HomeMy WebLinkAbout5101 GASOLINE ALLEY DRENCROACHMENT 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 09- 30000002
Date
. . . . .
Property Address . . . . 5101 GASOLINE ALLEY DR
1/22/09
30
Application type description PW - ENCROACHMENT PERMIT
Owner Contractor
------------------ - - - - -- ------------------------
OWNER
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Permit . . . . . . ENCROACHMENT PERMIT
Additional desc .
Phone Access Code 877407
Permit Fee . . . . 208.00
Issue Date 1/22/09 Valuation . .
. . 0
Qty Unit Charge Per
Extension
1.00 208.0000 EA PW ENCROACHMENT
208.00
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Special Notes and Comments
Existing concrete and metal directional
sign located at 5101 Gasoline Alley on
south side of drive approach, 516" from
face of curb.
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Fee summary Charged Paid Credited
Due
Permit Fee Total 208.00 208.00 .00
.00
Grand Total 208.00 208.00 .00
.00
Appl' t acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit time.
Sign ture of pplicant (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) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION .IS
THEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above.
Signature o City Engineer
Additional Terms on the Back
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Raul M. Rojas, Public Works Director
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: May 19, 2009
SUBJECT: Encroachment Permit Application for: 5101 Gasoline Alley
Name of Applicant. Motor City Lexus
Description of Encroachment: Existing concrete and metal directional sign
Located at 5101 Gasoline Alley on S /side of
drive approach -5'6" from face of curb.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
applicant to keep existing directional sign located 5'6" from the face of curb.
The applicant has provided proof of appropriate insurance coverage to Risk Management, and
has provided signatures of all immediate neighbors stating that they have no objection to the
proposed construction.
Based on their review, staff recommends approval of the permit.
SAPERMIMENCROACM5101 Gasoline Alley.doc
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 11, 2009
SUBJECT: Encroachment Permit Application for: 5101 Gasoline Alley
Name of Applicant. Motor City Lexus
Description of Encroachment. Existing concrete and metal directional sige
located at 5101 Gasoline Alley on S /side of
drive approach- 5'6" from face of curb.
Please review the attached encroachment permit and return to me at your earliest convenience
0141' 06�
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PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ralph Korn, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 6, 2009
SUBJECT: Encroachment Permit Application for: 5101 Gasoline Alley Dr
Name of Applicant: Motor City Lexis
Description of Encroachment. Existing concrete and metal directional sign
located at 5101 Gasoline Alley on S /side of
drive approach 5'6" from face of curb.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S: \PERMITS \ENCROACH \INSURANC \5101 Gasoline Alley Dr..doc
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B A K 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 -of -way as therein defined.
Full name of applicant and complete address including phone number:
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2. Nature or description of the encroachment for which this application ins ma g: (Example: Wood or wrought 'iron
fence, concrete block wall, raised planter, etc...) �° GVe �-h e 1, Z>) -a I- J/ &.j
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3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk)
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4. Period of time for which the encroachment is to be maintained lndefinit or Other.
ase Circle)
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 the insurance required. The type(s) and amoun (s) of ins4farlpe coverage is:
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Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at
any time.
SAE ncroachmentPermitsWpplicationforEncroachment
B A K E R S F I E L D
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
TO WHOM IT MAY CONCERN:
We the undersigned, have no objection to the construction of a fence beside the sidewalk within the
public right -of -way. l
Cp)->6 1,114- & By: `mob 1/
(Street for proposed encroach rent) (Owners Name)
Of
(Address of proposed encroachment)
SIGNED:
1.) Name: IM t)
Address: r'22
2.) Name:
Address:
3.) Name:
Address:
4.) Name:
Address:
5.) Name:
Address:
Date:
Date:
Date:
Date:
Date:
6.) Name: Date:
Address:
�IZr
Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
ENCROACHMENT PERMIT REQUIREMENTS
Application
2. Permit Fee of $208.00
3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the City in making a determination as to
your request.
4. Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners General Liability coverage in an amount of at least $300,000.00
OB. Commercial
Commercial General Liability coverage in an amount of at least $1,000,000.00
2. Additional Insured Verbiage (For Commercial)
A. The City of Bakersfield, its mayor, council, employees, agents and volunteers
are added as additional insured's with respect to Stv,,j &- '510 I f�rs�,l►rr2 qli�� Dom.
(i.e. the installation of a chain link fence at 1501 Truxtun Ave.).
SA EncroachmentPermitsi Ins uranceRequirements
B A
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F
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Public Works Department
1501 Truxtun Avenue
Bakersfield, California 93301
(661) 326 -3724
ENCROACHMENT PERMIT REQUIREMENTS
Application
2. Permit Fee of $208.00
3. Drawing; Minimum 8 1/2 x 11 showing encroachment on lot in relation to the
existing curb, gutter and sidewalk, along with distances from curb, gutter and
sidewalk to the encroachment. Drawing to include curb, gutter and sidewalk and
any additional information that may assist the City in making a determination as to
your request.
