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HomeMy WebLinkAbout07-30000010 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 Number . . . . . Property Address . . . . . . Application type description 07-30000010 Date nOD UNION AVE PW - ENCROACHMENT PERMIT 3/29/07 Owner Contractor TURNING POINT FOUNDATION ,p 0 BOX 7447 VISALIA CA 93290 OWNER ---------------------------------------------------------------------------- Permit . . . . . Additional desc . phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 658377 150.00 3/29/07 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 ---------------------------------------------------------------------------- Special Notes and Comments 6' block wallS' from sidewalk on Wallace st. per plans submitted to city and approved by traffic. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150,.00 150.00 .00 .00 . ~ .. .... ....;:.. acknowledges the right of the City Engineer. pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the ti btbby77e<- vV1 ~./ Print Name I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACfS STATED IN THE FOREGOING APPLICATION AND FIND THAT THE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBST ANTIALL Y RE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT STIT A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTED) ENIED). Said permit shall expire on date stated above. --- Additional Terms on the Back 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 ,~ ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 19, 2007 SUBJECT: Encroachment Permit Application for: 1100 UNION AVE. Name of Applicant: TURNING POINT FOUNDA TlON Description of Encroachment: 6' wall 5' from sidewalk on plan submitted to the city and approved by traffic. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 6' wall 5' from the sidewalk.. 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\ 1100 union ave.doc 07 --- 10 ~ . - B L.:\. K E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 30, 2007 SUBJECT: Encroachment Permit Application for: 1100 Union Name of Applicant: Turning Point Foundation Description of Encroachment: 6' wall 5' from sidewalk on plans submitted to the city and approved by traffic. Please review the attached encroachment permit and return to me at your earliest convenience. fro ??~7 () .lc . ~ S:\PERMITS\ENCROACH\TRAFFIC\1100 Union Ave..doc ~ . - OB .L\. K 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: March 30, 2007 SUBJECT: Encroachment Permit Application for: 1100 Union Ave Name of Applicant: Turning Point Foundation Description of Encroachment: 6' wall 5' from sidewalk on plans submitted to city and approved by traffic. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. ~ ~. ~ S:\PERMITS\ENCROACH\INSURANC\1100 Union Ave.doc :--; ~ /;1f/1i-/l-c1:J/..~0t:10-/~ d- ~/f( ~:} 5~ ~ APPLICATION FOR ENCROXCHl\'IENT PER.