HomeMy WebLinkAbout05-30000074
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN A VB
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 Nwnber , ,
pin nwnber . . . . . ,
Property Address , . ,
Application description
05-30000074 Date 2/09/05
712762
1801 18TH ST
PW - ENCROACHMENT PERMIT
Owner
Contractor
NORIEGA & BRADSHAW LLP
1801 18TH ST
BAKERSFIELD CA 93301
OWNER
Permit ,'....
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . , .
ENCROACHMENT PERMIT
327403
150,00
2/09/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
INSTALL 4 TREE GRATES AT 18TH AND G ST
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 Applicant (Own~
(Sf€" TI
Print Name
>c.lJe,I!oc ~
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
0,
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 ~e placing, erection,
maint~nance 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.
I have read and acknowledge the above.
_Applicant's Initials
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Raul M. Rojas, Public Works Director
'J, 5 r/
:29/27
~
FROM: Marian p, Shaw, Civil Engineer IV, Subdivisions
DATE: May 20,2005
SUBJECT: Encroachment Permit Application for 1801 1 Eih St.
Name of Applicant Noriega & Bradshaw LLP
Description of encroachment. Install 4 tree grates at 1 Eih & GSt.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of description of encroachment. The site is located at address of encroachment.
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.
S:\PERMITS\ENCROACH\_Approval memo.doc
05 - 7'1
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 9,2005
SUBJECT: Encroachment Permit Application for 1801 18th St.
Noriega & Bradshaw LLP
Install 4 tree grates at 1 ffh & G Sf.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\lNSURANCUnsurance memo.doc
...
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: February 9,2005
SUBJECT: Encroachment Permit Application for 1801 18th St.
Noriega & Bradshaw LLP
Install 4 tree grates at 1 ffh & G St.
Please review the attached encroachment permit and return to me at your earliest convenience,
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ENCROACHMENT 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 Nwnber . .
pin nwnber . . . , . .
Property Address , . ,
Application description
05-30000074 Date 2/09/05
712762
1801 18TH ST
PW - ENCROACHMENT PERMIT
Owner
Contractor
NORIEGA & BRADSHAW LLP
1801 18TH ST
BAKERSFIELD CA 93301
OWNER
Permit , . , . .
Additional desc .
Phone Access Code
Permit Fee . . ,
Issue Date . . ,
ENCROACHMENT PERMIT
327403
150,00
2/09/05
Valuation
o
Qty Unit Charge Per
1.00 150.0000 EA PW ENCROACHMENT
Extension
150,00
Special Notes and Comments
INSTALL 4 TREE GRATES AT 18TH AND G ST
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 Applicant (Owne
f3/'~
Print Name
SJ;c;;lh0~
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 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.
I have read and acknowledge the above.
_Applicant's Initials
J
APPLICATION FOR ENCROACHMENT PER."IIT
TO THE CITY E~GINEER OF THE CITY or BAKERSFIELD, CALrrOR."L\:
Pursuant to the provisions of Chapter 12.20 of me 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: fVo......'f!~a. f IJref'*k,l.,/
/frOl Ir.~ ')'TV'~- /1",;~FJ~. CI}.. e:; r go?
,
2. Nature or description of the encroachment for which this application is made: 111.,-m /1 /;{)'I,flU .:yQJeS
1/1 ey:/c""'..-.j J-ffi:'I"JiiI€ 7'A?e ne,k~ //1 .,/cle....tRt/~
1.1C"4'~~.e/c/ e,:;a,
,
3. Location of the proposed encroachment: I~CJI r'" IS 11, 5;-r(!;e<r
q IJ07
4. Period of time for which the encroachment is to be maintained: Of'v'.,,4I1e.1r
.
Applicant agrees that if this application is ~ted, a'p'plicant shall indemnify, defend and hold harmless City, its
officers. agents and employees against any and allliablhty, claims, actions, causes of action or demands, whatsoever
a~t them. or any pfthcm. 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 encr~achment or llIltil such time that this permit is revoked.': .
Applicant further a~ees that upon the expiration of the permit for which this application is made, if granted. or 'Ymill
the revocation thereofbvthe Cltv emrineer, aoolicant wiII at his own cost and expense remove the same from the oublic
propertY or right .of w~y ~here the same is loca!ed, and r~store s~d public prop~ or right .of way to the condition
as nearly as that 1I1 which It was before the placmg, erectIOn, mamtenance or eXIstence of S21d encroachment.
