HomeMy WebLinkAbout01321
APPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.EN-01321
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.
1. Full name of applicant and complete address including phone number:
THOMAS, ALAN
7204 SIERRA PATH AVE
BAKERSFIELD CA
93313
Phone No.
2, Nature or decription of the encroachment for which this application is made:
SPLIT RAIL FENCE 2FT 9 1/2 INCHES TALL ALONG
SIDE PROPERTY LINES TO BACK OF SIDEWALK.
3. Location of proposed encroachment is
7204 SIERRA PATH AVE
7204 SIERRA PATH AVE
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 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 requir~d.
The type(s) and amount(s) of insurance coverage is:
Applicant acknowledges the right of
the permit at any time.
the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
...~.-;f1~.......
Date:04/14/1997
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: 04/14/1997
, , . . , , , ,~~;~, , , , , , , , . . . , . . . .
Signature of City Engineer
CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MA Y CONCERN:
We, the undersigned, have no objection to the construction of a fence or behind
the sidewalk on:
-~~~oL{ St:t(i~'fa~ -Av~.
.
(S treet)
of 7 ~O4.
-(Address)
1) Name
Address
2) Name
Address A 'E
~ .
3) Name ()~ 1;j Jt..cn<rd"---
Addr ss -, 2.0 \ $' I fi-RRk Pf\-Df A\Jfi..
4)Nmn~~~
' Address. r:vq5;ifr~. CJ::Jz-.
5)Nam~lf, ~o'^....)v ~
Address 5.~ ~ ~ \ 5, r; c{ I' L-V., (J{
6) Nmn~,,~ r%? (i'~
Addre '7 2.-0 ~(<._IZ.A- P vFi:.
By: Alan ~ c ~htn~-rhomaJ
(Owner's Name)
Phone: ~D>2 .(Q~l(~ J7W--
Date:~ 2+-
Date: '-{- 17... ~ 7
Date:
4.-\ ll'--~7
Y -} 7-9 (
Cf/ L '7/~ 7
Y -I 7-tt7
Date:
Date:
Date
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,,:,p~~lrp~1" ?:~ f ~~ T ~ ~~r~1~~~1EP~~i<\j1~, ;r~~;"'17}f.;::;:~;'~';;~":'~' ,
COMP"REHENSIVE PERsoNA1:lNSORAN"CE
, .. ,i'......... ~. :',; .
For attachment to Policy No. 8481-357 ,to complete said policy. '. ,,",,
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1.'. 'lo~ati!lri~of.lprincipaL~esi,d~nc~;::p.r~mJs~s~~ ('ENTER;:~S~"E;~lrilSAMF,.~OCATioNAS' ADDRESS SHOWNI.fN~!I~MJ:or 'd{cJ.Aii~TI'O~S?~~;Hi~~G Si "~~:, EL: 'l}~,:W:~fq';1N;;~1),;;""{+P
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2. ~abiJ"he princ.ipahre~idence premises designated above are the only premises where"thltiiameil iliSiirelf or,spouse maintains a residence; (b) ,No ,business ,pursuits or
'far'11i~g:ar~'~Qducted' at the premises; (c) There are no elevators at the premises; (d) NoHesiilejfi:e~premises,Jare tenteH(to' 'ot~ers~'Exi:e'p'tio~'s~,ifJany;;to~(a):."(1));'(cf
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lJabll!ti,,,ga!n~t each.(suchU~overag!! s~a.1I ,be~: as.stated ,herell!;csublecMo ~II, the terms of:thls 'polJcy'havmg: refe(ence"thereto:WnC~I/I!' ..,,; '!W'(:D~j~~~~,C+;~~A}}t';i"
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it,' I ";~l? '"~!I!'!P'l ' M- Personal Medical Payments "r) i'''\20'''j~'^ "'1"" (;C, '\.:'" "'''''lh,,'''\ ,:,W,:',',..~l'.,'pG'...I"..r:'
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z.. ,,); (j,H !;i It; JlJA ,:~ (,; .'...H'<'.OI' I" :O~lJ;;Cp,;i ;:..Il' fo' ;;l;t<,~,: : 'i OUtboard Motorsi!iHorsepowedfl v",-_U ,.. < "Owner {if not named Insured}'" ~, ~!," ,.,,,t).
