Loading...
HomeMy WebLinkAbout4136 JEWETTA AVEBApKg ENCROACHMENT PERMIT O�daxro ,reo S CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE C ® 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 . . . . . 14-30000049 Date 7/10/14 Property Address . . . . . . 4136 JEWETTA AVE Application type description PW - ENCROACHNENT PERMIT Owner Contractor FARLER ALLAN J 6 LABET= J OWNER 4136 JEWECTA AV BAKERSFIELD CA 93312 Permit . . . ENCROACHMENT PERMIT Additional desc . . Phone Acceae Code . 1496579 Permit Fee . . . . 208.00 I6eue Data . . . . 7/10/14 Valuation 0 Qty Unit Charge Per Extension EASE FEE 208.00 --___-_--_-.----------------------------------------------------------------- Special Notes and Comments 4' high Iron pipe rail fence within City of Bakersfield street right of way. This relates to City CSP Project # 73%055 to install traffic signal. Allan Fakles (661) 589-1282 ------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 208.00 .00 .00 208.00 Grand Total 200.00 .00 .00 208.00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke �the ipermit at any time. Signature of Applicant (Owner/Agent) Print Nam - 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) C � A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTED DENIED) Said permit shall expireon date stated above. iV Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM Cl r v OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRLXTUN AVE BAKERSFIELD CA 93301 (661)32&3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): If them is an address adjacent to work describe limits of work by distances from nearest existing : treat intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT-ZrZ(p,k, COMPLETE ADDRESS: _- 6_Tp (r ) PHONE:. 4 2-1 `J kA(C a rJ4r> C. FAX: 'J,3CELL _ PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, co -Inane block wall, raised plamer.etc.): Iron P;T¢ ,.;) ta�cc w"1A•n Cil.. PERIOD OF TIME FOR ENCROACHMENT: INDEFINITE or OTHER: _ (Please Circle) CONTACTPERSON PHONE: Applicant agrees that if This application is granted, applicant shall indemnify, defend and hold hat r less the City, its officers agents and employees against any and all liability, claims, actions, causes of action or det ands. whatsoever against them, or any of them, before administrative. quasi-judicial. orjudicial tribunals of any kin I whatsoever, arising out of, connected with, or caused by applicant's placement, erection, use (by applicant or any other p. rson or entity) or maintenance of said encroachment. The applicant further agrees to maintain the aforesaid eneroadnment 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 revocatian thereof by the City Engineer, Ormlicant will at his ou and zMense remwthe see re from the public pimMorright of way where the same is Igcated, and restore said public property or right of wa+m the condition as nearly as that in which it was before the platin& erection. maintenance or existence of said enere,chmenl. 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 fumish the City Was Manager with a C rtiticate of Insurance evidencing sufficient coverage for bodily injury at property damage liability or both and required endorsements evidencing the insumnee required. The typc(s) and anmunt(s) of insumuce coverage required arc: Residences: Homeowners General Liability coverage in an amount of at (cast $300.0 10.00 Commercial: Commercial Liability coverage in mi anuuuut of at least 51.000,0110.00 Encroachment Permit Fee: $208.00 S:1FERMIIShhNCKOACH,Encroachment Permit Req Form.DOC January 2009 PREMIUM .NOTICE STATE FARM INSURANCE COMPANIES AGENT ISSUED DECLARATIONS -------------------------------------------------------------- POLICY NUMBER I BILLING PERIOD I AGENT CODE I 87 -BF -G428-9 I FROM 08/11/2014 1 TO 08/11/2015 1 3528 I LOCATION 4136 JEWETTA AVE BAKERSFIELD, CA 93312-9417 INSURED FAKLER, ALLAN 4136 JEWETTA AVE BAKERSFIELD, CA 93312-9417 MORTGAGEE QUICKEN LOANS INC. ISAOA PO BOX 717 AMELIA, OR 45102-0717 Loan Number: 0601965395 PREMIUM $ 494.00 AMOUNT PAID .