HomeMy WebLinkAbout06-30000019
ENCROACHMENT 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 . .'.. . . 06-30000019 Date 5/18/06
Property Address . . . . . . 1462 JEWETTA AVE
Application type description --PW - ENCROACHMENT PERMIT
Owner
Contractor
ELROD FAMILY TRUST
1462 JEWETTA AV
BAKERSFIELD CA 93312
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT ,PERMIT
548321
150.00
5/18/06
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
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Special Notes and Comments
4 'high chain link fence behind new
concrete sidewalk.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Applidirit acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
riA .
pemut ~t any tllne.
~:amw 1) f-/(f; crrfi 5 AM"! ~---' ~ 2 LIZ oD
signcyire of Applicant (Owner/Agent) Print Name
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) Wll..L (NOT)
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2)
Wll..L (NO STIT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THERE (GRANTED) ( ENIED). Said permit shall expire on date stated above.
r---
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 willful
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 that upon the expiration of the permit for which this application is made, if granted, or upon 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 issuance evidencing sufficient coverage for
bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
~e read and acknowledge the above.
Applicant's Initials
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: July 7,2006
SUBJECT: Encroachment Permit Application for: 1462 JEWETTA AVE.
Name of Applicant: ELROD FAMIL Y TRUST
Description of Encroachment: 4' HIGH CHAIN LINK FENCE BEHIND
NEW SIDEWALK
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to put 4' chain link fence behind new sidewalk.
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\1462 jewetta ave..doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
June 9, 2006
SUBJECT: Encroachment Permit Application for: 1462 Jewetta Ave.
Name of Applicant: Elrod Family Trust
Description of Encroachment: 4' high chain link fence behind new
concrete sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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Bi:\....KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Luda Fishman, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: June 2, 2006
SUBJECT: Encroachment Permit Application for: 1462 Jewetta Ave.
Name of Applicant: Elrod Family Trust
Description of Encroachment: 4' high chain link fence behind new
concrete sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\1462 Jewetta Ave..doc
City oi Bakersfield
~*x CUSTOMER RECEIPT ~~~
Oper: SGOSSMAN Tyue: OC Drawer: 1
Date: 5/18i0& 01 Receipt no: 118794
D~~ription Quantity
2~41G 30000019
BP BUILDING PEHfiITS
LS0
Tender detail
eK CHECK 1011
Total ter,dered
Total payment
irans date: 5/18/06 Tiu.e:
Anount
$150.00
, $150.00
$t~,e0
Sr'<I.00
1.t'}.-l
PLEASE BE A RESPONSIELE PEr CWNER
HAVE YOUR PETS 5~~lED OR ~FUTERED
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(Q)f~JG~NAl
APPLICATION FOR ENCROACHMENT PER.l\'IIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNLJ\:
Pursuant to the provisions ?f~hapter 12.20 of the Bakers~eld Municipal ~ode, the undersigned applies for a pennit
~oplace, erc:~t, use and ~taIn aI:1enc~~~hmento~p~~lic propertyor ~ght-of.~ay as therein defined. ,
1. Full name of applicant and complete address including phone nwnber: -ZAM Ef; D. a~o
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, , .1 '
2. a e or description of the encroachment for which this application is made: A 4 ~'6(..(. C~AJN
'~~ ~",IN~U:C> ,~o;r'1'4=-~UftS~ A'rl1~t\1eq::
~D~ WHlto-O '"ft.te. ~E.W a>~c... S\rew"U'-,' '
3. Loca:ioD. of the proposed encroachment: ..1ltF- ' ftNCb ( ~ ~' ~JLtJIJMMeL'f
, 40.'5 ~'(..!f -rRt4:: tr:~ A\If?;. ~ r~ ~ ,~wO ~.
4. Period of time for which the encroachment is to, be maintained:
Applicant agrees that if thisappli~ation is grante4, aJ?plicant. shall iJ;1demnify, defend ~d hold harmless City, its
officers, agents and employees agamst any and all lIabilIty, claims, actlons, causes ofactlon or demands, whatsoever
a~t them, or any pfthem, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arising ,
out o~ connected wi!h, or caused byapplicant'~ placement, erection, us~(b~ applicant or.any other person or :=ntity)
~r mamtc:nance of saId encroac~ent. l1te applIcaqt furthe: ~grees to mamtam the aforeSaId encro?chment dunng the
life o(sllld encn.'achment or ~til~c~ tmle that thi.s Pemut lsrev?ked. .. , ."' , . ,'.
