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Home My WebLink About2401 CLARA RDENCROACHMENT 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 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 . . . . . 13-30000071 Data 10/04/13 Property Address 2401 cLARA RD Application type description PW - ENCROACHMENT PERMIT Owner Contractor MENDEZ LARRY & GINA A OWNER 2401 CLARA RD BAKERSFIELD CA 93304 Permit . ENCROACHMENT PERMIT Additional deet . Phone Access Code 1380625 Permit Fee . . . . 208.00 Issue Date. . . . . 10/04/33 Valuation 0 Qty unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 ------------------------------------------------------------------------- Special Notes and Comments October 4, 2013 10:43:32 AM mmendeNwl. Place brick and wrought iron fence at back of curb. Contact person: Gina Mendez - 661-39B-1755 ----------- Fee summery Charged PaidCredited 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. Ct-t-(1 -{k M Signature of Applicant (Ovvrt&/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) UTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOR (GRANTS (DENIED) Said permit shall expire on date stated above. �L- Signature of City Engineer Additional Terms on the Back ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661)326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Addressrequired where If there is no address adjacent to work describe limits of work by distances from nearest existing street FULL NAME OF APPLICANT jAlA—/inn //761?cLe2— COMPLETE ADDRESS: 2-yL1 GL,Hii—(+r- -o1=r0 PHONE: 1,&1-359-17S�5- ti' AICs (5 elc� �, k 33a y- FAX: CELL:b�—Z63-3cj PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): 8ri(L cam*), W r-oL�1-rm Ecn n PERIOD OF TIME FOR ENCROACHMENT: DEFINITE r OTHER: ase Circle) CONTACT PERSON—6j! nG CY1.01-PJL- PHONE:(%IQ 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, orjudicial 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 N or right of way where the same is located- and restore 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 requiredby 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 evidencing the insurance required. The type(s) and amount(s) of insurance coverage required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000:00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. _ Encroachment Permit Fee: $208.00 S:.\PERMITS\ENCROACIIVEncroacbment Permit RPq Form.DOC Sept. 2013 B A K E R S F 1 E L D Public Works Department 1501 TWMn Avenue Bakersfield, California 83301 (661) 326-3724 TO WHOM IT MAY CONCERN: _ We the undersigned, have no objection to the construction of a fence beside the sidewalk within tae public nghl-of-way. CLpr1ZFr P6AO 'ural lor proposed enerooc anent orgL401 L F�iLFr1�FY(� (Address of proposed encroachment) SIGNED: 1.) Name. Address. 2.) Name: Address: 3,) 3.) Name: (- S Address: IqQq C 1 r4f Rd. 4. Name: a �✓+:r -w L� Address:tub� Claves RA. 5 ) Name: Address: 5.) Name: Address: ay: (::o; - A- f L� M& -i e -L- Date: 10/3/ /3 Date /0 - 3 - /3 Date )o-3-�� Date. 10-3 -1-3 Date: Date: � ncil CERTIFICATE OF PROPERTY INSURANCE 08105all s a I THIS C RTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY 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), AUTHORI ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. Nthis ceNiffcate is being prepared fora party who has aninsurable interest In the Property, do not use this form. Use ACORD 27 or ACORD 28. PRGouc. HgME°O Danielle A Ecklund Danielle A. Ecklund P@RLCGN Exg 861831120p _-NPy._. 66103190]0 _,_ Sgrog er, 4025 Stacktlale Hwy n .N _ Danielle aeckl tlukwz@st t f m Gom ousioMER o. Raker_e0eltl Ca mau 93309 T FFGRniNG Ce ERAGE MerlLand B Gina A !mURE _-- - 240.11Cie. Rd RERc Bakersfield CA 93504 INSURER. LOCATION OF VREMISES I OESCRIPHas OF PROPERTY B E OU ACORO t eL A EUE—a Remarys —sa". "--Exe la mgw.d) Ylllsls TO FR -FP _TPH THE LL UES OF INSURANCE LISTED BELON HAVE BE ISSUED iU Tine NSJREO NAMED ABOVE FOR THE PULICY PER ADICATEO f OIWIL T N iC ANY REQUIREMENTTERM OR L NDIi ON CP AN rt 01 Rf.S OOTHER LOCUM I T IHN RESVP T T V/IilClt iNi3 CFRTJMCATF MAYBE SUFO OR MAY P R AIN THE INSURANCE AFFORDFO PY THE POI ICIES DESCRIBED HEREIN S St151ECT TO Ai THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMIT5 SHOWN MAY HAVE BEEN REDUCED By PAID LLAn"S INSRI FypEOFIM9VRaNCE FOtICYNeassh POLIeme 'POUCY NRAMOn CGVEREV kkere tt OMnS RATE 1E1HDaMYYY1 .,EI IYYYYI R X m�em`. X-A..Cr 16T.i00 IA4FSO QS 5GFPL l6 [5 X''PER L ROPCE < '1264]5 C x Y.f'N 95 INECO, r SLI) LIrlc.vl� X 3'Na.ew[ 10U0 "c V'-lT_C196.7 050 2813 U'e ] Oi4 fat re LuuS+e �g � >„ ane Flsw r X LONYL, .I .... s I aLL � ae R aa�RamaeeWEavl eOmPmElirxEF>BOOPorc 1 { �P i I O v1 sMeauw.. norvxP r_P ury fr �(.9P N11111 rx"t I THOULOPIRA IO THE ABOVE EREOFBEO POLICIES BE CANCELED HEFORE TRI COLINTiE$EAVR 540A RTIMA THE EXPIRATION OPTS POLICY PRF. NOTICE WILL HB Ut"LIVEREO IN 9]'S 1 U1,01 6(1 AGCOROPNOE WITH THE POLICY PROVISYONS, 1 o ox =::Nj 11IIII------.... Ce,, . 'if .606.1 �TNOP [Fa aEPRESPi i L . yE q / ' 1, 1995-2009 ACORD CORPORATION, All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD ; 043YU 14,936.2. in t&TJ'fl E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: October 22, 2013 SUBJECT: Encroachment Permit Application for: 2401 Clara Rd Name of Applicant: Larry & Gina Mendez Description of Encroachment: Place brick and wrought iron fence at back of curb. L ----a Stdr��lc Please review the attached encroachment permit and return to me at your earliest convenience. Cit. Pkd✓Ivt � 77PC /0',x/r' 5(6NtGlA16 ��l(LC�BA/i5 r0)'- (wowwr PKi ° Sytl�� Vc- p85nit V,'r?o q Mho S \PERMITS\ENCROACH\TRAFF CP 401 Clam Rd.doc • I? _-\, 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: October 22, 2013 SUBJECT: Encroachment Permit Application for: 2401 Clara Rd Name of Applicant: Larry & Gina Mendez Description of Encroachment: Place brick and 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. S:WERMITSENCROACMNSURANCE2401 Clara RdCoc � � J Q U g O Q O $w_ Q� co C W w (Qn L � OO J eWyc'uko 1__!5 J 09 7� � 11�M015 P°®°fid m 6W}gx3 " yy O Q I aces � 0 E� CITY VI d t O t"t 1 I I I [ 1 f I11 t� Abp BRK RSLltLD 1 '. {1101 I f) AWpiLtfn f ( j_.. I ...... 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