\1IT Bo-I- 7P-A-,{{he ( ;4-,,~/~ , J?t"-J2-~( TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOlt.'lL-\: ' '7 ."'- Pursuant to, the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit toplace, erect, use and maintain an encro~chment on public property or right-of-way as therein defined. 1. Full name ofaoDlic~t and comolete a?dress inclu9ipgp~one nwnber1;UYV! i,flPj Po;vrf- j!.ef/}l J-erVlev Cel'rt~( IIOV Uv1,Ofl ClVl. rtcrj<(e(j-~el{/(, (C1. C(/J'?O', (fjut) 1'Ct/-0/11 2. Nature or desltion of;!1e encroachment for w mch this application is made: I'U . ~tl~~. I . - . - -- . , 3. Location of the proposed encroac 4. Period of time for which the encroadunent is to be maintained: Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliabiht:y. claims, actions, causes of action or demands, whatsoever against them. or any pfthem, 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 ~til such time that this permit is rev?ked. .' . . . . .' . Applicant ~rther agrees that upon. th~ expiratio~ of the. pe~t [or which this application is made, if granted, or'Yl2Q!l the revocatIon thereofbv the Cltv engmeer. aoohcant wdl at his own cost and exoense remove the same from the oubJic prooertyor 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 or said encroachment. ' Applicant further agrees to obtain and ke~ all liability insurance req?ired by t~e Ci~y Engineer' in ~ll force ~d effect , for however' long the encroachment remams. Apphcant 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 is: ., ,\ , -. Applicant acknowledges the right of the City Engineer,purs revoke the permit at any time. , Dale: p~l . PER.~IIT I HEREBY CERTIFY THAT I HAVE MADEA..~ INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION AJ.~D FIND ffi-\T THE MAINTENA.~CE OF SAID ENCROACHMENT (1) WILL (NOT) StJBST.~~TlALL Y INTERFERE WITH THE USE OF THE PtJBLIC PLACE WHERE THE SA~IE IS TO BE LOCATED AND (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFORE (GRA.'iTED) (DE~IED). SAID PERMIT SHALL EXPIRE Date: No. Signature of Cuy EngIneer ~;. -: CITY O~ BAKERSFIELD "' DEPARTMENT OF PUBLIC WORKS ..'~ 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. J/tI -I f,{/#!(;Jce (Street for puposed encroachment) B~'c{~ 6bby~ vvtWl,J (Owners Name) of ' /IO~ ~ ,l/rJe. J~q-Jf~d' (Address of purposed encroachment) Phone:;r;?;Z.~ Jr;L~;r , 3) Name: Address: Date:...2 ,/ ,::; 1'/ q7 D~te:/6 ~ ~ oal~~CJ.7 4) Name: Address: Date: S) Name: Address: Date: 6) Name: Address: Date: ' j ~ . I j ( / I - I I I "I 03/?g/2007 10:33 55%270607 TURNING POINT FISCAL PAGE 02 :, .' . ACORD CERTIFICATE OF LIABILITY INSURANCE D~~ ~'~IDDfVYYV) '" 1 3 200'7 PRODUCeR (559) 733-7272 FAX: (559) 733-5612 THIS C~r(TlFICATE IS ISSUED AS A MATTER OF INFORMATlON Lewis and Assoaia1:el!l ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 700 West: Center ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ~c8nse t07g7015 . Vis alia