$ 175.98 AMOUNT DUE $ 318.02 DATE DUE 08/11/2014 AGENT NAME 6 ADDRESS DENISON, DARLENE M 4903 CALLOWAY DR STE 103 BAKERSFIELD, CA 93312-3959 (661).588-6070 This is the only notice you will receive. Please make check payable to. STATE FARM and return it with this notice to the address shown below. Your canceled check is your receipt.. Thanksfor letting us serve you. STATE FARM INSURANCE COMPANIES 900 OLD RIVER ROAD BAKERSFIELD CA 93311-9501 DECLARATIONS (Coverage afforded by this policy is We will provide the (provided by: insurance described in I this policy in return for the premium (STATE FARM GENERAL INSURANCE COMPANY and compliance with all applicable 1900 OLD RIVER ROAD provisions of this policy. (BAKERSFIELD CA 93311-9501 --------------.--------------------------I 87 -BF -G428-9 Policy Number IA Stock Company with Home Offices in ----------------------------------------(Bloomington, Illinois. Named Insured and .Mailing Address I FAKLER, ALLAN ------------------------------------- 4136 JEWETTA AVE BAKERSFIELD, CA 93312-9417 ----------------------------------------- The Policy Period begins and ends at 12:01 a.m. Standard Time at the residence premises. 06/11/2014 Effective .Date 12months-Policy Period 08/11/2015 Expiration of Policy Period Limit of Liability - Section 1 $ 301,200 Dwelling (Coverage A) Policy Type Homeowners Policy Dwell Repl Cost - Similar Construction Increase Dwlg Up to $60,240 - Option ID Location of Premises 4136 JEWETTA AVE BAKERSFIELD, CA 93312-9417 Forms, Options, FP-7955.CA LSP B1 OPT OL FE -3422 6 Endorsements (Automatic Renewal - If the Policy [Period is shown as 12 months, this [policy will be renewed auto- Imatically subject to the premiums, Irules and forms in effect each ]succeeding policy period. If this (policy is terminated, we will give -1you and the Mortgagee/Lienholder (written notice in compliance with [the policy provisions or as [.required by law. I ----------------------------------- Deductibles - Section 1 $10000 [ALL LOSSES In case of loss under Ithis policy, the deductible will be ]applied per occurrence and will be [deductedfrom the amount of the -]loss. Other deductibles may apply I- refer to your policy. I ----------------------------------- I Policy Premium $494.00 HOMEOWNERS POL LSP Al SMLR CONST -A LMT RPLC COST -B OPT ID COV A-INCR DWLG BLD ORD/LAW-10% FE -1313 LNDR LOSS PAY HO -W POL END FE -3247 AMENDATORY END --------------------- Mortgagee QUICKEN LOANS INC ISAOA PO BOX 717 AMELIA, ON 45.102-0717 Loan Number: 0601965395 ----------.------------------ Prepared: July 02, 2014 559-916.5 I .Agent Name 6 Address I DENISON, DARLENEM 1 4903 CALLOWAY DR STE 103 1 BAKERSFIELD, CA I 93312-3959 (661)888-6070 3528 Agent's Code MORTGAGEE COPY SfateFann State Farm General Insurance Company 4, 90001 P4 aLn 'G 9331f-9sof W19 3628-FA98 H W F FAKLER, ALLAN 4136 JEWETTA AVE BAKERSFIELD CA 93312-9417 Location: Same as Mailing Address Loss Settlement Provisions (Sea Polley) At Replacement Cost- Similar Construction Bt Limited Replacement Cost - Coverage B Forms, Options, and Endorsements Homeowners Policy FP-7955.CA ncrease Dwlg up to$60240 OPT ID Ordinancat-ow 10%/ 30,120 OPT OL Jewelry and Furs $1,5001 OPT JF Form 438bf Uns Lndr Loos Pay FE -1313 Homeowners Policy Endorsement FE -3422 Amendatory Endorsement a FE -3247 'Effective: AUG 11 2014 RENEWAL CERTIFICATE POUCT MIYBBi 87-8F-026.9 Homeowners Policy AUG 112014 b AUG 112015 DMTE WE BEE BILLANGE DUE NOTICE AUG 112014 $318.02 Coverages and LImHs Section I A Dwelling $301.,200 Dwelling Extension Up