HomeMy WebLinkAbout916 SAN CARLOS WAYBAK
ENCROACHMENT PERMIT
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CITY OF BAKERSFIELD
U o PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
yy> BAKERSFIELD CA 93301
Oq IFO (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 . . . . . 13-30000068 Data 8/29/13
Property Address 916 SAN CARWS WAY
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
BRADFORD WES S TRACEY TRUST OWNER
916 SAN CARLOS WY
BAKERSFIELD CA 93309
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Permit . . . BNCROACnMENT PERMIT
Additional deso . .
Phone Access Code . 1367184
Permit Fee . . . . 208.00
Issue Date . . . . 8/29/13 Valuation 0
Qty Unit Charge Per Extension
EASE FEE 208.00
Special Note. and Comments
Will be placing raised planters in the
front yard behind the sidewalk.
Wes (661) 303-2999
..
Fee summary Charged Paid Credited Due
Permit Fee Total 208.00 208.00 .00 .00.
Grand Total 206.00 208.00 .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.
O/q n/ l» a 5 S
Signature of Applicant (Owner/Agent) Print Name
1 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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E A R S F I E L
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Public Works Department ._
1601 TCalif Avenue
Bakersfield,, California 93301
(661) 326-3724 ` Si
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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.
y, 1, Full name of applicant and complete address including phone number: ' / R e T k A 11t11
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2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron
fence. concrete block well, raisedllaanter, etc...) IgAI S E A PLAN T6 r2
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3. Location of proposed encroachment (Example: Side yard at back o1 sidewalk or front yard at back of sidewalk)
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e. Period of time for which the encroachment is to be maintained:Indefinite or Other.
se Circle)
I(6. Is property part of a Homeowner's Association Yes V1 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, quasiwjudicial, 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
where the same is located, and restored said public property or right of way to the condition as
was before the placing, erection, maintenance of existence of said encroachment.
ol 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-
ing the Insurance required. The type(s) and amount(s) of insurance ooverage is:
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
any time.
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6 a K E R S F I E L. D
Public Works Department
1501 Truxwn Avenue
Bakersfield, California 93301
(661)326-3724
X TO WHOM IT MAY CONCERN:
vVe the undersigned,. have no objection to the construction of a fence beside the sidewalk within the
pubiic right-of-way.
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(S[rcel for Proposed ernroachmentl (Cvrne/rs/N me) ( y ' q
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(Address or Proposed cncroad[ment) (I
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1.) Name: V/( C?>t �J'9'i�- Date: O JD _tea/ -3
Address:
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A�� EVIDENCE OF PROPERTY INSURANCE OKDV2013
THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE OF PROPERTY INSURANCE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES BELOW.
AGENCY PHONE,. Exp: (661)28MWO eoavanY Lvmmpllrn lmwmce Compmy
PA18ox 16200
CLIkYOIUI & BRADWILI) INSUR kNCH AQhNCY
ISIS 20TH STREET lies&vg, PA 19612-6200
BAKERYIELD,CA93301
INSURED AN NYM9E w 11 Nume
wes.BxadfarJ ad'llvaey endf-d 10(1187522 013820182
1515211th St II INE DATE EIPIPATIONnATE EpMINUEUllNTIL
Aa6'orsODIQ EA 9.9301 ONO]!&112 0410]@Old TERCLIATED IF CHECNR
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916 Sv, Cad05 Way
BA-fidd, CA 93309
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To.l Oopnty&emimn•- .56.621.00
THE POLICIES OF INSURANCE LISTED BELOW HAVE 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 WHICH THIS
EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGE INFORMATION
COVPRAG@IPENILSIFUflMS APIWNTOFINSURAHCE OEOUGTI9LE
Rexiaa eRePlacamenl Vu Iic $1.891.000.00 $1:000
P ,r Ug Liabilr, $500,000 OR
Medical Clvvarago $5.000.00
^IdeWdes nil np,li.bk Innen and fees
MAIL 30 DAYS WRITTEN NOTICE TO THE ADDITIONAL INTEREST NAMED BELOW, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION
NAME ANn ADDRESS
MURTGAGEE
Lass PAYEE
HADDIPGNALINaaURE
LOAN X
BASK OF AMEERICA NA
06131522
P O ROX 961391
TORT WORTH, TX 76161-0291
AUTNORRED REPRESENTATIVE
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ACORU 27 (21105107) U ADUND UUKPVRA DVN Tse4-2uDti. nil III reservea.
The ACORD name and logo are registered marks of ACORD.
T-�: E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: September 17, 2013
SUBJECT: Encroachment Permit Application for: 916 San Carlos Way
Name of Applicant: Wes & Tracey Bradford
Description of Encroachment: Raised planters in the front yard behind
sidewalk.
Please review the attached encroachment permit and return to me at your earliest. convenience.
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L F R S F I E L i?
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager °d"-'
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: September 17, 2013
SUBJECT: Encroachment Permit Application for: 916 San Carlos Way
Name of Applicant: Wes & Tracey Bradford
Description of Encroachment: Raised planters in the front yard behind
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: WERMIMENCROACHVNSURANM916 San Carlos Way.doo