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Home My WebLink About830 21st sto'q �A L7 Z . ENCROACHMENT PERMIT - rf CITY OF BAKERSFIELD - PUBLIC WORKS DEPARTMENT . 1501 TRUXTUN AVE BAKERSFIELD CA 93301 44 IFOR (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- . . - . ,05- 30000108 Date 1/09/06 Property Address . . . . 830 21ST ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor - --- -------------- - - - --- ------------------------ JOBIM REAL ESTATE PARTNERS OWNER /BUILDER 2914 21ST ST BAKERSFIELD, CA BAKERSFIELD CA 93301 BAKERSFIELD CA 93301 (661) 204 -1978 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . ` Phone Access Code . 482083 Permit Fee . . . . 150.00 Issue Date . . . . 1/09/06 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 150.0000 EA PW ENCROACHMENT 150.00 ---------------------------------------------------------------------------- Special Notes and Comments encroachment permit for two landings CONTACT NUMBER 204 -1978 DAVID COFFEY ---------------------------------------------------------------------------- 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 't at any time. C t [)A-v ( C> c Signature of Applicant (Ow r Age 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 q E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE RANTED) DENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back 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 or judicial tribunals of any kind whatsoever, arising out of, connected with, or caused by applicant, or in any way arising from, the terms and provisions of this permit or the placement, use (by applicant or any other person or entity) or maintenance of said encroachment, whether or not caused in part by a party indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment during the life of the 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 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 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 issuance evidencing sufficient coverage for bodily injury or property damage liability of both and required endorsements evidencing the insurance required. read and acknowledge the above. pplicant's Initials _ - ' i TO: FROM: DATE: S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM Raul M. Rojas, Public Works Director Marian P. Shaw, Civil Engineer IV, Subdivisions January 11, 2006 SUBJECT: Encroachment Permit Application for 830 21St Street. Name of Applicant: David Coffey Description of Encroachment: Landings for Exterior Doors. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of Exterior Door Landings. j 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. SAPERMIMENCROACK830 21st Street.doc B A K E R S F I E L L7 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 10, 2006 SUBJECT: Encroachment Permit Application for 830 21 st Street. Name of Applicant. David Coffey Description of encroachment: Landings for exterior doors. Please review the attached encroachment permit and return to me at your earliest convenience. //tn/o6 b.�c. S: \PERMITS \ENCROACH \TRAFFIC\2912 21 st Street.doc e � i t B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 10, 2006 SUBJECT: Encroachment Permit Application for 830 21" Street. Name of Applicant: David Coffey Description of encroachment: Landings for Exterior doors. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S: \PERMITS \ENCROACH \INSURANC \830 21st Street.doc APPLICATION FOR ENCROACHMENT PERrIIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNLA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned ap� lies for a permit to place, erect, use and mai_•itain an encroachment on public property or right -of -way as therein defined. 