Applicant further agrees to obtain and kee'P. all liability insurance req~cd by ~e Ci~ Engineer in f:.ll1 force ~d effec~
for however' long the encroachment remams. Apphcant shall furnish the City Risk Manager WIth a Certificate of , .
Insurance evide~cing 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 t
revoke the permit at any time. '
Date: ~ -'1-(~ r-
'cipal Code Chapter 12.20 to
epresentatlYC
PER.'UT
I HERIBY CERTIFY THAT I HAYE MADE A.~ I:'l"VESTIGATION OF THE FACTS STATED IN THE
FOREGOING APPLICATION ~~D FIND ffi.\T THE ~TENA.~CE OF SAID ENCROACHMENT (1) WILL
(NOT) St;BSTA;~LUL y INTERFERE ~lTH THE USE OF THE PUBLIC PLACE WHERE THE SA.'U: IS TO
BE LOCATED A.~ (%) wn.L (NOn CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
S,.\Il) APPLICATION IS THEREFORE (GR..\.:~TED) (DENIED). SAID PElL'IIT SHALL EXPIRE
Date:
Signature of CIty Engtneer
No.
11:48 MAY 11, 2005 ID: KIA INSURANCE
FAX NO: 835-4500
*14930 PAGE: 1/3
ACORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIDDNYVY)
05/11/2005
PRODUCER (661)835-4542 FAX (661)835-4500 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
KIA Insurance Associates, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
License # 0415101 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLlCfES BELOW.
P.O. Box 11390
Bakersfield, CA 93389-1390 INSURERS AFFORDING COVERAGE NAlC #
INSURED Noriega & Bradshaw, Llp INSURER A: Zurich North American Ins Co
1801 18th Street INSURER B:
Bakersfield, CA 93301 INSURER C'
INSURER D:
INSURER E
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, N01WrrHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY COOTRACT OR OTHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
l!'l~ ~~~1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY PAS37341584 01/08/2005 01/08/2006 EACH OCCURRENCE $ 1000000
X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 1000000
- :=J CLAIMS MADE [8] OCCUR
MED EXP (Anyone person) $ 10000
A -
PERSONAL & f'.DV IN.JJRY $ 1000000
-
GENERAL AGGREGATE $ 2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
I POLICY n ~8T n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- (Ea accident) $
ANY AUTO
-
ALL O'IVNED AUTOS BODILY INJURY
- (Per person) $
SCHEDULED AUTOS
f--
HIRED AUTOS BODILY INJURY
I--- (Per accident) $
NON-O\MlED AUTOS
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
OESSIUMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR D CLAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I ~~WJ~-sl IOJ~-
EMPLOYERS' LIABILITY EL EACH ACCIDENT
ANY PROPRIETORIPARTNERIEXECUTIVE $
OFFICERIMEMBER EXCLUDED? E,L, DISEASE - EA EMPLOYE $
If yes, describe under El, DISEASE - POL ICY L1M IT $
SPECIAL PROVISIONS below
OTHER
IrOESCRlPTlON OF OPERATIONS (LOCATIONS (VEHICLES (EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS
he certificate holder is included as additional insured per the following endorsement CG2010B
13-97.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURERlMLLENOEAVOR TO MAIL
The City Of Bakersfield 30'" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Mary Ellen BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
1501 T ruxtun Ave. OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
Bakersfiel d, CA 93301 AUTHORIZED REPRESENTATIVE ~~,
John Moorhouse/SANDRA
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
11:49 MAY 11, 2005 ID: KIA INSURANCE
FAX NO: 835-4500
*14930 PAGE: 2/3
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 25 (2001/08)
11:49 MAY 11, 2005 ID: KIA INSURANCE
FAX NO: 835-4500
*14930 PAGE: 3/3
Additional Coverages and Factors
05/11/2005
Line of Business Coverages for
General Liability
Coverage
General Aggregate
Products/Completed Ops
Aggregate
Personal & Advertising
Injury
Each Occurrence
Fire Damage
Medical Expense
Limits
2000000
2000000
DedjDed Type
Rate
Premium
Factor
1000000
1000000
1000000
10000
~\ .
