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Home My WebLink About1115 TRUXTUN AVEENCROACHMENT PERMIT CITY OF BAKERSFIELD App OV4 PUBLIC WORKS DEPARTMENT 17 D 1501 TRUXTUN AVE '] BAKERSFIELD CA 93301 (661) 326 -3724 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. Application Number . . . . 11- 30000006 Date 3/09/11 Property Address 1115 TRUKTUN AVE Application type description PW - ENCROACHMENT PERMIT owner Contractor COUNTY OF KEEN KERN COUNTY BRIDAL ASSOC UNKNOWN 531 H STREET Credited one ---- -- - - -- ---- - - - - -- BAKERSFIELD CA 93304 208.00 (633) 9200 Permit . . . ENCROACHMENT PERMIT Additional de9C . . 208.00 Phone Access Code 1078906 Permit Fee 200.00 I99ue Date . . . . 3/09/11 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 Special Notes and Comments Place magazine stand in sidewalk on 'N' street. A CLEAR SIDEWALK WIDTH OF AT LEAST 4` SHALL BE MAINTAINED. Kyle Erown 633 -9200 ---------------------------------------------------------------------------- Fee summary ----------- - - - - -- Charged ---- - - - - -- Paid ---- - - - - -- Credited one ---- -- - - -- ---- - - - - -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. ure of Applicant (Owner /Agent) Print mile Si r I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE PACES STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY IN'T'ERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) C ONWTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS TBEREFO (DENIED). Said permit shall expire on date stated above. Signature Aty Engineer Additional Terms on the Back B A I< E P. S F i E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 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. /.J�� d comps eiddf"n"A Inc ne um ... :, 1. Full name of'applicantand complete address including phone number u Ourz>< 2. Nature or description of the encroachment for which this applicati n is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) m JI+X ZAC& 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) ,WX S75- Fro NW—Zc f« It T'•n 4 on, n x••-•.. 4. Period of time for which the encroachment is to be maintained: Indefinite or Other. ease Circle) 5. Is property part of a Homeowner's Association Yes XNo Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the 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 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 restored 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 Certificate. of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing 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 peril at any time S" EncroachrnentPermilsWpplica tionforEncroachment CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDYYVY) 3/112011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the oe mR holder is an ADDITIONAL INSURED, the policy(iee) must be endorsed. If SUBROGATION IS WAIVED, subjectto the berme and Conditions of the policy, certain policies may require an endorsement. A sh ement on this certificate does not writer rights to the carti0cele holder in lieu of such endomement(s). PRODUCER CONTACT NAME: PHONE: {A/c No, Ext): (630) 555 -2400 FAX: (ARC, No): (630) 654-4447 G. A. Mayon 8 Co. 10 West Chicago Avenue E -MAIL address: info @mRnm.com PRODUCER CUSTOMER ID: ABEEN -1 Hinsdale, IL 60521 INSURERS AFFORDING COVERAGE I NAIL INSURED INSURER A: Penn-Star lnsurence Company 10673 INSURER B: KWB INSURER C: Entertainment, Inc' DBA: Kern County Bridal Association INSURER D: INSURER E: INSURER F: 531 H Street Bakersfield, CA 93301 COVERAGES CERTIFICATEREVISION NUMBER: NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADD L NSRD SUBS AVID POLICY NUMBER POLICY EFF ewro POLICY EXP MM01 LIMITS A GENERAL LIABILITY Qy COMMERCIAL GENERAL UASIUM PACeMUI 01i OW15H1 ACH OCCURRENCE ORENTED �CUIMS MADE Q DCCUR EDEXPSAnymeneaW k2,00,000 ERSONALs ADV1.iJNY NERAL AGGREGATE ENL AGGREGATE LIMIT APPLIES PER'. Pollry PH. Ooc RODUCTS- COMPIOP AEG AUTOMOBILE LIABILITY CMeNED SIJUMIT ANY AUTO ODILLY IWURALL OWNED AUTOS Per ONLY NJURROPERTYO SCHEDULEDAUTOS HIRE..T. mJEent NON.OWNEOAUTOS UMBRELLA USIS OCCUR EACH OCCURRENCE EXCESS LAB CIAIMa MADE El IGREGATE DEDUCTIBLE RETENTION WORKERS COMPENSAnM AND EMPLOYERS' UABILITY ANY PROPRIETOR I PARTNER/ El EXECUTIVE OFFICERMEMSER EXCLUDEDP NIA El WCSTNTUT F or ORYUMITs LEA ACCIDEM 1.-DIS SEASE EA MPLOYEE 1- DISEASE PoLICY LIMIT IMandaPory in NRl Ifyee Ee on SPECIAL PROVISICSIONS CeICw ESORPTON OF OPERPTIONe /LOCATIONS: EXCLUSICNSADDEDBYENDORSEMENT 'IM C0.y 018ekeRTMtl. Ma Mayu. mu/Itil. WAn/e. pre, enyllcysee aM wllnleae uq YcWed a en MMIbnYI InaWBB'^ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE CITY OF BAKERSFIELD ACCORDANCE WITH THE POLICY PROVISIONS. 1800 TRUXTUN AVENUE BAKERSFIELD,CALIFORNIA 83301 AUTHORIZED REPRESENTATIVE r� ACORD 25 (2008109) 01988- 2009 ACORD CORPORATION. All rights reserved. The ACORD memo and logo an registered marks of ACORD B A Is E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 28, 2011 SUBJECT: Encroachment Permit Application for: 1115 Truxtun Ave Name of Applicant: Kem County Bridal Assoc Description of Encroachment: Place magazine stand in sidewalk on N St. Please review the attached encroachment permit and return to me at your earliest,c�nvenience. � c�cc t�O 4I /W/ o.� t .�2pvep€9�c�ENR Slve�4l,k w1ory- a= Ar z-FVr 4 F7 scfgrc fpE MMU/YIjNE/�� TA-e ATr &1/0 SkETUi OP- - rfforO —M S~ 0`7- Tf�E ptMtVK4Mrt �t- WCATIdI mt^ 71/E I`�1/}CA & /AlE ST1�/Or -/u9 ME9yNREMB^fif rw rLOWtINg, OR A^I7 OrFfwp r-Eref efuce P011,Ir r7" Rftj '&#r TW 51pew/xx W(n* It) Ttt¢r,99- 9 h�A�r B� ru/IOEc¢t�911r. 115 Truxtun Ave.dx B A K E K S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: March 28, 2011 SUBJECT: Encroachment Permit Application for: 1115 Truxtun Ave. Name of Applicant: Kern County Bridal Assoc Description of Encroachment: Place magazine stand in sidewalk on N St. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 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