CA. 93291 INSURERS AFFORDING COVERAGE NAle" INSURED INSURER A; NOD"Profi u :tna. Alliance ~inq Poin1: Of Cent.ra~ Calif. , IDc. INSURER B: Quali t:vCODlD PO Box 7447 IN9URfF1 c~ - INSV~ER D: Vis alia CA g3290-7447 INSURE~ E: THE POUCIES OF INSuRANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVe FOR THE POL-ICY PERIOD INDICATED. NOTWITHSTANOING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI'TH RESPECT TO WHICH THIS ceRT1ACATE MAY BE ISSUED ~ MAY PERTAIN. THEi INSURANCE AFFORDED av THE POLICIES DeSCRrB~.!,,~E1N IS SUBJecT TO ALL THE TERMS, EXCLUSIONS AND CONomONS OF SUCH POUCIES. . BV P , . ...- IN!R AbD'I. POUCY IEiFfECTII/& POLICT EXPIKAllON LIMITS TYPE OF INSIJRANCIEi POLICY NUMBER DAn; DATIEi ~ ~MErw. LlABIUTV [)AMAGETOa; . 1,000,000 - X COMMERCIAl GENEAAL LIABIUTY . 200,000 A X I Cl.AIMS MACE [iJ OCCUR 2007-02205N1!O 1/28/2001 1/28/2008 M one -_. . 10,000 ~ Add'l ~~ 1,000,000 i-.- ~A e 2,000,000 @~~AnSPER; . e 2,000.000 X POLICV "~T LOC ~TOMOBll.E LlAllll,ITY COMBINal SINGLE L1~ 1,000,000 (Ea Iccldeftt) . ~ ANVAlJTO A X ..... AI.L OWNED AlITOS 2007-02:205m'O 1/28/2001 1/28/2008 BODILY INJURY (~ poon) . "- SCHED\JI..ED AUTO!,; i ~ - f-- -:.-'. r-!. HIRe) AUTOS BODILY INJURY ~ (Plr BCCIdenI) 0 NQN-owNED AUTOS ~ PROPEf{Jy DAMAGE . (~ IICCIcIenI) GARAGE IJABILITY AUTO ONlY - EA ACCIDENT . R ANY AUTO OTliER THAN I'AAcr: I. AUTO Ollll Y: AGG I. EXeES8IUMBREL.L IJADlLIl'Y 1,000.000 ~j' OCCUR 0 ClAIMS MADE; . 1.000,000 . A: ~ DJ:ouCTIBI..E 2007-02l1!05-tlMB 1/28/2007 1/28/2008 . , X &10000 B WDR~ COMI'I!NSATlON AND x.l WCSTATU- I OJ:' EMPI,onRs' LIAIlILITY AtlV PROPRIETOAIPA~IVE E.L EACH ACCIDENT . 1,000,000 OFFICERlM5MB!R EXCLUDEO? 0150:1.71006 1/1/2007 1/1/2008 E.L DISEASE. EJI 1,000,000 ~~,.:,~~ under E.L. DISeASE. POLIt1Y LIMIT A 1 000.000 , OllllEiR DIl&c:R1I'T1ON OF OI'ERA'tIONSILOCATIONSNEHICJ.ES.II:XCLUSIONll APgeD BY ENDCRSEMENTJ&PECw.I'RCM9IONS !rbe C-r:r, a. 't8 Boeu:d ~., Ofij,c.lals , ~:I!'.lC!Oz:., agIIQtII ami Mlp1~ ~ I'UuDIId. u addi ~OD&~ :l.II.sw:ecIs a. J:eIlpJCI't8 'to ~... UDdIu:' conb:1IlCt:. with tM ~.-d. CERTIFICATE HOLDER CANCELLATION SHOulD "NY OF ~ ABOVE DE;I5CRIBED POLJCIEiS BE CANCELLED aEFD~ THI;. Ke_ County Mental. flea1th EXP1R111lON DATIEi THI:REDF, THE ISSUING INSURER 'MLL EIClEAVOR TO MAIL ,.'. ..Attnh: Amy Carter .. !!L- OAY'S INRrm!N NOTICE TO THE CCR1lFICATE HOUlER NAMl!lP TO 1HE I.EFT, BUT i ~O Boa 1000 Bakersfi.eld, CA 93302 FAILURE TO PO so SHALL IIIPOSIEi NO OBLIGATION OR IJAIlILl1Y OF AllY KIND UPON THE I~ ITS AGI!HT$ Ok REPRESENTATIVEG. AUTHORIZED ~NTAnvE ~ ~ ~--2.A J Parsons, ere, CPIW/ ~ - ORD 25 <:: A.C (2001108) INS02S (OlD8l.llS AMS @ 111 WcIIerl: Kl_ Flnalno/tll ~ @ACORD CORPORATION 1988 Page 1 or:l 53/29/2557 15:33 55%275657 TURNING POINT FISCAL f'A{:it:. ~:l ACO.BD... CERTIFICATE OF LIABILITY INSURANCE 1ilr7~ PROIll.ICIlR (559)733-7272 ~: (559)733-5612 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lewi.e aDd Aa8oc:i.a1:es ONLY AND CONFERS NO RIGHTS UPON THE CEJmFJCA.TE! HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR '700 West: CeD.1:ar ALTER THE COVERAGE AFFORDED BY THE POUClS BELOW. ~C8D.e .01D7015 Vi.all. CA 93291 INSURERS AfFORDING COVERAGE HAle. IJaUIUiD MUR~ A; lfOllvzof':i. 