To 30,120 8 Personal Property 225 900 C Loss of Use Actual toss Sustained Deductibles - Section I All Losses 10,000 Section II L Personal Liability $100,000 Damage to Property of Others 500 M Medical Payments to Others 1,000 (Each Person) Annual Premium $494.00 Credit 175.98 Amount Due $318.02 Premium Reductions Home Alert Discount 64.00 Home/Auto Discount 170.00 Claim Record Discount 170.00 Inflation Coverage Index: 219.1 CALIFORNIA LAW REQUIRES US TO PROVIDE THE FOLLOWING NOTICE: Our records indicate that you have not: purchased Earthquake Coverage. B NOTICE: Information concerning changes in your policy language is Included Please call your agent if e you have any questions. This policy includes Building Code Upgrade Coverage of $30,120. This billing is a result of the balance due remaining on this policy. Full payment of the amount due s shown is required to keep this policy in some to the next renewal date. Thank you for your payment. State Farm has installment plans available. If you are interested, your State Farm agent will be happy MONng? Sedi Son Farts agent /fuRx.r� 4PaV/We�La. pP �p� L'pSiAnEItP, Sea reverse brimponant information. %�rzx.oaxv,awema 1 AS t DARLENE NISON Prepared a E Telephone (661) 5888uP 070 JUN 16 2014 Stafemiron State farmGeneralInsurance Company 81¢k�T RO wXe Home 01fil In Nooninglon,landn seavedi CA93l 0-02 3521 L F FAKLER, ALLAN 4136 JEWETTA AVE BAKERSFIELD CA 93312-9417 SFPP No 1108753812 Forma and Emblem; ements Personal Liabiley Umbrella FP -7950.2 Amendatory Endorsement FE -5835.1 Fuel Oil Exclusion FE -5837 RENEWAL CERTIFICATE P MYMMBDi 87-F8-7061 Personal Liability Umbrella Polloy OCT 02 2013 to OCT 02 2014 BILLED THROUGH SFPP COVERAGES AND LIMITS L Personal Liability $1,000,000 Self -Insured Retention None UNDERLYING EXPOSURES Our records show the following underlying information. This information was used in determining the rate of the policy. AUTOMOBILE EXPOSURES Automobile(s) 2 Automobile Olownser(s) 2 OTHER LIABILITY EXPOSURES Personal Residential Annual Premium $198.00 'Notify your agent Immediately U the above listed Coverages and/or Underlying Exposures are incorrect. Your Coverages and/or bill ban be affected If this informatlon is not correct. § Required Underlying Insurance on reverse side "x d s11 art "I �5 � Agent DARLENE DENISON 1. Telephone (661) 5888070 Moving? See your Serfe Farm open(. See reverse forimpadamf irlornmebon sea Prepared AUG 062013 NOTICE TO POLICYHOLDER Split Limits 0250,000 Par Person 5500,000 Per Accident 5100,000 Per Acwident $250,000 Per Person 6500,000 Per Accident 5100,.000 Per Accident Policy changes requested before the Mate Prepared", which appear on this notice, are effective on the Effective Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective an the Effective Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your Policy. Billing for any additional premium for such changes will be mailed at a later date_ Please keep this with your policy vs Rev, 06018006 (e113M.) e11002m CONTINUED FROM FRONT Required Underlying Insurance (Terms in Bald in this section are defined in the policy) Minimum Undedying Limits Combined Limns Type of Policy (Bodily Injury and Property Damage) or Automobile Liability 5500,000 Bodily Injury - Property Damage - Recreational Motor Vehicle Liability $500,000 Bodily Injury - Including Passenger Bodily Injury Property Damage - Personal Residential Liability 6100,000 Watercraft Liability 6100,g00 NOTICE TO POLICYHOLDER Split Limits 0250,000 Par Person 5500,000 Per Accident 5100,000 Per Acwident $250,000 Per Person 6500,000 Per Accident 5100,.000 Per Accident Policy changes requested before the Mate Prepared", which appear on this notice, are effective on the Effective Date of this policy unless otherwise indicated by a separate endorsement, binder, or amended declarations. Any coverage forms attached to this notice are also effective an the Effective Date of this policy. Policy changes requested after the "Date Prepared" will be sent to you as an amended declarations or as an endorsement to your Policy. Billing for any additional premium for such changes will be mailed at a later date_ Please keep this with your policy vs Rev, 06018006 (e113M.) e11002m I "s 1 9 1 A" HARMAN 05 POLE i c l a .'I ID _ ..