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HomeMy WebLinkAbout13801 TIERRA BLANCA AVE9A E ENCROACHMENT PERMIT OF wve+� S 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 --------------------------------------------------------------------------- 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 %� 6xxG)Qv I 2 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. i5co erSc�i( (Srrcaf for proposed encroachmanq (Owners Name} of iyab[ T",sr, 5stcwfco. A-�e u, ae. �('(-3r-[f3-525.5 (Address of proposed encroachment) SIGNED: t.) Name: Address: 2.). Name:" IY2 I 011 Address: 13'7/J5 VL'7fO('fUL.lJlr 3.) Name. Address: Date:(�-- 4.) Name. Address: CQ5.) MV4 Name: ZVO ✓'e" Address: U - 6.) Name: Address: t38Veft&K,2 r Date: IZ-3! // Date: I d -3 i - it 011 Date: Date:(�-- Date: I I t"7 I Z //I -7/1'a' �� OATEINNmwvrrp 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 COYERAGt.1 _ LoeATwNovvBEMlseslDEsgnvrroxoFvxaPERTYwB,e,ACORO+%.Aaaslon.I RtlNa6xn.BwAn„�NNea N,ap,mel 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. INHR LTR TYPEOFINSYRANCE POUCY was, POIJCY E'sfSIIVE GATE IMYNOIYYYYI PWICYEmM110H MTE(YNNWYYYY) COYEREa PROPERTY LMRB A PROPFRT, CAUSESOFLOSS DEDUCPSES CASH 316979 04N912011 04109/2012 BUILDING PERSONRLPROKE BUSNESS INCOME E%n1AFXPENSE RENrALva.uE WANK TWJ DING BAN.7:i PERS PROP OANIfET BtDGe PP Liability g g g BASIC BUILDING BROOD X sPECW. S . E g EARIHDUWE g WHO g FLOOD X s 300.000 Is NLpNO aARNE CAUSES OF LOSS NAMED PERILS TPEOFPOLICY $ $ PODCY NUTABER S $ CPoME TYPEOF POLICY f g ... mustS MIICNINERY/ E411WNENTBRFANOOYM S 8 E E _ 9PECIALCONWDONB)OTHERCOVEAAIiES wNaGACORo 1%. AtlJBmW RwPvbgvl2Ntl>.Nmenepa<aMn@9rcE) CERTH-WA1CHYLVCR— SHODLDANY OF THEABOVE DE9CRBE0 POL[cE S BE CANCELLED BEFORE THE E%PNUTION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WffH THE POLICY PROVISIONS. �TATNE w n rM w..r...........�... v ACORD U (2009109( The ACORD wore and "a are reglst0rad nrerks Of ACOR13 W S n c' � 0 1 S 2 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 �L 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