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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
1:-
see offset re uirements
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3. Location of the proposed encroachment:
4. Period of time for which the encroachment is to be maintained:
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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 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 thereofbv the Citv 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 01 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 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.:J 1-1) 2- ~ \
PE
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 (NO~STIT~AZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFO (GRANTED mED)'. SAID PERMIT SHALL EXPIRE
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Signaiure 0 CIty Engmeer
Date:
No.~t0-0f5~
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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 10, 2002
SUBJECT:
Encroachment Permit Application for:
4' chain link fence along front & side yard at back of sidewalk.
Jeffery Teerters
2301 Hughes Lane
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
a 4' chain link fence along front & side yard at back of sidewalk.. The site is located at 2301 Hughes Lane.
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.
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APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01524
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 defmed.
1. Full name of applicant and complete address including phone number:
JEFFERY ANDREW TEETERS .
2301 HUGHES LANE
93304 Phone No.837-0991
2. Nature or decription of the encroachment for which this application is made:
ENCROACHING INTO CITY RIGHT OF WAY WITH 4' HIGH CHAIN LINK
FENCE
see offset requirements for line of site
3. Location of proposed encroachment is :
2301 HUGHES LN .. CROSS STREET
ECHO AVE
4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, applicant will idemnify, 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 mantain 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
FIRST AMERICAN HOMEOWNERS
500,000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
Date:03/22/2002
Signature of Applicant (Owner/Agent)
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:03/22/2002
.............................................
Signature of City Engineer
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.crrv"61= 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.
[ch 0 ttJ}:l ~f S,
(Street for puposed e' achment)
By: ~~\"-~~li fln~Tfdf}6
(Owners ame)
of
:;< 30 \ H-u~~t s LtWle,
(Address of purl sed encroachment)
Phone: 0 ro 1- :J; 3}- (Yl1 /
SIGNED:
1) Name:
Address:
f06~1'1- (()t.Rr
:2/;?-4 f/tt~ilZS .iN
Date: 3-11) -()2-
2) Name:
Address:
Date:
3) Name:
Address:
Date:
4) Name:
Address:
Date:
5) Name:
Address:
Date:
6) Name:
Address:
Date:
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CUSTOMER SERVICE 888-922-5343
Named Insured
JEFFERY TEETERS (AUM)
2301 HUGHES LN
BAKERSFIELD CA 93304
HOMEOWNERS POLICY
AMENDED POLICY DECLARATIONS
I NO: NH000010569 I
Property & Casualty
I Insurance Company
Policy Period: 12 months F~om: 8/31/2001 To: 8/31/2002 12:01 a.m., STANDARD TIME at the residence premise
NOTE:. When ~n effe~ive date appea~, this is a revis~d declaration EFFECTIVE. 3/13/2002
and voids preVIously ISsued decslbeanng the same policy number . .
MAIL TO: I
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JEFFERY TEETERS (AUM)
2301 HUGHES LN:
BAKERSFIELD CA ~93304
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REMARKS: INCREASE LIABILITY TO $500,000 INSURED REQUEST
. Insurance is provided only with! respect to the following coverages for which a limit of liability and/or premium is specifie
. . ; subject to all conditions of this policy
The residence premises covered by this policy is located at:
2301 HUGHES LN
BAKERSFIELD CA 93304
I
COVERAGE A - DWELLING
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COVERAGE B - OTHER STRUCTURES
COVERAGE C - PERSONALiPROPERTY
COVERAGE D - LOSS OF USE
COVERAGE E - PERSONALiLIABILITY
COVERAGE F - MEDICAL pAYMENTS TO OTHERS
DEDUCTIBLE i
CREDIT CARD COVERAGE I
ENHANCEMENT PLUS I
FIRE DEPT SERVICE CHARGE COVERAGE
HOMEOWNERS PLUS END0RSEMENT
BUSINESS PROPERTY I
JEWELRY, WATCHES ANDiFURS
LOSS ASSESSMENT COVERAGE
SILVER, GOLD AND PEWTER
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!t9*~i'~~tl..im~..~q!@f :Uq~~~g~U ,',
Amlil4ht. ...~l:f@t!I:l~. 'PrEit6iUihim#l~B~W9fth~P9I@i<
................){.....M)iiWlqfi~~@L....':..................:..:..:
$70,380 $270.00
$7,038 INCL.
$49,266 INCL.
$14,076 INCL.
$500,000 $30.00
$1,000 INCL.
$500 INCL.
$1,000 INCL.
INCL.
$750 INCL.
INCL.
$2,500 INCL.
$1,500 INCL.
$2,000 INCL.
$2,500 INCL.
TOTAL:
$300.00
VESTING: JEFFERY TEEIERS (AUM)
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NOTICE: THIS POllCY DOES NOT PROVIDE COVERAGE FOR THE PERIL OF EARTHQUAKE
Mortgagee/Lienholder Name and ~ddress:
COUNTRYWIDE HOME LOANS, II\!C ISAOA PO BOX 10212 MS-SV22 VAN NUYS, CA 91410 7496001
i
OWNER, Protection Class-03, Fam:i1y-1, 1956
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! Countersigned:
I
THESE DECLARATIONS TOGETHER WITH POLICY JACKET, HOMEOWNERS FORM, AND ENDORSEMENTS, IF ANY,
0000000042736 ISSUED 10 FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY
3/13/02
Santa Ana, CA By:
--
INSURED COPY
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Pat Flaherty, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
April 1, 2002
SUBJECT:
Encroachment Permit Application for 2301 Hughes Lane
Jeffery Teeters
4' high chain link fence
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\2301 Hughes Ln.wpd
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE: Aprill,2002
SUBJECT: Encroachment Permit Application for 2301 Hughes Lane
Jeffery Teeters
4' high chain link fence
Please review the attached encroachment permit and return to me at your earliest convenience.
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