Applicant' ~rtlier agrees that upon th~ expiriltio!lof the. p~t for which this application is, made, if granted, or . Yl2Q!1
the revocation thereofbv the CItv enlMeer. auohcant WIn at his own cost and exoense remove the same from the oublic
., , prouertv or right of way where the same is located, and restore said public property or righ.t of way to the condition
as nearly as that in which it was before the placing, erection, maintenance or existence of said encroacbri:lent.' .
Applicant ~er agrees to obtain an4 ke~ .a1lliability insurance req?ired by *e Ci~ Engineer in ~ for~e ~d effect . I
. for however long the encroachment remalI1s. ApplIcant shall furnish the CIty'Risk Manager WIth a Certificate of
Insurance' evide~cing 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:
.300: 006 !;e;b FlytJn f;(Jl7JfJ:}tdJ'K'f-\. aJ /II> "'1@!, I1ddilmb:l!CJ
,LJoI/9J " ., , ,
Applicant acknowledges the right of the City Engineer, nuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the permit at any time. . .
Date: ~'l g, 2OOfO . ,J) .
. ture 0 App lcant
PERMIT '
I HEREBY CERTIFY THAT I HAVE MADE A.~ INVESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION AJ.~D FIND THAT THE MAINTL'ik~CE OF SAID ENCROACHMEN1' (1) WILL
(NOT) SUBSTANTIALLY INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE SAME IS TO
BE LOeA TED AND (1) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERl.'llT SHALL EXPIRE
Date:
SIgnature of City EngIneer
No.
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--'Cfrv'-Ol;. BAKERSFIELD
) D~PARIMENT 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: c__ '
~z . ~w\9ffi\ A\lr=-~
(Street for puposed encroachment)
By: (j'ptA.EG 1:::>. e=UZOD
(Owners Name)
of ~\~t2.' 'u~\9(-m.~.. ' Phone:
(Address of purposed encroachment)
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'Address: . /)l~~~ S'J' \ e,' I..lll\TIk," f+:t)L,~,' hiJ
, , 2) Name:. "L:::a:::i' ~ct ' " " ',' ',' CV
. Ai:ldress: : if'). . 8Irdl\~"V\AJ,,- $IX~{;~J
. 3)-.Name: ~'c.Dfl' Sk~G6F @
Address: IL/O\' '~A
4) Name: boLo R. e.f {J o~ L <. LJ '@)
'5)A~:::7~~(Jj!~~~A(~::~~) ,@'
Address: '/3 79 J;;l.U..etf&.~ 6D~
6) Name: ~4.A-1<' ~k . ". . ~.
Address: ., / ;(f'q ;B I (J.j" Vt 11 Jfv'11J!\l fh/ C ' .
?~/'J - '?'343>.
Date:6-~ I 3-0,,",
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Date: S-:-,/:J-r;(::,
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Home Office
Northbrook. IL
ALLSTATE INSURANCE COMPANY
CALI FORN I A
HOMEOWNERS
Calendar Date: 05/09/2006
Policy Number: 004575039 3 / 23
Insured JAMES DELROD & ELAINE L ELROD HW/JT
Address 1462 JEWETTA AVE
.City : BAKERSFIELD St.: CA Zip Code: 93312
Home Phone No.: 661 - 589 - 3343
ADD ADDITIONAL INSUREDS
Company/City
Name
Address
City
Company/City
Name
Address
City
Company/City
Name
Address
City
Company/City
Name
Address
City
Company/City
Name
Address
City
: CITY OF BAKERSFIELD
: 1501 TRUXTON AVENUE
: BAKERSFIELD
St.: CA Zip: 93301
: BKFLD CITY MAYOR
: 1501 TRUXTON AVENUE
: BAKERSFI ELD
St.: CA Zip: 93301
: BKFLD CITY EMPLOYEES
: 1501 TRUXTON AVENUE
: BAKERSFIELD
St.: CA Zip: 93301
: BKFLD CITY AGENTS
: 1501 TRUXTON AVENUE
: BAKERSFIELD
St.: CA Zip: 93301
BKFLD CITY VOLUNTEER
1501 TRUXTON AVENUE
BAKERSFIELD St.: CA Zip: 93301
Page 1 of More
, ~ ,i.