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~~ c ;.:,$,. 1:,!,;jG-~ p';' $.. l:",{t'.; ~l'r' :~~\.n'~' 'Co' b..l.~t'; ....{ -: ". .if Motor.S "~I q.... ,- V' ," ,.' I ." ...f....... 'l?:!~"',
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~Acin "~$ 5. OO,~I;:<~~H:::"~:';~'!<:';o"'~,'::,<Forin'numllerS~Ii'f endafseme'litSattactie'i1 atissue'
m!! 1 $",s7~7:'OO::~~t~iai"femium: I'c,~uf:~:,IiQ,9,9 t~8,~ l. fUJ~,04 (f285;)~~::s ,::!\,l~,~.,~;:L:,:",~' ':;:~:: ~~~;:~:;';'i,~;~~;'" G:t';,:"~~'\'.~~;;o~~~:~";';'~';;')~S'I~-'~~":'
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H"tOVERAGE iL~ERsONALqllABIUTY~"U~l.:, !:H 1)0;,0, t'GL:;:,~;:i, '1;)/. [j!~.r"":i1' ';' 1;,:;\0S,'0:;8: :'2';' l'H ll;,Ul,' ,n:w;:
The"cornP~Oy;wiWpay On 6~h~lf..oHH~ insurei\.i8il~1ns~y"'i1iCtr,lii~iii~re\f SHaW' ",nujnder"anYlcOirtracttor agreeinentlJor. eXp:ensesifor1 fii'sFilid;;tinil€r 1I1e:iSlipple:c:.
becomii~legallyOObIig3ted::toJjiaY;as:!ilaniages,:beCaiiSe of bodily injury or property,i!menta,ry::~ayments',ipl'llvision;,:"'J< ,f;,:'" '~~Ojt ,[;~l;{'" 2:;')~"j!(JP!i6' .CJ;, 1S''';:i' ,lWi
damage, to ,whJch ;this; i~iifance"applies. cau~e,!I,by"an, occurrence" ,and,th!!..!=ll~' (f) jitQJ liabilitY0assumeil, bY'the"insured ,under1'ilny, contract 'oragreement, not in
pany:shall,have tile ;'right;and :~lity to ,defeitd:any' sliitagairisUhif insured,seeking; :'.' writi ng or'j,under "any- 'contract' or,agreemenMn:'icoitmiction' 'with ~,liusiness'
daniages, ilO 'a'ccoiirif,o( suCi{~ifdily'injliry"or. jiro'p~~,damage'.-;eveii'i( ariy,Q( ~tie .'; pursuits or.,prbfessional' services' ot.the~insured,Jor,in.'i:(mi1ection, withpropei1y
~I!ega!ion~ l?! th~;,~iJiC~!.~:gto'~i1dless;. f~,ls,~;~r.,~frau~ii.lei1t,,~itd m~~:m~k(siJc~: ,~,i~a!llage'inclu4e~ within the ,fire hazard;,) ,~:; ,W)~;i!t;r;$\l;l:t' ;;i.:: ::; P!6 !Oll(t.",ilit
mvestlgatlon and, se.tt1ement, o(,a,ny ,c,clalm ,or, Sill! as It , dee'11s, eXlleill,en~. 'but the (g) to 'bodily 'injuiy or'property damage with ,respect '. to 'whichoan instired'\Jndet, ,this
