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HomeMy WebLinkAbout1603 CALIFORNIA AVEENCROACHMENT 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- 30000036 Date 9/08/10 Property Address . . . . . . 1603 CALIFORNIA AVE Application type description PW - ENCROACHMENT PERMIT Owner ------------------------ RUDNICK FAMILY INVS LLC 1603 CALIFORNIA AV BAKERSFIELD CA 93309 Contractor --------------- --- - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . . ENCROACHMENT P PERMIT Additional desc . . . Phone Access Code . . 1031079 Permit Fee . . . . . 208.00 Issue Date . . . . . 9/08/10 V Valuation . . . . 0 Qty Unit Charge Per E Extension ---------------------------------------------------------------------------- BASE F FEE 2 208.00 Special Notes and Comments Place � over windows in front of y y a - d2 Rib -()Scar- ------ at any ti Signature ' l ;s the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the (pvt CIA Yu (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) C TTTUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE rRA� (DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back .. -. ..--a; M _ 40 0400.- D A K. E R S F I E L 1� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: September 15, 2010 SUBJECT: Encroachment Permit Application for: 1603 California Avenue Name of Applicant: Rudnick Family Invs. LLC Description of Encroachment: Place awning over windows in front of building. Please review the attached encroachment permit and return to me at your earliest convenience. q /11 %alO a p -loin pep 9V10T AMNOTO eWO 07- 7-0 -1C'. S: \PERMITS \ENCROACH \TRAFFIC \1603 California Ave.doc B A K E R S F I E L 13 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: September 15, 2010 SUBJECT: Encroachment Permit Application for: 1603 California Avenue Name of Applicant: Rudnick Family Invs. LLC Description of Encroachment: Place awnings over windows 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 \1603 California Ave.doc Jul-27. 2010 10:49AM THEPLANSTORE Publio Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 325 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208,00 To the City Engineer of the City of Bakersfield, California. No, 5246 P. 3 Id 3c'6006,34 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; _ -k _ y�) N 1 R_ 2. Nature or description of the encroachment for which this application is made; (Example; Wood or wrought iron fence, concrete block wall, raised planter, etc...) D 4 5. Location of proposed encroachment: (Example. Side yard at back of sidewalk or front yard at back of Sidewalk) Period of time for which the encroachment is to be maintains . Indefinite r Other: ass Circle) Is property part of a Homeowner's Association Yes No 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 u o. A n the ,- 9--fi— lltaw. -V k.. 44— 11Pi.. �� -.____ _._._. ... . .. nea, ano restorea saga public property or right of way to the condition as erection, maintenance or existence 6f 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 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 permit at any time. s: XEncroachmentPermb \ApplicationforEncroeohment (( 4I k A 13 A T. E R S 'F I 'E Z D Publio Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 325 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208,00 To the City Engineer of the City of Bakersfield, California. No, 5246 P. 3 Id 3c'6006,34 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; _ -k _ y�) N 1 R_ 2. Nature or description of the encroachment for which this application is made; (Example; Wood or wrought iron fence, concrete block wall, raised planter, etc...) D 4 5. Location of proposed encroachment: (Example. Side yard at back of sidewalk or front yard at back of Sidewalk) Period of time for which the encroachment is to be maintains . Indefinite r Other: ass Circle) Is property part of a Homeowner's Association Yes No 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 u o. A n the ,- 9--fi— lltaw. -V k.. 44— 11Pi.. �� -.