1. Full name of applicant and comotete address including phone number. ,LAM12 Qo= 2. Nature or description of the encroachment for which this application is made: 3. Location of the proposed encroachment: 2-1 - 4. Period of time for which the encroachment is to be maintained: Applicant agrees that if this application is granted, appplicant shalt inderar�ify, defend and hold harmless City, its officers, agents and employees against any and all liabiltty, claims, actions, causes of action or demands, whatsoever against them, or any of =before administrative, quasi - judicial, or judicial tribunals of any kind whatsoever, arises 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 n he revocation theMgf b the itv a e r licant will t i wn cost and ex y The e m lic y or right o way where the same is located, and restore said public property or right o way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence of said encroachment. Applicant further aggrrees to obtiin and keep all liability insurance required by tine City Engsnter' 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 arnount(s) of insurance coverage is_ Applicant acknowledges the right of the City Engineer, pursuant to -Bast field Municipal Code,CW- ;*r ;2.20 to revoke the permit at any tune. pate• ��'�'� ` igriature o Ap t (Ow der r epresentative PERMIT I HEREBY CERTIFY THAT I FL %VE MADE XN PiMTIGATION OF T HE FACTS STATER IN THE FOREGOING APPLICATION AND FI` i) THAT THE MAINTEN&NCE OF SAID (ENCROACHMENT (t) WELL (NOT) SUBSTANTIALLY LYTERFERE WITH THE USE OF THE PUBLIC PLACE WEE THE SAME LS TO BE SAID APFL=`CDATIO t[S THEREFORE GxRSANTED) (DENIED). SAID PE&OIIT SHALL, EXPIRE PLACE; Date: No. 'stpatwe of t girnesr IGAIGS XVA fi00 /Z00 aDVd LT: TT g00Z /ET /ZT XV.440T'Il CITY ®F BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned , have no objection to the construction of a IWTbe beside the sidewalk within the public right of way. 011"'`^r° L-e4l P PLC (Street for pupoaed encroachment) �// J (Owners Name) of d j Phone: CO rw • 2,0 / /-7—E7 {Address of purposed encroachment SIGNED 1) Name: hl - v t`c� � L �—�_ Date: � � � � q '� t Address; 'L � 4 � -- 31 Name: <� N- S A)C4,,i gate: I Address: 3) Name: Date: Address: 4) Name: Date: Address- 5) Name: Date: Address: 4) blame: Address: IGAIag XVA DOO /EOO HJdd LU TT GOOZ /ET /ZT XUd1q2i2i ENCROAC*MISNT MUM I;Sta&VCE R,EQUMEMENTS 1) gyps and Amount of Imrawe Coverage for Ia instsWi ®n or coautr> n l) for residences Hotneownars coverage in at amount of at (east 5300,000 Z) for busi umsrs boo, 000•m Carmnercial General Liability coverage in an at OUM of at least S if) Additional lw.:red Verbiap The City of Bakersfield. its mayor, council, ecnplc�yees. agents =d vvluc.,ra we added as additional ia�s with respects to 2•e• t instaflati,on of a d aiii Unk fence at 150E Thwun Ave.). .zan.zag XVA DOO /tOO 90Vd LU TT SOOZt£T /ZT xvAjg2TTi 12/13/05 16:57 FAX 6618354500 Kem Insurance Associates, Inc. P.O. Box 11390 Bakersfield, CA 93389 -1390 Phone: (661)835 -4542 Fax: (661)835 -4500 Lic 40415101 KIA INSURANCE Kern Insurance Associates, Inc. Business Fax [a 001 To: Ross Skarphol Architects Fax #: 334 -2743 From: Janice G. Diehl, AAI, CPIW Account Representative Email: jdiehl@kia- ins.com Telephone: 661- 835 -4542, ext 253 RE Customer: Dice Real Estate Partners, LLC dba: Modern Office Environments Policy No.: 5 l SB ATJ6079 Hate: 12113`2005 # Pages (including cover) 4 Ross: See attached Certificate of Insurance issued on behalf of our insured, Dice Real Estate Partners, LLC per your request. Let us know if you have any questions. Thank ou, J Cc: David Coffee Dice Real Estate Partners, LLC VIAU5 rhhst- 12/13/05 16:57 FAX 6618354500 KIA INSURANCE ACOR4 CERTIFICATE OF LIAB1LI PRODUCER (661)3•35 -4542 FAX (66!)935-4500 Kern Insurance Associates, Inc. License 111 0415101 P.O. Box 11390 Bakersfield. CA 93389 -1390 INSURED Dice Real Estate Partners, LLC, dba: Modern Office Environments 