4. Type and Amount of Insurance Coverage for fence installation or construction for
A. Residences
Homeowners General Liability coverage in an amount of at least $300,000.00
OB. Commercial
Commercial General Liability coverage in an amount of at least $1,000,000.00
2. Additional Insured Verbiage (For Commercial)
A. The City of Bakersfield, its mayor, council, employees, agents and volunteers
are added as additional insured's with respect to Stv,,j &- '510 I f�rs�,l►rr2 qli�� Dom.
(i.e. the installation of a chain link fence at 1501 Truxtun Ave.).
SA EncroachmentPermitsi Ins uranceRequirements
COMMERCIAL EXCESS /UMBRELLA POLICY
COMMERCIAL EXCESS /UMBRELLA
LIABILITY DECLARATIONS POLICY NUMBER: 49- 68822 -05
LIMITS OF INSURANCE AND RETAINED LIMIT
-------------------------------- - - - - --
GENERAL AGGREGATE LIMIT
$
30,000,000
PRODUCTS - COMPLETED OPERATIONS AGGREGATE LIMIT
$
30,000,000
EACH OCCURRENCE LIMIT
$
10,000,000
RETAINED LIMIT (Each Occurrence)
$
NONE
SCHEDULE OF UNDERLYING INSURANCE
POLICY, INSURER, & LIMITS OF LIABILITY
--------------------------------------
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Garage Liability Coverage SENTRY SELECT
49- 68822 -05
INSURANCE COMPANY
"Garage Operations" Other Than Covered "Autos"
Each "Accident"
$
500,000
"Garage Operations" Other Than Covered "Autos"
Aggregate $"15001000
"Garage Operations" Covered "Autos" Each "Accident"
$
500,000
Personal & Advertising Injury
$
500,000
Employment Practices Liability Each "Act"
$
500,000
Employment Practices Liability Annual Aggregate
---------------------------------------------------------------------------
$
11500,000
Errors & Omissions Coverage SENTRY SELECT
49- 68822 -06
INSURANCE COMPANY
Employee Benefit Liability
Employee Benefit Aggregate
$
11000,000
Each Employee
$
500,000
EU DS 01 12 04
MOT 49- 68822 -05 60 091
11 -24 -08
PAGE 001
SENTRY SELECT INSURANCE COMPANY
STEVENS POINT, WISCONSIN
(A PARTICIPATING STOCK COMPANY)
A MEMBER OF THE SENTRY FAMILY OF INSURANCE COMPANIES
CERTIFICATE OF INSURANCE
ACCOUNT NUMBER 49 -68822
This certificate is issued as a matter of information only and confers no
rights upon the certificate holder. This certificate does not amend,
extend or alter the coverage afforded by the policies below.
Name and Address of
Certificate Holder
COUNTY OF KERN
ATTN PURCHASING DIVISION
1115 TRUXTUN AVE 3RD FLOOR
BAKERSFIELD, CA 93301
Name and Address
of the Insured
MOTOR CITY SALES & SERVICE INC
3101 PACHECO ROAD
P 0 BOX 40340
BAKERSFIELD, CA 93384
This certificate is issued on 01 -01 -2009 and is effective until
01 -01 -2010. It certifies that policies of insurance listed below have
been issued to the insured named above. 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. Limits shown may have been reduced by
paid claims.
Coverage Provided Policy Number
Coverage Limits
Auto Garage Liability 49- 68822 -05 Each Accident - Garage Operations
Other Than Auto $ 500,000
-Any Auto Auto $ 500,000
Aggregate - Garage Operations
Other Than Auto $ 1,500,000
Excess /Umbrella
Liability
Does Not Include:
- Employee Bodily Injury
THE COUNTY OF KERN, AND
AGENTS AND EMPLOYEES ARE
LIABILITY ARISING OUT OF
THERETO.
49- 68822 -05 Each Occurrence $ 10,000,000
General Aggregate $ 30,000,000
Products Aggregate $ 30,000,000
COUNTY'S BOARD MEMBERS, OFFICIALS, OFFICERS,
TO BE NAMED AS ADDITIONAL INSURED'S FOR
THIS AGREEMENT AND ANY OPERATIONS RELATED
INCLUDES GARAGE KEEPERS COVERAGE $5,500,000 LIMIT
If any of the listed policies are cancelled prior to their normal
expiration date, the insurer will endeavor to send notice to the
certificate holder 30 days in advance. Failure to mail such notice
shall impose no obligation or liability of any kind upon the insurer.
80 -C1035 (MECH)
MOT 49 -68822 01- 125504
11 -24 -2008
PAGE 1
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