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Home Offi ce
Northbrook. IL
ALLSTATE INSURANCE COMPANY
CALIFORNIA
HOMEOWNERS '
Calendar Date: 05/09/2006
Policy Number: 004575039 3 / 23
Conditions respecting Binder - Such insurance as may be bound by this service
request:
1. is afforded in reliance by the Company on the statements made by the
Insured;
2. shall be effective on the date. and at the time stated. but in no event
sooner than such date and time;
3. is subject to the terms. exclusions and conditions of the Company's
policy form. and of the forms and endorsements approved for use with
such policy;
4. is limited to a period of thirty (30) days. beginning with the effective
date hereof and expires at 12:01 A.M. Standard Time with respect to the
designated property insurance policy on the last day of such limited
period: provided. however. that the Company may sooner terminate such
insurance by mailing to the Insured. at the address stated. written
notice of rejection of this Service Request.
This request is subject to policy terms and is effective only if the policy
noted above is currently in force.
Effective 10 : 35 AM 05 / 09 / 2006
030648
Agent #
F26 661-589-5404
Location Agent's Phone #
SAR417-2
Page 2 of 002
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CUSTOMER NAME: JAMES 0 ELROD & ELAINE L ELROD POLICY NUMBER: 004575039
AGENT CHECKLIST
PLEASE ATTACH THOSE DOCUMENTS REQUIRED TO BE SUBMITTED AND SEND TO
YOUR REGIONAL UNDERWRITING DEPARTMENT.
24
F26
Helen Morgan
70
CA
STORAGE DATE: 05/09/2006
AGT. NUM 030648
STAT STATE : 54
MARKET NUMBER
LOCATION CODE
AGENT NAME
LINE CODE
STATE
DOCUMENT LIST
COMMUNITY SERVICES STATEMENT
ATTACHED
PHOTOCS) OF PROPERTY
THIS DOCUMENT PACKAGE WILL BE CENTRALLY STORED AT THE LOCATIONCS)
DEFINED BY YOUR REGION.
COMMENTS:
May-22-06 01:12P shoptester
3234289
P.03
Allstate Insurance Company
RENEWAL
Personal Umbrella
Policy Declarations
Summary
NAMED INSURED(5)
JlImll$ & Elaine Elrod
1462 Jaweua Ave Rt8
Bakersfield CA 93312-9461
YOUR ALLSTATE AGENT IS:
JDhn M Clegg
9910 Rosedale Hwy 82
Balcersfield CA 93312
CONTACT YOUR AGENT AT:
(661) 589-5404
POLICY NUMBER
o 04 043155 02125
POUCY PERIOD
Begins on Feb, 25, 2006
Ends on Feb, 25, 2007
PREMIUM PERIOD
FBb. 25, 2006 to Feb. 25, 2007
at 12:01 8.m. Pacific Time
T atal Premium for the Premium Period (Your bill wilf be mailed $8pBf8reJy)
hew L1al)lIity
Dwelling(s) Rented to Others
TOTAL
$384,00
$10.00
$394.00
.J PmnllllA IrlCllldn, ""t., to, 3 .rnom,bllll'
liiii.II1i~lilllllllllll~1111111111111111111111
Iflr"Ir.~UIIt
....IOl)".1ICl6
Page 1
CAlIWIRlIO
May-22-06 01:12P shoptester
3234289
Allstate Insurance Company
P.04
Policy Number. 0 1M o.u155 D2I25 YOO! Agent: Jahn M CletG (661) li89-~1I&
For Premium Period asglnnlng: Feb. 25. 2006
"
REQUIRED UNDERLYING INSURANCE LIMITS
COVERAGE
REQUIRED UNDERLYING LIMIT
ResidencelFarm Premises
Residenc9lfarm Employees
(Bodily Injury or Property Damage Liability or Single Limit Liability)
Additional Dwelling Rantlld to Others
(Bodily Injury or Property Damage Liability or SIngle Limit Liability)
$ 50,000
$ 50,000
$ 50,000
Incidental OffiCII, private School or Studio
Bodily Injury or Property Damage Liability or Single Limit Liability
(This covllrage may be maintained as part of your Compreh!lflsillu
Personal Liability, Homer>wners liability Insurance or similar
package policy)
Automobiles
Bodily Injury Liability
Property Damage Liability
Or
Single Limit liability
For each Automobile you gwn, maintain or use
$ 50,000
$100,000 each pllrson
$300.000 each accident
$ 50.000
$300.000
Recrll8tianal Motor Vehicles
Bodily Injury LiabllilY
Property Damage Liability
Or
Single Limit Liability
$ 25,000 saOO person
$ 50,000 each accident
$10,000
$ 50,000
-Watercraft
Bodily InjUT)' Liability
Property Damage Liability
O(
Single limit Liaoility
For each Watercraft 26 feet or more in length, or powerlld
by one or more outbaard motor with more than 25 total horsapowllr.
or which has total motr>r powllr of more than 50 horsepoWllr.
