HomeMy WebLinkAbout07-30000009
ENCROACHMENT 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 . . . . .
Property Address . . . . . .
Application type description
07-30000009 Date
9600 BRACKEN OAK WAY MD
PW - ENCROACHMENT PERMIT
3/16/07
Owner
Contractor
BARNES FAMILY TRUST
9600 BRACKEN OAK WY
BAKERSFIELD CA 93311
OWNER
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date
ENCROACHMENT PERMIT
653048
150.00
3/16/07 Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
Wood fence out to sidewalk on Bigelow
Oak side of house
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at al}Y/ friie.
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Signat re of 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.
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Signature of City Engineer
Additional Terms on the Back
Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising
from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said
encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful
misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 revocation thereof by
the City Engineer, applicant 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 issuance evidencing sufficient coverage for
bodily injury or property damage liability of both and required endorsements evidencing the insurance required.
I have read and acknowledge the above.
_Applicant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: April 19, 2007
SUBJECT: Encroachment Permit Application for: 9600 Bracken Oak Way
Name of Applicant: Barnes Family Trust
Description of Encroachment: 6' wood fence on side yard next to sidewalk.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to build 6' wood fence next to sidewalk on the side yard.
The applicant has provided proof of appropriate insurance coverage to Risk Management, and
has provided signatures of all immediate neighbors stating that they have no objection to the
proposed construction.
Based on their review, staff recommends approval of the permit.
S:\PERMITS\ENCROACH\_Approval memo.doc
07-09
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B~L\.KERSFIELI)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 29, 2007
SUBJECT: Encroachment Permit Application for: 9600 Bracken Oak Way
Name of Applicant: Barnes Family Trust
Description of Encroachment: 6' wood fence out to sidewalk on side yard.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\9600 Bracken Oak Way.doc
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OB i\.. K E R S F I E L r)
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: March 27,2007
SUBJECT: Encroachment Permit Application for: 9600 Bracken Oak Way
Name of Applicant: Barnes Family Trust
Description of Encroachment: 6' wood fence out to sidewalk on side yard.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:\PERMITS\ENCROACH\INSURANC\9600 Bracken Oak Way. doc
CitY. M Bakersfield
H* COSmMCn flECf:IPT !';~,~
OJ.!i?r: PWC TYlre: DC: j)r?w~r; 1
Date: 3ii&/07 21 Receipt no: 9&312
Descrintion Quantity
2u07 J000000'j -
l.1P RtlILDmG PERimS
1.00
Tp.i1flm' d5:?tail
CK CHEm
Tet-a l~etJde~rl
T (Ita J payment
4~C'~;
rra~s date: 3i\6/07
A;,l')Ul1t
~H50. 00
f,l~O.OO
1it50.00
$150.00
HAPPY SAjNT PATRIC!{S D~{
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BAKERSFIELD
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
APPLICATION FOR ENCROACHMENT PERMIT
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.
1. Full name of applic{'lnt and complete address inclyding ph,.Qne number: 5~ 6. ~~ s
0\(0:>0 ~el-C"'e"'\ ~\:.. ~y" ~~Q.'S\ l-e )0. cpo. C?33~\ (rl...,j - ~lD<;-Z.02.'
,; c~ II 30 (- '830 I
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...) ~o:>D Fe.~ce..
3. Loca~iol1 of proposed encroachment: , (Example: Side yard at back of fence or front yard back or sidewalk)
S \ ~ 'i~ Q. r:> ~~ ~o;:. ~ QQ)-o'"l f:r-::>6 T.
Other.
4. Period of time for which the encroachment is to be maintained
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless 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, 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
revocation thereof bv the City enqineer. applicant will at his own cost and expense remove the same from the public
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-
ing the insurance required. The type(s) and amount(s) 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.
Date: '3-/6~.!:)7 /J ~ ~ -'"
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BAKERSFIELD
Public Works Department
1501 Truxtun 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 right-of-way.
(~i~~~ D~
Of q ([DO
(Address of purposed encroachment)
BY:~ ~S
(Owners Name)
Phone' G0J- &;(P-~ -'6J 2q ,
SIGNED:
1.) Name:
. Address:
:.< YA .J.,
.' 1
Date: *VPl
Date: '3 Ir{o'
I
2.) Name:
Address:
3.) Name:
Address:
Date: :3 - /:;-- c5> 7
4.) Name:
Address:
Date: 3-/<:)-07
5.) Name:
Address:
Date: .1-/)- t:)7
6.) Name:
Address:
Date: ..;. - i 5- ~-::::;
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BAKERSFI ELD
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326-3724
ENCROACHMENT PERMIT INSURANCE REQUIREMENTS
1. Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners coverage in an amount of at least $300,000.00
B. Businesses
Commercial General Liability coverage in an amount of at least $500,000.00
2. Additional Insured Verbiage
A. The City of Bakersfield, its mayor, council, employees, agents and volunteers
are added as additional insured's with respect to
(Le. the installation of a chain link fence at 1501 Truxtun Ave.).
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D
ELITE II POLICY
DECLARATIONS
Non-Assessable
Page 1 of 4
These Declarations are a part of the policy named above and identified by policy number below. They
supersede any Declarations issued earlier. Your Elite II Policy will provide the insurance described in this
policy in return for the premium and compliance with all applicable policy provisions. See policy for details
regarding the other coverages and additional coverage options.
Policy Number:
72 04 MP 250650
Policyholder:
(Named Insured)
JASON BARNES
LAURA BARNES
9600 BRACKEN OAK WAY
BAKERSFIELD CA 93311-2420
Issued:
AUG 08, 2006
Policy Period From:
OCT 01, 2006 to OCT 01, 2007 but only if the required premium for this period has been paid, and only
for annual renewal periods if premiums are paid as reqUired. Each period begins and ends at 12:01 A.M.
standard time at the Residence Premises.
The Following Change(s) Have Been Made To Your Policy:
The limit of liability for Section I Coverage A Dwelling is revised.
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.
Residence Premises Information:
JASON BARNES
LAURA BARNES
9600 BRACKEN OAK WAY
BAKERSFIELD
CA 93311-2420
PROTECT I ON CLASS 3
INSIDE CITY
WITHIN 1000 FT FROM HYDRANT
WITHIN 5 MILES FROM FIRE DEPT
FIRE DISTRICT 0002
PROTECTION TERRITORY 076
ONE FAMILY
FRAME DWELL I NG
YEAR OF CONSTRUCTION 1988
-
- SECTION I
Property Coverages
Deductible: $500 ALL PERILS
Limits Of Liability
COVE RAG E-A-DWELLI NG
COVERAGE-~THERSTRUCTURES
COVERAGE~PERSONALPROPERTY
COVERAGE-D-LOSS OF USE
213,700
21,370
149,590
213,700
In case of a loss under Section I, we
cover only that part of each loss over
the deductible stated.
$
$
$
$
SECTION II
Liability Coverages
COVERAGE-E-PERSONAL LIABILITY
FOR EACH OCCURRENCE:
PROPERTY DAMAGE AND
BODILY INJURY
COVERAGE-F-MEDICAL PAYMENTS
TO OTHERS EACH PERSON
Limits Of Liability
$ 300,000
$ 5,000
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