company #haIJnot~be~:obligat~'d;:t(jpay;any, c!aim,"of,;judgment. of toilefend ,any ,,::;irisurance is also'a'n'irisured under a nuclear energy liability policycissuelrby.:Nuclear'
s~it lIfttr r~/e~Ji,cta~Je"~HftirL~!!the, co,!"pany:~;!ia~i1i~y,;~~s.;~e~itJ!,~h,l!.~stM '~( ',,: ~nergy, Liability IrisuranceAssociation, Mutual Atomic Energy Liability Underwriters
paY"1e~ .~,)~ ~ll,W.U,~i~Jz~e emen s. ' , . . ;" 'or Nuclear 'Insurance. AsSociation of Canada, :or; \Yo'lild. be'ali insured:undef'any
ExcTlhul~siocnosv'e'~r'ag'e" {d~, ~o"e:is!':''''.'':o'~.''t~,,',ca':'.p' pi:l"y~~~.q~,:~;.~, [;,',,:, , <~~,:~.'.,~,;:Z..;~,';;!~., G,.' ;',:;ll~L,;,;.~,.;,',;:~.'" "i"-,...~ ',"~"~','l\~i}I~:0'r.L;;~ " '~such pol!cy, ~~~for ~~t~~.~ip~tio.i1: ui>~~:e~,h~~~~o~ ,o! it~)i,~~, '~fF~pil~~f';' ..kI9'\ ~'"
'.. ' . . '_ t . - ~." '. (h,t:,to,...".b,...odily,Jn.j!!,ry,. ,~~,o..".:a,.'riy.,:pifr,.,s.9.n;",'i,i1,.c",lu,d, i,n,'g'. a.'.~.rli,s.J,.,de."n"c,.,e,.i;'!!.'m,',.p.I.o,ye..e,;,lii.f".,."Ii.', ". J,'n.s,.ured,
(a)"t~ b~~i.ly.!~jtiif~fji~gpr" "dli:m~~:~'~si~~',q9Jora~y!~f~f o~l~i9,~, iii;,iiiM~n~Ct,io":' :~:~as" a,,' p,6,'!Cy!'~;l!'9vl~l~g. '!o:~~~m~~~~;, ~~W{eiiSatlp." ::;~t$Ol;. ~ d,l.~,~s~:
,c W!t~, pr~mlseS}~p.tht~ ~~f!n"~!-!r~,!t..p~m!~Jg!!J!V?!!~ ,l rente'do r' co ntroOedby ::: :~en~~t,~ ":~~,r,\s~,~h"b.P'~I,IY~I~I!lry':o~: !, ~'~ell.el!!~'}~10(:tSiJ~ _ ,;l\r~,:J~;'
'al!y'Ji\sured,-buflfhls' ion"does:notlJipiiij,.to'bodilyinjLiiy sustained by al!y., :'J'\~,~~!e:'ot'!.?;~Jl,3!tIe't~er:rp~yable ;ori,~~g~lr~,~!;~O~!l~:PJ.. , ;, ,,~..tl~ured'
residence' eillplo'etl"l "'OlJFof:ariinn~th'e j~IWSijl.1o~~is"eit\' iO"mene~y:tiiei' ."J'unijer!?alJY~YlorJtiilen~s~compensatlo!l' or ~occupabonal"dlsease:'Jaw: ~"':::r .''', :'
." "cf' ;'OG"~~~ ~w. ,; '.>1 ,-,,1,11" ,,;[I.c., t." '. l',."r.,i.< tJt cP',-ll;J<sDh !,J,.lVl(i)..:lo'Jiciulessl oi:ldi~e'as~~o(anf resiileiice'':'eniployee.<~n (., ""'ffO'r Jli"hirt~:six
(b) ~&~:~diiyliMllWbP;jitcjYiij~1iafu~~~~H~i~~"6lli~8f211r$~~rng~~~~U~s\~ii~1"b(E~W! :."5itoitth'r'after .'the'~,-end!iifithe': oliC'~"efjoif.wiitteli):claim~ ,"Cade""fi'sUit is,
" v ins.u..i.e'cl',~except~ai:tiviti. 'es',fuerelii' whii:h!!are "bril1n'iriiy'~inciifenno'" riori~~'~sinessw " v,'bfolight','a '... '.! 'ili1slired~f(j~:i1a&a P.'s~blcause~of:suCh,.1 fr:.ess, ~r.~"isea~e:
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, p~'~'u~,(R.~ ~~1 ~t';~,r,.e;., ,g,,~f p~ f~iy,~g.~j ~<<m.d~.?e(!!t~~"siq~~I~~~i~~;?J~'.G::HJ6 (i~!,t~'r~o"e.L; ~r . rom; ,.,,:'X',.: ""t.,.~,;, , :[/ :,i;:'~;. ?::: :..' '"
(~) M:~~d!IYt'I.~J~fJ!~f ,~~,tanSI~~~Ol!t!p.q~~'R~n~~~hIP.i~m~mt~~n,~~;l , l.,( (l)\'p""p., ~~, '!lV, lTun I ,~ll~~ t~!!~l G:,~~Il*lil,1J ,(.~ ,,.1/0
, oPe.J:~tJon~u~~t !!!gl<<!.fll!~l\t'iif:::;;1i ,', C::j ,\"':} ;::;:}:'~);,;':).:. :;:::, 'l!i;(21:jPmp.~w~~... ,,, , ~, t~,,\', 'Qll! ,,(\~ 'eP fQ.tG'tf'll i,llH!1E':ml
l1k!ll!y.~air~"'L ci"'i!:ii;';'~liarii"ilt.;i1'~ali!ll~,:sL\Z!iJg,1)it,;cjI"9'i!!l'm " "" ,pr9Pt'~d y"O.GCHPI~ h'" :1.Y~' " ,\l2f:;r:~n!!l.,,,.q;;.9r-_!!., ~e ~,r.e..
(2}jany:,m~to~()J .'. . ;Or^oper~t~d~liY!lorfeJ!te~~rdoa~ed to,aoy(m~.!I.r.~.d.;" ',~ Gi!~..~~ I;tJir,~.r t.e I~sure or as to whic~,:the~!~~~~d.,ls.for ,any
. but~t~!~'~~~~lvlsl~n,(2l~d~esno.t ap~ly tobodliy mJury or ,property d.amage ;{l)'I;lC~r.P!!Se:ex St9!!I;F,oqt,roJ; Oq:i Ojl1fB lG'l:11l9gc;!llt"lli~~a ".~ !;'i"
oec'.!,rn,~gl~;n~~,e~,~Il$~,r~~:II[~m[~.es,~'!fl~ei\!Jl"tp.(r.l.eh1~18.J1~.l;/l(~.tisp'bJe~t.!~llf, ,,\' ~,~ ;~:"J', lusl~n does not app y to pr~~~~:,da!"..a~, mc~uded
mo. to!!~~~I~.,le. ',:,r.,eg. ~~tfflt.lon;6e~use; 'ItlHs tU~~d. ~e~c\USI,V. ~IYjloooth. ~I.lAAure. ~,~ (10';:) Jir~bW! . '. lI>IH~! ob t% ~b"'e;;z .Ot ~fifl~' !1l~%!II?.F::' ilL, mpl'
p~m~~~~4~ep!wi!t.Jft;3d~to,~age pn ;tb,e Ill$u.r.elLJpr'm}$e_s; iP.~ i!S~2. W~!lL !9i 9 ' . ny' em~loyee" other than ~ resldenceempl,oy~e~,.o,fany
(3) aoy' ~cr~atio~l:imD~rit~.ehlc!,~:owned iby anY.j'inslt~d.ld..tM~l1.~Ily .I,~J"ry(.' ",' . !~~!, ~!!:l&J.9-!!..~ ,~b;"!gg, l!!:, tl!.~3cgl,l(~~fJ~IlI~Cl:mpJoy.m~n\~YiJa.ny,:!ns~red<
or. "Pfo.p~.rty~Aamage('O~w:s)iawayp;f(o'11d~')II~~ure~J~lIr'm.~s~~~jbuh,.h,!s;,: "'fl)I~~~~ .,. ~fJlOl!'~~.~t..,~i\\li~~~~s\l:uJ:J!pn~9.f~atl!.ne Q~, \\,,0' f~IJI,lb',t~"elh?g;!Mi~:!i:Ol
TJ;s.16dllllSI9I)M(3)Adoe,pmotf apP'ly.(~ollltolfi:car1S ;"tWhl!l!iJtt!~ejj~oto"J€iolfj~g:;, ;1I~'1 t9JJ~o~!ly,;;I~JI!IY, o.l';.f..~oJlertyJ4I,a.mag~{anslng;!lut[ ~(J the.ow.nershlp~~~ntenan~e;