'ta :Ins. Allieage '!uDli.:n.g 'oat: ~ Cen1:ral. caJ.:i.f., Inc. e: Qaa1i POBox 7447 IN1llJAStc: INSURER I): Vi..U.a CA g3290-7447 IN8URI!R E: 1HE POUCIES OF INSURANCE LISTED BeI.OW HAYE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 'nil POLICY PERIOD INDICATED. NCTWJTHSTANDI~_ ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITtt RESPECT TO WHICH THIS CER11F1CATEi MAY BE ISSUED ~ MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIB~,~E1N IS SUBJecT TO AU. THE TERMS, EXCLUSIONS AND CONDmoNS OF SUCH POUCI&S. BVP AM'_ ~ ~,r M'ECnVE POLICY :noN ...... TYPE OF IIIllUIIANCI: POLICY NUM8ER .!!,MERAI. LIA8IUTV ~ . 1,000,000 X CO~OENERAL UAII1LITY . 200,000 A X I CLAIMS MADE [i] OCCUR 2007-o2205DO 1/28/2007 1/28/2008 u . 10,000 ..!. Add'1 I:A8uE8da . 1.0DO,000 _.. . 2.000,000 ~~LlMlTAn8PER: . 2.000.000 1r ...., ..... LOC ~TOIIDBlUI UAIIII.JTY , CClM8INIi1;I S1NQLE UMIT . 1,000,000 A- Nt( AUTO . (Ell UIlIdeftt) .It. X i-- AU. OWNED AUTOS 2007-02205DO 1/28/2007 1/28/2008 IODIL V INJURY' (Pet JlnlIn) . - liCHEDULI!D AU1'OS ; ..!. HmmAUTOS GODLY INJURY' ,.!. NQIl/.QWNED AUTOS (I'Gr .rdInI) . ~IT DAMAGE . (Pw IICddenI) RUAmUTY AUTO ONI.,Y - /fA . Nfr AUTO 0TItBR THAr<l AUTO ONLY: -. ~I.IMLITV " >- 1, OOO~iOOO tilOCCUR 0 ClAIMS MADI . ~., 1.000,000 Q DEDUClIILEi " A 2007-02205-UHB 1/28/2007 1~28/2~!J~ . ) . X I~O.OOQ " B IlIOIIIllIEAI COMPUllATION AND xl,WC d I~ RlJll.O'r&RS' LIAB/LITY ANYI'ROPR~ E.L UBI ACCI/'JENr . 1,000,000 OFFICERlMDlIER EXCUJDIOO'P 015017:1.00& 1/1/2007 1/1/2008 Ii. I ....... ".... _ 1,000.000 fvw. .....1IlllIIr '" I ......._. 1,000.000 CJ1MIlIt DIlSC:: ADDED BY ENDORSEMI!NmlPECW.. PROWlIOMI ,.. . . ! The. ~ity o~ Bakersfield, its council members, officials, officers, agents and employees are named as - . addItIonal msureds as respects to progress under contract with the insured. CERn'ICATE HOLDE Ke.fta Count.y KenQr.J, Bea1 tII Ae'tDh: Aay Cart8~ PO Bo~ 1000 ~.:fi.e1d, CA 93302 CANCELlATION ItIOULD AJft OF ~ AIOVI! IlQCRlBaiD POUCIiS BE CANCEI..LED 8EFORe TIm EXI'IIATlOlI DATIl 1HEllIiOF, THE IBIIUlIII lNlIUREft -.u. ENDEAVOR TO IIAI1. ~ DAft WRmmI NOTICE TD THE CEImPlCATe HOLDER IWIIllD 10 1HIi 1.EfT. BUT FAIWIII! TO DO so IItIALL IllPOII! NO OIIUGA'I1ON DR LIA8IUlY OF ANT KIND UPON TIE IIiI8lJRI!R ITS liB ~T1VE8. AUTHOIaZED REI'AEllENrA'tNE J Parsons, CIC,CPIWI ""- ~ ~.. ~ ...-- ACORD 25 (2001108) INS02S ID10B).D8 AMI Ii 111 ~IG_ FIIID'Il!IlII ~ .. ACORD CORPORATION 1988 1'Bge' or 2 ,; ,,;>f':~w':!i _,...,,:,.l'~;" li'.,',t... .~~.. ~,4 .~~ j;,'; " , J. ,/ / I .' /" J. ~. . ~~--t-_C . ~' " ',;' ;' " /, " . "-