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
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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
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Special Notes and Comments
6' block wallS' from sidewalk on
Wallace st. per plans submitted to city
and
approved by traffic.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 150.00 150.00 .00 .00
Grand Total 150,.00 150.00 .00 .00
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acknowledges the right of the City Engineer. pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the
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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.
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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
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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
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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.
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S:\PERMITS\ENCROACH\TRAFFIC\1100 Union Ave..doc
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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.
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APPLICATION FOR ENCROXCHl\'IENT PER.\1IT Bo-I- 7P-A-,{{he ( ;4-,,~/~
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TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFOlt.'lL-\: '
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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:
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I . - .
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. ,
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:
., ,\
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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
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4) Name:
Address:
Date:
S) Name:
Address:
Date:
6) Name:
Address:
Date: '
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03/?g/2007 10:33
55%270607
TURNING POINT FISCAL
PAGE 02
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. 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
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