HomeMy WebLinkAbout10703 FIELDSTONE DRTO 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 . . . 13-30000073 Date 10/11/13
Property Address 10703 FIELDSTONE DR
Application type description PW - ENCROACHMENT REPMIT
Owner
ENCROACHMENT PERMIT
of BAx�Rs
BAKERSFIELD 100 L P
CIN OF BAKERSFIELD
3202 W MARCH LN
.3202 W. NARCH LN., STE A
t7
PUBLIC WORKS DEPARTMENT
STOCKTON, CA
1501 TRUXTUN AVE
CA 93301
CBAKERSFIELD
y/ 0
(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 . . . 13-30000073 Date 10/11/13
Property Address 10703 FIELDSTONE DR
Application type description PW - ENCROACHMENT REPMIT
Owner
Contractor
BAKERSFIELD 100 L P
MR BUILDERS
3202 W MARCH LN
.3202 W. NARCH LN., STE A
STOCKTON
CA 95219
STOCKTON, CA
STOCKTON CA 95219
(209( 951-6190
Permit . . .
ENCROACHMENT PERMIT
Additional deet . .
Phone Access Code .
1382738
Permit Pee . . . .
208.00
Issue Date . . . .
10/10/13
Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 208.0000 EA PW ENCROACHMENT 206.00
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Special Notes and Comments
October 10, 2013 2:22:17 PM mmendenhal.
Place 6' high block at back of sidewalk
at side of house.
October 10, 2013 2:26:45 IN mmendexilul.
Contact person: Chris Jones
(951-582-7004( ext. 7630
Permit to expire on November 30, 2013.
New home owner must come in and get a
rider to put the permit in his name by
this date.
-
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Applicantecknowledges theneiglhbof the GilydEngineetpieuasuant twthe Bakersfield Municipal Code Chapter 12.20 to
---
revoke thqq rrlle !`K1at e.--206.00
mT -- --- ---------- --------
Pcsm¢Y'ie208.00 208.00 .00 .00
206.00 208.00 .00 �a
Si Lure of pelican (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) 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
CITY OF BAKERSFIELD - PERMIT RIDER
PUBLIC WORKS DEPARMENT
1501TRUXTUN AVENUE, BAKERSFIELD, CA 93301
(661(326-3724
INSPECTION 326.3049
To be attached to and made part of:
APPLICANT
In response to your request of _
numbered permit as follows:
Date of expiration extended to: -
Description of work changed to:
DATE ✓j".J ,20
®Street Permit Na
❑ Transportation Permit No.
i
PHONE
20 we hereby amend the above
Except as amended, all other terms and provisions of the original permit shall remain in effect.
This rider must be attached to the original permit.
APPROVED BY: Raul Rojas Rider Fee $
CITY ENGINEER
DEPUTY Other Fee $
Total S
White -Applicant Yellow -Public Works Pink -Construction PP 12/01
epgo Rm ENCROACHMENT PERMIT
+ APPLICATION FORM
v o CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
C ® 1501 TRUXTUN AVE
LIFO �� BAKERSFIELD CA 93301
(661)326-3724 Fax: (661) 852-2012
LOCATION OF ENCROACHMENT(Address required where available): 1,0-70`3 CICCDSICNL- DR
MKCR5F1-CtD GA, g3306
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection
APPLICANT INFORMATION
FULL NAME OF APPLICANT
COMPLETE ADDRESS: S604 1J:rD00j t;ALLCy KI) PHONE:
(,AKCRSF'7ELD CAI i33o6 FAX:
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block. wall, raised
planter, etc.): (000RCTC- f3tOCK (.BALL ,n1TTh W'TKti LW'ty WAO—
PERIOD OF TIME FOR ENCROACHMENT: qNDEFINIp
r OTHER:
CONTACTPERSON BCN QCAIL65 PHONE:
Applicant agrees that if this applicationis 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 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 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
Encroachment Permit Fee: $208.00
S:\PERMITS\ENCROACH\Encroachment Permit Req Fonn.DOC January 2009
A
ENCROACHMENT PERMIT
APPLICATION FORM
CC
CITY OF' BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
O
BAKERSFIELD CA 93301
s2.
06611326-3724 Fax: (661) 852-2012
LOCATION OF ENCROACHMENT(Address required where available):.W�C _ reld C11L- �—
aYu f5(-tY\6
If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection.
