HomeMy WebLinkAbout13801 TIERRA BLANCA AVE9A E
ENCROACHMENT PERMIT
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CITY OF BAKERSFIELD
ty PUBLIC WORKS DEPARTMENT
� 1501 TRUXTUN AVE
.wr,•� 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 . . . . . 12-30000009 Data 2/22/12
Property Address 13601 TIERRA BLANCA AVE
Application type description PW - ENCROACHMENT PERMIT
Caner contractor
------------------------ ---'""--------------""
LINDSEY SCOTT P OWNER
13601 TIERRA BLANCA AV
BAKERSFIELD CA 93314
------____.----------------""__-----------_____
Permit . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 1105165
P¢Ymit Fee . . . . 208.00
Issue Date . . . . 2/22/12 Valuation 0
Qty Unit Charge Per Extension
1.00 208.0000 EA PW ENCROACHMENT 206.00
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Special Notes and Comments
Build 2' retaining wall and a 6' wooden
fence at back of sidewalk on side of
house.
February 22, 2012 4:22:11 PM
mmendenhal.
------------------------------------------------------------•---------------
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. /
Signature of Applicant f r/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) 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.
Signature of City Engineer
Additional Terms on the Back
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B A I< E R S F I E L D
Public Works Department
1501 Truxlun 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: ecoa�N4 �v G� Lk
(3tbi t erc & &10Cr.A0e ' 3ffi[ I &&( -3yc> -5253
2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence, concrete block wall, raised planter, etc...)
Sable concs`efc ;, cAV -1 V, ,Jmc �evice Cw\ -k oP
3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
4. Period of time for which the encroachment is to be maintained:(Indefini or Other.
Please Circle)
5. Is property part of a Homeowner's Association -Yes No
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 andrequired 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
anytime.
5\EncroachmentPermitsWpplirationforEncroachment
B A IC E R S F I E L D
Public Warks Department
1501 7ruxtun Avenue
Bakersfield,. California 93301
(561)326-3724
TO WHOM IT MAY CONCERN:
We the undersigned, have no objection tothe construction of a fence beside the sidewalk within the
public right-of-way.
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(Address of proposed encroachment)
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CERTIFICATE OF PROPERTY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATrMY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE. OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORRED
Bozanich Insurance Agency
1039 Stine Road
Bakersfield, Ca 93309.
Scott Lindsey
13801 Tierra Glance, Ave
Bakersfield, CA 93314
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THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAYS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MiCH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS.
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SHODLDANY OF THEABOVE DE9CRBE0 POL[cE S BE CANCELLED BEFORE
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B _-1 K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager UU
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: February 23, 2012
SUBJECT: Encroachment Permit Application for: 13801 Tierra Blanca Ave
Name of Applicant: Scott P Lindsey
Description of Encroachment: Build a 2' retaining wall and a 6' wooden
fence at the back of sidewalk on side of
house.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
Tierra Blanca Ave.doc
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Ti :E R S F I E L L)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
John Ussery, Engineer II
FROM:
Bob Wilson, Supervisor II, Subdivisions
DATE.
February 23, 2012
SUBJECT:
Encroachment Permit Application for: 13801 Tierra Blanca Ave
Name of Applicant: Scott P Lindsey
Description of Encroachment: Build 2'retaining wall and a 6' wooden
fence at the back of sidewalk on side of
house.
Please review the attached encroachment permit and return to me at your earliest convenience.
S?PERMITS\ENCROACH\TRAFFIC113601 Tierra Blanes Ave.doc