,purpose~. , .' '. .' ' . ' !ill,~P.~~~tI9!1.;]J\I~,~~dlp&pl';;;tInlo.adtnglof a~ selfilr~pelled land vehicle V!~lle
Th.I~AlXcl1\s\onndoes.~bi1Ipply<! tOlbod!IYSlI,nJl!!Yt!;tl!. anY.llresl~!Rl:elte!llp'loy,~ei' t[jI~..emg~l!~e~! tIllf ~IIY 'ql[!!'!(fang.e~? or~~rgalllze~~ctng;',Il!PJ!e~..oolJod~ohtaons
an~l~gpoutqQf~nd.U.f1 !ithlljlCOurs.e~ 011 hISlel1,lPl~Yl!lyn.tob~;,lany, \ilnsur~d~exc~ptf: p,c"QlJ\est: or" 19s~nYJ'jSt~~ting actllllty~ 0[010 lpr~cttceJ,llr, preparatt9re:torqan. YfSUC~"
w.~IJeJ.~uC!\.llmployee;I~;e.n~ged!:'"!t~ll~op'efiltl~n;OMllamte!l~l\cejoJualrcr~f4i.. i;;!~"te.st IO(;(~t;,blllty,ql th'ltDoZGa !ll!,q (3) sll tn..wrall;!' n nIGMtipl~Gr':l~~, 1m;
(dl tq.:J!O,d!IYJRJUI1,JAAP, .rep'l.~J:d..am~~e:an~.mg oill of the ow. nershlp, mamtenance, Vll;lii.z:!.m!!l !),WIG.U10lJ~!.' 26,'~~,;lCGZ., f\! l11SL.bol.Hlt) Hi l~.<.':'.Gn Gl!Jl., .,11jZ. i. msj;;'
iq-iOJle~ijO"l\ use)l,loadl':1giDf, Iinloa4mlJI of(anyr,!i~rcra~~lt"li.UC;;-;CW.t9~!OU' !\;W I 1I"9~,qV~R4,G~~S.~NAl~~DI~AtP.AYI!'ENTSbIWY,I!F'!1l: ,j,~m~!I~~' 1:>\
(ll.~~~~ed;;}t)YI\.'Oriti4l~~,d:;!o1!<1ny( ~~u.[ed61Ifil. t~.e'uwatercra(1:;thas(j.ml!oa~~+~[r~ 'i,[lbe;!eompanyt~il!\41ay~toror .foreaeti~ilei'~oi\"~who~~st~h\' " '., ,. il.~:~{jse(\"
, !ltlll!board,p1;d~,oa,J:4 ~!'Il!~Qr~po~e.[i{Ofu!119re thanl;SOrhO{s~po~~.r QlillS,ll\JsaihngI by111ccldent;;allJl:ea$Onable:medlcal excense mcurredwlthm' one' year; from;the.d~\e
J~~e~Sell{Y<:lth:'O(?W.Ith!., ,.~Ifl',a\!X!hal'Y ..p'ol(~r) 2.6;dee~ or ~oretllJ:P.v,e.rlllblength;c ~f tbe'fa~i:ident !:onL'~tm,~;of' ~ch. 'o~I1:liI]u.ry~ijtpiJiiled ~U~Ii~ti. (dilf, lrilllij'J(a)9'
0(1l!1:llf; ~C~OU;1!:9-'41U~11!.l mtlq ~1lI.&.~~!1I11bl1q)tJ2l>2' '. . ,." " '~.!sust~I!~!bI~Me .1' ~t!!!l!19~.~red preml~es' w!ttdhe permls.s!on'~fany' .nsured
(2) powered !by~any.(O~.~r~::motqr(s)msJ.ngly !lnjll1\c.o~l~ttQnaOf~mo~eathanJ Ofif\l~l;~,~~u~t~!~~ er~and (1). ~r!ses' out of ,a con41,t1qn:I,n' .the: Insured
Hj25jJ.tota~fborsepo,wer.f4t su.p. h;;outboa,r~ p1.otort.ShISllCl.1:l(ned..'by;,anyillns!l.IJ.1ti premlsesiil2fll. tely ,adloanang,'p!12)'d~,causediby'~nYi:!n~re&:i!l)'2