APPLICANT INFORMATION
FULL NAME OF
COMPLETE ADDRESS: IQ Um s, '"Iuo f PHONE: 1q
\ O(MUt iA qml\ FAX: 3J>1'�D-�=11�3
CELL:
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
,
planter, mc.): WA1dA I. -�—
PERIOD OF TIME FOR ENCROACHMENT:
I1 i\ DEFINITE
OTHER:
CONTACTPERSON �re „
cl PHONE: �ICI'S"Ra-�ODu 0636
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 lite 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
[Lor rel of way where the same is located, and restoresaid 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 enero:mhment.
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 evidencing
the insurance required. Thelype(s) and amounts) of insurance coverage required are:
Residences: ffomeowners General Liability coverage in an amount of at least $300,000.00
Commercial: Commercial Liability coverage in an amount of m least $1.000,000.00
Eneroachment Permit Fee: $208.00
S:\PERMITS\FNCROACH'Encroachment Permit Req Form.DOC January 2009
•
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B A K E R S F I E L L D
Public Works Department
1501 TNxlun Avenue
Bakersfield, California 93301
(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 right�f-way.
ae�or ased`a�wron<Ument
BOwners; r-a�me 7 rv1
L�i�ti �,� etu+n-_�{-`J0-7W� 7�D3D
(Address of proposed encroarAmenQ
SIGNED:
1.) Name:U(SLAt IOC (_.Y Date: 1 3
Address: Qjf)j lkw_ n✓ "1
2.) Name:Ytif;vri fnn L Date:
P I� 3
Address: �nlnCl`d �;`�( 'r
3.) Name:
Address:
4.) Name.
Address:
5.) Name:
Address:
6.) Name:
Address:
Date.
Date:
Date:
MATTH-3 OP ID: JH
4��_ ® CERTIFICATE OF LIABILITY INSURANCE °" 02127M3
02/27113
THIS CERTIFICATE. 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), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(ies) must be endorsed.. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements).
PRODUCERCONTACT
209375-0400
Daugherty Insurance Services
10100 Trinity Padcway,S-300 209375-4475
Stockton, CA 95219
Scott Daugherty
vxoxs FAX
u uo En: Arc xw
EMAIL
ABORESS:
INBURERe AFFORDING COVERAGE NAIL#
NSURERA:PrO reSSIVe Insurance
COMMERCIAL GENERAL LIABILnY
f�
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INSURED MHP Builders, Inc.
INBURERB: Everest National Insurance CO
3202 West March Lane SteA
Stockton, CA 95219
INSURERL,
MED EYP(All one person) E
PERSONALaAOVIWURY %
INSURER D:.
INSURER E:
INSVRER F:
wvERAGE5 CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT 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
CERTIFICATE 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.
WSR
{YPEOFINSVFANCE
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BODILY INJURY ('¢, person) E
ALLOWNEB X SICHEDULEO
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BODILYIWURY(Pxsccitlenl) S
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ANYPERIDEMSORIPARLUOSIDXEcmIVE Y/N
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OESCRIPTIONOFOPERATONSbekw
DESCRI"ONOFOPEP Mi /LOCAnMS/VEHICIS (ANahACORDiO1,Addi:ionel Bemaha Sc...e,ilmortapaaeis,epundI
'10 days notice for non-payment of premum. Re: Tract5193, Phase V2
The City of Bakersfield, Its mayor, Council, officers, agents, employees and
designated volunteers are named as Additional Insured.
Evidence Only of Workers' Compensation Coverage
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Bakersfield THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1600 Truxton Avenue ACCORDANCE WITH THE POLICY PROVISIONS.
Bakersfield, CA 95219 1— t%' I Z ;—
HwlaU za'AC'ums/ I He AUUItU name and logo are registered marks of ACORD
MATTI OF ID: JH
A9L."RL3.AfineeOMYY)
l - CERTIFICATE OF LIABILITY INSURANCE 02126113
THIS CERTIFICATE 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($), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policynes) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the polis , certain policies may require an endorsement A statement on this certificate does not confer rights to the
cerfi icate holder in lieu of such end.ramnent(s).
PRODUCER 209-475-4400
Daugherty Insurance Services
10100 Trinity Pimsvay,S-300 209-476-4475
Stockton, CA 95219
Scoff Daugherty
CONTACT
NAMO
Fax
NG xe (ANI.."
