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Home My WebLink About06-30000008 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 . . . . . . ATN (11 Digits) : Application type description 06-30000008 Date 1241 G ST 171-170-38-00-8 PW - ENCROACHMENT PERMIT 3/10/06 Owner Contractor BAKERSFIELD HIGH SCHOOL 2000-24TH ST., ACCTS PAYABLE OWNER/BUILDER BAKERSFIELD CA 93301 (805) 324-9841 Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 517011 150.00 3/10/06 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments INSTALL 60 I OF CHAIN LINK FENCE 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 ti {;1 Signature of Applicant (0 n O./Ji//I) Print Name S JlC).FhuEIt~_ . 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) SUBST ANTIALL Y INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) (~-=E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFOW\::/ (DENIED). Said permit shall expire on date stated above. ~ Signature of CitfEngineer ......... 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 r~store 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. l.~ve read and acknowledge the above. 1b- Applicant's Initials 'ir' ~. ~ ~~ -?~\f.1 ~r . ~ BAKERS FIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 15, 2006 SUBJECT: Encroachment Permit Application for: 225' West of 14th & G St. South side of 14th Kern High School District Name of Applicant: Description of Encroachment: landscaping new fence, new transformer & Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build their corner of the garage onto the adjacent slope easement. 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\14th & G St..doc O(p - O~ ,p .r ~ . - B~.:\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 14, 2006 SUBJECT: Encroachment Permit Application for: 225' West of 14th & G St. south side of 14th Name of Applicant: Kern High School District Description of Encroachment: new fence, new transformer & landscaping Please review the attached encroachment permit and return to me at your earliest convenience. 3//i-/d~ tl. Ie. At" F~{{ M" 51GItf l-/~ L7 c..oAJC-efLAltrl. qJ- S:\PERMITS\ENCROACH\TRAFFIC\14th & G St.doc ;> ~ . - B~L\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 13,2006 SUBJECT: Encroachment Permit Application for: 225' West of 14th & G St south side of 14th Name of Applicant: Kern High School District Description of Encroachment: new fence, new transformer,& landscaping Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\14th & G St Kern High School District.doc .. .. APPLICATION FOR ENCROACHMENT PERMIT 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 defmed. 1. Full name of applicant and complete address including phone number:. ~101 - J>::< 1- ,"';{ /tf / ke~jU IlljA 5cllJtJ/ l)/fi'T 5701 CASr &LLE 7Q~A4~ 9:JXJ) 2. Nature Of description of the encroachment for which this application is made: ]::,,:fJ~jJ LL;.1 h P1V ICONS T,e~ft &1k '7 6O.Vv Fr .cp' tf IT dL . c:A A //1/ LuU/J.. H:,vCiE: r 1'1 if rJff.~ F/15W LANE. 3. Location of the proposed encroachment: /0/ hl 5r . ~.l-==S-- fA../~.. / et F sr 4. Period of time for which the encroachment is to be maintained: h I'C h1 J:1/C/ e;&/7't V / Applicant agrees that if this application is granted, ap'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 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 pennit is revoked. . Applicant further agrees that upon the expiration of the pennit for which this application is made, if granted, or ~on the revocation thereofbv the Cltv engineer. aoolicant will at his own cost and exoense remove the same from the pu