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HomeMy WebLinkAbout1605 20TH STENCROACHMENT PERMIT CITY OF BAKERSFIELD APFRO��j 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- 30000034 Date 8/17/10 Property Address . . . . . . 1605 20TH ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor CRITES ANGUS D II OWNER 414 MT LOWE DR BAKERSFIELD CA 93309 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 1025899 Permit Fee . . . . 208.00 Issue Date . . . . 8/17/10 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 208.00 ---------------------------------------------------------------------------- Special Notes and Comments 6 feet of clear sidewalk is to be maintained Place wrought iron fence on sidewalk at all times. with tables, chairs and planters inside. Contact: Maria 327 -9331 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - -- -------- - - - - -- - --- - - - - -- ---- - - - - -- ---- - - - --- ---- -- - --- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the .nv time. of Applicant (Owner /Agent) lyl . 0 ut 1,10w- Print Name I RE Y CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APP I ATION 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) QNS11TUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE GRANTED ENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back E A K E R S F I E I- 1 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 17, 2010 SUBJECT: Encroachment Permit Application for: 1605 20TH Street Name of Applicant: Maria Gueldner Description of Encroachment. Place wrought iron fencing on sidewalk around tables, chairs and planters. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \1605 20th St.doc B A K E R 5 F I E L L� PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Engineer II FROM: Bob Wilson, Supervisor II, Subdivisions DATE: August 17, 2010 SUBJECT: Encroachment Permit Application for: 1605 20th Street Name of Applicant. Maria Gueldner Description of Encroachment: Place wrought iron fence on sidewalk around tables, chairs and planter. Please review the attached encroachment permit and return to me at your earliest convenience. �/3%/2Dh3 FT dF 'cL6199 �a fc- )V7- AIL 7-1r7-V- . M S: \PERMITS \ENCROACH \TRAFFIC \1605 20th St.doc RD'_ CERTIFICATE OF LIABILITY INSURANCE OP ID LD DATE(MM /DD/YYYY) X41 SUBST -1 08/05/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Clifford & Bradford Ins Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1515 20th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield CA 93301 Phone: 661 -283 -8100 Fax: 661- 283 -8111 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: American Economy Ins. Co. _ Sub Station INSURER 8: Maria ''Gueldner INSURER C: 1605 2'',Oth Street INSURER D: Bakersfield CA 93301 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �LTR NSR TYPE OF INSURANCE POLICY NUMBER P C CTI E DATE MM /DD P C EXPI ION-- DATE MM /DD/YYYY - -'— LIMITS GENERAL LIABILITY EACH OCCURRENCE $500,000 A X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FK OCCUR 02BO9177540 08/10/10 08/10/11 PREMISES (E�Eaoccccue0nce� _ $500,000 '000 MED EXP (Any one person) _ $ 10 , PERSONAL & ADV INJURY $500,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 500, 000 POLICY JEC T PRO- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) A - $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO {:n OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS! UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER/EXECUTIVEM OFFICER/MEMBER EXCLUDED? TORY LIMITS I ER E.L. EACH ACCIDENT _ $ E.L. DISEASE - EA EMPLOYEE - - - - - -- -- $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L, DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS *10 DAY NOTICE OF CANCELLATION FOR NON - PAYMENT WILL APPLY. CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS RESPECTS LEASED PREMISES LOCATED 1605 20TH STREET, BAKERSFIELD, CA 93301. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ANGUSKR DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ANGUS CRITES 414 MT. LOWE DR. REPRESENTATIVES. BAKERSFIELD CA 93309 AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) The ACORD name and logo are registered marks of ACORD TION. -All rights reserved. 3JN3d i NOtldls sns 3N.L -4O Ad' IN3 3H1 QNd 130001NOW 3H1 N33M,L30 13 AV'-d.L 30 3N1'l 1 :3 11a t i