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- CITY OJ:, BAKERSFIELD
?' DEPARTMENT OF PUBLIC WORKS
: "; ~I
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,
Bv:
(Owners Name)
(Street for puposed encroachment)
Phone:
of
(Address. of purposed encroachment)
SIGNED:
1) Name:
Address:
2) Name:
,Address:
, 3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
Date:
Date:
Date:
Date:
Date:
Date:
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Dick Cheung
Permit Techs
2/8/2005 4:29:04 PM
1801-18th St at G Street - Install 4 tree grates
('4/11 ZtD5' - 7Cf 17
Please issue Brett Schallock (Tel 661-867-2008) a street permit to place 4 tree grates at the above
location. Per Bob Wilson, because the City will not maintain the trees and tree grates, irrigation system in
the area, owner has to file an encroachment permit with the City prior obtaining the permit.. Permit fee is
$176, and $704 deposit is required. Insurance check is OK. A copy of this email and permitted tree grate
standards will be forwarded to Cathy Curry of Public Works for distribution to inspector.
de
From:
To:
Date:
Subject:
cc:
Cathy Curry
\' l?i~.~,Qhe~lJ6g,::'~.t;~rl:>~,f!il.i~,atI~!b.~.~.~J:.',:,~.'.:',:==::=~:
From:
To:
Date:
Subject:
Marian Shaw
Subdivision Section
11/23/2004 11 :36:54 AM
Street Permit at 18th and F
".. "0 ." '."J'..'.... ...'::.,::~,:" ":",:":"",:,,,,.NOtr'21r2Utl4" .'",,~age.11
1~!t/C71.V ~~1 f)'ll. buvi:ti..4:A/e.i ~S;tVi!.JL,
~v re1/J,~t- fw' PJrett ,I ~ ~j~ I
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I just got a call from Pat Flaherty and Ginny Gennaro regarding a Brett Schallpck who wants to get a street
permit to install 3 trees and tree grates at 18th anddj,(1 think it was 3 trees - maybe it was 2. Or 4.
Whatever). He does not have the full insurance, but Risk has okayed a lesser amount for him. So - ok to
issue a street construction permit for this guy.
Marian ;-)
cc:
Ginny Gennaro; Patrick Flaherty
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OcT--;27-2004 WED 11:11 AM IRONSMITH
FAX NO. 760 568 1887
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This drawing embodies a confidential proprietary design of IRONSMITH Palm Desert, CA. All design. manufacturing. reproduction. use,
sale, and other rights regarding the same are expressly reserved. This drawing is submitted under confidential relationship faT a specmc
purpose and the recipient agrees by accepting this drawing not to supply or disclose any information regardtng it to any unauthorized
person or to incorporate any special feature peculiar to this desIgn in other projects. The infonnatlon disclo~ in this drawing may be'
covered completely or in part by patents pending.
IRON SMITH
41-651 Corporate Way tlz&3
Palm Desert, CA 92260
(800) 33&-4766
(760)776-5080 Fax
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This drawing embodies a confidential proprietary design of IRONSMITH Palm Desert, CA. Ail design, manufacturing, reproduction, use,
sale, and other rights regarding fhe same are expressly reserved. Th1s drawing Is submitted under confidential relationship for a specific
purpose and the recipient agrees by accepting this drawing not to supply or disclose any Information regarding it to any unauthorized
person or to In Corporate any special feature peculiar to thIs design in other projects. The information disclosed in this drawIng may be
covered completely or in part by patents pending,
IRONSMJTH
41-651 Corporale Way #2&3
Palm Desert, CA 92260
{BOD} 338-4766
{760} nG.5080 Fax
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Property Information
lIddress: 1801 18D! ST
BlOO!:RSFlELD, ell 93301
140352
IlURlEGll. " BRADSHllW LLP
004'014-04-00-1
00401404001
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Application Information
Location m:
Owner name:
liD! (11 Digits) :
1ITI1 (11 Digits) :
ZoniD!J:
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Application status:
Status Date:
JqJplication type:
ill!Plication date:
Valuation:
Square footage:
PlIblic building:
lIPPRDVEIl
2/09/2005
PUBLIC WRICS
210912005
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* lmIIER *
rOutstanding I'nspections
Insp
Type ID
Schedul.e Confirmation
Date }{'UIJt)er
ontractor Information
Contractor BUIlDer:
T:rpe :
Status :
Contractor Requirements Doc Rulrber