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Home My WebLink About3703 BRISBANE AVEBA ENCROACHMENT PERMIT O�ywPo., e S CITY OF BAKERSFIELD d PUBLIC WORKS DEPARTMENT 4� 1501 TRUXTUN AVE —tal BAKERSFIELD CA 93301 gLIF0 (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 . . . . . 15-30000009 Date 3/16/15 Property Address 3703 BRISBANE AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor TUCKER NATHAN C E DENISE L OWNER 3703 BRISBANE AV BAKERSFIELD CA 93313 --------------------------------------------------------------------------- Permit . . . ENCROACHMENT PERMIT Additional dose . Phone ACeess Code 1606466 Permit Fee 208.00 Issue Date 3/16/15 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE --------------------------------------------------------------------------- 208.00 Special Notes and Comments Sxi sting 41" high red body klink— two brick garden wall. 1'x 1' concrete footing runing n est of property to sidewalk.On eastaide of property will becnatructing the .e type of wall. ?a' John, Traffic Dept,, there needs to be 5' clearance from sump driveway. Nathan Tucker (661) 834-7516 Fee sum ary Charged Paid Credited Due Applicah g - -gp the riggt Af the ggyPgineer,-pWsuantto t Bakersfield Municipal Code Chapter 12.20 to revoke then mita anytime.20E.00 208.00 .00 .00/ Signature Vf 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) 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 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 ENCROACHMENa33T(Address required where available): 310.5 ID( lsborle T`Ve . '6aV,QarS-�i��d� CA 1� If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. FULL NAME OF COMPLETE ADDRESS: 'PIVD 1�(IJIDGIt'I� fSVG. pakcPS�;.�ad , c� q'�l�tl�i PHONE: FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised kl„u t' U(A226 ICI;)k2 --r-WOOVICkPv#y-” A#Lk1I' y- It C .- I WI planter, etc.): y PERIOD OF TIME FOR ENCROACHMENT: INDEFINIT r OTHER: t1,,1 —f- t._ ( ease Ciecle) '^ CONTACT PERSON IVIRIM6 11�CKf'1/ PHONE: W\1 S'l4' I51V 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 upon tt revocationthereof by the City Engineer, oplicaut will at his own cost and expense remove the same from the public property or right of way where the same is located, and restore 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 andrequired 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: $208.00 Sept. 2013 S.\PEItMIT3\ENCROACII\F.ncm=hment Peemit RW FtM1m 11 (Jl v • B a I: E R S fi f E L D Public Work$ Department 1501 7w4un Avenue Bakersfield, California 93301 (661) 3263724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the Sidewalk within the Public right-of-way. &tS100.hZ hJZ BY: rla{Iio,h a,dO!vi-seT,�eltiw ( vtm .o: proposad tncroac unenk) (owners ame Qr �101� VIA- x[34 -151k (Address of promsed eneroechmein) 1.) Name: Address: 2.) Name: Address: 3.) Name: Address: 4.) Name'. Address: 5,) Name: Address. 5.) Name'. Address'. Date: 3(IS,�f 3 Date• -4 IS' K o te: 3'15 15_ P Date: e.j Date: -7,h S / s Date:/�� Progressive Home Advantage Nathan Tucker Denise Tucker 3703 BRISBANE AVE. BAKERSFIELD,CA 93313 Issued by iiomesite Insurance Tler 007 Company of California firisurea cocation 3703 BRISBANE AVE BAKERSFIELD CA 93313-4220 Deductible $1000 In case of loss under Section I, we cover only that part of the loss over the deductible stated. Coverage Limit Premium Section I - Property Coverage A - Dwelling Coverage B - Other Structures Coverage C - Personal Property Coverage D - Loss of Use Section II - Liabilil Coverage E- Personal Coveraoe F - Medical I $1,480.00 Included Included Included $23.00 Additional Coverages $175.00 See Additional Coverages on reverse side for details Surcharges $0.00 See Surcharges on reverse side for details Discounts -$304.00 See Discounts on reverse side for details Authorized Representative Policy Number 30970428 AH0102-1003 Renewal Declarations Underwritten by HOMESITE INSURANCE COMPANY OF For Policy Number 30970428 CALIFORNIA P.O. Box 5300 Polley Period Thts policy covers the listed Binghamton, NY 13902-9953 location(s) From 12:01 AM July 23, 2014 Tel. (866) 960-8609 Fax (877) 273-2984 Through 12:01 AM July 23, 2015 (local time) Nathan Tucker Denise Tucker 3703 BRISBANE AVE. BAKERSFIELD,CA 93313 Issued by iiomesite Insurance Tler 007 Company of California firisurea cocation 3703 BRISBANE AVE BAKERSFIELD CA 93313-4220 Deductible $1000 In case of loss under Section I, we cover only that part of the loss over the deductible stated. Coverage Limit Premium Section I - Property Coverage A - Dwelling Coverage B - Other Structures Coverage C - Personal Property Coverage D - Loss of Use Section II - Liabilil Coverage E- Personal Coveraoe F - Medical I $1,480.00 Included Included Included $23.00 Additional Coverages $175.00 See Additional Coverages on reverse side for details Surcharges $0.00 See Surcharges on reverse side for details Discounts -$304.00 See Discounts on reverse side for details Authorized Representative Policy Number 30970428 AH0102-1003 B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 7, 2015 SUBJECT: Encroachment Permit Application for: 3703 Brisbane Ave Name of Applicant: Nathan & Denise Tucker Description of Encroachment: Existing 41"high red body klinker two brick garden wall. 1'x 1' concrete footing running west side of property to sidewalk. On east side will be constructing the same type of wall. Per John, Traffic Dept, there needs to be a 5' clearance from sump driveway. Please review the attached encroachment permit and return to me at your earliest convenience. S'. PERMITS\ENCROACH\TRAFFV3703 Brisbane Ave doc !t B A Ii E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager Vv FROM: Bob Wilson, Supervisor II, Subdivisions DATE: April 7, 2015 SUBJECT: Encroachment Permit Application for: 3703 Brisbane Ave Name of Applicant: Nathan & Denise Tucker Description of Encroachment: Existing 41"high red body klinker two brick garden wall. 1'x 1' concrete footing running west side of property to sidewalk. On east side will be constructing the same type of wall. Per John, Traffic Dept, there needs to be a 5' clearance from sump driveway. Please review the insurance certificate with the attached encroachment permit and. return to me at your earliest convenience. S TERMITS\ENCROACHMNSUR NCE3]03 ensbane Ave.doc