1obim. Real, Estate Partners 830 - 21st Street Bakersfield, CA 93301 t�nvcCt s t:�fi _ U002 DATE TY INSURANCE 12 /13MID2005} THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS C €RTIFICA T E DOES NOT AMEND, — END OR f ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW_ OL TYPE OF iNSURANC6 POLICY NUMBER POLICY &PPECTIVE P CY EXPIRATION INSURERS AFFORDING COVERAGE I NAIL INSURERT! Hartford Casualty Insur nce Co, GENERALUABILiTY INSURER S' X COMMERCIAL GENERAL LIABILITY INSURER C CLAIMS MAOE M OCCUR I INSURER a lN5URER E; A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FUK I HE t•ULIUT rcnluu IMIJI .Al cW- •v. ••, •. , ..•. • •. ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF THE POLICIES DESCRIBED HEREIN IS SuB.:ECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE AFFORDED BY POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OL TYPE OF iNSURANC6 POLICY NUMBER POLICY &PPECTIVE P CY EXPIRATION LIMITS 51SBAT36079 09/01/2005 09/01/2006 EACHOCCURRENCE Is 81 000.0 t GENERALUABILiTY OAMAGE TO s 0$ X COMMERCIAL GENERAL LIABILITY CLAIMS MAOE M OCCUR I MED EXP (Any One MOn) I F 10,000 PERSONAL&ADViNJURY s 1,000 0001 A GENERAL AGGREGATE S 2 J)00 00 GEN'L AGGREQATE LIMIT APPLIES PER: POOUCTS - COMPKIPAGG 5 2, 000.000 RO POLICY PJEG7 LOC AUTOMOBILE LIABILITY ' s COMBINED&NOLEUMIT $ (Ea aadOenl) 4 ANY AUTO 900 L INJURY ALL OWNED AUTOS ' } (Par person) SCHED )LEO AUTOS _�. ! BODILY INJURY s HIRED AUTOS NON-OWNED AUTOS (PROPERTY QAMAGE (Per accident) GARAGE UA91LITY ( AUTO ONLY - EA ACCIDENT i s -- OTMER T 4AN AGG ! S ANY AUTO s I AUTO ONLY Aww EXCESSIUMBRELLrA�LIABILITY EACHOCCURRENC2 s AGGREGATE is OCCUR CLAIMS MADE U b $ DEDUCTIBLE 8 RETENTION S YVG STATU• OTM- WORKERS COMPENSATION ANO E.L. EACH ACCIDENT S EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EAECUTIVE i E.L. OISEASE - EA EMPLOYE 8 OFFICERIMEMBER EXCLUDED? E L. DISEASE • POLICY LIMIT s if yeb•06rMbeu dnr SPECIAL PROVISIONS below OTHER FSGRIPT NOFOPERAPQN�t' oC, �71oNS1 VEHICLES tEXCtU9fON. 5�DDED,$ 'jENDORSEMENTeA'CS SPECIAL lty O Bakers TQ a, Tt 5 Mayor, coWncl , v ICer5. ag , e�mpYioyees and volunteers aPE included as additional insured as provided by the policy and as required by Written contract. onal insured wording is included in the policy form and no separate endorsement is cessary. See attached, #f. rn editi Day notice of cancellation for non - payment of premium QTY OF BAKERSFIELD Public Work Department 1501 Truxtun Avenue Bakersfield, CA 93306 ACORD 25 {2001!09) FAX' (661) 3 LAC"7LL — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TKEREOP• THE ISSUING INSURER, WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO 09LICATION OR LIABILITY OF ANY KIND UPON THE INSURER 116 AGENTS OR REPRESENTATIVES. AUTNORIZEO REPRESENTATIVE John Pryor. CPCU, ARM /3AN -LC CACORD CORPORATION 1988 12/13/05 16:57 FAX 6616354500 KIA INSURANCE 0 003 z IMPORTANT if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (23011481 12113/05 18:57 FAX 8818354500 KIA INSURANCE (9004 BUSINESS LIABILITY COVEkftGE FORM a. Your "employees ", other than either your (2) Until your legal representative has "executive officers" (if you are an been appointed. organization other than a partnership, joint d. Your legal representative if you die, but venture or limited liability company) or your oniv with respect to duties as such. That managers Of you are a limited liability representative will have all your rights and company), but only for acts within the duties under this insurance. scope of their employment by you or white e. Any "employee" of the insured while acting performing duties related to the conduct of in the scope of his/her duties as a retail your business_ However, none of these "employees" pharmacist, or optician or optometrist. is an insured for: � Additional Insureds by