IS
DRESS:
GENeeALLW&Ott
INSURER AFFORDING COVERAGE NAICI
INSURER A: American. Safety Ind Co
INSURED Bakersfield 100, LP
3202 W. March Lane, Suite A
Stockton, CA 95219
INSURER C'
INSURER C:
A
X COMMERCIAL GENERAL LIRNI
INSURER D:
INSURER.:
172PWP000008
INSIIRE0. F:
116109114
COVERAGES CERTIFICATE NUMBER:
THIS IS TO CERTIFY THAT 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
CERTIFICATE 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 CIAIMS.
(LTR
TYPEOFINSURANCE
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EACH OCCURRENCE S $,OOD,00
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172PWP000008
06/09109
116109114
pa"wIs $ Ea asu+ante $ 56,660
ME EYP (Pnyanepertonl $ Excluded
CLAIA SAU. OCCUR
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GENERALAGGREGATE $. 6ADO,000
GEN'L AGGREGATE
LIIdnAPPLIESS
PER:
PRODUCTS-COM%OPAOG $ 5,000,006
X POLICY
F7 PRO
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Retention $ 26,006
AUTOMOBILE
LIABIt TY
COMBINE SINGLE LIMIT
BOOILYINJUftY{Pa+perzm) $ '
AME
ULC
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BODILYINJURY(Pc,accidwi) $.
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ESCESS LOS
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PER RETENTIONS
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WORNERNSATION ❑
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WCSTAN- OTIC
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EL DISEASE-EAEMPLOYEE.S
(RMantlalory In NH)
LIMn $
Gin..
DESCRIPTION OF OPERATIONS OaIwv
I
IELOISFASE-POLICY
SCWP}ION OFOPERATIONS/LOCATORS/ VEXICLES (AXachACORD 1a1,AddieRnal RemaMs$chaEulo, llmorespau Is rtqulmE)
"10 days notice for non-payment of premium. Re: Tract 6193, Phase 1,2
The City of BakersB I Its mayor, council, offiers, agents, employees and
volunteers are nametl es Additional Insured as respects to all operation oft
Named Insured. Coverage includes waiver of subrogation.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
CI Of Bakersfield THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City .ACCORDANCE WITH THE POLICY PROVISIONS.
1600 Truxton Avenue .✓A
Bakersfield, CA 93302 AUTHORaEach—e NrA %
Seott Daugherty �
ACORD CORPORATION.
..C.nU ea "C 1UIUa) 1 Re AUURU name and logo are registered marks of ACORD
0 Interinsurance Exchange of the Automobile Club
' ° ' - .AAA YourHome Advantage - Homeowners Policy Coverages and Limits
New Business Declarations - Form 3
Insurance is in effect only for the property, coverages and limits of liability shown on this declarations page and set forth in the
insurance policy and endorsements.. These declarations, together with the contract and the endorsements in effect, complete
your policy.
YOUR NAME AND MAILING
W
Parti Property Coverages
Description
Dwelling
Other Structures
Unscheduled Personal Property
Loss of Use
Building Code Upgrade
Coverage A""
Coverage13-
Coverage C
Other Coverages 1. (20% of the amount of Coverage A)
Other Coverages 5. (10 % of the amount of. Coverage A)
Deductible" .Limits
Yes
"VINCWVNCttS rui NUMtltK
BOYLES, BENJAMIN AND POWELL, RHONNDA
CHO 086668667
10703 FIELDSTONE DR
POLICY PERIOD (PACIFIC STANDARD TIME)
BAKERSFIELD CA 93306-8345
Liability Medical Residence Endorsements
Yes
THIS POLICY IS EFFECTIVE
Payments Employees
FROM: 11-19-2013 12:01 A.M.
$1,698 - $1,200
TO: 11-19-2014 12:01 A.M.
LOCATION OF RESIDENCE PREMISES (if different from mailing address above)
• If at policy inception you chose to pay less than the full premium due, a $5 fee applies toeach installment billed, as stated in
your billing statements, which are part of these declarations.
YEAR BUILT: 2013
COVERAGES AND LIMITS OF LIABILITY - Coverages are subject to all conditions of this policy,
Parti Property Coverages
Description
Dwelling
Other Structures
Unscheduled Personal Property
Loss of Use
Building Code Upgrade
Coverage A""
Coverage13-
Coverage C
Other Coverages 1. (20% of the amount of Coverage A)
Other Coverages 5. (10 % of the amount of. Coverage A)
Deductible" .Limits
Yes
$380,000
Yes
$38,000
Yes
$285,000
No
Liability Medical Residence Endorsements
Yes
Discounts
The limit of liability for this structure (Coverage A) is based on an estimate of the cost to rebuild your home, including an approximate cost
for labor and materials in your area, and specific information that you have provided about your home.
