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HomeMy WebLinkAbout819 19TH STENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 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 . . . . . 10- 30000032 Date 8/02/10 Property Address . . . . . . 819 19TH ST Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ CONTRERAS ARTHUR & RITA 501 LELAND AV BAKERSFIELD CA 93304 Contractor ----------------- - - - -- -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 102,2110 Permit Fee . . . . 208.00 Issue Date . . . . 8/02/10 Valuation . . . . 0 Qty Unit Charge Per BASE FEE ----------------------------------------- Special Notes and Comments Tables and chairs in front of building. Business owner: Robert Benskin dba Old Kern Antiques 661- 331 -3062 ----------------------------------------- Fee summary Charged Paid -- ----- --- - - -- --- - --- - - - - -- ---- - - - - -- Permit Fee Total 208.00 208.00 Grand Total 208.00 208.00 Extension 208.00 --------------------------- Items with encroachme!-':41 bench, small tables. A 6 foot min. clear maintained at all times, see map --------------------------- Credited Due - -- --- - -- ---- - - - - -- .00 .00 .00 .00 4 chairs & 2 sidewalk is to be Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. ate&— (:--:) — Signature of Applicant (Owner /Agent) Print Name 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 PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) CqN,%XXWTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTE (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back B A K E R S F I E E D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 3, 2010 SUBJECT: Encroachment Permit Application for: 819 19th Street Name of Applicant: Robert M Benskin Description of Encroachment: Tables and chairs in front of building. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \819 19th St.doc B A Imo. E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 3, 2010 SUBJECT: Encroachment Permit Application for: 819 19th Street Name of Applicant. Robert M Benskin Description of Encroachment: Tables and chairs in front of building. Please review the attached encroachment permit and return to me at your earliest convenience. Zol D SAPERMITS\ENCROAMTRAFFIM819 19th St.doc -s 9'r Glow we c��r Page 1 of 1 Robert Wilton - Re: 819 19th Street From: Manuel Fuderanan To: Robert Wilson Date: Wednesday, September 22, 2010 3:19 PM Subject: Re: 819 19th Street As far as I am concerned, yes. >>> Robert Wilson 9/22/2010 2:19 PM >>> Your comments in regards the Encroachment Permit application for 819 19th Street was that the picture did not include location for tables and chairs. We spoke with the applicant for additional information, at most they would like to put out 1 bench, 4 chairs and 2 small tables or what ever combination will fit. If this information is added, and that a 6' min. clear sidewalk area is to be maintained at all times, to the permit enough information for Traffic to sign off for this Encroachment Permit application. Bob Wilson Supervisor II City of Bakersfield Public Works Department Subdivision Section Phone No. (661) 326 -3566 Fax No. (661) 852 -2011 E -Mail Address - rwilson @bakersfieldcity.us file: //C: \Documents and Settings\rwilson \Local Settings\ Temp\ XPGrpWise \4C9A1E68COBcobpo1100177... 9/22/2010 5 a IC E R 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 -off ay as therein defined. �p 1. Full name of applicant and complete address including phone number: I to �ex 'Ilr 'OeN 511,<, -,j T5 �t1�s�• e � a � CA _9 53 o / 4 G / - 3 / - 3 WiYlrg dr desL- ,riStbrf of ho9c'hff� r tJir`VitcTi4this application is made: p (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) SeO-4 ,rN % —L5!. ��,- Wri_ P� 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) fK00- of bU1 1d,,'--, 4 4. Period of time for which the encroachment is to be maintaine : 1 definite r Other. (Plea rcIe) 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 a Certificate of Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing,�Oe insurance rgqui ;ed. The type(s) and amount(s) of insurance coverage is: - / All 545 V i J ZZ /ppli ant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12" 0 to revoke the (rrnit at r014-6� G��,J,�l�,� . S.