Loading...
HomeMy WebLinkAbout1800 Chester AvenueENCROACHMENT 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 . . . . . 17- 30000036 Date 10/03/18 Property Address . . . . . . 1800 CHESTER AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor Tsiboukas Fuataina OWNER 3004 Airport dr BAKERSFIELD CA 93308 (310) 345 -4725 ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 2103786 Permit Fee . . . . 420.00 Issue Date . . . . 11/06/17 Valuation . . . . 0 Expiration Date . . Qty Unit Charge Per Extension 1.00 420.0000 EA PW ENCROACHMENT 420.00 ---------------------------------------------------------------------------- Special Notes and Comments November 6, 2017 11:47:04 AM mmendenhal. Place wrought iron fence (48 "), tables, chairs, and mouldings on side of building on the 18th Street side. Will also be constructing accessibility ramp with metal railings at the entrance of the building. Contact person: Fuataina Tsiboukas 310 - 345 -4725 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ApplicantPa mlirrowle�t eaithe-r ho the-Ci4poBoogineer, purrsoua t -to-the- Bakersfield Municipal Code Chapter 12.20 to revoke thk m?WM any time. 420.00 420.00 .00 .00 Signature of Applicant (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 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 provision 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 parry indemnified hereunder, except for CITY's sole active negligence or willful misconduct. The applicant further agrees to maintain the aforesaid encroachment, including, but not limited to, repairing or replacing the encroachment at Applicant's cost even if CITY inadvertently damages or destroys the encroachment in the ordinary course of CITY's business, 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 must contact Dig -Alert at 811 at least 2 full working days prior to all excavating. 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. I have ead and acknowledge the above. Applicant's Initials NAUTILUS INSURANCE COMPANY CA POLICY NUMBER: NN829711 Named Insured: 18hundred, Inc 18HUNDRED Endorsement Effective Date: 09/25/2018 ENDORSEMENT #t 5 Agency# 04030 AmWINS Access _nsurance Services, LLC 435 N. Pacific ;oast Hwy Suite 200 Redondo Beach,CA 90277 GENERAL CHANGE ENDORSEMENT =T IS UNDERSTOOD AND AnRRvD THAT IN CONSTDF..RATION OF THE ADDTTIONAL PREMIUM GRANTED FW!,OW, THE ABOVE CAPTIONED POLICY 7S EXTENDED TO: 10/26/2016 POLICY EFFECTIVE DATES ARE: 09/26/2017 - 10/26/2018 THTS EXTENSION ENDORSEMENT IS 1001 FULLY EARNED. Tax & Fee SchedU :P. Surplus Lines Tax $ 17 73 PREMIUM:❑ None AP ❑ RP $ 591.00 Stamping_ Fee 1.18 TOTAL TAXES & FEES$ 18.91 TOTAL PREMIUM DUE$ 609.91 All other terms and conditions remain unchanged. 09/14/19 PM Date Issued: 09/ 14 / I8 / uthorizod Representative S901 (07/13) Includes copyrighted material of Insurance Services Office, Inc.. with its perinission. 1800 Chester Ave - Google Maps Go gle Maps 1800 Chester Ave i .. _'— 1800 Chester Ave Bakersfield, CA 93301 e' �h �T Imagery ©2017 Google, Map data 02017 Google 20 ft 1r7 • Page 1 of 1 mss. https: / /www.google.com/maps /place /1800 +Chester+ Ave, +Bakersfield, +93301/ @35.... 11/21/2017 1498 18th St - Google Maps GO gle Maps 149818th St Page 1 of 1 Image capture: Dec 2016 ® 2017 Google Bakersfield, California Google, Inc. Street View - Dec 2016 1)0V https: / /www.google.com/maps /place/ 1800+ Chester +Ave, +Bakersfield, +CA +93301 / @35.... 