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Home My WebLink About3702 AMUR MAPLE DRENCROACHMENT 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 theprovisions 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 . . . . . 13-30000041 Date 6/10/13 Property Address 3702 AM[RE MAPLE DR Application type description PW - ENCROACHMENTS PERMIT owner contractor __________________ ________________________ FUJIWARA FREI OWNER .3702 AMUR MAPLE DR BAKERSFIELD CA 93311 ____________________________________________________________________________ Permit . . _ ENCROACHMENT PERMIT Additional des. . . Phone Access Code . 1335108 Permit Fee . . . . 208.00 Issue Date . . . . 6/10/13 Valuation 0 Qty Unit Cbarge Per Extension 1.00 208.0000 EA PW ENCFOACFPH:NT 208.00 __________________________________________________________: _____ Special Note. and Comments June 10, 2013 10:39:03 AM ssandeah.1. 4' high fence behind sidewalk. Fence i currently G' high. Will be removing top 2' of fence. Contact person. Keri Fujiwaza (661) 432-0598 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 206.00 208.00 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 a e_ Jif' i Fv�l !� pit di-. Signature of Appli wrier/Agent) Print Name JJ 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 E A K E R S F I E L O Public Works Department 1501 Truxtun Avenue Bakersfield, Caidomla 93301 (661)32(f-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 12.2q 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. 9. PUH name of applicant and complete address including phone number:iVAE r 2. t Nature or description of the encroachment for fence, concrete block wall, raised planter, etc...) Wood or wrought iron a 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 5. Is property part of a Homeowner's Association Yes 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, quasiyudicial, orjudicfal tribunals of any kind whatsoever, arising out sof, 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 ni or ndht of wav where the same is located, and restored said public property or right of way to the condition as 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 evideri ing the insurance required. The type(s) and amounts) of insurance coverage is: Applicant acknowledges the right of rile City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permii at any time. StEncroacnmentPermimWppliwtbnforEncroacnment f KA 4E6 A x> rrS a_cE L o Public Works Department 1501 Twxtun Avenue Bakersfield, California 93301 (661)326.3724 rO WHOM IT MAY CONCERN We the unde-signed, have no objection to the construction of a fence beside the sidewalk within the public right-of-way. A w �Ar l� thl 17r „� (Sr el orrp�roposed encro� menp (�wncrs�/xmr` , �t nL_3 / 6 Z. � 1'/ ! phone, (Addr= or proposed eneroadwen) 1)Name , Address RQu) r 2-) Name; Address: ?.) Name: 1000.Y1 Address: 4.) Name: IM - Address: pp� A 1 5) Name. Address: I IWO 1 "o.) Name: Address: Date: (--7— 1 .pate: Is /I -L-,_ Date'. (01 /0 1 1--3 Date: �l�l (3 Date: 3,3( ', Declaration. Number: 001 Effective Date; 03/12/2013 Page 3 Policy Number: X110213187-1 Keri Fujiwara COVERAGE DECLARATIONS Location Address: 3702 Amur Maple Drive Bakersfield, CA 93311 $ 300;000 Basic Coverages: Limit Deductible Section I Coverages: Cov A - Dwelling $ 211,000 $ 1,000 Cov B - Detached Structures $ 21,100 $ 1,000 Cov C - Personal Property $ 147,700 $ 1,000 Cov D - Loss of Use $ 42,200 Section 11 Coverages Cov E - Personal Liability $ 300;000 Cov F -.Medical Payments Each Person $ 1,000 Each Accident $ 25,000 Property Insurance Disclosure:. This location Includes Specified Additional Amount of Insurance for Coverage A - Dwelling. This location Does Not Include Earthquake Coverage. This location Includes Building Code Upgrade (Ordinance or Law) Coverage, per Form PH0041009. This location Includes an Annual Inflation Guard of 4%. Additional Coverages Form Limit Premium Personal Property Replacement Cost H004901000 Refer to Farm $ 0 Specifed Add'1 Amt Insurance Cov'A' PHOO81009 Refer to Form $ 10 H.O. Plus PHO011012 Refer to Form $ 25 Identity Theft Coverage PH061761009 .Refer to Form $ 25 Ordinance or Law PH0041009 $ 211,000 $ 42 Workers Compensation H024900801 $ 100,000 $ 5 Date Printed 03/21/2013 INSURED xo�.w..n rxu peva B A h E R S F I E L SJ PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II 1 FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 14, 2013 SUBJECT: Encroachment Permit Application for: 3702 Amur Maple Dr Name of Applicant., Keri Fujiwara Description of Encroachment: 4' high fence behind sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. t+lbbPeN pl/fGGttJf/L S�TFEnIrG Is q->�`r��r� rcY of euFB• (PATc-L)W EZfW fs Feott4�Nu�C) ` 2. oopeN (0575 �4 X 3h9 ffil �' 2 rffKiH FY- to -rM* of cuF-5. �• p -�Opnpv OF FEGCE efJ LIACHFS OK ld K10 5fGw7 t lA't7— t✓tr#* P141 wny. S: PERMITSIENCROACHTRAFFIC47702 Amu! Maple Dr.doc E A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager -�c FROM: Bob Wilson, Supervisor II, Subdivisions DATE: June 14, 2013 SUBJECT: Encroachment Permit Application for: 3702 Amur Maple Dr Name of Applicant: Ken Fujiwara Description of Encroachment: 4' high fence behind sidewalk Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITSSENCROACH\INSURANCE\3702 Amur Maple Dctloc