lie prooert~ or right of way where the same is located, and restore said public property or right of way to the condition as J)em: y as that in which it was before the placing, erection, maintenanc~ 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 is: 4'dl TSl//Zr-o,f .5cA/JiI/5 of (;;/tPb/ZAI/A Applicant acknowledges the right of the City Engineer, pursuant to revoke the permit at any time. . Date: .3 - ~ -00 e Chapter 12.20 to PERMIT 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) SUBST ANTIALL Y INTERFERE WITH THE USE OF THE PUBLIC 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 Date: Signature of City Engmeer - -- - d__ -- -No. /:(. ~ 3 ~~:t ".: f 0 s= li r!; """6:' D '/cwN"::; ~'$i':S &1' ....Oij i .~ APPLICATION FOR ENCROACHMENT PER.\1IT . TO THE CITY ENGINEER OF THE'CITY OF BAKERSFIELD, CALIFORNL-\.: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a pennit to place, ere~t, ,use and main~ain an encroachment on public property or right-of-way as therein defined. I. f~1 name of aoo.licant aDd cOIDolete address inc!udio.ohone nwnber. {.,~ <9:: 3/8"/ ~~~ ~'4S:/;<:h:r/ {.H~//4t:-7" 376/ R~ ~rCI ~..e~ 9~3()7 2. Nature or description of the ncroachment for which this application is made: . . _ . . ' .. " . . ~. . ~/..-fe.I\J~~ 1)/-11' ;. A~. . , . .,' 3. Location of the proposed encroachment: ;).~' ~r or- /o/'S7 <</;':5'/ ~7t/' ~ ~n4 ~, ~~i' ~. 4. Period of time for ~hich the encroacmnent is to be maintained: , -. Applicant agrees that if this application is granted, ap'plicant shall indemnify, defend and hold hann1ess City, its qfficers, agents and employees against any and allliablhtr, claims, actions, causes of action or demands, whatsoever against them, or any pfthem, before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, arisinS out of, cOlll1ected 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~ac~ent or ~ti1 suc~ time that this pe~t is ~ev?ked, ': '. ..'.. , Applicant' ~rther agrees that upon. th~ expiratio!l of th~ pe~t [or which this application is made, if granted, or 'YQQn the revocatJOn thereofbv the Cav engmeer. aooltcant win at his own cost and exoense remove the same from the pu~lic prooerty or right of way where the same is located, and restore said public property or rimt of way to the condition as nearly as that in which it was before the placing, erection, maintenance or existence or said encroaclunent. . . , Applicant further agrees to obtain and keep a1lliability 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 evide~cing sufficient coverage for bodily inj~ 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 Engine revoke the pennit at any time. . Date: ;5 ... ~ - 0 c..., I HEREBY CERTIFY THAT I HAVE MADE A..'J Il"iVESTIGA nON OF THE FACTS STATED IN THE FOREGOING APPLICATION AL~D FIND ffi.\.T THE MAINTENk"lCE OF SAID,ENCROACHMENT (1) WILL (NOT) S{mST.~'JTIALL Y INTERFERE WITH THE USE OF THE PUBLIC PLACE WHERE THE Sk'IE IS TO BE LOCATED A..:vD (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID MPLICATION IS THEREFORE (GRA.'iTED) (DENIED). SAI:!> PERMIT SHALL EXPIRE Date: SIgnature of City Engmeer No, I I I I I I \ j I ) I, I: rl 11 II! I',' !: i ,: I' I; !' ii !: L 5T Ii: II: Iii I ;. I I I : i i: II I. i i , i I: i. i' i. '~, . '. / .-'. / .. // ./ .' I'~ . 1- i~ )' ~ \' \-<eR.N H '0 ~ S c.h a 0 I BHS PQoPOScrJ ~\eCf;:?l('^- i YOdZD ,"-=30' " c ~ .r e.. +e. (' l '^- J)u II d ; r\ ,:) 1'1') ">< ~. '1 f\ c ~ ('\ ~ iI\ ....... III L 0'1V0 SC-Ap I Nj I , NeW t I ~ . __..-.-..L.! ~.~- ~~-~T~~:t~-'-j!::'~l~--~;;s~~PI'"J. ,d/' i J / ,r I I I '.' ; I I / /' r '~r-I'-"'" ;; ",,I' / c" .' c''''' l\I~o/ ..9 . 