HomeMy WebLinkAbout2728 Chester AvenueENCROACHMENT PERMIT
# CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
„J�)�
BAKERSFIELD CA 93301
9LJF (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 Cade, 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 . . . . . 22-30000004 Pate 3/04/22
Property Address . . . . . . 2728 CHESTER AVE
Application type description PW - ENCROACHMENT PERMIT
Owner
------------------------
QUARNBERG FAM TR
2728 CHESTER AV
BAhERSFIELA CA 93301
Contractor
------------------------
OWNER
----------------------------------------------------------------------------
Permit . . . . . . ENCROACHMENT PERMIT
Additional desc . .
Phone Access Code 2899921
Permit Fee 584.00
Issue Date 3/04/22 Valuation . . . . 0
Qty Unit Charge Per Extension
BASE FEE 584.00
----------------------------------------------------------------------------
Special Notes and Comments
3/4/2022, 1:08:13 PM MMENDENHAL
Install ramp and railing in front of�7�s���
building to meet ADA requirements.
Contact person: Ken Quarnberg 747-9458
Fee summary Charged Paid Credited Due.
Permit Fee Total 584.00 5B4,00 .00 .00
Grand Total 584.00 584.00 .00 .00
Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Cede Chapter 12.20 to
revoke jt�e,permit at any time.
9
of App scant (Ow pent) Print Name
I HEREBY CERTIFY THA'T—F-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) CONSTITU A A�AR❑ TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS
THEREFORE [GRANT Sad rall expire on date stated above.
Signature of City Engineer Date
Additional Terms on the Back
BAKERSFIELD
THE SOUND OF,4 wW"f
ENCROACHMENT PERMIT
APPLICATION FORM
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTCIN AVE
BAKERSFIELD CA 93301
(661) 326-3724 Fax: (661) 852-2012
required where available}: 272!3 C
If there is no address adjacent to work, describe limits of work by distances from nearest existing street intersection.
FULL NAME OF APPLICANT
COMPLETE
FAX:•fir ` "�►
S�.�s•
PROJECT INFORMATION
DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised
planter, etc.):
PERIOD OF TIME FOR ENCROACHME : INDEFINITE r OTHER:
CONTACT PERSON 4�� PHONE:
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 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 amounts) 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: $584.00
&TERMIMENCROAMEneroachment Permit Req Form.DOC V2621
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Valley Gun, located. at 2728 Chester Avenue, has
applied for an .Encroachment Permit to install an
ADA ramp and railing in front of the business at the
front door. Someone tried to break into the building
by crashing a truck into it. It caused damage to the
front of the building and they applied for a Building
Permit to repair the damage. When they applied for
the Building Permit they were required to make
accessibility upgrades.
Their curb to property line is 11..75' and the new
ramp will encroach upon that right of way, but
leave enough ADA access on the sidewalk. The
Building Department is okay with their plans and
are just waiting on the Encroachment Permit to be
approved before giving them their Building Permit.
See attached plan, Sheet.A4.
Manny spoke to you about this project already and
he said you were okay with it.
RV
.
BAKERSFIELD
THE SOUND OF5a►►'[ hWj r r
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ed Murphy, Engineer Ill
J-
FROM: Michelle Mendenhall, Engineering Technician`'
DATE: April 25, 2022
SUBJECT: Encroachment Permit Application for: 2728 Chester Avenue
Name of Applicant: Quarnberg Fam Trust (Valley Gun)
Description of Encroachment: Install ramp and railing in front of building to
meet ADA requirements
r
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\TRAFFIC\2728 Chester Ave. docx
Michelle Mendenhall
From:
Sent:
To:
Subject:
This is sufficient, Thank you
Jena L,. Covey
Friday, April 22, N22 ISO RM.
Michelle Mendenhall
Re', Valley Gun
From:.Michelle. Mendenhall <rnmendenh@bakersfieldcity.us>
Sent: Friday, April 22, 2022 3:45 PM
To: Jena L, Covey <Jcovey@bakersfieldcity.us>
Subject: RE: Valley. Gun
I finally heard back from Valley Gun regarding their insurance for an encroachment permit. As a recap, the property
owner is listed as "Quarnberg Family Trust" and the insurance they provided me with was for "Valley Gun". I told them
that you would.prefer to. have "quarnberg Family Trust" added at a subsidiary, but as you can see in the attached
documents, they added them as an additional insured. Please take a look and let me know if we will acceptthis,.
Thank you.
Michelle Mendenhall, Engineering Technician
Public Works Subdivisions.
City of Bakersfield
email: mmendenh@bakersfieldcity.us
web: www.bakersfieldclt ..us
phone: 661-326-3582
From:Jena L. Covey <Jcov.ey@bakersfieldcity.us>
Sent: Wednesday, March 9, 2022.10:27 AM
To: Michelle Mendenhall <mmendenh@bakersfielddty.us>
Subject: RE: Valley Gun
Subsidiary is preferred. Thank you.
From: Michelle Mendenhall <mmendenh@bakersfieldcity.us>
Sent: Wednesday, March 9, 2022 9:53 AM
To: Jena L, Covey <Jcovey@bakersfieldcity.us>
Subject: RE: Valley Gun
Can they add quarnberg Fa Trust as an additional insured o..r does it have to. he listed as a subsidiary?
Thank you.