, :., aM~e,~jI;lC~Pt\OD, ;of~~~OhC. Yfilpd.lnot.-4I~clat~,~n~the. .sch'ediJle. ; unle~~ ~he ap,y.lresi,.j!,lipe CQiI~t'of ~'fs-:'l!lnploym.en'f6y~n:liiW~dfbr~~y any
11!S~~d;re~r,t.s~m.~qtlQgrto.thls<comp~nY,~ItJ.jinIA5;}I~y.s;:!ftena~(lUIslt~OOl! ammal!Owned~!Of any~sU'red or (3) IssustalOed by any residence
hlSl, l!\ten~lon;~t~. :apsuI~~eltO~oardtlllotorP.lOr$ c!lmbln.atl~!1 ;,llfi9utboa~d '" emp,IOye'e; and! ~lti~e~ olltlIclfllin"d 1111' th~ ~Il(se~f~tiisl ~r/lploymentIbY >arty\,jllSllred.
. 11!0tors;1!0~ner$Ji~p :of;>'lluc!rilw,~: a!=q~lre~fpnor,).tor.t~e.~~h~iiPenod:l1llflllJ ul:iii'~ofns {MO {It UJOI G bG!;lOU2 'lZ Hlil t62!!'! o~ gl!~ OiM ~}cqqGlJr 21Jtlll 00' 5XCGISC
T.h!~ cexcluslon~doell!l\Ot a'pply~to\(aUtio~IIY.(.I\lJuay,)on.Pr9p~ity,lI,aRlag~ QCCUC-r, !!Jii'''I'' Q' ~!.I" tfDeIlD''''r "..'jO'.t COMi\Sf:t >Il' fll ~u Ul~!C1l\ nbOlnil tnl P:JllH}
nng on the cinsured' premises or (b) bodily Injury to any reSidence employee , ".,?I~~~~,.~~r,g~'N' ~.~~(nR. ~~.{l Y~!""~ ~":"'C,(l" I ~ ,h~~~I"F ,,"rll ~! ,(l~~ . q:,. Ul[G
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:L 6397
(Ed. [.73)
PREFERREDRISK"MUTUAl INSURANCE COMPANY
1111 Ashworth Road'; west ues Moines, Iowa 50265
PART B GENERAL LIABILITY AUTOMOBILE POLICY
DECLARATIONS
NON ASSESSABLE
POLICY
Item 1. Named Insured and Address: (No" Street, Town or City, County, State)
Agent's Name and Mailing 'Address
ALAN AND SHERIE THOMAS
7204'siERRA PATH AVE
BAKERSFIELD CA 93313
,LEROY FRIESEN 04-318
<3516'PRYOR
VISALlA CA 93277
No. GLA 8481-357 REN
Policy Number
lien! "Policy
2. Period
From
. 'Mo. Day Yr.
01-23-97
to
Mo. Day Yr.
01-23-98
(12:01 A.M., standard time at the address
of the named insured as stated herein.)
The named insured is: ,
~O Individual' -: [J Partnership
. J..,"~ -,. ," ":
Business of the -n~rii~d insured is: '(ENTER BELOwi
ENGINEER '
. ~ ;
P Corporation
o Joint Venture )(JOther. ,OWNER
Audit Period: Annual, unless otherwise stated. (ENTER BELOW)'
Item 3. The insurance afforded is only with respect to the following Coverage Part(s) indicated by specific premium charge(s).
