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APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01438
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:
GlESICK DAVID W
5601 PATrON WAY
CA 93308
BAKERSFIELD
Phone No.661 391 9455
2. Nature or decription of the encroachment for which this application is made:
MOVING EXISTING 6' HIGH FENCE ON SIDE YARD NEST TO SIDEWALK
3. Location of proposed encroachment is :
5601 PATrON WY BAK
CORNER OF PATrON WY & HOPPER AVE
4. Period of time for which the encroachment is to be maintained:
PERMANENT
Applicant agrees that if this application is granted, applicant will idenmify, 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:
CALIFORNIA WEST INSURANCE GROUP
LIABILITY
300000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time.
Date:02/1512000
\(' alY:u.. ~.).l(~.........
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 APPLICA~
THEREFORE~ ~ Said permit shall expire
Date:02/1512000
--- -----',
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.
. .
l. Full name of applicant and complete address including phone number: C4t//~ lit, U/e~/c/(
-)6':?/ ~~A/ t</.4y /fi~~r'!P'"~,H~/d Ca. 1'r3/JY~ "?9/':'r~5r
2. Nature or descr~n of the encroachment for which this application is made: 6r;61 ;::-~)1( e a,4A/~
~4~ . /
3. Location of the proposed encroachment: <)~ /e'f'1r t> 0/ a-.bOf/P ~GA.io;"j - 0/1 ,#o;i/er ke
4. Period of time for which the encroachment is to be maintained/~J::~A/Iz~h1-
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 ofthem. 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.
Applicant further agrees that upon the expiration of the permit 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.
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 sufficent 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 perm it at any time.
Date: :2;~~D
~
Applicant (Owner or Representative)
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 EXPIR~
Date:
Signature of City Engineer
No.
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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:
~:J,J'7-e// ,4/€
(Street)
of .)hel ~~/1 d.hv
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(Address)
SIGNED:
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(Owner"s Name)
Phone:~;[/) 59/,-97/)'7-'/
Date:
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Eagle West Insurance Company
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Page:
Tl'is
Wl'en
1
declaration is No 1 and is effective 09/15/1999.
attached to the applicable forms, it completes the policy.
POLICY NUMBER
10-EHO-2-923968
INSURED:
Giesick, David W" & Loriann J.
5601 Patton Way
Bakersfield CA 93308
Start of Term: 09/15/1999
End 9f Term: 09/15/2000
Renewed Annually
AGENT: 15090 PRODUCER: csc
Personal Express Ins. Services Inc
1321 Stine Road Ste. A
Bakersfield CA 93309
Phone: 661-397-7377
Ne'l Declaration
Legal Text: Husband and wife as joint
tenants Emergency Claims: 1-800-682-9255
PROPERTY LOCATION: 5601 Patton Way Bakersfield CA 93308
Unit No: 1; Construction: Frame; Year Built: 1980; Territory: 54;
Property Zip: 93308; Protection Class: 3
Hor: eowners Policy
Cm1erage Form - FORM 3 Limit Premium
A Dwelling
B Other Structures
C Unscheduled Personal Property
D ~dditional Living Expense
E Personal Liability
F Medical Payments Each Person
Each Accident
_PrE!mium Surcharges/Credits
$~iOO Deductible *
P~8tective Devices
Total Premium Credits
Optional Coverages/Mandatory Fees
DVielling Replacement Cost
Contents Replacement Cost
Cal-pak Coverage
Wor:kers' Compensation (Mandatory)
Total Annual Premium
151,000
15,100
105,700
30,200
300,000
1,000
25,000
Percent
-12.0 %
-15.0 %
-27.0%
467.00
25.00
-56.00
-70,00
-126.00
10.00
47.00
23.00
5.00
451. 00
$
Fot"ms: 02-083, 02-304, 03-304, 438 BFU, EQUOTE, HO-290, PD-174, PD-175
An:mal Inflation Guard: 2.00%
Tbis PolicCy contains a $500 deductible on Coverage A, B, and C.
Tbis policy does not provide Earthquake Coverage.
HO-3 Includes the forms: HO-350, HO-300, HO-216, HO-52, HO-325, HO-90, HO-322, HO-243
Tt.is dwelling does
Me. rtgagee 1
not include Building Code Upgrade Coverage.
North American Mortgage Company Its Successors
and/or Assigns
P.O. Box 395
Albion NY 14411-0395
LOAN NO: 5729897-790
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Authorized Signature
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09/15/1999
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BAKERSFIEL
PUBLIC WORKS DEPARTMENT
MEMORANDUM
D
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
February 28, 2000
SUBJECT:
Encroachment Permit Application for a 6'fence on side yard to behind sidewalk,
David W Giesick
5601 Patton Way, Bakersfield CA 93308
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
a 6' fence on side yard to behind sidewalk. The site is located at 5601 Patton Way, Bakersfield CA 93308.
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:\PERM ITS\ENCROACH\_ MEMO, WPD
xc:
Applicant
Reading File
Construction Inspection
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-
B A K E R 5 F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Scott Manzer, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
February 17,2000
SUBJECT:
Encroachment Permit Application for 5601 Patton Way, Bakersfield, 93308
David W Giesick
Move existing 6'fence on side yard to behind existing sidewalk,
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
oK
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S:\PERMITS\ENCROACH\INSURANC\5601 Patton Way,wpd
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B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE: February 17,2000
SUBJECT: Encroachment Permit Application for 5601 Patton Way. Baker~'field. 93308
David W Giesick
Move existing 6'fence on side yard to behind existing sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
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