HomeMy WebLinkAbout04-30000038
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 . . . . . 04-300,00038 Date 1/27/04
Pin number . . . . . . .398196 r
Property Address . . . 235 E 8TH ST
Application description PW - ENCROACHMENT PERMIT
Owner
Contractor
JOSE LOMELI LORRES
235 E 8TH ST
BAKERSFIELD CA 93301
( 55) 386-0324
OWNER/BUILDER
BAKERSFIELD
CA 93301
--~--------~-~----------------------------------~--------~--~-~--~--~---~-~_.
permi t . . . .. ENCROACHMENT PERMIT i . i,'. ,:
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
172643
150.00
1/27/04
Valuation
o
Qty Unit Charge Per
1.00 150.0000'EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
ENCROACHMENT PERMIT FOR A 4' FENCE IN
FRONT YARD '
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 Munici al Code Chapter 12.20 to revoke the
pe~:r at any time. d .
~ _ <'9/'(-'. 'L . ~y"~_ ~ I/'- C'iSe ). 6>'
Signature of Applicant (Ownerl Agent) ~nt Name
-te/- C6 ( {3/. 0 ~CJ '> '< ,.
.I~REBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcrS 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)
i 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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Applicant agrees that if this application is granted, applicant shall indemnify, defend, and hold harmless CITY, its officers, agents and
employees against any and allliabiljty, 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 saiq 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.
re d and acknowledge the above.
p icant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
3 :L, A 1'{?C'1f0'\
~'97 :;-, EJ
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 5, 2004
SUBJECT: Encroachment Permit Application for 4' wrought iron fence with concrete block
pilasters.
Jose Lomeli Lorres
235 E. 8th Street
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation
of a 4' wrought iron fence with concrete block pilasters. The site is located at 235 E. 8th Street.
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\235 E 8th Street.doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions ~f C:hapter 12.20 of the Bakers~eld Municipal ~ode, the undersigned applies for a permit
to place, erect, use and mamtam an encroachment on pubhc property or nght-of-way as therein defined.
1. Full. name of applicant and complete address including phone number: -::\ 0 ~ e- L. O'lY'\ e \ ~
2~~ ~ 8~~ ~,~-- fu\4l"~t-)~\c).. (',~'G\~~o'+-lJolo\) lo~\- O~2~
2. Nature or description of the encroachment for which this application is made:
3. L09ationoftheproposedencroachment: N~-t Q.y\[1 \oe\\\nd -\~ ~\~ ~A\ \::- OV)
2- ~~ EtJ)+'^ ~+- ~6\\ct'f""b~ ~ \cl. ('JV1 q~~() 1-
4. Period of time for which the encroachment is to be maintained: "e,X ~\(\-e\(\ \\ '^ .
,
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliabihty, claims, actions, causes of action or demands, whatsoever
against them, or any qfthem, before administrative, quasi-judicial, or judicial tribunals of any kind whatsoever, arisin~
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 ofthe permit for which this application is made, if granted, 0r !!lliill
the revocation thereofbv the Cltv eneineer. applicmt will.at his own cost and expense remove the same from the public
propert~ or right .of w~y ":here the same is loca!ed" and r~store s~id public prop~rty or right .of way to the condition
as near y as that m which It was before the placmg, erectIon, mamtenance 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 irjury or property damage liability or both and required
endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is:
. ;.
PERMIT
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 PUBLIC 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
Date:
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Signature of City Engmeer
No.
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WHAT IS AN ENCROACHMENT PERMIT?
An ENCROACHMENT is defined as any permanent or temporary fixture
such as a building, fence, hedge, or any other thing which
intrudes into, upon, over or under any street, alley, sidewalk
or public way now open or dedicated or which will be dedicated to
public use, but does not necessarily prevent public travel.
(NOTE: Signs in the city right-of-way are illegal per the City
Municipal Code. No encroachment permits will be issued for
signage)
REQUIREMENTS FOR ENCROACHMENT PERMITS
1. Plot plan showing location of\proposed encroachment. To
be included: Materials used, height of en9roachment, type
of encroachment. JIB -- 4' high chain length fence along
back of sidewalk.} Show dimension to curb line.