Contract, (1) "Bodily injury" or "personal and Agreement or Permit advertising injury": Any person or o €ganization with whom you {a) To you, to your partners or agreed, because of a written contract or members (it you are a partnership agreement or permit, to provide insurance or joint venture), to your members such as is afforded under this Business (f you are a limited liability Liability Coverage Form, but only with company), or to a co-"employee" respect to your operations, 'your work" or white that co- "employee" is either facilities owned or used by you. in the course of his or her employment or performing duties However, coverage under this provision related to the conduct of your does not apply business; (1) Unless the written contract or (b) To the spouse, child, parent, agreement has been executed o r a permit has been issued prior to the brother or sister of that co- "bodily injury % "property damage" or "employee" as a consequence of "personal and advertising injury". Paragraph (1)(a) above; (2) To any person or organization then obligation (c) For which there is any obligation included as an insured under provision to share with damages y repay g. (Broad Form Vendors). someone else who must pay damages because of the injury (3) To any other person or organization described in Paragraphs (1)(a) or shown in the Declarations as an (b) above; or Additional Insured. Coverage under this provision includes (d) Arising out of his or her providing the following: or failing to provide professional health care services. (1) When an engineer, architect or (2) "Property damage" to property: surveyor becomes an insured under provision 2.f., the following additional (a) Owned, occupied or used by; or exclusion applies: (b) Rented to, in the care, custody or "Bodily injury', "property damage" or control of, or over which physical "personal and advertising injury" control is being exercised for any arising out of the rendering of or the purpose by you, any of your failure to render any professional "employees ", any partner or services by or for you including: member (if you are a partnership (a) The preparing, approving, or or joint venture), or any member (if failure to prepare or approve you are a limited liability maps, shop drawings, opinions, company). reports, surveys, field orders, b. Any person (other than your "employee"), change orders. designs or or any organization while acting as your drawings and specifications; and real estate manager. (b) Supervisory, inspection, c. Any person or organization having proper architectural or engineering temporary custody of your property if you activities. die, but only: (2) When a lessor of teased equipment (1) With respect to liability arising out of becomes an insured under provision the maintenance or use of that 2,f., the following additional exclusions property; and apply: Page 10 of 20 Form 3$ 00 08 04 01 j 0 mT V Wei U) m m 4 aw m Q m N D in P-0 r V) v� m M >� o Z 75 m m D r I v _ �Wo — Lr 3 rn ZD v D j; st o�y A:y 1 aw m Q m N D in P-0 r V) v� m M >� o Z 75 m m D r I v _ �Wo — Lr 3 rn ZD v j; st b toQr rl'q ^P ch PC .0 coo � Nwr7d� w�d�l�" H ►r H A� yx 0 nr _ �Wo — Lr 3 rn j; st o�y A:y y A • R � 9 N b toQr rl'q ^P ch PC .0 coo � Nwr7d� w�d�l�" H ►r H A� yx 0 nr a --i r m r Z 00 co m V N w w -4 A C mw a m r 0 O X z m Z > i rn -o r� rn� NOD si�q _" Cl) m DDZOm D Z V) pOOZ rn R°=xz M, D �mTto TIZo W� =OWN z � O N m O rr, A M-u mom D Q C - -� —1F� m w w -4 A C mw a m r 0 O X z m Z > i rn -o r� rn� NOD si�q _" Cl) DDOPm*t 00K�� O0OD q Z m A.=xz mc� z Lo 0 SON mZN(n O IW*1. r m DDZOm Z V) pOOZ R°=xz M, D �mTto TIZo n =OWN z -n u) O rr, A M-u mom Z a - -� —1F� m DDOPm*t 00K�� O0OD q Z m A.=xz mc� z Lo 0 SON mZN(n O IW*1. r x a x ONi � ZZ Z 47 G7 0 v v m < m D r :. 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