For Boau not described above:
Single Limit Uability
(This coverage may be maintained as part of your
Cgmprehensive Personal Uabllity, Hom60wners Liability Insurance
or simil.ar pacl<ag~ policy) _ . __-- __.. .
$ 50,000 each parson
$100,000 each accident
$ 25,OOD
$100.000
$ 50,000
Inlvr'lTl*lanaol
......I'j 11 ,allll
P1tgl 2
,",",11lIlO
May-22-06 01:13P shaptester
3234289
P.05
Allstate Insurance Company
POlicy NUml:J8r: D 114 "alli6 otIlG Your Agent: JDhn M C'.Oll (81l1l5B11-S4D4
For Premium Period Boglnnlng: Fnb. 25, 20Dll
POLICY COVERAGES AND LIMITS OF LIABILITY
COVERAGES
LIMITS OF UABILlTY
Excess Liability
(EXCESS INSURANCE FOR LIABILITY TO THIRD PARTIES ONLY)
$1,000,000
each occurrence
Your Policy Documents
Your Personal Umbrella policy consists of this Policy Declarations and {he documents listed below PleaslI kllllP Ihese
together.
- Personal Umbrlllla Policy form AP128
- CA pers Umbrella Policy Amend End form AP2306.1
" Galifomiit PUP Am","datory End. form AP1310
Important Payment anll CotlelBge InfOfm"ion
Please note: This is not a request for Pi\lYtnent. YOllr bill will be mailed separately_
IN WITNESS WHEREOf, Allstate has caused this policy to be signed by two of its officers at Northbrook,
Illinois, and if required by stabllaw, this policy shaU not be binding unless countersigned on the POlicy
DeclalCllions by an authorized agent of Allstate.
~~. ~'1
Edward M. Liddy
President
~pf:~
Secrelary
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bdartnltUl U III
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ASSESSORS MAP NO...4.~~~Q.?
COUNTY OF KERN
if
TRACT 6220
PTN. SW1 /4 SEC.. 30 T.29S.R.27E.
11 O~4'2
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"
i,
@ @
.00 79.00 85.00 /48.41 /..~ 100'
, A(2) ....A(J) A(4) A(5) A(6) A(7) A(8) A(9) A(10) At',) A(12) A(13) A('4) A(IS)
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LEGEND SUBD, KEY DISCLAIMER
~~ This mop is for
DRAWN A. TR 6220 ~~fy~S~t~ntngtur~s~:
September 23, 2004 construed os portraying
legol ownership or
di-visions of land for
JURISDICTION purposes of zoning or
subdivision low.
CITY OF BAKERSFIELD (LOT. DESIGNATIONS
& VICINITY IN PARENTHESIS)
ASSESSORS MAP NO. 110-42
COUNTY OF KERN
'I
110-13
S 1/2 OF SW1 /4 SEe.3D T.295. R.27E.
110.... 13
320,07
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TR 6057
LEGEND SUBD. KEY DISCLAIMER
REF. ~ This map is fOf
REVISED A. PM 716 E. LLA02-.1147 ~~~y~STr~ntngtlJrl'oo~be:
September 2.3. 2004 8. LLA 305 construed os portraying
C. LLA 362 lege I ownership or
JURISDICTION D. LlA 02-0135 divisions of land for
purposes of loning or
CllY OF 8AKEI~FIELD subdivision low.
& VICINllY (LOT DESIGNATIONS IN PARENTHESIS)
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ASSESSORS MAP NO. 11 0-13
COUNlY OF KERN
'1
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496,-25: TRACT 4908 //6-2J 496-25"
SCHOOL DIST. //6-.34
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Not.; Thia mop II lor __0' purposea.
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PTN. SWI/4 OF SEe.30 1'295. R.27E.
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NOT A PART OF'
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SCHOOL 015T. /-.360
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60
60
ASSESSORS MAP NO..L1.Q:::~.9....
COUNTY OF KERN
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7
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