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2. Signatures from surrounding neighbors stating They have no
objection to the proposed encroachment located at (address
of encroachment). {Suggestion on who needs to sign: If
they can see.it from their property, they need to sign.}
3. Insurance Homeowner ~ policy with $300,000 liability.
Commercial - $500,000 liability insurance.
Policy to be reviewed by Risk Management.
5.
Expiration date, if applicable. (If not, indefinite)
lL(~
~permit Fee. Permit will stay with the property, not
the owner. If the property is sold, the new owners will
have same responsibility for maintaining encroachment as the
former owners.
4.
6.
Application will be reviewed by Public Works. After the
location has been field inspected, Public Works staff makes
any comments or restrictions. After reviewing the
recommendations and verification from Risk Management on
insurance, the application is sent to the Public Works
Director for final approval.
... .\
ENCROACHMENT PERMIT INSURANCE REQUIREMENTS
I) Type and Amount of Insurance Coverage for ~ installation or construction
1) for residences
Homeowners coverage in an amount of at least $300,000
2) for businesses
Commercial General Liability coverage in an amount of at least $500,000
II) Additional Insured Verbiage
The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as
additional insureds with respects to (Le. the
installation ofa chain link fence at 1501 Truxtun Ave.).
Insurance Criteria for Typical Encroachment Permit
The permittee shall furnish the City Risk Manager with a certificate of insurance and required
endorsements evidencing the insurance required. These must be approved prior to the issuance
of the encroachment permit.
Type and Amount of Insurance:
S 1.000,000.00 Per Occurrence for Broad Form Commercial General Liability for
c 1 orreSl en
300,000.00 ~ Occurrence for Homeowners Policy for resl
, . .
. ' ." ~ -
Required Ell\.iorsements:
:~dditional Insured: The City of Bakersneld. its mayor. council, employees. agents and
volunteers are added as additional insureds with respect to the installation of a 6' wooden
fence behind the sidewalk.
Cancellation or Change: All policies shail contain an endorsement providing the City
with thirty (30) days written notice of cancellation or material change in policy language
or terms.
Insurance is to be placed with insurers with a Best's rating of no less than A:VII. Any
deductibles. self-insured retentions or insurance in lesser amounts must be declared prior to the
approval of the insurance docwnems and the issuance of the encroachment permit.
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. ~ITYiOF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
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.
?36 'E- ~kh ~\- ~\eu."S(\.e,\d ~,IA-,C(63o). Bv: 1o~~ L'. \(J'f'(~S
(Street for puposed encroachment) (Owners Name)
of 13~ C'
(Address of purposed encroachment)
Phon~lQlo\) lo3\~ O~ ~~
SIGNED:
1) Name: 5 q t0~ ~ {?)o.lf ('".<- V "-
Address: 2.3 1 [ ;rt~ ffI1~' sJi.6/JL/7
2) Name: I~'" (e~ 1<.: It> C . . '
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Address: ~.3 O. f' 1 ~ (;7 ..c((/:) t~7.ls.3 9'
Date: 1-:;'9-- uy /'(3~~ ~JO~1-
Date: /--:2/ ..6L/
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5) Name: / . (
Address: 7 ~/ !;. ,,1 (J /r:. ,;,.c:.
6) Name: ~3 /:; '. J u ~':: c;-!
Address: . .- /1 C J-"?/A" ,;9/ '7
Date: ;.. -"?~i 6 ~
Date: If.... ; I -1~D 1
Address:
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. Additional Pre;"i~~s Section \I -
. Purpose of use ;8~~;,~enti~,,~nles8 stated otherwise.
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ASK YOUR
Outb~aid Motor -Over 25 horsepower
. (Singly or Combined) . Section 1\
,.MOTOR A:
'"MOTOR B: ....
MESSAGES
INSURED PAYS 'PREMIUM. ,
THIS POLICY DOES.INCLUDE BUILDING CODE UPGRADE COVERAGE.