__.. rnr•c nF 6JaL 6J4L EL6J4U N 1190 N 1 U NEW PAVEMEN TELE res.-- iws i AGS CONSTRUCTIO aInsall City furnished Type 170 Cc Pull box in front of controller sh t„g]Cantroctor shall install conduit h 10All new signal indications shall b on Poles "A” and "E" shall be P ® Luminaires shall be LED Ro( All pedestrian indication module! Interval Countdown Display as d © Location of the stand ords �7 Install City -furnished 0PbcOm (PELCO AB-121).te a OPti om within cabinet sys refer to shall provide for a qualified EW S Contractor shall install City sup 9 Contractor shall remove existin Std Plan (RSP A88A) or latest ®.Loops shall be centered in b shollBicycle Detector loop u POLE i c l a .'I ID _ ..__.. rnr•c nF 6JaL 6J4L EL6J4U N 1190 N 1 U NEW PAVEMEN TELE res.-- iws i AGS CONSTRUCTIO aInsall City furnished Type 170 Cc Pull box in front of controller sh t„g]Cantroctor shall install conduit h 10All new signal indications shall b on Poles "A” and "E" shall be P ® Luminaires shall be LED Ro( All pedestrian indication module! Interval Countdown Display as d © Location of the stand ords �7 Install City -furnished 0PbcOm (PELCO AB-121).te a OPti om within cabinet sys refer to shall provide for a qualified EW S Contractor shall install City sup 9 Contractor shall remove existin Std Plan (RSP A88A) or latest ®.Loops shall be centered in b shollBicycle Detector loop Patricia Castruita From: John Ussery Sent: Wednesday, July 02, 2014 3:03 PM To:. Arnold Ramming; Patricia.Castruita; Robert Wilson Cc: Robert Tablit; Daniel Padilla Subject: RE: Southeast Corner of Hageman and Jewetta Traffic Engineering has no objection to theproposed fence. There are no line -of -site obstructions caused by the new proposed fence location. From: Arnold Ramming _.. Sent: Wednesday, July 02, 2014 2:54 PM To: Patricia Castruita; Robert Wilson; John Ussery Cc: RobertTablit; Daniel Padilla Subject: Southeast Corner of Hageman and Jewetta Please waive the Encroachment Permit Fee for allowing the property fence to be within the dedicated street right of way paralleling the chamfer at the corner. This relates to the City's CIP Project to install a traffic signal at this intersection. Please charge your time to our project number T3K055. Thank you for your help on this. Arnold Ramming Civil Engineer IV - Design Engineering Public Works Department / City of Bakersfield B A h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 10, 2014 SUBJECT: Encroachment Permit Application for: 4136 Jewetta Ave Name of Applicant: Allan & Labetty Fakler Description of Encroachment: 4' high iron pipe rail fence within the City of Bakersfield street right of way. This relates to City CIP Project # T31<055 to install traffic signal. Please review the attached encroachment permit and return to me at your earliest convenience. Ij S:TERMITMENCROACMTRAFFIC4 136 JeweRa Ave.d. B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: July 10, 2014 SUBJECT: Encroachment Permit Application for: 4136 Jewetta Ave Name of Applicant: Allan & Labetty Fakler Description of Encroachment: 4' high iron pipe rail fence within the City of Bakersfield street right of way. This relates to City CIP Project If T3K055 to install traffic signal. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. SAPERMITS%ENCROACHVNSURANCEW136 Jewetta Ave.Eoc