. ~r
Advance Coverage Coverage Part(s)
Premiums Part No(s).
$ Automobile Medical Payments Insurance
$ Automobile Phvsical Damage Insurance (Non-Fleet)
$ Completed Operations and Products Liability Insurance
$ Comprehensive Automobile Liabilily Insurance
$ Comprehensive General Liabilily Insurance
$ 77 on I "~Q7 Comorehensive Personal Insurance
$ Elevator Collision Insurance
$ '.. Owner's and Contractor's Protective Liability Insurance
$ Owners', Landlords' and Tenants' Liability Insurance
$ Premises Medical Payments Insurance
$
$
$
$
$ .
$
$ .... ;-h' .' ;, "
$ " '" I ~,'" r .i . '~. " " "
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1504(1285) " . ~; ",'I.. ('c.'. " " r
H090(984)FIl I ,r" ".,'
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, t.....y:.,. "r,,_ , ~,' ." .. "
, $',:r.:.~r '::'~~ ,:~~.~~,~..' t~ 'J ,Totai Advance Premlilln'for'ihis Policy.! ~ll,; :,':,
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<\!rp' <.,'t'of": ,\, ~ .,1-" I' . ~_' ~_ '. _ ... , .' -
, *If the 'Policy Perioo is more tlian cine year and the'i1renlium is to lie paid in'installments, premium is payable on:
" "."~~~~~,?~~:$:~r}:::'>r;;'n<:~;:.:'..~.q '/ :J;j'~:A~ri~~!.si:rv) '~,' "" .:1 2nd'Anniversary $
, Item;4:.[)uJipg \heJla;5tthree:,~ar!l,no lns.urer has, cancell!!!l insurance, 'Issued to the named Insuredtsimillir'to that afforded hereunder. unless otherwise stated herein:' ,
-',. ,.....t T'. ',~ ,"~""... ... 'p--- ~~, ,;,-:',1':. .''''tl,,:,:,;.'I" h "_:.~.; . '~.~:nt. ):3""':::" in. ',:_~""
, ',:1: ""'. ':12.!Q9-96TJ(DPC.GLA),
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-Not applicable In Texas
By
Authorized Representative
THIS PART B, WITH "POLICY PROVISIONS-PART A", AND COVERAGE PART(S) AND ENDORSEMENT(S), (IF ANY), ISSUED TO FORM A PART THEREOF, COMPLETES
THE ABOVE NUMBERED POLICY
FI.2163 (475) Ptd. In U,S.A.
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09/10/98 TUE 10:03 FAX 805 325 9182 '
CITY ATIORNEY
tgJ uu"
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"
."'.::"
APPUCATION FOR ENCROACHMENT PERMIT
TO THE CIlY ENGINEER OF THE CITY OF BAKERSFIELD. CALIFORNIA: '
PunABt to the pravisions of Chapter 12.20 of the Bakersfield Municipm'Cade;,the underllgnedr.....for a permit
to place, erea. use and maintain an encroachment on public property or rig" of way'. therellNiefined.