IN THE EVENT OF A LOSS, AT ANY TIME, CALL US AT 1-S00-HELPPOINT (1-S00-435-7764)
MORTGAGEE OR OTHER INTEREST:
LOAN NUMBER:0623S30S90 ,.
WASHINGTON MUTUAL BANK FA
ISAOA/ATIMA
PO BOX 2530S
SANTA ANA,' CA
92}~9 ~530S
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MORTGAGEE'S
BILLING ADDRESS:
, - WASHINGTON MUTUAL BK
PO BOX 2530S
SANTA ANA,CA.
92799-530S
ADDITIONAL MORTGAGEE 'OR OTHER INTEREST(S):
LOAN NUMBER:
LOAN NUMBER:
LOAN NUMBER:
ADDITIONAL ENDORSEMENTS
S9072
258531
43SBFU
lED
103
542
ENDORSEMENT AMENDING RETURN OF PREMIUM
CA NOTICE OF INFORMATION PRACTICES
LENDER I SLOSS PAYABLE ENDORSEMENT'"
56-5279 1ST EDITION 10-97
G-Q2
C5279112
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_ FARMERS
OeCLARA liONS
.. , ..... HOMEOWNERS
Replaces all prior Declarations. if any
SPECIAL FORM HOMEOWNERS
FIRE INSURANCE EXCHANGE, LOS ANGELES, CALIFORNIA
TRANSACTION TYPE: CHANGE' IN_MORTGAGEE AND/OR LOAN NUMBER
The Policy Period is effective (not prior to time applied for) at described residence premises.
POLICY EDITION
ISSUING OFFICE
P.O. BOX 1900
PLEASANTON, CA 94566
This policy will continue for successive policy periods, if: d)we'electtdoontinue this insurance, an'd (2) if you pay the renewal
premium for each successive policy period as required by our premiums, rules and forms then in effect.
STp,NDAAD. TIME
12:01 A.M.
04
92527-67-82
INSURED'S NAME & MAILING ADDRESS:
JOSE LOMELI TORREZ
LOCATION OR DESCRIPTlON.OF RESIDENCE PREMISES:
(S~me asmaili~g address u~less o\lierwise staled.)
235 E 8TH ST
BAKERSFIELD,CA
93307-1004
DESCRIPTION OF PROPERTY
........WROI'.........>
...~'TflqqTION....
2001
ASPHALT COMPOSITION
. .
. ROOF TYPE '.
NUMBER
.OF UNITS..
OCC.U~.1.NCY
001
OWNER
COVERAGES. We provide insurance only for those coverages indicated by a specific limit or other notation.
SECTION II . LIABILITY
ANNUAL
PREMIUM
$102,000
$10,200
$56,100
$1,000
$315.91
Each Person
ENDORSEMENTS '.
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..........- ... _............-.....
........................_....-....'.-._'.-'-'...........................
..........E..""O."ci~M. 'e.N.. T' ........
......HH....WNtMl.ER........>.?
..n..__._____ ___ .....
CA015
E6179
E6044
E4207
E6268
H6106
H6114
H6221
J6063
S9049
ENDORSEMENT AMENDING SECTION 11- LIABILITY,COV-PERSONAL L
AMENDING SECTION II - LIABILITY EXCLUSIONS
BUILDING ORDINANCE OR LAW. COV~RAGE .ENDORSEMENT
EXCLUSION AMENDING SECTION II '- . LI~BILITY
AMENDING DEBRIS REMOVAL COVERAGE AND POLLUTION EXCLUSION
SPECIAL LIMITS ON SPORTS CARDS
AMEND SECTION I - LOSS NOT INSUR NB-SPF TP PTP
ENDORSEMENT AMENDIN.G SECTION II - EXCLUSIONS
AMENDING SECTION I - CONDITIONS LOSS SETTLEMENT
SPECIAL STATE PROVISIONS - CALIFORNIA
IMPORTANT NOTICE - ADDITIONAL ENDORSEMENTS SHOWN ON BACK
lED
lED
3ED
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2ED
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lED
3ED
DISCOUNTS
NEW HOME, NON SMOKER, HOME SECURITY,' AND EXPERIENCE
APPLIED TO YOUR POLICY.