\ EncroachmentPermits \ApplicationforEncroachment B A K E R S F I E I D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no obfelction to the construction of a fence beside the side wal ithin the public right -of- way. en (Address of proposed (tneroaclinlent) 1) Name: Address: 2.) Name: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: A/a: f.) NA ers Date: Date: I Date: 0 Date: t , 71 , This Spectrum Policy consists of the Declarations, Coverage Forms, Common Policy Conditions and any 45 other Forms and Endorsements issued to be a part of the Policy. This insurance is provided by the stock BO insurance company of The Hartford Insurance Group shown below. SBM INSURER: HARTFORD CASUALTY INSURANCE COMPANY HARTFORD PLAZA, HARTFORD, CT 06115 COMPANY CODE: 3 THE Policy Number: 72 SBM B04571 DX HARTFORD SPECTRUM POLICY DECLARATIONS ORIGINAL Go m Named Insured and Mailing Address: OLD KERN ANTIQUES (No., Street, Town, State, Zip Code) 0 0 0 M N r- N O O m CV �t 819 19TH ST BAKERSFIELD CA 93301 Policy Period: From . 07/07/10 To 07/07/11 1 YEAR 12:01 a.m., Standard time at your mailing address shown above. Exception: 12 noon in New'Hampshire. Name of Agent /Broker: LUTHER HARRISON JR /PHS Code: 165870 Previous. Policy Number: NEW Named Insured is: INDIVIDUAL Audit Period: NON- AUDITABLE Type of Property Coverage: NONE Insurance Provided: In return for the payment of the premium and subject to all of the terms of this policy, we agree with you to provide insurance as stated in this policy. TOTAL ANNUAL PREMIUM IS: Form SS 00 02 12 06 Process Date: 07/08/10 $425 MP Countersigned by Authorized Representative Page 001 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 07/07/11 Date SPECTRUM POLICY DECLARATIONS (uonunuuu) POLICY NUMBER: 72 SBM B04571 BUSINESS LIABILITY LIABILITY AND MEDICAL EXPENSES MEDICAL EXPENSES - ANY ONE PERSON PERSONAL AND ADVERTISING INJURY DAMAGES TO PREMISES RENTED TO YOU ANY ONE PREMISES M rN, AGGREGATE LIMITS PRODUCTS - COMPLETED OPERATIONS ,� GENERAL AGGREGATE 0 0 C- Ln d� O N N O Q Ln N ®.o r.rr �a r r r� Form SS 00 02 12 06 Process Date: 07/08/10 LIMITS OF INSURANCE $2,000,000 $ 10,000 $2,000,000 $ 300,000 $4,000,000 $4,000,000 Page003 (CONTINUED ON NEXT PAGE) Policy Expiration Date: 07/07/11 0 ao N 0 N O c-I Ln di 0 m N r- N O O O N POLICY NUMBER: 72 SBM B04571 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON - ORGANIZATION THE CITY OF BAKERSFIELD, IT'S MAYOR, COUNCIL, OFFICERS, AGENTS, EMPLOYEES AND VOLUNTEERS 1501 TRUXTUN AVE BAKERSFIELD, CA 93301 Form IH 12 00 11 85 T SEQ. NO. 0 02 Printed in U.S.A. Page 0 01 Process Date: 0 7 / 0 8 / 10 Expiration Date: 0 7 / 0 7 / 11 V rn N O �e THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGE This endorsement changes the policy effective on the Inception Date of the policy unless another date is indicated below: Policy Number: 72 SBMB04571 DX ORIGINAL Named Insured and Mailing Address; OLD KERN ANTIQUES N 0 LO 0 Policy Change Effective Date: N r- N C> Policy Change Number: 001 0 Agent Name: LUTHER HARRISON JR /PHS Code: 165870 819 19TH ST BAKERSFIELD CA 93301 07/08/10 Effective hour is the same as stated in the Declarations Page of the Policy. POLICY CHANGES: HARTFORD CASUALTY INSURANCE COMPANY ANY CHANGES IN YOUR PREMIUM WILL BE REFLECTED IN YOUR NEXT BILLING STATEMENT. THIS IS NOT A BILL. NO PREMIUM DUE AS OF POLICY CHANGE EFFECTIVE DATE BUSINESS LIABILITY OPTIONAL COVERAGES ARE REVISED ADDITIONAL INSURED(S) ARE ADDED THE FOLLOWING ARE ADDITIONAL INSURED FOR BUSINESS LIABILITY COVERAGE IN THIS POLICY. LOCATION 001 BUILDING 001 PERSON /ORGANIZATION: SEE FORM IH 12 00 FORM NUMBERS OF ENDORSEMENTS ADDED AT ENDORSEMENT ISSUE: PRO RATA FACTOR: 1.000 THIS ENDORSEMENT DOES NOT CHANGE THE POLICY EXCEPT AS SHOWN. Form SS 1211 04 05 T Process Date: 07/08/10 INSURED COPY Page 001 (CONTINUED ON NEXT PAGE) Policy Effective Date: 07/07/10 Policy Expiration Date: 07/07/11 THE HARTFORD 3600 WISEMAN BLVD. SAN ANTONIO TX 78251 �o N O r-1 r-i OLD KERN ANTIQUES N C) 819 19TH ST Ln BAKERSFIELD CA 93301 dw O m N r- C14 O O O N is co r- io N O —I N 0 Ln Nji 0 PQ N r- N O O O N jc Select Customer Insurance Center 3600 WISEMAN BLVD. SAN ANTONIO TX 78251 Policyholder, please callus at: ( 866) 467 -8730 Agent, please call us at: ( 800) 447 -7649 INSURANCE ENDORSEMENT ATTACHED * ** PLEASE REVIEW THE CHANGE * ** Enclosed is an endorsement for your business insurance policy. Please review it at your convenience. If you have questions or need to make further changes: Policyholder, please callus at: (866) 467 -8730 Agent, please callus at: (800) 447 -7649 between 7 A.M. and 7 P.M. CENTRAL TIME. The premium billing will be mailed to you separately. You can expect to receive it soon. Thank you for allowing us to service your business needs. LUTHER HARRISON JR /PHS THE HARTFORD SELECT CUSTOMER INSURANCE CENTER The Hartford Insurance Group Hartford Fire Insurance Company and its Affiliates Hartford Plaza, Hartford, Connecticut 06115 822 19th St - Google Maps Goosle maps Address 822 19th St Address is approximate Page 1 of 1 Save trees. Go green! 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