' A deductible of $1,000 will apply as indicated.
Coverage A and Coverage B - Guaranteed Replacement Cost Included
Part /I Liability Coverages
Description Limits.
Personal Liability Coverage D(Bodily Injury and Property Damage) - Each Occurrence $500,000
(Personal Injury) in the Aggregate
Medical Payments to Others Coverage E - Each Person '$5,000
Part IV Workers• Compensation and Emgl v 'Liability Coverages
Description
Workers' Compensation Coverage F - Statutory
Employers' Liability Coverage G (per Conditions Part IV Provision 3)
Residence Employees - Outselvant(s) 00 / Inservant(s) 00
PREMIUM DISCOUNTS APPLIED TO YOUR POLICY
Multi Policy New Home Roof Type Fire Alarm Single Story
PREMIUM SUMMARY
Additional Coverages
Basic Coverages Less
Liability Medical Residence Endorsements
CIGA TOTAL
Discounts
Payments Employees
Assessment PREMIUM
$1,698 - $1,200
$42 + $9 + +
_ $549
• If at policy inception you chose to pay less than the full premium due, a $5 fee applies toeach installment billed, as stated in
your billing statements, which are part of these declarations.
THIS POLICY DOES NOT PROVIDE COVERAGE. AGAINST THE PERIL OF EARTHQUAKE.
�
ioi3oa00io PROCESS DATE: 11-21-2013 (SEE REVERSE)
1x111
PLEASE KFFP WITH Ynt1P PCI Iry
B A K E R 6 F I E L D
Public Works Department
1501 Twxtun Avenue
Bakersfield, California 93301
(661)326-3724
TO WHOM IT MAY CONCERN:
We the undersigned, have no objection to the construction of a fence beside: the sidewalk within the
Public fight -of -way.
10 103 FSc�pSToNC DR Br: CEN eYL�S
(Street for proposed encroacluneN ( wne /tt� ax '1 -] ''1 (J
or !6KERSf-TCLD CA -1336(7 fta=. 60- �U`1 Ij ` I
(Address or proposed eneroachmen)
1.) Name:
Address:
2.) Name:
Address:
3.) Name:
Address:
4.) Name:
Address:
5.) Name:
Address:
6.) Name:
Address:
Date:
Date:
6 A R E 5 F 3
Publk Works Dspariment
1501 7ruxlun Avenue
60kenfield, Callfomle 93301
(551) 320-3724
ENCROACHMENT PERMIT REQUIREMENTS
I Application
2. Permit Fee of $206.00
3 Drawing; Minimum a 112 x 11 showing encroachment on lot in relation to the.
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the. City in making a determination as to
your request.
n. Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners General Liability coverage in an amount of at least $300,000.00
a. Commercial
Commercial General Liability coverage in an amount of at least s1.000,000. 00
2 Additional Insured Verbiage (Far Commercial)
A. The City of Bakersfield, its mayor, council, employees, agents and volunteers
are added as additional insured's with respect to IUCL or k 0.A'
(i.e. the installation of a chain link fence at 1501 Truxtun A.ve.). )oID3 �;dh$me, t)f-
S�Fnvoa��m�'dPettnnsanseranceeeemremenb
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B A 1-�: E R S F I E L T>
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: John Ussery, Engineer II
FROM: Bob Wilson, Supervisor II, Subdivisions
DATE: November 12, 2013
SUBJECT: Encroachment Permit Application for: 10703 Fieldstone Dr
Name of Applicant Bakersfield 100 LP
Description of Encroachment: Place a 6'high block wall at back of
sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
exp
5:\ ERMITMENCROACH\TRAFFIC\10703 Fieldstone Dr.doc
•
Y A Iv E R S F I E L I>
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jena Covey, Risk Manager Y
FROM: Bob Wilson, Supervisor ll, Subdivisions
DATE: November 12, 2013
SUBJECT: Encroachment Permit Application for: 10703 Fieldstone Dr
Name of Applicant: Bakersfield 100 LP
Description of Encroachment Place a 6'high block wall at back of
sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:IPERMITS\ENCROACR\INSURANCE\10703 Fieldstone DrAM