11/21/2017 n ACCESSIBLE RAMP AT ENTRY 1/4" = 1' -0" F r e e L i n e ADDENDUM ARCHITECTURE Project number ca -02 -15700 Date Issue Date A001 814 18TH Street Bakersfield Ca. 93301 18 Hundred Drawn by Author Phone: (661) 633 -9667 1 Checked by Checker Scale 1/4" = V -0" 9/16/2018 1:46:45 PM OPTIONAL HANDRAIL - NOT ' REQUIRED LESS w THAN 6" ELEVATION a ' CHANGE • 0 (N) CONCRETE RAMP (N) 60" DEEP CONCRETE LANDING ' PROVIDE 2" PAINTED '_,' r STRIP FOR VISUALLY , IMPAIRED- ... •...: - •- • , •- _ ..-, • PROVIDE MIN :. o .... -' •- E -• •. - MANEUVERING EXISTING CLEARANCES AT BUILDING ALL LANDINGS --E - •DETAIL 12 / HC -1.: a (E) CONCRETE -. , WALKWAY :O (N) CONCRETE RAMP' c"1, ao n ACCESSIBLE RAMP AT ENTRY 1/4" = 1' -0" F r e e L i n e ADDENDUM ARCHITECTURE Project number ca -02 -15700 Date Issue Date A001 814 18TH Street Bakersfield Ca. 93301 18 Hundred Drawn by Author Phone: (661) 633 -9667 1 Checked by Checker Scale 1/4" = V -0" 9/16/2018 1:46:45 PM W ° > I Q w W MAXIMUM ENCROACHMENT I � W U I ADJACENT BUILDING NOT IN SCOPE O AREA OF PROPOSED D ENCROACHMENT EXISTING BUILDING I IL W ? (E) CONCRETE WALK 0 LL W i - s VIEWPOINT II t I- - - - - - ♦ - - - - - 18TH STREET Adh 0- IFFMAk ENCROACHMENT SITE PLAN 1 1" = 20' -0" Fr e e L i n e Encroachment Plan ARCHITECTURE Project number ca -02 -15700 Date Issue Date A003 814 18TH Street Bakersfield Ca. 93301 18 Hundred Drawn by Author Phone: (661) 633 -9667 1 Checked by Checker Scale 1" = 20' -0" 9/28/2018 4:18:30 PN SITE DISTANCE LINE ► CHESTER AVE = 25 MPH SPEED LIMIT S X 10' = 250' -0" CENTERLINE OF I� T-0" CHESTER AVE I I'I W ° > I Q w W MAXIMUM ENCROACHMENT I � W U I ADJACENT BUILDING NOT IN SCOPE O AREA OF PROPOSED D ENCROACHMENT EXISTING BUILDING I IL W ? (E) CONCRETE WALK 0 LL W i - s VIEWPOINT II t I- - - - - - ♦ - - - - - 18TH STREET Adh 0- IFFMAk ENCROACHMENT SITE PLAN 1 1" = 20' -0" Fr e e L i n e Encroachment Plan ARCHITECTURE Project number ca -02 -15700 Date Issue Date A003 814 18TH Street Bakersfield Ca. 93301 18 Hundred Drawn by Author Phone: (661) 633 -9667 1 Checked by Checker Scale 1" = 20' -0" 9/28/2018 4:18:30 PN ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 Q+ (661) 326 -3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): I' X00 CA T gp- If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT COMPLETE ADDRESS: , ?� �c c•1`I T A&J-e: PHONE: c) — A-1 FAX: CELL: PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: )1(� wrought iron fence, concrete block wall, raised planter, etc.): NFU &4- T t� Ace +169 �' te1 CA-AT PERIOD OF TIME FOR ENCROACHMIENTf INDEFINITE r OTHER: CONTACT PERSON PHONE: j 5J 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 pgn the revocation thereof by the Cily 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 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 required are: Residences: Homeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial Liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $420.00 S:IPERMITSIENCROACH1Encrowlunent Permit Req FOrm.DOC Aug 2017 B o,K�Rs ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIEL D PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 gLtro � (661) 326 -3724 Fax: (661) 852 -2012 LOCATION OF ENC ROACH MENT(Address required where available): JAM C,h1�5 If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT 1'8H0 KW-6D NC. - FO& 1 l t NA TSMD S COMPLETE ADDRESS: I hpb C IFS - _ PHONE: CA 9�I _ FAX: (0LQ 1 399 �tLiq - - -_- CELL: SID 3L) S LA --725- PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): ADA Ac 665S VA 0i w ( W-011L t-iN D MLIG. PERIOD OF TIME FOR ENCROACHMENT: INDEFINI'T'E r OTHER: ( ease ircle) e CONTACT PERSON IFY&Dk1 tt/4 TSl B1:SXK PHONE: 3 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 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 b} 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 required are: Residences: fiomeowners General Liability coverage in an amount of at least $300,000.00 Commercial: Commercial liability coverage in an amount of at least $1,000,000.00 The Commercial Liability policy must identify City and City's mayor, council, officers, agents, employees, and designated volunteers as Additional Insureds. Encroachment Permit Fee: $420.00 S: \PERMffS \ENCROACH \Encroachment Permit Req Form.DOC Aug. 2017 � g 7 t 02 2 -s o o UJ §2 § \ § \B (p / B A. � g 7 t �. I R ]� &7 / §9 \ F S% - � o� kk% $•g w §b \ }�§ § §1§ s k§9 % z l- )K 0 og � § � �. I R ]� &7 / §9 \ F S% - � o� kk% $•g w §b \ }�§ § §1§ s k§9 4P .00e L> A h E R S F I E I_ I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ed Murphy, Engineer III FROM: Michelle Mendenhall, Engineering Tech I DATE: October 4, 2018 SUBJECT: Encroachment Permit Application for: 1800 Chester Avenue Name of Applicant: Fuataina Tsiboukas Description of Encroachment. Place 48" wrought iron fence, tables, chairs, and moldings on side of building on the 18'h Street side and ramp and railings on the Chester Avenue side Please review the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS \ENCROACH \TRAFFIC \1800 CHESTER AVE.rtf 40 B _� K F R S F I N I._ 1) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Jena Covey, Risk Manager } FROM: Michelle Mendenhall, Engineering Technician I DATE: October 4, 2018 SUBJECT: Encroachment Permit Application for: 1800 Chester Avenue Name of Applicant: Fuataina Tsiboukas Description of Encroachment: Place 48" wrought iron fence; tables, chairs, and moldings on side of building on the 18'h Street side and ramp and railings on the Chester Avenue side Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\ PERMITS \ENCROACH \INSURANCE \1800 CHESTER AVE.doc COMMERCIAL PROPERTY COVERAGE PART DECLARATIONS POLICY NUMBER: NN829711 u z-�uppiemental ueciaratlons Is attacnea (Appiies only It Dox Is cneckeu) tttective uate: 09/26/2017 12:01 A.M. Standard Tim( BUSINESS DESCRIPTION Vacant Buildings DESCRIPTION OF PREMISES_ _ _ PREM BLDG LOCATION ADDRESS CLASS CONST PROT YEAR NO OF NO. NO. CODE CLASS BUILT STORIES 1 1 1800 Chestier Avenue, Bakersfield, CA 93301 1150 JM 1 1920 3 BLDG DESC /OCCUPANCY: Vacant Buildings BLDG DESC /OCCUPANCY: BLDG D_ESC /OCCUPANCY: COVERAGES PROVIDED (INSURANCE AT THE DESCRIBED PREMISES APPLIES ONLY FOR COVERAGES FOR WHICII A LIMIT OF INSURANCE IS SHOWN) PREM BLDG COVERAGE LIMIT OF COVERED CAUSES OF LOSS ' COINS % RATES PREMIUM NO. NO. INSURANCE 1 1 Building 870,000 Special -Incl Theft 90% 0.415$ 3,610 1 1 Business Pers Prop 101,000 Special -Incl Theft 90% 0.620 626 IF EXTRA EXPENSE COVERAGE, LIMITS ON LOSS PAYMENT _DEDUCTIBLE $2,500 _Exceptions: $2,500 For Wind /_Hail _ OPTIONAL COVERAGES (APPLICABLE ONLY WHEN FNTRIE_S ARE MADF IN 1 HE SCHEDULE BELOW) AGREED VALUE _ REPLACEMENT COQ (APpUES ONLY IF "X 1aSh0WN BELOW) PREM BLDG EXPIRATION PERSONAL INCLUDING NO. NO. DATE COVERAGE AMOUNT BUILDING PROPERTY "STOCK" 1 1 X PREM