5Hlt: \'v1>.\k ./ ./ / /'./ /, //.. . . / .,~~...,,-~__,_ -==-_':"z,,:~/ , --~o~~__==--"-~ Tf.~f~',~twrc;.~ew fc;~g:!;:=='-;-.. '_1 -,,-----.-'-.---.'..--....---.----. .-"--..---....---.........- .-----"---1 .25S / -4-- 1'15( . EY;ISr c.. '2.D'h bV tie It. -w.. 1i . . i;:: . CITY OJ:, 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. /~cy 7?f ;S;:7/e~ (Street for puposed encroachment) B~~~ ~j)~#i (Owners Nell of /2.L// ~ ~~r (Address of purposed encroachment) Phone: to (of ?S Z 7 - '3/6'1 SIGNED: 1) Name: Address: Date: 2) Name: .!\ddrcss: Date: . 3) Name: Address: Date: 4) Name: Address: Date: 5) Name: Address: Date: 6) Name: Address: 'Date: I j ~ ( I I I I I I 1 \.<(eR.N ~ I~~/' 8 e-h 00 I BHS PQoP 0 5 /EO E\eef~ I (0.. ( Y ~ eo 111--::.301 C u- {! e. +e (' I a... 8u II c1 ; 1'\ j F 5T Ii Ii II ~ Iii (' I: il::l II:.'. ill I, ........ i I - ((epll>.c.(.. E-\fl~.)..~ , , i L----------------- ;55' :\.~,I:::"-:n-~~~~----d------~----_2 I ~ ~_ ILf 1Jr ~ ')( ..... \II" ~ [)(.Isr C oR../)Cf, bV tie il. ~, , :: i;~. PRODUC R (661)636-4495 SISC P.O. Box 1847 Bakersfield, CA 93303-1847 (661)636-4418 ACORQ,. CERTIFICATE OF LIABILITY INSURANCE I~U~ Sel Insured Schools 0 Cali ornia Kern High School District P.O. Box 1847 Bakersfield, CA 93303-1847 INSURERS AFFORDING COVERAGE INSURER A: Self Insured Schools of Calif. INSURER B: INSURER C: INSURER D: INSURER E: NAIC# COVERAGES THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMlDDIYYI DATE MMlDDIYYI liMITS GENERAL LIABILITY SLP 7105 06 07/01/2005 07/01/2006 EACH OCCURRENCE $ 1,500,000 X COMMERCIAL GENERAl LIABILITY PREMISES lEa occurencel $ == tJ CLAIMS MADE 00 OCCUR MED EXP (Anyone person) $ A PERSONAl & AnV INJURY $ - GENERAl AGGREGATE $ GEN'l AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP~PAGG $ I POLICY n ~~8i n LOC AUTOMOBILE LIABILITY SAP 7105 06 07/01/2005 07/01/2006 COMBINED SINGLE LIMIT $ - DNCLUDED ACV COMP/COll (Ea accident) 1,500,ooC ~ ANY AUTO ALL OWNED AUTOS SUBJECT TO $1,000 DED BODilY INJURY - (Per person) $ SCHEDULED AUTOS A - HIRED AUTOS BODll Y INJURY - (Per accident) $ NON-DWNED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE UABllITY AUTO ONLY - EA ACCIDENT $ ~ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ ~ OCCUR o CLAIMS MADE AGGREGATE $ $ ==J DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND WC 7105 06 07/01/2005 07/01/2006 I TORY LIMITS I IVER" EMPLOYERS' lIABIUTY E.L. EACH ACCIDENT $ 1. 000,000 A AI('( PROPRIETORIPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? E,L. DISEASE" EA EMPLOYEE $ 1. 000,000 g~~~.MJI~T6~s below E.L. DISEASE - POLICY LIMIT $ 1. 000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ermanent encroachment permit for use of a commercial drive approach on 14th Street as it elates to HVAC on the Bakersfield High School Cafeteria Project, for which the City of Bakersfield, ~ts Council, Mayor, officers, agents, employees and volunteers are listed as Additional Insureds ~s respects Kern High School District's involvement in above described permit. CERTIFICATE HOLDER City of Bakersfield 1715 Chester Avenue Bakersfield, CA 93301 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAHCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ....3.0- DAYS WRITTEN NOTICE TO THE CERTlACATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBlIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) j' "';r- .,- 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 fonn does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affinnatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)