.----.---..-----.--.--1
RATING PLAN DISCOUNTS HAVE BEEN
.____._....J
DEDUCTIBLES
POLICY ACTIVITY (SUBMIT AMOUNT DUE WITH ENCL~ED INVOICE)
$500
Deductible is applicable to covered losses under
Coverage A, B, C.
Previous Balance DUE
Premium
Fees
Payments or Credits
$ 157.91
.'
ANY "I ',~'T!"L " BALANCE
OR CREDIT $7.00 OR
LESS WILL BE APPLIED
TO YOUp, NEXT BILLING
BALANCEc: C,VEF! :t7 00
ARE DUE UPON RECEIPT
$ 157.91
Total DUE
. ..
This Declarations page is part of your policy. It supersedes and controls
anything to the contrary. It is otherwise subject to all other terms of the policy.
AGENT: Randel Thompson
AGENT PHONE: (661) 854 - 5581 AGENT NUMBER: 95 07 316
Countersignature
()~?!J~
56-5279 1ST EDITION 10-97
(Continued on the Reverse Side)
G.02
C~2!9111
01-07-2004
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FARMERS INSURANCE GROUP OF COMPANIES
THANK YOU FOR PAYMENT
Acceptance of the sum mentioned below does not modify or alter the terms
of the application or provision of any policy subsequently issued.
Receipt Number: +27105100
Payment Received from: JOSE L TORREZ
Policy Number Transaction Type
925276782 'vV/O CORRESPONDENCE
Date: 01/27/2004
Time: 02:51 PM Pacific Time
Amount Company Name
$100.00 3 - Fire Insurance Exchange
Received By
Total Amount Received
Cash
Randel Thompson
POBox 668
Arvin, CA 93203
~ae~r~~
ASK US ABOUT LIFE INSURANCE
C $100.0~
___:__ OffIce Address
PO BOX 1900
PLEASANTON
CA 94588-9983
Agent Name 8t
Address
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FARMERS'
75 YEARS SERVING AMERICA
OPTIONS. . . . ;
PRIM INS....
PROP ADDRSS;
__ ~ EFF DT. 01/27/04
JOSE LOMELI TORREZ
235 E 8TH ST
( 559 ) ?O? - 3087
POLICY INFO
PLCY#/STS/UA/RE
CO/FS/PT/PG/PC
REN-DT/TY/RS
CEA PLCY#/STS
REPLACEMENT CST
DISC-SURCHARGES
COVERAGES
DWELLING
SEP STRUCTURES
PERSONAL PROP
LOSS OF USE
PERS LIABILITY
GUEST MEDICAL
BLDG ORDINANCE
LOSS ASSES5MT
925276782 SOK
FI ~ HO SPF
12/31/04
EXTENDED. .; N
NS HZ HS ED
LIMITS
102,000
10,200
56,100
30,600
300,000 ~
1,000 t-
10 ~
MORE AVAILABLE
BOUND; Y HOUSEHOLD#. 0507588216
AUTO#;
P403 98LW
DIFF MAIL. N
BAKERSFIELD
UMB#/TYPE;
CA 93307
N AGENT OF RECORD. 95-07-316
~ 001 03 PAY PLAN; SB ACCT#:
~ ~ MCNA#;
CONTENTS; N
MODIFIED; N
ROOF ACV; N
DEDUCTIBLES/BLOCKS
ALL PERILS 500 +
THEFT
W &.H
DETAIL COVERAGES AMOUNT/QTY
ADDL PREMISES N
WATERCRAFT N
BUS PURSUITS-ON N
BUS PURSUIT-OFF N
BUS PURS EMPLOY N
PRS WCRFT/JT SK N
PROP OTHER RES N
FARM LIABILITY N
MORE AVAILABLE
~
Fl=HELPF2=EX HELP F3=EXIT F4=PROMPT F5=REFRESH F8=SCRL FWD F9=DETAILS
F14=SUMMARY F17=TOGGLE F20=VOID F21=SUSPEND F22=U/W(RESP) F23=U/W(END)
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MORTGAGEE
NAME AND
ADDRESS
SECOND
MORTGAGEE
NAMED
INSURED
ADDRESS
FARMERS'
75 YEARS SERVING AMERICA
EVIDENCE OF INSURANCE FOR MORTGAGEE INTERESTS
COVERAGE AFFORDED BY THE POLICY IS PROVIDED BY.
