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
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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: -
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/ppli ant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12" 0 to revoke the (rrnit at
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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:
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Date:
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Date:
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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
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Policy Number: 72 SBM B04571 DX HARTFORD
SPECTRUM POLICY DECLARATIONS ORIGINAL
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(No., Street, Town, State, Zip Code)
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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
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PRODUCTS - COMPLETED OPERATIONS
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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
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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
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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
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Policy Change Number: 001
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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
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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
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