TO:
FROM:
ph
W
BAKERSFIELD
THE SOUND oF,'7"*4V �R4 r
PUBLIC WORKS DEPARTMENT
MEMORANDUM
.Jena Covey, Risk Manager
Michelle Mendenhall, Engineering Technician
DATE: April 25, 2022
SUBJECT: Encroachment Permit Application for: 2728 Chester Avenue
Name of Applicant: Quarnberg Fam Trust (Valley Gun)
Description of Encroachment: Install ramp and railing in front of building to
meet RDA requirements
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
S:jPERMITS\ENCROACH\INSURANCE\2728 Chester Ave. docx
CERTIFICATE OF LIABILITY INSURANCE
FDATE
1rrraroWYYYY1
o3l.14/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION :ONLY AND CONFERS NO RIGHTS. UPON THE CERTIFICATE. HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 8Y THE POLICIES �
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,. AND THE CERTIFICATE HOLDER, I
IMPORTANT: If the certificate holder is an ADDITIONAL. INSURED, the policyliesj must be endorsed. If SUBROGATION 15 WAIVED, subject to j
the terms and conditions of the policy, certain policies may require an endorsernent. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s). ,
PRODUCER
CONTACT
NAME' Lacktan Affinity, LLC
Affinity., LLt.
FMCNE
_JAJc NouF SJLg49-461=9444 ........... _x.iAC Na ,913-.6.52W7599 j
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P.O. Box 674952.
ADDRESS
INSURERS AFFORD INGCOVERAGE I NAIC0
Xansas City; tan 641.87-4952
INSURER A; ACaaptancn.Casualty rnsarancn Cumpany 1e344 1
INSURED
INSURER a :
Valley Gun, Inc.
1N5iIRERCI
INSURER D :
272.8 Chester Avenue
INSLlREFiE:
Bakersfield,. CA 93301
INSURER F.
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED NAMED. ABOVE FOR THE POLICY PERIOD I
INDICATED: NOTWITHSTANDING ANY RE01111TEMENT,. TERM. OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TEiis j
CERTIFICATE MAY BE ISSUED CR MAY PERTAIN, THE INSURANCE AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TC ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SIJCEf POLICIES. LIMITS SHOWN HAVE BEEN REDUCED:BY PAID CLAIMS.
_MAY
ENSR ;.._........____ _._.... .-.................... ...._.�-R ......__..... ..•.__-r F-0L7CY
LTR ! TYPE OF INSURANCE �...m� POLICY NUMBER rAfNDLVYYY
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DESCRIPTION OF OPERATIONS LOCATICNS 1 VEHICLES 1ACOHD t0i, AddlUehal Remarks Schedule, may he attached If more space is requfred I
The City of Bakersfield. its major, council, employees, agents :and volunteers axe listed as an additional insured, I
Ias required by 'writton contract, far ILab iIIty arieing out of preinis6a owned, rented, Ieased, or arcup 10d.by the named insured !
or arising out of the named ineureft ongoing operationa.
Waiver of Subrogation in favor of Certificate Holder. wbea required by wxltte_n contract,
I
City of 9akersfiald.
Public Works 'Department
1501 Truxtun Avenue
Hakerefield, CA 93301
ACORD 25 (2.014101 )
40696660
116915
SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION. DATE TI mar, NOTICE WILL. BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1988:2014 AC[
The ACORD name and logoare registered rarks of ACORD
RATION. All rights reserved..
1,16915
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Change
N►tlnber 42
POLICY Ni,ThfBER
POLICY CHANGES
COMPANY
EFFECTIVE
LOR-GL-0003452-00
4-:=2022
Acceptance Ca.sualtyinsurance Cornpany
NAMED INSURED
AUTHORIZED REPRESS-INMATIS E
Valley Gun, Inc.:
Lockton Affinity, LT.0
10995 Lowell Avenue, Suite 300
Overland Park, KS 66210
COVERAGE PARTS AFFECTMD
General Liability Policy
CHANGES
Add Additional Insured as foHo�ws:
Quarnberg Family Trust
5901 Carter Ave
Bakersfield,. CA 93308
No Premium Change
Poll. Terms: Frain: 04/07/2022 TO: 04/07/2023.
9
IL..12 09 11 85 Copyright, Insurance Services Office, €n6., 1.083 Page 1. of 9
Copyright, ISO Commercial Risk Services, Inc., 1983
AM # 116915
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CHANGES
Policy Change
Number #3
POLICY NUMBER
POLICY W ANGES
COMPANY
EFFECTIVT
LOR-GL 0003452-00
4-7-2022
Acceptance C"ualty Insurance Company
NAMED INS i BRED
AUTHORIZED REPRESENT? TIV
Valley G.un, Inc.
Lockton Affinity,.LLC
1.0895 L wf-U 11vt_-oue; Suite 3w
❑vcrlami .Park, KS 66210
COVJ- AGE PARTS AFFECIED
General Liability Policy
CHANGES
Add Additional Insured as. follows:
City of Bakersfield
Office of Risk Management
1600 Truxtun Ave
Bakersfield, CA. 93301
No Premium Change
Policy Term: From: 04/07/2022 TO: 04/07/2023
9 is riz-z"'�
Authorixu3 Arprescntatire Signavae
IL 12 0111 86 Copyright, Insurance Services Office, Inc., 1983 Page 1 of 1
Copyright,. ISO Commercial Risk Services, lnc.; 1983
hcd 4 116915