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
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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.
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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
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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.
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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
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8 2 0 0 0 0 0 0
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AUTOINOBIIE
L7ABRlTY
COMBINED
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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
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AGGREGATE
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RETDITIDN S
W RRERB COMPEN3ATTON
AND EMPLOYERS' LIAEIth'Y
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ANY OFFICERIAt MBEfflEXCLUDED7XECUTNE i N/A
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DESCRIPT xION OK OPERATIONS below
E.L. DISEASE - POLICY LIMIT
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DESCRIPTION OF OPERATIONS /LOCArI0N8! VEN/CLf3 (Arlach
ACORD
rOr. AdeeTbna/Nem,ri: a �...a � ,.........
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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
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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
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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
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