HomeMy WebLinkAbout700 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.
Sob
Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits):
Application type description
Owner
------------------ - - - - --
19TH & R INVESTMENT GROUP LLC
9000 MING AV STE R2
BAKERSFIELD CA 93311
05- 30000093 Date 7/21/05
700 19TH ST
001 - 262- 04 -00 -9
PW - ENCROACHMENT PERMIT
Contractor
------------------ - - - - --
OWNER /BUILDER
BAKERSFIELD CA 93301
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Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code . 411454
Permit Fee . . . . 150.00
Issue Date . . . . 7/21/05 Valuation . . . . 0
Qty Unit Charge Per Extension
1.00 150.0000 EA PW ENCROACHMENT 150.00
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Special Notes and Comments
ENCROACHMENT PERMIT I
NSALL TREE GRATES, TREES, EXTENSION OF S
IDEWALK
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Fee summary Charged Paid Credited Due
----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - --
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150.00 150.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
permit at any time.
Signature of App c t (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 of City Engineer
Additional Terms on the Back
APPLICATION FOR ENCROACHMENT PERMIT
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.
1. Full n e of applicant and complete address including phone number: 3 IA
2. Nature or description of the encroachment for which this application is made: -.Z?SfA
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3. Location of the proposed encroachment: 1) /-250
if
4. Period of time for which the encroachment is to be maintained:
Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless 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, ansin
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 ion
the revocation thereof by the City engineer, applicant will at his own cost and expense remove the same from the public
ro ert or right of way where the same is located, and restore 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 evidencing 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.,
r� •�� < Gam° ,
Date: ' �(
Signature of Applic-a—nt-(Owo or Representative
PERMIT
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 PUBLIC PLACE WHERE THE SAME IS TO
BE LOCATED SAID APPLICATION IS T ER FO (GRANTED) (DENIED)
. SAID PERMIT SHALL EXPIRE
PLACE;
Date:
No
Signature of ity Engineer
700 19" Street
City of Bakersfield
Department of Public Works
To Whom It May Concern:
We the undersigned have no objection to the installation of trees, grates,
sidewalk, and fencing beside the sidewalk within the public right of way.
%0 %L 51.4eet-
Of & 19 /h Sfrex -e_
By:
Phone: 005- --3 3 1� J
Signed:
1) Nam Date: CAS
Address:
2) Name:? -C� Date:
Address: "A"'
3) Name: Date:
Address:7Of - C;/fr# �'7
4) Name: Date:�� -�
Address:'--I t 1� A
5) Name: Date:
Address:
6) Name: Date:
Address:
700 19th Street
City of Bakersfield
Department of Public Works
To Whom It May Concern:
We the undersigned have no objection to the installation of trees, grates,
sidewalk, and fencing beside the sidewalk within the public right of way.
196 By :.
/�4- ""�' W, 4-'eZPm'e4Wr 6/
of To /9 Phone: 661— 20 -- 3.3 54-3
Signed:
c
1) Na (L-1 Date: ' 0�5 OS
Address: q-&
2) Name:
Address:
3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
Date:
Date:
Date:
Date:
Date:
STREET PERMIT
ISSUED BY THE DIRECTOR OF PUBLIC WORKS
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT. .
1501 TRUXTUN AVE
BAKERSFIELD CA 93301
(661) 326 -3049 Inspections
Application Number, 04720023319 Date 12/08/04
Pin number . . . . . . . . . 309985
Property Address . . . . . . 700 19TH ST
Application description PUBLIC WORKS - STREET.PERMIT..
owner .. ... .. Contractor
19TH & R INVESTMENT GROUP LLC CEN -CAL CONSTRUCTION
9000 MING AV STE'R2 8801 MORNINGSIDE CT
BAKERSFIELD CA 93311 BAKERSFIELD
CA.93306
872 -6137
---- ----------- - - - - -- Work Description Information -- `=--=-=---=----
- - - -_=
PW- OPEN STREET 1
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Permit . . . . . . STREET PERMIT
Additional desc .
Phone Access Code .. 305102
Permit-Fee . . . . 176.00
Issue Date . . . 12/08/04 Valuation . . . .
0
Expiration Date 2/07/05
Qty Unit Charge Per
Extension
1.00 176.0000 EA PW STREET PERMIT FEE
---------------------------:---------------------'--------------------------
176.00
Special Notes and Comments
ok to install 9 trees and tree gates,
sidewalk, irrigation on 19th & R. per
John Stinson. Inspector do not sign off
Fid street permit until encroachment,permit
process is completed.
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Other Fees . . . . . . . . . DEPOSIT —STREET PERMIT
r---
5000:00:
Fee summary Charged Paid Credited
-- - - - - - - - - - - - - - - -
Due
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----
Permit Fee Total 176.00 176.00 .00
- - - - --
.00
Other Fee Total 5000.00 5000.00 .00
.00
Grand Total 5176.00 5176.00 .00
.00
24 HOUR NOTICE 1S REQUIRED FOR ALL INSPECTIONS AND TESTING
Applicant is hereby granted permission, subject to the provisions of all City Ordinances applicable thereto, and will assume responsibilities for all damages to streets or other
property that may result from the work performed.
OPEN CUTTING OF STREETS WILL NOT BE PERMITTED WITHOUT INSPECTOR'S APPROVAL,
THIS PERMIT EXPIRES ON DATE SHOWN ABOVE. FAILURE TO COMPLETE WORK AUTHORIZED ON THIS PERMIT BY DATE OF EXPIRATION MAY RESULT
IN ADDITIONAL COSTS TO YOU IF THE CITY MUST COMPLETE THE WORK. TIME EXTE14S10N REQUESTS MUST BE APPROVED BY THE CITY ENGINEER
PRIOR TO THE EXPIRATION DATE.
Permit Base Fee covers up to rasp ns. jiona] inspections over two will be deducted from the deposit. Initidis
Al pticants Signature Print N
Approved By: RAUL ROJAS, CITY ENGINEER By.
Deputy.
Additional Terms on the Back
All necessary grading, backfilling, resurfacing and cleanup is to be done by the applicant.
Traffic control must conform to State of California and Cal Trans standards.
If the trench or excavation is five feet or deeper, applicant shall; .at applicant's sole cost, comply with- all of the
requirements of Municipal, State, Federal authorities now in force, or which may hereafter be in force, including all
provisions and regulations of the Labor Code of the State of California. Applicant shall be responsible for obtaining
the required permits from Municipal, State and Federal Authorities, PRIOR to proceeding with any of the work.
In consideration of granting this permit, applicant shall indemnify, defend, and hold harmless 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 or judicial tribunals of anykind whatsoever, arising out of, connected with, or caused
by applicant, applicant's employees, agents, independent contractors, companies, or subcontractors in the performance
of, or in any way arising from, the terms and provisions of this permit whether or not caused in part by a party
indemnified hereunder, except for CITY's sole active negligence or willful misconduct.
I have read and acknowledge the above.
Applicant's Initials
Inspector's Report:
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Date Finaled. No. of Insp. Inspector:
From:
"# To:
Date:
Subject
John A. Stinson
Permit Tech's
12/8/2004 9:36:53 AM
700 19TH
Cen -Cal Construction needs a street permit to install 9 trees and tree grates, sidewalk, irrigation on 19th
and R street. Permit cost $176.00 and a deposit of $5000.00. Inspector to verify that the encroachment
permit has been issued before signing off permit.
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