1. FuI name of applicant and complete address including telephone number: A lr\nI tHnll'l J\.S
720 Lj SIEl\'f\A- ?A-lii AVE ~Al<EJ~,~FIELJ\ cd 93313 ' (t)(n4- lllc2....
2. Nal~ or deIcrt~ of the encroachment for which this a~ . ion is made:, ~ I' W 1 ~ ~ C E fI1 iE N \ 'PoAI:>CI\
Wi \ Ii: :i. '1~ fAll fENcE 5~Ll~ I'A\L T'<PE.. B,(R.oP~x.'l. kiN rE..o,-,'r 10
5 ib~WAL)(
3. Location of the proposed encroachment: 5' i41'V1 ~ A S' A a oV'c
4. Per10cI of time for wnictl the encroachment is to be maintained: IN b i2 FIN tL lL '1 / f~ K/111f1ll [=11/ T
Applicant agrees that I this appliCatiOn'is granted. applicant shall indemnlfy~ dIDnd"anctJla.a.ndlllgClly; its
orIiceIs. ageraanchl1lployeesagai1lt any and au ~. claims. actions, (I~of actiaftiar,,~what.IOever
agaI\St them, or any of them. befare' administratIVe. quasi-judicial or jucliciaUrlbunalS of,any!lcJndi,l4Ill"I~}1I'Ising
out of, connec:ted With or caused by applicantls placement. erectiOn. use (by,appllcanl,oruralllilf'.....iOf;entiIy)
or rnaIrIt8n8nCe of said encroachment. The applicant further agrees to maintain theafores8lCl:enaaactuMnl'during
the rife of the said encroachment or until such time that this permit Is revoIcecL
~ fuIttB' agrees that upon the expiration of the permit for which thts,appa.e.tIan,ls madei~1 plledr or !UIID
~ nMI'"'.MIftft ~ IN the CIty Engineet. a_lcant will at his own coat .nd~-""'~ .........frvm,
1M ~~...-rtY or right of way where the same is located, and restore said pubic pro,*" ordgM otway-to the
condIIIan as nearly as that in which it was before the placing. er8Ction. m8intenance~,;or, ,exIatenC:e",of said
enct08Chment.
AppIk;ant further agrees to obtain and keep aU liability insurance required by the City Engineer, in fuI faratMd' effect
for however long the encroachment remains. Applicant shall furnish the City RIsk, Mal18geFcwltl:a ~ of
Insurance evidencing sufficient coverage for bodily injury or prupelty damage IlabUlly or bo1lr and required
endorsements evidencing the insurance required. The type(s) and amount(l) of Insul1lnce coverage: is: '
Applicant acknowledges the,l1gtn of the City Engineer. pursuant to Bakendleld Municip8l.,COde Ch8pter,'12.20 to
revoke the permit at any time.
Date: 4- -11-97
~~
Signature of AppHcant (Owner or RepresentatIVe)
PERMIT
I HEREBYCERnFY THAT I HAVE MADE AN INVESOOATlON OF THE FACTS STATED IN'
THE FOREGOING APPLICATION AND FIND THAT THE -""MAlNTENANCI! OF" SAID
ENCROACHMENT (1) WILL (NOT) SUBSTANnALL Y INTERFERE WITH THE! USE OF ,THE '
PU8UC PLACE WHERE THE SAME IS TO BE LOCATED Nm(Z)WlU- (NOT) CON8TITUTE
A HAZARD TO PERSONS USING SAID PUBUC PLACE; SAID APPLICATION IS
THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE
Date:
Signature of City Engineer
No.
.....- - .... 5, ,-
'i,
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: (Jacques R. LaRochelle, Engineering Services Manager
DATE: April 21, 1997
SUBJECT:
Encroachment Permit Application for 7204 Sierra Path Avenue
Alan Thomas
Installation of 2'-9%" split rail fence along side yard to back of sidewalk
Engineering and Traffic staff have reviewed the attached encroachment pennit to allow the installation of a 2'-9Y:z" split
rail fence along the side yard to the back of the sidewalk. The site has a single family dwelling upon it and is located
mid-block.
The applicant has provided proof of appropriate insurance coverage to the Building Department representative, 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 pennit.
M:\PERMITSIENCROACH\7204sier,wpd
xc: Reading File
Project File
MarianP, Shaw
srI3'2.\
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Brad Underwood, Civil Engineer III, Traffic
FROM: ~ Marian P. Shaw, Civil Engineer III, Subdivisions
DATE: April 21, 1997
SUBJECT: Encroachment Permit Application for 7204 Sierra Path Avenue
Alan Thomas
Installation of 2'-9%" split rail fence along side yard to back of sidewalk
Please review the attached encroachment permit and return it to me with your comments at your earliest convenience.
Cc~ ~ I<-l.t'd- blovl",
Q~. 4.J ~ f...vt Cd. t'1lA.il'V-~.
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mps:M:\ENCROACH\MEMOlR WPD
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