812 Jenlee Ave.doc B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor ll, Subdivisions DATE: January 28, 2014 SUBJECT: Encroachment Permit Application for: 11812 Jenlee Ave Name of Applicant: Stephanie Burgeis Description of Encroachment. 6' tall wood fence about 8'6" behind sidewalk on side of backyard. Please review the attached encroachment permit and return to me at your earliest convenience. S'.TERWTS\ENCROACH\TR FFIM11812 Jenlee Ave.doc