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" APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01451
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:
GONZALEZ SUSANA R
4418 TEA TREE CT
CA 93304
BAKERSFIELD
Phone No.66l 837 8014
2. Nature or decription of the encroachment for which this application is made:
INSTALL A FOUR ( 4 ) FT FENCE AROUND THE FRONT YARD
3. Location of proposed encroachment is :
4418 TEA TREE CT BAK
4418 TEA TREE CT
ORIGINAL
4. Period of time for which the encroachment is to be maintained:
PERMANENT
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:
ALLSTATE, HOMEOWNERS
300,000.00
Applicantttcknowledges the right of th
the permit at any time.
Date: 06/28/2000
x
City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
.. . ....~~,....
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 APPLICAT~
THEREFORE ~ (DENIED). Said perrhit shall expire
~-ate:06/28/;0~~ . ,.. .....~~......
Signature of City Engineer
Allstate@
You're in good hands.
Home Office
Northbrook, IL
ALLSTATE INSURANCE COMPANY
CALIFORNIA
HOMEOWNERS
Calendar Date: 06/28/2000
Policy Number: 027315436 6 / 28
Insured SUSANA R GONZALEZ
Address 4418 TEA TREE CT
Ci ty , : BAKERSF I ELD
Home Phone No.: 661 - 837 - 8014
ADD/CHANGE SECTION I AND II COVERAGES
Family Liability Protection - each occurrence
Guest Medical Protection - each person
o St.: CA Zip Code: 93304
LI M ITS
$300000
$1000
ADD REMARKS
ADDITIONAL INTERESTED PARTY:
THE CITY OF BAKERSFIELD. ITS MAYOR, COUNCIL, EMPLOYEES,
AGENTS AND VOLUNTEERS ARE ADDED AS ADDITIONAL INSUREDS WITH
RESPECT TO INSTALLATION OF A 6' WOODEN FENCE BEHIND THE
SIDEWALK.
Conditions respecting Binder - Such insurance as may be bound by this service
request:
1. is afforded in reliance by the Company on the statements made by the
Insured;
2. shall be effective on the date, and at the time stated, but in no event
sooner than such date and time;
3. is subject to the terms, exclusions and conditions of the Company's
policy form, and of the forms and endorsements approved for use with
such policy;
4. is limited to a period of thirty (30) days, beginning with the effective
date hereof and expires at 12:01 A.M. Standard Time with respect to the
designated property insurance policy on the last day of such limited
period; provided, however, that the Company may sooner terminate such
insurance by mailing to the Insured. at the address stated, written
notice of rejection of this Service Request.
paae 1 of More
R2853
Allstate'~
You're in good hands.
Home Office
Northbrook, IL
ALLSTATE INSURANCE COMPANY
CALIFORNIA
HOMEOWNERS
Calendar Date: 06/28/2000
Policy Number: 027315436 6 / 28
This request is subject to policy terms and is effective only if the policy
noted ab ve is currently in force.
Effective 11 : 09 AM 06 / 28 / 2000
070180 501 805 327 7761
Agent # Location Agent's Phone #
SAR417-2
Paoe 2 of 2
'12853
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APPLICATION FOR ENCROACHMENT PERMIT
Elf - 1J16 /
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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.
"
2. Nature ,<?r description of the encroachment for which this application is made:
3. Location of the proposed encroachment:
4. Period of time for which the encroachment is to be maintained: t1 ~ ( /)M ~ ' r# ~ :r j,lt p h tv ,.<::!.-
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-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 pennit is revoked.
Applicant further agrees that upon the expiration of the penn it for which this application is made, if granted, or
upon the revocation thereof by the City en~ineer, 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. .
Applicantfurther 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 sufficent coverage for bodily injury or property damage liability or both and required
endorsements evide!,cing the insurance required. The type(s) and amount(s) of insurance coverage is:
Applicantacknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to
revoke the penn it at any time. ~ .
Date: b' ~~ /0 D . ~ .t:? ~~~
Signature of Applicant (Owner or Repr senta Ive)
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 (I) 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:
Signature of City Engineer
No.
Q,
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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 of a fence or behind
the sidewalk on:
'TPrA -rrf1P
(Street)
By: Sl.A.<.;.Q nt:l (;. f'1{") 7-.0 if'.?
(Owner" s Name)
of LIe..; 18
Phone: CCo(P,) R 37- ROr-;
(Address)
SIGNED:
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2) N~~C' ~ ~~\').,.~~
Addr~S~ ~
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4)~:~~'o~~~bd~ Date: 0/20/00
5) Namef2t4:cb 1~l:-::.y;F Date: (p1:2 f 0-6"
Address__ ' j~ ~_ ~_fzK C T I
6) Name '-ftLte/AfI.~O ]1;, 14cl tL'{h.{{ Date 0 .I)! / r;o
Address 1Xl; I Va'"' hL-.... g, ::fYLI/lj....f
Date: &;/)... f.:; J ()()
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TO:
FROM:
DATE:
SUBJECT:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Scott Manzer, Risk Manager
Marian P. Shaw, Civil Engineer IV, Subdivisions
RECEIVED
JUL 062000
RISK MGMT.
July 6, 2000
Encroachment Permit Application for 4418 Tea Tree Court
Susan R. Gonzales
4.foot wrought ironfence behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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TO:
FROM:
DATE:
SUBJECT:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Ryan Starbuck, Civil Engineer III
Marian P. Shaw, Civil Engineer VI, Subdivisions
July 6, 2000
Encroachment Permit Application for 4418 Tea Tree Court
Susan R, Gonzales
4.foot wrought ironfence behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
July 17,2000
SUBJECT:
Encroachment Permit Application for Installation of4'wrought ironfence aroundfi'ontyard.
Susan Gonzalez
4418 Tea Tree Court
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
a 4 foot wrought iron fence around front yard. The site is located at 4418 Tea Tree Court.
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.
ORIGINAL
S:\PERMITS\ENCROACH\4418 Tea Trec Ct.wpd
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Applicant
Reading File
Construction Inspection
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