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Home My WebLink About03-30000013 .: ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIEW 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 . . 03-30000013, Date 1/17/03 Property Address . . . 14309 SAN JOSE AVE Application description . PW - ENCROACHMENT PERMIT Owner Contractor HOLLOWAY SCOTT M & DEBORA R 14309 SAN JOSE AV BAKERSFIELD CA 93312 OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 47399 145.00 1/17/03 Valuation o Qty Unit Charge Per 1.00 145.0000 EA PW ENCROACHMENT Extension 145.00 Special Notes and Comments INSTALL FENCE OUT TO SIDEWALK Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.00 145.00 .00 .00 Grand Total 145.00 145.00 .00 .00 ht of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the ~;m- tfi. -110 lLl! I/J I"/-Ij 'ntName / 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) (DENIED). Said permit shall expire on date stated above. ~/1 _ - Signature of City Engineer Additional Terms on the Back Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or wilIful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the said encroachment or until such time that this permit is revoked. Applicant further agrees ~hat upon the expiration of the permit for which this application is made, if granted, or upon revocation thereof by the City Engineer, applicant wilI 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. ~J~and acknowledge the above. ~licant's Initials .... 'i' tZA v: "",^ ~ \b~\.- ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 6, 2003 SUBJECT: Encroachment Permit Application for 6' wood fence at back of sidewalk along side yard. Scott & Debora Holloway 14309 San Jose Avenue Engineering and Traffic staff has reviewed the attached encroachment permit to allow a 6' wood fence at back of sidewalk along side yard. The site is located at 14309 San Jose Avenue. The applicant has provided proof of appropriate insurance coverage to Risk Management, and has provided signatures of all immediate neighbors stating that they have no objection to the proposed construction. Based on their review, staff recommends approval of the permit. S:\PERMITS\ENCROACH\2003 Pennits\I4309 San Jose Ave.doc {)3 - 3~oO~O/3 - ------- . v ~ ftN.fff~etl. (!..O~ * 1JfJ11E: 1)~uiJe ~ 611-1'~#f W/)()'J) F~. /,\~e WiTW A , . ~ . . .. ~. ~#ifsf/tw~::tI ~ p~,~ UNe WFrH 5tfA~D F/E;Nt6 -1 = -. . I ~ -<\: } ~ ~ U) '~ \)..5 .~ ou.. tF) \\)0 ^.D i) { ~ ~~ !#- ~W- <t ~ g i ~ ~~ ~ ~~ ,,~ -i .... ...... ~ \J) X ~,... of ~e ,~~ ~ ~ ~ to '3 ~" ~ , . rl\fJ~ ~Q h.~l .A "- , 11' ",,,,~ t1) \\) ........ \\) ~ 3 ! [t /~~i rJ ~ ~ . \t) ~ -+!Ot.kje () ~ i.< ~ \n I...... I\:) / t./ 809 jIH'J ~osG Aut;;. 'A " - ~ (/) ~ ~ i in \J) ~ 3 .~ :r ....... \U ~ ,Q - "I l of HOUJJ8. ~ ..-,0' r 3 \\) Q .- , ~ ~pc,\ F~N-( '1~ if) ~ )t..\ \J / , . 6/fJe Wilf1...-!<.. .j11)Bw~ / SAN ~DS8 Aue. ~ - ~ """"""- --- -- ~ - - \.11""'.