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HomeMy WebLinkAbout2503 MARCH AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (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 . . . . . 14-30000015 Date 3/07/14 Property Address 2503 MARCH AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor JENNINGS MATTHEW J fi CRRISTIN6 OWNER 2503 MARCH AV PAA6RSFIELD CA 93313 --------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional desc . Phone Access. Cods 1437201 Permit Fee 208.00 Issue Date . . . . 3/07/14 Valuation 0 Qty Unit Charge Per Extension EASE FEE 208.00 --------------------------------------------------------------------------- Special Notes and Comments March 7, 2014 9:17:49 AM penriquez. Existing 4' high wood fence in front yard behind sidewalk. Contact Matt Jennings (661)401-0250 ---------------------------------------------------------------------------- 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 pe mit at an time. _ Signature 6fApplica caner/Agent) Print Na e 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) (QENIED) Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 4 BAF ENCROACHMENT PERMIT ILI ,every„ Rs -. APPLICATION FORM IIITY OhBAKERSFIIiLD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE II, OR, BAKERSFIELD CA 93301 zcc: (661)326-3724 Fm:(661)852-2012 LOCATION OF ENCROACHMENT(Address required where available}. - �:M9�t AVE L� � C 11 A33) If there is no address adjacent to work describe limits of work by distances from nearest existing: meet intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT � 5�Ntq A,6S COMPLETE ADDRESS- M.IV<G.k_.W PHONE: (jff)&3!�7(/,F &d_.XZ e -S fi yrs D . C Gi FAX: {, �j °I�2 j13 CELL: Y (AID CSLJ � PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, co tcrete block wall, raised planter, etc.): Wrxx� f�'� "K / PERIOD OF TIME FOR ENCROACHMENT' INDEFINITE r OTHER: A; e) CONTACT PERSON "VWtt44oJ PHONE: 4�LOI Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hat mess the City, its officers agents and employees against any and all liability, claims, actions, causes of action or dei ands, whatsoever Against them, or any ofthem, before administrative, quasi-judicial, or judicial tribunals of any kin J whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other p, ratio 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 revocation thereof by the Citv F,naincer. aoolicant will at his own cost and exoense remove the sa ne from the oublic property or rinhl of way where the same is located, and restore said public property or right of waa 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 it full force and effect for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a C nilicate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The lype(s) and amount(s) of insurance coverage required arc: Residences: I lomeowncrs General Liability coverage in an amount of at Ieast $300.000.00 Commercial: Commercial Liability coverage in wt amount of at least $1.000,000.00 Encroachment Permit Fee: $208.00 S:1PERMIItiV:NCROACH�Encroachment Permit Req Fortn.DOC January 2009 • E A IC E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326-3724 TO WHOM IT MAY CONCERN: vae the undersigned, have no objection to the construction of a fence beside the sidewalk within t to public fight -of -way. I� C11�' 01 By:Ag e'6ne S (So: proposed encroachiner.'� wncrs ame (Address of proposed encroachment) SIGNED: 1.) Name: )3tdfI/ w5U'> Address: 2.) Name: "iL. t' Address: 3.) Name: ` Address 4.)Name: t r/1 O1.1 y�ta Address: 7 � I Z. l—? t ylKc.H --✓F 5.) Name: Address: 1-5)0 1✓r..