HomeMy WebLinkAbout1600 KENTUCKY STENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPAR:TMENT
1501 TRUXTUN AW
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 . . . . . 09-30000038 Date 11/03/09
Property Address . . . . . . 1600 KENTUCKY ST
Application type description PW - ENCROACHMENT PERMIT
Owner
AUDETTE LYDIA
1238 W CHESTNUT AV
SANTA ANA CA 92703
Contractor
OWNER
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 955831
Permit Fee . . . . 208.00
Issue Date . . . . 11/03/09 Valuation . . .
. 0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
Special Notes and Comments
INSTALL WROUGHT IRON FENCE IN FRONT &
SIDE YARDS. FENCE NOT TO EXCEED 4'
INHEIGHT IN FRONT YARD AND UP TO BLDG.
PROPERTY LINE ON SIDE YARD. CONTACT:
LYDIA, 714-474-3310.
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
permit at any time.
9"e4~ -~i ' awd& 144
Sig ~.ture of Xpplicant (Owner/Agent) Printi&ame
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.
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Signature of City Engineer
Additional Terms on the Back
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 November 19, 2009
SUBJECT: Encroachment Permit Application for: 1600 Kentucky St.
Name of Applicant: Lydia Audette
Description of Encroachment Install wrought iron fence in front & side
yards. Fence not to exceed 4' in height in
front yard and up to ,bldg. property line on
side yard.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to install fence as described above.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
SAPERMITS\ENCROACH\2009 approval letters\1600 Kentucky StAoc
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D A I~ E R S F I E L ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: November 6, 2009
SUBJECT: Encroachment Permit Application for: 1600 Kentucky St.
Name of Applicant: Lydia Audette
Description of Encroachment. Install wrought iron fence in front & side
yards.. Fence not to exceed 4' in height in
front yard and up to bldg. property line on
side yard.
Please review the attached insurance certificate and encroachment permit and return to me at
your earliest convenience.
Q~
SAPERMITS\ENCR0ACH\INSURANC\1600 Kentucky StAoc
D A I<: E R S F I E E ID
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Traffic Engineer
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: November 6, 2009
SUBJECT: Encroachment Permit Application for:. 1600 Kentucky St.
Name of Applicant: Lydia Audette
Description of Encroachment: Install wrought iron fence in front & side
yards. Fence not to exceed 4' in height in
front yard and up to bldg property line on
side yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
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SAPERMITS\ENCROACH\TRAFFIC\1600 Kentucky StAoc
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT
Permit Fee $208.00 ,
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.
1. Full name of applicant and complete address including phone number: q A.J,f4-e_.1
I
I (,o0Q ffLa_MtiA.t1_e4-,1 S- -f //14- g7L/- 33i c~
2. Nature or description of the encroachment for which this application
fence, concrete block wall, raised planter, etc...) f L) " u a k
(Example: Wood or wrought iron
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
P ~Ide welrkC4
),c 'Sidec-00,11<
4. Period of time for which the encroachment is to be maintained Indefinite or Other.
1(1' ease Circle)
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, 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 of the permit for which this application is made, if granted or upon the
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 restored 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 evidenc-
ing the insurance required. The type(s) and amount(s) of insurance coverage is:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
any time.
S:\EncroachmentPermits\ApplicationforEncroachment
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
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.
/ 6 b® Kse n: A-C'X0 By: d ` qd ,c, Aujef+ ~
(Street tor proposed/encroach1ment) (Owners N'Tame)
Of 't✓ K 1/! l-GC9 C'17one: l q - C~
(Address of proposed encroachment)
SIGNED:
1.) Name:
f I ph'ta
Address:
2.) Name:
Address:
3.) Name:
Nklrk a.Ack a, i',a e1
Address:
I 5,Z2( lC_ et-Air.1, V Pl "W"I
4.) Name:
Address:
O
5.) Name:
Address:
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Date:. 11-2, Ioq
Date: j- 6 'r
Date:% \ -.5-09
Date: J!> e
Date:
J
6.) Name: Date:
Address:
CALIFORNIA ELECTRONIC HOMEOWNER APPLICATION INFORMATION AND BINDER
Pacific Property And Casualty Company
TRANSACTION (-]Trial Application Social Security # for
❑ New Business ❑ Company/Company Account Owner (CIF)
❑ State-State Transfer Transfer
First Applicant Name (Last, First, Middle)
p< Je 1+6 Lvia Second Applicant Name (Last, First, ddle)
94
Effective Date NOTE: Coverage under thisbinderwill HOMEOFFICEUSE
i , end 30 days from this effective date. If
c_~ GX. you do not have a call your
I / 'agent or ANPAC at 1-800-333-2861
M iling Address/ Zl*( State/Zip
IWD 9 - -LCD ` o ~ C4
Property Description: Street Adrifess/City/State/Location Zip ORgal -Description
gent No. Field Office No.
