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HomeMy WebLinkAbout1702 18TH 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. Application Number . . 09- 30000039 Date 11/03/09 Property Address . . . . . . 1702 18TH ST Application type description PW - ENCROACHMENT PERMIT Owner ---------------- -- - - - - -- PADRE HOTEL LP 1600 NATIONAL AV SAN DIEGO CA 92113 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 956003 Permit Fee . . . . 208.00 Issue Date . . . . 11/03/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT --------------------.-------------------------------------------------------- 208.00 Special Notes and Comments INSTALL BACK FLOW PREVENTER ON NORTH SIDE IN ALLEY. CONTACT: JOHN STARR, 858 - 254 -4381. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited -- ---- -- --- - - - - -- ---- - Due - - --- ---- -- - - -- ---- - - -- -- --- Permit Fee Total 208.00 208.00 .00 - - - - - -- .00 Grand Total 208.00 208.00 .00 .00 Applicant ad permit at any Signature of right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the (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 • '000e S 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: November 18, 2009 SUBJECT: Encroachment Permit Application for: 1702 18th St. Name of Applicant. Padre Hotel LP Description of Encroachment: Install backflow preventer on north side of bldg. in alley. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMITS \ENCROACH \2009 approval letters \1702 18th StAoc I E R S F I E L I: PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 6, 2009 SUBJECT: Encroachment Permit Application for: 1702 18th St. Name of Applicant: Padre Hotel LP Description of Encroachment. Install backflow preventer on north side of bldg in alley. Please review the attached insurance certificate and encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \1702 18th StAoc B A E R S. F I E I, I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Traffic Engineer FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: November 6, 2009 SUBJECT: Encroachment Permit Application for: 1702 18`" St. Name of Applicant: Padre Hotel LP Description of Encroachment: Install backflow preventer on north side of bldg. in alley. Please review the attached encroachment permit and return to me at your earliest convenience. f�lB�2 ovg r'ar- SAPERMITS \ENCR0ACH \TRAFFIC \1702 18th st.doc err Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMI' 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. 1. Full name of applicant and complete address including phone number: PAb ~Z.E �Ao-rE L., L LC 1-702 18" 5TR- 15157- 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 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) s PVo ,Slae i',v � y 4. Period of time for which the encroachment is to be maintained: I�Firlcle) or Other. 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 enda��grthQD15,,evidenc- ing the insurance required. The type(s) and,:ampunt(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:\ EncroachmentPermits \ApplicationforEncroachment B A K E R S F I E E D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMI' 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. 1. Full name of applicant and complete address including phone number: PAb ~Z.E �Ao-rE L., L LC 1-702 18" 5TR- 15157- 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 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) s PVo ,Slae i',v � y 4. Period of time for which the encroachment is to be maintained: I�Firlcle) or Other. 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 enda��grthQD15,,evidenc- ing the insurance required. The type(s) and,:ampunt(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:\ EncroachmentPermits \ApplicationforEncroachment 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. - F1 02 1 qi,' 'S-'Lec-c By: (Street for proposed encroachment) (Owners Name) Of (Address of proposed encroachment) SIGNED: 1.) Name: Date: 1(1 0-4) Oq Address: _ 2.) Name: Date: Address: 3.) Name: Address: 4.) Name: Address: 5.) Name: Address: Date: Date: Date: 6.) Name: Date: Address: ACORD,� CERTIFICATE OF LIABILITY INSURANCE =DA (MMIDDIYYYY) 08/2009 PRODUCER (831) 624 -6065. MBK ` Insurance Services PO BOX 222634 Carmel. CA 93922- 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. INSURERS AFFORDING COVERAGE NAIC # INSURED Gold Coast Renovations 17667` Vickers Street San Diego CA 93940- INSURER A: First Specialty Ins POLICY EFFECTIVE DATE MMIDDIYY INSURER B: LIMITS INSURER C: INSURER D IRG62138 -1 1 INSURER E: 12/31/2009 COVERAGES THE POLICIES OF INSURANCE LIHTED 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. INSR LTR AOD'L INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS A' GENERAL LIABILITY IRG62138 -1 10/27/2008 12/31/2009 EACHOCCURRENCE $ 1,000,OOD DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 X COMMERCIALGENERALLIABILITY CLAIMS MADE F-I OCCUR MED EXP (j!Ln'y one erson _,... $ _ PERSONAL BADVINJURY S 1,000,000 GENERALAGGREGATE $ 2,000,000 �' ✓ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $, 2,000,060 POLICY X JEST LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ee accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS I I I I BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS ! PROPERTYDAMAGIE (Per accident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO ` $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY I I I . I EACH OCCU I RRENCE $ OCCUR I CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE S RETENTION.. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I CC gg TTUU TRY LIMIT ET ANY PROPRIETOMPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFMCERIMEMBER'EXCLUDED? If yes, desc�ke under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Rai Walkway Encroachment at ,Padre Hotel 10 day, notice for. cancellation by non payment of premium RFRTIGIf`ATF 41A1 nFR 1567aar44 a0W%drela A ORD CORPORATION 1988 Page 1 of 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of Bakersfield EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1715 Chester 'Blvd FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Bakersfield, CA 93301 INSURER ITS AGENTS OR REPRESENTATIVES. 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