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APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01492
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 pennit
to place, erect, use and maintain an encroachment on public property or right of way as therein defined.
1. Full name of applicant and complete address including phone number:
AARON VAN CLEAVE
4502 SHOW HORSE DR BAKERSFIELD
CALIFORNIA 93312 Phone No.661-589-6616
2. Nature or decription of the encroachment for which this application is made:
SPLIT FACE BLOCKW ALL 60' LONG ON WRANGLER ST
6' maxinumheight from lot side
3. Location of proposed encroachment is :
4502 SHOW HORSE DR BAK
4502 SHOWHORSE DR
4. Period of time for which the encroachment is to be maintained:
INDEFINITE
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 pennit is revoked.
Applicant further agrees that upon the expiration of the pennit 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:
ALLSTATE 067162553
300000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the pennit at any time.
Date:04/25/2001 tx... ~~
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 I~
THEREFORE ~ (DENIED). Said pennit shall expire
Date:04/25/200l .. . ....... .. ......~d..~
of City Engineer
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Alan Christensen, Assistant City Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 2,2001
SUBJECT: Encroachment Permit Application for 4502 Show Horse Drive.
Aaron Van Cleave
Concrete block wall 2' behind sidewalk (6' on lot side 8' on street side)
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\4502 Show Horse Dr.wpd
RECEIVED
MAY 02 2001
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE: May 2,2001
SUBJECT: Encroachment Permit Application for 4502 Show Horse Drive.
Aaron Van Cleave
Concrete block wall 2' behind sidewalk (6' on lot side 8' on street side)
Please review the attached encroachment permit and return to me at your earliest convenience.
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APPLICA TION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD. CALIFORNIA:
Pursuant to the provisions of Chapter 12.20 of the Bakerstield Municipal Code. the undersigned applies for a pennit
to place. erect.. use and maintain an encroachment on public property or right-of-way as therein defined. '
, ~i?1Pi'~incromhiS/~ismade: Sjo/d -G.(I~- bloe.L-aJaJl
_ --- tUP'f!i - --jZ'{s,- ,,/ /J:f!;, <>ie-r-n s,7krLUlk and. Wa..U -::;t;,r d-
, ~ocation fthe,"PJoposed encroachment: , l~ tiP 'I7J. tw' . a.. K. ~ -PI.
'(ae r. n ( eas V'" (;0 c ':f+.
-+. Period of time for which the encroachment is to be maintained: --ferrYIar1f'il:t 11 . j/1c1d/lJ I--I'../'
Applicant agrees (hat 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-judical.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.
Appiicant further agrees that upon the expiration of the pennit for which this application is made. if granted. or
u on the revocation thereof b the Cit en ineer a licant will at hi wn c an x ns v
from the public prooertv 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
~ncroacnment.
.-'\ opi ic::mt further agrees to obtain and keeo allliabilitv insurance required by the City Engineer in full force and
dfect for however long the encroachment remains. Appiicant shall furnish the City Risk Manager with a Certificate
or' Insurance evidencing sufficent coverage r'or bOdilv injury or property damage liability or both and required
~ndorsstments ev Idencing the insuranc~ required. The typet s J and amounU s) of insurance coverage is:
Ji (10~ noo, dO L, ~ahd:Jy .:z;~ /J ./
..\opiicant acknowiedges the right of the City Engmeer. pursuant to Bakerstield Municipal Code Chapter 12.20 to
revoke the pennit at any time.
Date:
o/c9S:/0/
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\ Signature or Aoplicant (Owner or Reoresentativel
PERM IT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN
THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID
E;"IICROACHMENT (I) WILUNOT) SUBSTANTIALLY INTERFERE WITH THE USE OFTHE
PUBLIC PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT)
CONSTITl'TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE: SAID APPLICATION
IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
Signature of City Engineer
No.
List of Materials
Ready-Mix Concrete, 3000 psi
#3 ReBar
Gravel, 1" aggregate
Mortar Mix
8x8x16 Concrete Block, Split-Face, Tan/Kacki
8x8x8 Concrete Half-Block End, Split-Face, Tan/Kacki
8x4x16 Concrete Block solid cap
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We. the undersigned. have no objection to the construction ofa fence or behind
the sidewalk on:
vJrrA(l~ 5T'
( Street)
Bv: ,/Jaron Un e/ea/Je/
(Owner"s Name)
of
.lfso ~ Shaw -fIo~ 1JYiUe/
(Address)
Phone: . ~(o I 5'iCf - fdp l/P
Date:
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g-25-0/
Date:
Date:
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Date:
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Steven Snider
4646 Wilson Rd. #103
Bakersfield CA 93309-5824
Yom Guick Insurance Check
.; Verify the information listed in the
Policy Declarations.
.; Please call if you have any questions.
.; File this package safely away.
.; If premium is due or if it has changed,a
bill or refund will be mailed separately.
11.1....11...11....11..1.1.1.1....11..11..11..11"11.1.1.1.1.1
Aaron L Van Cleave
& Tammy Van Cleave
4502 Show Horse Dr
Bakersfield CA93312-5136
Policy Change Notice
Changes have been made to reflect new or corrected information affecting your policy. We
want your policy information and your coverage to be up-to-date and accurate.