FIRE INSURANCE EXCHANGE
WASHINGTON MUTUAL
ISAOA/ATIMA
PO BOX 25308
SANTA ANA
BANK FA
POLICY NUMBER.
925276782
CA
927995308
LOAN NUMBER.
06238308901
JOSE LOMELI TORREZ
235 E 8TH 5T
BAKERSFIELD
CA
933071004
THIS FORM IS NOT THE CONTRACT OF INSURANCE. IT IS A MEMORANDUM OF
COVERAGE LIMITED TO MORTGAGEE INTERESTS AND APPLICABLE TO THE
DWELLING BUILDING OR MOBILE HOME AT THE LOCATION ABOVE. THE
PROVISIONS OF THE POLICY WILL PREVAIL IN ALL RESPECTS.
INCEPTION DATE. 01/27/2004
RENEWAL DATE. 12/31/2004
EXPIRATION DATE. <IF "NONE" , THE POLICY WILL BE RENEWED
AUTOMATICALLY,SUBJECT TO THE FORMS THEN CURRENT,FOR EACH SUCCEEDING
POLICY PERIOD, AND IS SUBJECT TO TERMINATION BY THIS COMPANY ONLY
AFTER WRITTEN NOTICE TO THE INSURED, TO THE MORTGAGEE, AND TO .ALL
OTHER INTERESTED PARTIES.)
POLICY TYPE.
ACCIDENTAL DIRECT PHYSICAL LOSS .. SPECIAL FORM/TOWNHOUSE SPECIAL
(SPECIAL FORM)
POLICY LIMIT OF LIABILITY.
DWELLING BUILDING OR MOBILE HOME PROTECTION
DEDUCTIBLE APPLICABLE TO DWELLING OR MOBILE HOME
ALL INS PERILS
102000
500
TOTAL ANNUAL POLICY PREMIUM
/PAID IN FULL
$ 335,91
PLEASE REMIT
FARMERS INSURANCE GROUP OF COMPANIES
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FARMERS
75 YEARS SERVING AMERICA
FORMS AND ENDORSEMENTS APPLICABLE AT INCEPTION
438BFUNS 5-42ED
E6179 lED
H622l lED
258531 lED
CA015 lED
E6268 lED
J6063 lED
43BBFUNS 54ED
E4207 lED
H6106 lED
S9049 3ED
Re~d9ID.Thompson
AUTHORIZED REPRESENTATIVE
Randel
AGENT Thompson
ADDRESS 400 BEAR MOUNTAIN
ARVIN
PHONE NO. ( 661 ) 854 - 5581
CA 93203
FARMERS INSURANCE GROUP OF COMPANI,ES
Amt
E6044 3ED
H6114 2ED
59072 lED
J ,J7-tJLj
DATE
95 07 16
ST. D1ST. AGT.
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Bj~KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 30,2004
SUBJECT: Encroachment Permit Application for 235 E. gh Street.
Jose Lomeli Lorres
4' wrought iron fence with concrete block pilaster.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
f~
S:\PERMITS\ENCROACH\INSURANC\235 E 8th Street.doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: January 30,2004
SUBJECT: Encroachment Permit Application for 235 E. 8h Street.
Jose Lomeli Lorres
4' wrought iron fence with concrete block pilaster.
Please review the attached encroachment permit and return to'(T1e at your earliest convenience.
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