-1#./1 ./ V f.n, .I Ll/xL.../ ~ . I ~ (:) ~I ~~ I ~ ~f ~~ I I I I I I I I IV I ,.,;-~/' APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA: ~-----Pursuantto the provisions~f(~hapterJ2.200fthe Bakersf1eldMunicipatS~od~, tlH~_ll:Il~~rsign~~applies for a permit to place, erect, use and mamtam an encroachment on pubhc property or nght-of-way as therem defined:-q---q ____mH'_"_. 1. Full name of applicant and complete address including phone number: ation of the proposed encroachment: .. M. , 4. Period of time for which the encroachment is to be maintained: :J:N f)Gf9iJk Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever against them, or any of them, before administrative, quasi-judicial, or judicial 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 ofthe permit for which this application is made, if granted, or Y!!.Q!! the revocation thereofbv the Cltv engineer. applicant will at his own cost and expense remove the same from the public propertv 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 encroaclunent. 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 is: Applicant acknowledges the right of the City En . eer, pur ant to Bakersfield Munic' revoke the p~~anY time. Date: 7 1).,3 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 PUBLIC 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 Date: Signature of City Engineer No. I - I ,.:~qrv OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS -----,~--_. -. - --.. -'"-" --.-.-.._~-_.- --- - -- -- -- -- -- -- --- -- -- TO 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. . IMi1N ZA N I u..n ..1>12- ' (Street for puposed encroachment) Bv:' ~Hr~UOWt!f - (Owners Name) of 1~~qZ/:::~Z:~ ~~~h~~F. Phone: ..709-8676 K~ ~~re'~}s. \OS \N'CUYLQi"\'\\b ~r l 'M~~..L ~ Mkj j 1..(3 () 5 $~~.R Aue < t 6..-icsvsf.::'t- 12. eft q 3.3 I Z LC) f( 5ctvl ~ \ ()~ \1\avtryl{U) i:L 1 0 \ \)\{. \ . l Q .. _A-<---- /~~r !~T _ I Lt 6 <t ~-._ c:J~_ SIGNED: 1) Name: Address: 2) Name: Address: 3) Name: Address: 4) Name: Address: 5) Name: Address: tlo ~ : I~ ~\ I. ,~ I ~ , . 6) Name: Address: I ,~~..._. I~.. Date: \ - \\0 -O~ Date: l-I<o-b3 Date: 1- \ \p /D~ Date: / /Ift/tfj / { Date: I (lk{ 0 ~ Ii{ 3/ z.. .... S'~ Jcnu..., tl--v-<... If- I~ I~ ..:.::i9-unJN.IIZrJVW _ ~- --- Date: t - I b - Q 3 ~1I<1 0'/1.' (Vh. ~ . I tii'''' --- ..... .. I ~ >va .0 i~ ! PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 26, 2003 SUBJECT: Encroachment Permit Application for 14309 San Jose Avenue. Scott M. & Debora R. Holloway 6' wood fence at back of sidewalk, along side of lot. Please review the attached encroachment permit and return to me at your earliest convenience. Lre/D~ D.t. ~ S:\PERMITS\ENCROACH\14309 San Jose Ave.doc ,;. -:4 f -, ~ ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 26,2003 SUBJECT: Encroachment Permit Application for 14309 San Jose Avenue. Scott M. & Debora R. Holloway 6' wood fence at back of sidewalk, along side of lot. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. ~y S:\PERMITS\ENCROACH\INSURANC\14309 San Jose Ave.doc INTERINSURANCE EXCHANGE of the Automobile Club INSURANCE RENEWAL DECLARATIONS AUTO CLUB MEMBERS' PREFERRED HOMEOWNERS POLICY-FORM 3 PLEASE READ: These declarations constitute our offer to renew this insurance for the policy period shown below. Renewal is contingent upon your payment of at least the Minimum Due before or on the Due Date shown in the enclosed Insurance Billing. Failure to pay at least the Minimum Due before or on the Due Date shall mean that you rejected this renewal offer. All coverage afforded by this policy will then terminate at 12:01 a.m., Pacific Standard Time, on the Effective Date shown in these declarations under "Policy Period." These declarations, together with the contract and the endorsements in effect, complete your policy. ITEM 1. YOUR NAME AND ADDRESS PROCESS DATE POLICY NUMBER 11-12-2002 CHO 001940372 HOLLOWAY, SCOTT M AND DEBORA R 14309 SAN JOSE AVE BAKERSFIELD CA 93312 POLICY PERIOD (PACIFIC STANDARD TIME) EFFECTIVE DATE 01-11-2003 12:01 A.M. EXPIRATION DATE 01-11-2004 12:01 A.M. ITEM 2. LOCATION OF RESIDENCE PREMISES (IF OTHER THAN ABOVE) ITEM 3. COVERAGES AND LIMITS OF LIABILITY (YOUR POLlCY AFFORDS ONLY THE COVERAGES FOR WHICH A LIMIT IS SHOWN OR DESCRIBED BELOW. COVERAGE FOR RESIDENCE EMPLOYEES IS AFFORDED ONLY FOR THE NUMBER OF EMPLOYEES SHOWN UNDER PART IV BELOW.) PART I-PROPERTY COVERAGES PART U-LIABILlTY COVERAGES PART IV-WORKERS' COMPENSATION A-DWELLING $150,000 B-DTHER STRUCTURES $15,000 AND EMPLOYERS' LIABILITY COVERAGES GUARANTEED REPLACEMENT COST INCLUDED 0 E F G P MEDICAL WORKERS' EMPLOYERS' $250 VrtABILIT~ PAYMENTS COMPENSATION LIABILITY C - UNSCHEDULED PERSONAL PROPERTY - $112,500 DE7 ~OTHERS OTHER COVERAGES 5. - BUILDING CODE UPGRADE BODILY INJURY AND PER CONDITIONS 10% OF THE AMOUNT OF COVERAGE A PROPERTY DAMAGE EA H PERSON STATUTORY PART IV, EACH OCCURRENCE PROVISION 3. OTHER COVERAGES 1. - LOSS OF USE - 20% OF THE .rk NO PERSONAL INJURY AMOUNT OF COVERAGE A EDUCTIBLE AGGREGATE )$1,,000 NUMBER OF RESIDENCE EMPLOYEES IN-ACCORDAN8E-WFFH OlOR-li'lFLATION ADJUST-MENT.INDF.X,_2ART. I L IJITS HAVE. $3CO,OOO OIJTSERVANT(S) 00 INSERVANT(S) 00 BEEN INCREASED. ITEM 4. ENDORSEMENTS IN EFFECT 7 NUMBER TITLE \ / PREMIOM HO-216 ALARM OR FIRE PROTECTION SYSTEM ~ ~ ~/ H0-290 PERSONAL PROPERTY REPLACEMENT COST $ 52 438BFU LENDER'S LOSS PAYABLE ENDORSEMENT # HO-2283 AMENDATORY ENDORSEMENT HO-3 '-....... ,--~ . THIS POLICY DOES NOT PROVIDE COVERAGE AGAINST THE PERIL OF EARTHQUAKE ITEM 5. I MUL TI POLICY ROOF. TYP.E FIRE ALARM DEADBOLT PREMIUM DISCOUNTS ITEM 6. BASIC LESS ADDITIONAL COVERAGES CIGA NET TOTAL PREMIUMS COVERAGES DISCOUNTS INCREASED INCREASED RESIDENCE ENDORSEMENTS ASSESSMENT PREMIUM PERSONAL LIABILITY MEDICAL PAYMENTS EMPLOYEES $797 $279 $25 $52 5595 ANY LOSS UNDER PART I-PROPERTY COVERAGES-IS PAYABLE AS INTE~EST MAY APPEAR TO YOU AND MORTGAGEE LOAN # 169124456 CHASE MANHATTAN MORTGAGE CORPORATION ITS SUCCESSORS AND ASSIGNS PO BOX 47020 DORAVILLE GA 30362 CAH0201A E200tOS FOR QUESTIONS OR CHANGES CALL TOLL FREE 1-800-924-6141 SEE REVERSE FOR PRIVACY PROTECTION NOTICE AND CONSUMER AFFAIRS INFORMATION