The changes took effect on March 28, 2001. The accompanying Amended Policy
Declarations includes these changes:
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Customer Service Department
I!lii Iii III [film] lirlri~~11rlrimii 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111
EPl
. Allstate Insurance Company
AMENDED
Deluxe Homeowners
Policy Declarations
Summary
NAMED INSURED(S)
Aaron L Van Cleave
& Tammy Van Cleave
4502 Show Horse Dr
Bakersfield CA 93312-5136
POLICY NUMBER
o 67 162553 02/24
YOUR ALLSTATE AGENT IS:
Steven Snider
. 4646 Wilson Rd. #103
Bakersfield CA 93309-5824
CONTACT YOUR AGENT AT:
(661) 836-1136
POLICY PERIOD
Begins on Feb. 24, 2001
at 12:01 A.M. standard time,
and continues until cancelled
PREMIUM PERIOD
Feb. 24, 2001 to Feb. 24, 2002
at 12:01 A.M. standard time
LOCATION OF PROPERTY INSURED
4502 Show Horse Dr, Bakersfield, CA 93312-5136
MORTGAGEE(S) (Listed in order of precedence)
. FLEET MORTGAGE CORPORATION ISAOA C/O FLEET
MORTGAGE GROUP INC
POBox 100562 Florence SC 29501-0562
· GENISYS FINANCIAL CORP ISAOA
5405 Morehouse Drive San Diego CA 92121-4722
Loan # 53317861
Loan # NONE
Total Premium for the Premium Period (Your bill will be mailed separately)
Premium for Property Insured
TOTAL
$504.00
$504.00
Your policy changs(s) ars sffsctil/8 as of Mar. 28, 2001
PROP . 510000401032753050600302'
II1111111111111 ~ 11III1111111111111 ~ ~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Inlormation as 01
Mard127,2001
Page 1
CA07OAMO
Allstate Insurance Company
oj
Policy Number: 06716255302/24 Your Agent: Sleven Snider (661) 836-1136
For Premium Period Beginning: Feb. 24. 2001
POLICY COVERAGES AND LIMITS OF LIABILITY
COVERAGE AND APPLICABLE DEDUCTlBLES LIMITS OF LIABILITY
(See Policy for Applicable Terms, Conditions and Exclusions)
Dwelling Protection - with Building Structure Reimbursement Extended Limits $149,512
. $250 All Peril Deductible Applies
Other Structures Protection $14,951
· $250 All Peril Deductible Applies
Personal Property Protection - Reimbursement Provision $104,659
. $250 All Peril Deductible Applies
Additional Living Expense Up To 12 Months
Family Liability Protection
Guest Medical Protection
$300,000
$5,000
each occurrence
each person
Workers' Compensation and Employers' Liability
Coverage for Residence Employees
Statutory/See Form
THIS POLICY DOES NOT INCLUDE BUilDING CODE UPGRADE COVERAGE.
This policy does not cover earth movement including earthquake
You have elected not to purchase a CEA earthquake policy
DISCOUNTS
Age of Home
Home and Auto
Your premium reflects the following discounts on applicable coverage(s):
22 % Protective Device
20 %
5%
RATING INFORMATION
The dwelling is of Frame construction and is occupied by 1 family
Page 2
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Allstate Insurance Company
Policy Number: 0 6716255302/24 Your Agent: Sleven Snider (661) 836.1136
r For Premium Period Beginning: Feb. 24, 2001
Your Policy Documents
Your Homeowners policy consists of this Policy Declarations and the documents listed below. Please keep these together.
- Deluxe Homeowners Policy form AP2
- Domestic Workers' Comp & Emp Liability AP1127
- Amendment of Policy Provisions form AP425
- Lender's Loss Payable Endorsement form AU319
- California Amendatory Endorsement form AP29-2
- Standard Fire Policy Provisions form AU277-2
- Bldg. Struct. Reimb. Ext. Limits End. form AP445
Important Payment and Coverage Information
The Property Insurance Adjustment condition of your policy applies.
Do not pay. Mortgagee has been billed.
IN WITNESS WHEREOF, Allstate has caused this policy to be signed by two of its officers at Northbrook, Illinois, and if
required by state law, this policy shall not be binding unless countersigned on the Policy Declarations by an authorized
agent of Aflslate. ~""/ ~ ~ AI." ~
PROP . 51000040 1032753050600303'
"~lllllInmmllll~ III~II ~IIIIIIIIIIIIII~ ~ 11111111111111111111 ~1I1~1111I1I1~1I111111~ U~ 111111111111 ~11111
Inlonnallon as 01
Marm 27. 2001
Page 3
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Jacques R. LaRochelle, Interim Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 10,2001
SUBJECT: 'Encroachment Permit Application for installation of asplitface concrete block wall 2 ' behind
sidewalk (6' high on lot side 8/ high on street side)
Aaron Van Cleave
4502 Show Horse Drive
Engineering and Traffic staff have reviewed the attached encroachment permit for installation of a split face
concrete block wall 2' behind sidewalk (6' high on lot side 8' high on street side). The site is located at 4502
Show Horse Drive
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 aPJ!oval. of the permit.
S:IPERMITSIENCROACHI2001 Pennitsl4502 Show Horse Dr.wpd
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