Policy Number
04 Ixl
_I Account E-mail Address
This ELECTRONIC TRANSMISSION APPLICATION AND BINDER requires ou, as the applicant, to carefully review and verify the information
being sent to ANPAC. It is your responsibility to carefully review and verify that all the information is accurate, truthful, and provides coverage
for the correct prope,,,rt,,,---y))),,, and that the coverages you have selectgd have been provided on tpe correct property.
I have reviewed: LIName/Address Mortgagee [Rating/Coverages *0
ptions/Endorsements -6 Underwriting Questions
I select these liability limits: A - Dwelling 3 CP E - Personal Liability $100,000 ❑ F - Medical Payments $1,000/
B -Other Structures $33 $ L((7 (Each Occurrence) $200,000 ❑ (Each Person) $2,000' L-~
$300,000 $5,00011
C- Contents $;o'~ ~3 f 80 v $500,0000 Other S
Other $
EARTHQUAKE OFFER
I understand this policy does not cover earthquake losses unless I purchase the optional earthquake endorsement.
reject the optional earthquake endorsement. ❑ 1 accept the optional earthquake endorsement.
It is here agreed that my selections ap ly to all insureds under this liability insurance policy and future renewals, replacements, or reinstatements of
such polic . if I decide to select artc option at some future time, I must advise my Pacific agent or the company in writing before the selection
becomes effective. / I . - q
Applic6fifs Signature fy6r Coverage Selection/Earthquake Offer Date
FLOOD INSURANCE NOTICE
This policy does not cover flood losses. 4d Insurance Coverage is available from the National Flood Insurance Program.
Ask your American National gent to assist you in obtaining Flood Insurance.
FAIR CREDIT REPORTING PRE-NOTIFICATION:
As a part of our procedure for processing your application, an investigative report may be made whereby information is obtained through personal
interviews with third parties, business associates, financial sources, or others with whom you are acquainted. This inquiry includes information as to your
character, general reputation, personal characteristics, and mode of living whichever may be applicable. You have the right to make a written request
within a reasonable period of time for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.
ELECTRONIC TRANSMISSION AGREEMENT:
It is hereby agreed and understood that my application will be submitted to the company electronically. I have been made aware of the various coverages
and options available. In consultation with my agent, I have identified the property to be insured'and have selected the coverages, limits, and deductibles
that I desire or that is required by state law. I confirm that my agent has accurately recorded my selection in each of these areas. I further understand that
the premium quoted is an estimate only and the premium charged will be in accordance with the company's filed rates.
APPLICATION AND BINDER AGREEMENT:
i, the undersigned, agree that the statements given to the agent are made for the express purpose of inducing the Company (ANPAC or Pacific Propert
y
And Casualty Company) to issue an insurance policy and these statements are true, correct, and complete. I understand that any policy issued as a result
of this application process will be based on the fads and answers provided. I agree that if my down payment or full payment is not honored by payer (bank
or other fifinancial institution), coverage will be null and void from the inception. I have read the ANTIFRAUD WARNING and FAIR CREDIT REPORTING
PRE-NOTIFICATION statement and I authorize the Company to obtain copies of credit reports or any other investigative report necessary for the purpose
of underwriting and/or rating my application, or renewal of any policy issued, and/or investigating any claims presented. I understand that ANPAC may
report claim information to insurance support organizations.
This application will serve as a binder of insurance coverage only if. (a) it is not a trial application, (b) an effective date is indicated, (c) the application is
signed by an authorized agent of the company, and (d) the minimum premium payment is made at the time the application is completed, unless premium is
paid by mortgagee. However, negotiation of your premium payment does not constitute acceptance of the application.
IF TRIAL APPLICATION NON-BINDER: I understand that no insurance is bound hereunder and agree that no insurance shall be effective until
this application is approved by the Company.
This agreement shall be effective when signed below or in counterpart, and photocopy, facsimile, electronic, or other copies shall have the same effect for
all purposes as an ink-signed original.