____ _._._. ... . .. nea, ano restorea saga public property or right of way to the condition as erection, maintenance or existence 6f 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 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 permit at any time. s: XEncroachmentPermb \ApplicationforEncroeohment (( 4I k A AJB c 'R CERTIFICATE OF LIABILITY INSURANCE UoBI3 oa_23 -201 THISCERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CIiERTIFICATE 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(Si, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IM1'OAiANT: If the certificate holder Is an ADDITIONALINSURED, the policy {Ies► must be endorsed. If SUBROGATtON{S WAIVED, subject to the terms and conditions of the policy, certain policies may require en endorsement. A statement on this certificate dose not confer rights to the 111A3r- T QR MORTENSEN INSURANCE / PHS Pliorie Fax 13625 P: (866)467 -8730 F: (877)905 -0457 EMC NoEKri:_i866Z467�6730 I/UC.No): (877)905 -0 PO BOX 33015 ADDRESS: SAM ANTONIO TX 782655 USTOMERIDI- INSURERISI AFFORDING COVERAGE NArC I 7NSLdrEO INSURERA: Hartford Casualty Ins CO OSCAR RUDNICK INSURER B: 1603 CALIFORNIA AVE STE 122 INSURER C: BAKERSFIELD CA 93304 1 INSURER a: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INDICATED. NOTWITHSTANDING ANY REQUIREMENT,YTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP CT TO POLICY PERIOD WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUS10N5 AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. trft TYPE OF INSURANCE OCAWRA[lIABIUTV POLICY NUMBER /MM/OD/YYYY! (MM/DD/YYYY/ LJMIT9 COMMERCIAL GENERAL LIABILITY A CUUMS•MADE � OCCUR X General . Liab 51 SBA TT8947 12/03/2009 12/03/2010 EACH OCCURRENCE _ $ 1,000,000 PREMISES IEe oca,rtencel s 300,000 MEO EXP fAny one ,son) a 10 0 0 0 PERSONAL SADVINJURY ! 1 000 000 GENERAL AGGREGATE 0 2 0 Q Q Q 0 0 'L AGOR IMIT PER: POLICY PRO- X LOC PRODUCTS • COMP/OP AGO 8 2 0 0 0 0 0 0 @" AUTOINOBIIE L7ABRlTY COMBINED ANVAUTO SINGLE LIMIT Wa accident) 9 ]_ 5 0 0 0, 0 0 0 ALL OWNED AUTOS BODILY INJURY IPer pereonl 9 SCHEDULED AUT06 X HIREO AUTOS X NONOWNED AUTOS 51 SBA TT8947 12/03/2009 12/03/2010 BODILYINJURYIPeraecldenli S PROPERTY DAMAGE Mor eccrdenll B 9 6 vAraaeeLA L7A6 DccuR EXCEb3LIAB CLAIMS: -MAOE DEDUCTIBLE EACH OCCURRENCE 4 AGGREGATE 1 '- a RETDITIDN S W RRERB COMPEN3ATTON AND EMPLOYERS' LIAEIth'Y YIN ANY OFFICERIAt MBEfflEXCLUDED7XECUTNE i N/A (Mend'arary e,,,,D L,_J O Y LIMITS OER i E.L. EL EACH ACCIDENT -- = F.L. DISEASE - PA EMPLOYE VgC der$e 1,nde, DESCRIPT xION OK OPERATIONS below E.L. DISEASE - POLICY LIMIT e DESCRIPTION OF OPERATIONS /LOCArI0N8! VEN/CLf3 (Arlach ACORD rOr. AdeeTbna/Nem,ri: a �...a � ,......... �___ ._ ena'rnose.Vaual to the Insured Is Operations. The C't of B Qrpfield its ma or, orseTt e ptoyeeTf a e>its and volunteers is a soy an A3 itiona insured er p lacy per forth IH 12001185. THE CITY OF BAKERSFIELD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED THE PUBLIC WORKS DEPART BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE 15 01 TRUXTUN AVE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, BAKERSFIELD, CA 93301 AI/TNOJUM0AEFRESEWAME ACORD 26 (2008 /09) ° 198f 1 -2009 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 51 SBA TTS547 d THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - PERSON - ORGANIZATION 0 THE CITY OF BAKSRRFIELD, ITS MAYOR, COUNCIL, EMPLOYEES, AGENTS AND o VOLUNTERRS N PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE 0 BAKERSFIELD CA 93301 w LOC 001 0 r Ln w rn W 0 0 0 H 0 4C '- M � Im im BMW a mm w C= i� 1001 B B Q Form 11-112 00 11 85 T SEQ. NO. 002 Printed in U.S.A. Page 001 Process Date: 08/19/10 Expiration Date: 12/03/10 UW COPY LL L } I- C LL (I C C CL EMS 3A3 i z a Ci u W U) TO MATCH SIZE ON THE MER SDE PROPOSED FRONT ELEVATION 1603 CALIFORNIA AVENUE in 1603 CALIFORNIA AVENUE v.