-eh ri 2 6.) Name: Address: ,�U 122 r-nCA ri, t (i 't _ Date: ,i - p Dater �_ ( Date: ; I ,l 1, Date: 3 - .S / I N Date:��J1/ Praetorian Insurance Company Pavment Center: A Stock Company P.O. Bcx 673397 Marietta. GA =0005 Renewal Policy HOMEOWNERS POLICY POLICY NDMEER EFFECTIVE.: 11. 1312 ma DECLARATIONS .___ PHO^_0 _ _ EXPIRATION: 1111 3/20 It' AT 12 1 'S ST.AHBiF -.: biF AS THY �O AT.otDe ry.E -ZS'--. B.. zREv ISEEIDW= tN3 NAMED INSURED AND PROPERTY ADDRESS .leanings, Matthew dames aenaiags, Christine A 2503 March Awe, Bakersfield, ,A 93313 MAIL TO: YOUR AGENT IS: LEIS. v...TJou Jennings, Matthew SamezI Insurance Servi.ces,LLC Jennings, Christine A DEA US_ Affinity 2563 'larch Ave 450 70 7R j0 STF 710O Bakersfield, CA 93313 San Antonio, To 73229-5815 979-313-9606 SNSUR"�C IS TO HE PRO771DED O...v WITH RESPECT TO THE LOCNE-ON'S) P2D/OR CO%7CHH�7eS5 Fop, WHICH A LiMiT OF LTA ILITY IS S ECIFIED, SUBJECT TO Fti.L OF THE CONBIT'_ONS OF THIS POLT_CY; SECTION I COVERAGES LIMIT PREMIUM SECTION II COVERAGES LIMIT PREMIR.M A - D'aellirg $ 192.,0)0 0 506.00 E - Perscnal Liabirit $ =GG, LIVL 'v 3 - EEparate StrYlCtill:E9 1J,> _00 Included - Medical Ya ysents : C - Personal Property $ 124,800 ?POluaad Each Person $ _, GGfi Iacl,lded D - Lose of Use $ 64,990 Included (Section I Coverages A,BLC arc Stbiect to a $ 1,000 Dedv etible) in=iuded OTHER COVERAGES AND ENDORSEMENTS Number Edition Title LIMIT PREMIUM Oew Rome Credit _a2 OJ PF0002 0313 Important Netiee P.baut Your Homeo,-mers 3nsuranco v n is00003 1060 Homeonnaer3 3 - Special Form Included H00104 09066 Soecial Provisions - California Iacluded H01416 1000 Prea.ises Alarm or Fire Fr tectlon 80049E 1063 Day Care EXciUI-11 Endorsement HO1S1G 0109 water ^nxclusior Rndcrseme_it Included H02490 0601 workers Carcoensation - Residence Empioyeas Included N09-12 0,536 Gold HcTcv ners Package Endorsement I. ncivded TOTAL POLICY PREMIUM S .458.00 TOTAL CHARGED FDR THIS TRANSACTION $ 558.30 ANNUAL POLICY PREMIUM S 58.0, -(2--339Z!95) FIRST MORTGAGEE SECOND MORTGAGEE Hank of FmEYica, E.H. ISAOA/nTIPP P9 'Box 961291 impound =ort :acrd;, TY. 7516:.-0291 ADDITIONAL MESSAGE (S): ' The limit o: lia_hi;.i ty rur this structure 'Coverage A) is based on an estimate of the costs to rebuild hear haria, ineiudtng an approxisace cost Par 1abOr and materials Sn your area, and specific infermation than you Have prom de& about your home. This Pvlicy lnaiudes REplacee:ent Coca Coverage For Personal Property This Policy DOES NOT lnelude Earthquake Coverage This Pvlicy Includes LIMITED Building ng Co' Upgrade Coverage 1 COUNTERSIGNED; DATE PRINTED: 09/26/13 PID-DEC{69S ) I/1/3J2009/2G09/1269/I INSURED COPY ascrca • B _A- K E R S F I E L 1) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 11, 2014 SUBJECT: Encroachment Permit Application for: 2503 March Ave Name of Applicant. Matthew & Christine Jennings Description of Encroachment. Existing 4' high wood fence in front yard behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. 3/2 D/2 D!¢ NIDP7 S?PERMITS\ENCROACH\TRAFFIC\2503 March Ave doc !L Y, A K E R 5 F I E L L> PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager -ALI FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 11, 2014 SUBJECT: Encroachment Permit Application for: 2503 March Ave Name of Applicant: Matthew & Christine Jennings Description of Encroachment: Existing 4' high wood 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.�ERMIMENCROACMINSURANCE2503 March Me.dx