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Home My WebLink About7104 FELBRIDGE CTBA x e ENCROACHMENT PERMIT CITY OF BAKERSFIELD o PUBLIC WORKS DEPARTMENT � 1501 TRUXTUN AVE 'J ® BAKERSFIELD CA 93301 �AL7F0 (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 . . . . . 13-50000062 nate 8/14/13 Property Address 7104 FELBRIDGE CT Application type description PW - ENCROACHMENT PERMIT Owner Contractor ------------------------ LOPEZ REYNALDO OWNER 7104 FELBRIOGE CT BARERSFIBLD CA 93307 Permit . . . ENCROACHMENT PERMIT ------ Additional deer . . Phone Acce.e Code . 1359959 Permit Fee . . . . 208.00 Issue Date . . . . 8/14/13 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000. EA PW ENCROACHMENT 208.00 ---------------------------------------------------------------------------- Special Notes and Comments August 14, 2013 2:16:19 PM mmend,sesel. Existing 4' wrought iron fence at back of curb. Contact person: Reynaldo Lopez 661-381-7224 August 14, 2013 2:17:18 PM mmendenhal. Fee summary Charged PaidCredited ------- Due --- ----------------- ---------- ---- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 :00 .0o Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke th(11Ie�IIp� armi at any time. p UD-,rtNk - el ✓la ��t� Lc. e7 Sign t� ure of licant (Owner/Agent) Print aml m 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 UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE PtLNTED (DENIED) Said permit shall expire on date stated above. Signature of City Enginee Additional Terms on the Back 2 B A K E R S F I E L b Public Works Department 1501 Tnvdtm Avenue Bakersfield, Caldomia 93301 (661)326-3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 To the City Engineer of the City of Bakersfield, California: Pasuant to the provisions of Chapter 12.26 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: ,Ror t d� n 1. opc —L -4l oti F-elia'Age C CC 211CA- 66C-hfiSt-12Z4 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.,.) L4 fr;W I `'nry 3. Location of proposed encroachment: (Example. Side yard at back of sidewalk or front yard at back of sidewalk) n. Penod of time for which the encroachment is to be maintalned. (ndeffnite " or Other.. ase Circle) 5. Is property part of a Homeowner's Association as _�_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 administrafive, 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 personor 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 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- ;ng the insurance required. The type(s) and amount($) 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�ncroachmentPert itsVpplicabonforEncroachment -L 6 A I< E L R S F I E D Public Works Department 1501 Truxwn Avenue Bakersfield, California 93301 . (661)326-3724 TO WHOM IT MAY CONCERN: We the undersigned,. have no abjection to the construction of a fence beside the sidewalk within the pubI,c nghl-of-way. By: �?ksprcj P7 L {�k'Z (Suet (or proposed zncro cmnenU OwnersN meL ofo,Li a=. ,:2, � Z.ZLl-- (Address of proposed encroachment) SIGNED: 1)Name: .Address:) r• 2.) Name: �� - a.. Address: 7'� 3,) Name: Address: 4) Name Address: 5) Name: Address. 5,) Name. Address: Date: /M/w/ Date: Date: Date: Date: 13 3 ALLSTATE INSURANCE COMPANY CALIFORNIA Conditions respecting Binder - Such insurance as may be bound by this service request: 1. is afforded in reliance by the Company on the statements made by the Insured; 2. shall be effective on the date, and at the time stated, but in no event sooner than such date and time; 3. is subject to the terms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such. policy; 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time withrespect to the designated property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. Page 1 of 2 HOMEOWNERS Home Office Calendar Date: 08/14/2013 Northbrook., IL Policy Number: 904250415 11 / 29 Insured REYNALDO LOPEZ Address 7104 FELBRIDGE CT City BAKERSFIELD St.: CA Zip Code: 93307 Home Phone No.: 661 - 330 - 4391 ADD/CHANGE SECTION I AND II COVERAGES LIMITS Family Liability 'Protection - each occurrence $300000 Guest Medical Protection - each person $10.00 Conditions respecting Binder - Such insurance as may be bound by this service request: 1. is afforded in reliance by the Company on the statements made by the Insured; 2. shall be effective on the date, and at the time stated, but in no event sooner than such date and time; 3. is subject to the terms, exclusions and conditions of the Company's policy form, and of the forms and endorsements approved for use with such. policy; 4. is limited to a period of thirty (30) days, beginning with the effective date hereof and expires at 12:01 A.M. Standard Time withrespect to the designated property insurance policy on the last day of such limited period; provided, however, that the Company may sooner terminate such insurance by mailing to the Insured, at the address stated, written notice of rejection of this Service Request. Page 1 of 2 ALLSTATE INSURANCE COMPANY CALIFORNIA HOMEOWNERS Home Office Calendar Date: 08/14/2013 Northbrook, IL Policy Number: 904250415 11 / 29 This request is subject to policy terms and is effective only if the policy noted aboNe is currintly in force. / Effective 01 : 56 PM 06 / 14 / 2013 ork- 010420 older's Signature 142 (661)397-2810 Phone Agent's Signatu Agent # Location Agent's Phone # SAR417-2 Page 2 of 2 E R S F I E I. 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: 7104 Felbridge Ct Name of Applicant: Reynaldo Lopez Description of Encroachment: Existing 4' high wrought iron fence at back of curb. Please review the attached encroachment permit and return to me at your earliest convenience. S TERMITSIENCROACMTRAFFICV 104 Felbndge CLdoc • S _-1 h E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 19, 2013 SUBJECT: Encroachment Permit Application for: 7104 Felbridge Ct Name of Applicant: Reynaldo Lopez Description of Encroachment: Existing 4' high wrought iron fence at back of curb. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 8:\PERMITS\ENCROACH\INSURANCE17104 Felbndge Ct doc