HomeMy WebLinkAbout6303 FERNCREEK FALLS DRBAKE ENCROACHMENT PERMIT
• i� CITY OF BAKERSFIELD
v o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
,gym ® BAKERSFIELD CA 93301
cALIFO (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 . . . 13-30000059 Date
8/06/13
Property Address 6303 FERNCREFK FALLS DR
Application type description PW - ENCROACHMENT PERMIT
Amer contractor
______________
------------------------
BRAZIER DANIEL R 6 RATHLEEN M. OWNER
6303 FERNCREER FALLS. DR
BAKERSFIELD CA 93312
---------------------------------------------------- .-----------------------
Permit. . . ENCROACHMENT PERMIT
__Perm'[
Additional deac . .
Phone Access Code . 1356344
Permit Fee . . . . 208.00
Issue Date . . 8/06/13 Valuation . . . .
0
qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
----------------------------------------------------
Special Notes and Comments
Auguat 6, 2013 10:13:20 AM mmendenhal.
Move a fisting 6' wood fence out to back
of curb on side of house. Will be adding
blocks to it. Contact person: Daniel
Brasier 661-342-9154
----------------------------------------------------------------------------
Fee ary Charged Paid Credited
__________ __________ __________
Due
_________________ __________
Permit Fee Total 208.00 208.00 .00
.00
Grand Total 2D8.00 208.00 .00
.00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to
revo mit at any time.
Signature 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) WILL (NOT)
SUBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2)
WILL (NOT) CON ITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFOR GRANTED) (DENIED) Said permit shall expire on date stated above.
Signature of City Engineer
Additional Terms on the Back
B fa K E R S F I E L D
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 12.24 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. Pull name of applicant and complete add including phone number �A , EZ— /f—
<70 3 �cr�, �2� 4- s �2 ��< �i 33 Z / 3Z/z- Si,fSl
2. Nature or description of the encroachment for which this application is made: (Exampl Wood or v7rt iron
fence, concrete block wall, raised planter, etc...) //['call 2 %�LJ�I` �l
3. Location of proposed encroachment: (Example., Side yard at back of sidewalk or front yard at back of sidewalk)
a Period of time for which the encroachment is to be maintained:(, ndefmite or Other.
-- (Please Circle)
5. Is property partof a Homeowner's Association Yes Z 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, orjudidal 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
ofsaid encroachment or unfit 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
propertyor 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 sufficientcoverage for bodily injury or property damage liability or both and required endorsements evidenc-
ing the insurance required. The type(s) and amounts) of insurance cpverage is: _` _ � v
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20to revoke the permil at
any time.
5 EnnpacnmenlPertnitsWpplicaFonforEnuoachmenr
6 A K E R S F t E L D
Public Works Department
1501 TruMun Avenue
Bakersfield, California 93301
(661)326-3724
TO WHOM, IT MAY CONCERN:
We the undersigned, have no objection f0 the construction of a fence beside the sidewalk within the
public nghkorl way.
(Ssaei or propoxd eneroa< mens wners ame)
(ndJrcm or prapoxetl cnaoadiman)
SIGNED
ss. f f Dale:
Addre
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2.) Name: V1¢ .1 IL'G.�., - t Date: 3
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3.) Name:
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Address:
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4.) Name:
Atl(:1ressl
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5)Name:
Jea tJ?Sii%r✓11
Address:
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5.) Name:7Q
Address:
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Date: 7- e,3 -13
Date: 7 -?.,1 - /3
Date: T),4-13
Date:- 2 / - / 3
FARMERS NEXT GENERATION HOMEOWNERS POLICY
MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA
A Stock Company
TRAWACTIONTYPL OFFER OF RENEWAL
Th.. Police Penod is effrc..rive as shown below ad odes the time for which aoohr&
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ERNL: i0 SIAXWADIIME ISSUING OFFICE:
23175 NW Bennett St.
94176-61-85 02-18-2013 02-18-2014 12:01 A.M. 03 R111aboro, OR 97124
This policy AD venflnue Ta stsmssive I A4y paladss if. (1) we elect to continue this insuracr, ad q if you pay the renewal prmds® for rich
,o.ssive policy period as mquised by om mtea, mks, fo®s and premium pias thm in eflecc
NAMED INSURED AND MAILING ADDRESS: LOCATION OR xsaamN OF RESOURCE nEAUSFia
DANIEL R. BRAZIER AND KATHLEEN M. BRAZIER (SmeaaoR$aNmuka oNasw AOAd)
6303 FERNCREEK FALLS DR
BAKERSFIELD CA 93312-1857
(INSWES • We insure you for the coverages and Russ mdiczted ss covered by a Ten& Rmit or other notation. Those Section I - Extensions of
Coverage ad Section 11- Liabdity Esamsions of Covemge tha ase not shown below apply as described m the policy.
DOCOUNIS
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LENDER'S LOSS
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CALIFORNIA NOTICE OF INFORMATION PRACTICES
DOCOUNIS
50 PLUS,
AUTO/HONE, NON BROKER,
AND
EXPERIENCE
HATING
PLAN DISCOUNTS
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DEDUCTIBLES
Deductible applicable to each covemd loss:
$500
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Payments or credits 51.m RI(MRI NIKFFI.
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SEE ADDITIONAL FEE INFORMATION BELOW
This Declarations page is part of your policy. It supersedes and controls
mydtittg to the contrary. It is otherwise subject to all other terms of the policy.
AGENT: PETE EOZANICH
AGENTPHONE (661) 833-1988 AGENTNUMBER: 95 41 333
eovauemigasto e
Aad,orvzd Representative
R E R S F I E L L)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager/
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August19,2013
SUBJECT: Encroachment Permit Application for: 6303 Ferncreek Fall Dr
Name of Applicant: Daniel & Kathleen Brazier
Description of Encroachment: Move existing 6' wood fence out to backof
curb on side of house. Kill be adding blocks
to it.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: PERMITS\ENCROACH\INSURANCE\6303 Femcmak Fall Dr.doc
B A R E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: August 19, 2013
SUBJECT: Encroachment Permit Application for: 6303 Ferncreek Falls Dr
Name of Applicant: Daniel & Kathleen Brazier
Description of Encroachment: Move existing 6' wood fence out to backof
curb on side of house. Will be adding blocks
Please review the attached encroachment permit and return to me at your earliest convenience.
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