BLDG __ INFLATION GUARD PERCENTAGE_ •• MONTHLY LIMIT OF •' MAXIMUM PERIOD " EXTENDED PERIOD NO. NO. BUILDING PERSONAL PROPERTY INDEMNITY (Fraction) OF INDEMNITY "' OF INDEMNITY (Days) "APPLIES TO BUSINESS INCOME ONLY -APPLIES ONLY IF "X" IS SHOWN BELOW MORTGAGE HOLDER1�jj— PREM BLDG MORTGAGE: HOLDER NAME AND MAILING ADDRESS NO. NO. LOAN NUMBER: LOAN NUMBER: LOAN NUMBER: PREMIUM FOR THIS COVERAGE PART $ 4,236 ORMS AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere in the policy) Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue: APPLICABLE TO ALL COVERAGES: Refer to Schedule of Forms and Endorsements APPLICABLE TO SPECIFIC PREMISES /COVERAGES: PREM NO. BLDG NO. COVERAGES FORM NUMBERS THFSE DECLARATIONS ARE PART OF THE POLICY DECLARATIONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. F001 (03/12) Includes copyrighted material of Insurance Services Office, Inc., with its permission. COMMERCIAL GENERAL LIABILITY COVERAGE PART DECLARATIONS POLICY NUMBER: NN829'111 LJExtension of Declarations is attached. Effective Date: 09/26/2017 12:01 A.M. Standard Time _LIMITS OF INSURANCE 0 If box_is checked. refer to form S132 Amendment of Limits of Insurance. General Aggregate Limit (Other Than Products /Completed Operations) 2,000,000 Products /Completed Operations Aggregate Limit $ Excluded Personal and Advertising Injury Limit $ 1,000,000 Any One Person Or Organization Each Occurrence Limit $ 1,000,000 Damage To Premises Rented To You Limit $ 100,000 Any One Premises Medical Expense Limit $ 5,000 Any One Person RETROACTIVE DATE (CG 00 02 ONLY) _ This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" which occurs _before the Retroactive Date, if any, shown here:_ _ (Enter Date or "NONE" if no Retroactive Date applies) BUSINESS DESCRIPTION AND LOCATION OF PREMISES _ BUSINESS DESCRIPTION: vacant Buildings LOCAeI oNCheste PREMISES YOU B OWN,eREENT�OR O OCCUPY: ❑ Location address is same as mailing address. 1 Additional locations (if any) will be shown on form S170, Commercial General Liability Coverage Part Declarations Extension. LOCATION OF JOB SITE (If Designated Projects are to be Scheduled): CODE # - CLASSIFICATION * PREMIUM Prem/Op RITE ADVANCE BASIS Prod/Comp PREMIUM Vacant Buildings - Undergoing 96091 - Renovation or Remodeling a 5,314 35.629 189 Lcl,delxcluded 9158 _ Contractors - subcontracted work - c 604,000 0.551 333 in connection with construction, reconstruction, repair or erection Excluded Excluded of buildings 49950 - CC2018 - Mortgagee, Assignee, Or I t I 1 IIncludedl (Included Receiver PREMIUM BASIS SYMBOLS + = Products /Completed Operations are subject to the General Aggregate Limit a = Area (per 1.000 sq. ft. of area) o = Total Operating Expenditures s = Gross Sales (per $1,000 of Gross Sales) c = Total Cost (per $1,000 of Total Cost) (per $1,000 Total Operating Expenditures) t = See Classification m = Admissions (per 1,000 Admissions) `p = Payroll (per $1,000 of Payroll) u = Units (per unit) PREMIUM FOR THIS COVERAGE PART $ 522 FORMS_ AND ENDORSEMENTS (other than applicable Forms and Endorsements shown elsewhere in the policy)__ _ Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue: Refer to Schedule of Forms and Endorsements THESE DECLARATIONS ARE PART OF THE POLICY DECLARAT IONS CONTAINING THE NAME OF THE INSURED AND THE POLICY PERIOD. S150 (07109) Includes copyrighted material of Insurance Services Office, Inc. with its permission.