Applicant's Signature Y" c.~G2i l C~~ { p y c I / /
Date
_P,"nt Signature
L License No.
SH-1429 CA (8-05)
Agent Name (Print or Stamp)/Phone dumber :(Month) (Day) (Year) (Time of Application) Future Payment Method:
z i .Insured
Easy Pay
d :2 Mortgagee Other
_[-W ---~f------ A. M. Amount Received
ANTIFRAUD.WARNING ON REVERSE
1 COPY- SPRINGFIELD, MO 1 COPY -APPLICANT 1 COPY - AGENT Page One of Two
FORMS OF COVERAGE FOR DWELLINGS
XTENDED REPLACEMENT COST COVERAGE PAYS REPLACEMENT COSTS UP TO A
SPECIFIED AMOUNT ABOVE THE POLICY LIMIT.
n the event of any covered loss to your home, the insurance company will pay to repair or
eplace the damaged or destroyed dwelling with like or equivalent construction up to a
specified percentage over the policy's limits of liability. See the declarations page of your
>olicy for the limit that applies to your dwelling. Your policy will specify whether you must
)ctually repair or replace the damaged or destroyed dwelling in order to recover extended
eplacement costs. The amount of recovery will be reduced by any deductible you have
agreed to pay.
Fo be eligible to recover extended replacement cost coverage, you must insure the dwelling to
Is full replacement cost at the time the policy is issued, with possible periodic increases in the
3mqunt of coverage to adjust for inflation; you must permit an inspection of the dwelling by the
-1suV-arlce company; and you must notify the insurance company about any alterations that
-icrease the value of the insured dwelling by a certain amount (see your policy for that
mount). Read your declaration page to determine whether your policy includes coverage for
,uilding code upgrades.
tEPLACEMENT COST COVERAGE PAYS REPLACEMENT COSTS UP TO POLICY
IM ITS.
the event of any covered loss to your home, the insurance company will pay to repair or
place the damaged or destroyed dwelling with like or equivalent construction up to the
olicy's limit of liability. See the declarations page of your policy for the limit that applies to
our dwelling. Your policy will specify whether you must actually repair or replace the
amaged or destroyed dwelling in order to recover replacement costs. The amount of
-Dcovery will be reduced by any deductible you have agreed to pay. To be eligible to recover
placement cost, you must insure the dwelling to 100 percent of its replacement cost at the
me of loss. Read your declaration page to determine whether your policy includes coverage
)r building code upgrades.
selected or
_purchased
(Applicable ff
FX-7 with
FX-71312
endorsement
or FX-3 with
FX-31320
endorsement)
Z
(Hppiicable it
FX-3 without
FX-31320
endorsement,
FK-3 or FX-7
without
FX-71312
endorsement)
(Applicable if
CTUAL CASH VALUE COVERAGE PAYS THE FAIR MARKET VALUE OF THE FK-1)
WELLING AT THE TIME OF LOSS UP TO POLICY LIMIT.
the event of any covered loss to your home, the insurance company will pay either the F1
apreciated fair market value of the damaged or destroyed dwelling at the time of the loss or
e cost of replacing or repairing the damaged or destroyed dwelling with like or equivalent
)nstruction up to the policy limit. The amount of recovery will be reduced by any deductible
)u have agreed to pay. Read your declaration page to determine whether your policy
eludes coverage for building code upgrades.
8
(Applicable if
JILDING CODE UPGRADE - ORDINANCE AND LAW COVERAGE PAYS, UP TO LIMITS FK-1, FK-3
DECIFIED IN YOUR POLICY, ADDITIONAL COSTS REQUIRED TO BRING THE with
vVELLING "UP TO CODE." FK-91212
endorsement
the event of any covered loss, the insurance company will pay any additional costs, up to or FX-3 or
e stated limits of repairing or replacing a damaged or destroyed dwelling to conform with any FX-7 with
,ilding standards such as building codes or zoning laws required by government agencies FX-91311
id in effect at the time of the loss or rebuilding (see your policy). For Forms FK-1, FK-3, FX-3 endorsement)
id FX-7 the amount of coverage is 25% of the Coverage A limit with a maximum coverage
nount of $50,000.
l
pli~ant's Sigr1pt6re Date
icific Property And Casualty Company
is notice contains only a general description of the changes in coverage and is not a statement of contract. All
verages are subject to the insuring agreements, exclusions and conditions of the policy, and applicable endorsements.
740 CA (10-04) White - Home Office Yellow - Insured Pink - Agent
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