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HomeMy WebLinkAbout07-30000006 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 07-30000006 Date 1604 19TH ST PW - ENCROACHMENT PERMIT 3/02/07 Owner Contractor Don Martin Metro Galleries, Ine 1604 19th Street OWNER permi t . . . . . Additional desc . Phone Access Code Permit Fee Issue Date ENCROACHMENT PERMIT 648253 150.00 3/02/07 Valuation o Qty Unit Charge Per 1.00 150.0000 EA PW ENCROACHMENT Extension 150.00 Special Notes and Comments Outdoor seating in front of Metro Galleries located at 1604 19th St. Food and alcohol is to be served at this location. * 4' wrought iron fence Gates will be two 2' wide gates 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 peg' r' e. Olk ;/b50"1 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) 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 " 4 . ~ BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 9, 2007 SUBJECT: Encroachment Permit Application for: 1604 19th St. Name of Applicant: Don Martin- Metro Galleries Description of Encroachment: Outdoor seating in front of Metro Galleries Food & alcohol is to be served. 4' fence And decorative pots are to be added. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 4' fence with outdoor seating; food and alcohol will be served 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\1604 19th St..doc o I - 00 ~ . - Bi\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: March 9, 2007 SUBJECT: Encroachment Permit Application for: 1604 19TH St Name of Applicant: Don Martin- Metro Galleries Description of Encroachment: Outdoor seating in front of Metro Galleries Food & alcohol is to be served. 4' fence and decorative pots are to be added. Please review the attached encroachment permit and return to me at your earliest convenience. :3 /61 ('2-(;0{ ~ t'-49 p- S:\PERMITS\ENCROACH\TRAFFIC\1604 19th St.doc ~ . - OB ~ -'\. 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 9, 2007 SUBJECT: Encroachment Permit Application for: 1604 19th St Name of Applicant: Don Martin Metro Galleries Inc. Description of Encroachment: Outdoor seating in front of Metro Galleries Food & alcohol is to be served. Decorative pots are to added around 4' fence. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. / S:\PERMITS\ENCROACH\lNSURANCUnsurance memo. doc o..lIO~"'ijQJ "i6 j ,.ti ~~~.~~ ,/:~.~g $: S, :s &;- ()Q $ .!<> APPLICATION FOR ENCROACHMENT PER\--IIT 0 C, 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, erect, use and maintain an encroachment on public property or right-of-way as therein defined. . , '. .' ". " " , ~O5"-33"~ Ed,1-)., 1. Full name of aoolicant and comolete address including phone nwnb~r: ' /)ON /rJ I}-I2"1JtJ PIETte 0 GIlt,LEr</eSj lA/C., /t,()r /1.fbSl-. CIty -01 (/1l1I-!I'J-'Z-Jyj . . . 2. Nature or description of the encroachment for which this application is made: {J (/(/.)()o.f?-. $~l'+'1l1v" ~12-~ lA' p(l.-6rrr 0 ~ C14-L. L.en}-t , . _. . -. ,. - .. A4- . " . ,. . I')~ S+- - .DOW~T~vJ~i3AILQ\S l=ffi-c, 3. Location of the proposed cncroaclunent: I ~ 04 4. Period of time for which the encroachment is to be maintained: -- IN Ot::.FIN ~IC- .' -. Applicant agrees that if this application is granted, a,p.plicant shall indemnify, defend and hold hannless City, its officers, agents and employees against any and allliablht:y, claims, actions, causes of action or demands, whatsoever against 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~achrnent or l:IDtil such time that this pe~t is ~ev?ked. .' . . . . .' , Applicant' ~rther agre~s that upon. th~ expiratio!l of th~ perin!t [or ~hich this application is made, if granted, or'!mQ!1 the revocatIon thereofbv the CIty enszmeer. aooltcant wIll at his own cost and exoense remove the same from the DubHc prooertv or right of way where the same is located, and restore said public property or ri2ht 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 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 evideI:J,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) ofinsurancc'coverage is: .," .SEe/}7T,fCI/CD fbflM.. fI2DV/(}@ lY CLlfroi<-O 4~/l(hJFbrzO IN Sf{ fllt7J u/ I ~. Applicant acknowledges the right of the City Engineer, pursuanlto.BaIsersfield MunicipatCgde..,chwJc~2.20 to revoke the permit at any time. .. ' , Date: " / - ,. Or -- . PER.'\UT I HEREBY CERTIFY THAT I HAVE MADE A..'l INVESTIGATION OF THE FACTS STATED IN THE FOREGOING APPLICATION Al~D FIND TIL-\T THE MAINTENA~CE OF SAID ENCROACHMENl' (1) WILL eNOl") SUBSTA.r.'lTIALL Y INTERFERE WITH THE USE OF THE PtJBLIC PLACE WHERE THE SAME IS TO BE LOCATED A.~ (2) wn.L (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICA.TION IS THEREFORE (GRA.'lTED) (DE~IED). S~ PERMIT SHALL EXPIRE Date: No. SIgnature of CIty Engmeer . CITY O~ BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We the undersigned I have no objection to the construction of a fence beside the sidewalk within the public right of way. of SIGNED: 1) Name: Address: 2) Name: . .!\ddrcss: . 3) Name: Address: 4) Name: Address: 5) Name: Address: 6) Name: Address: BV:'D~N fJl~YL-n ~ (Owners Name) \q~ <;:+- (Street for puposed encroachment) M~r,eo GA-Lt-ifl-IB5 /0. D 'I /1111 ~.f (Address of purposed encroachment) Phone: . c::U-. (Lj 1IC . ./It (r ...-' .CQlLltA~((::l S"H.bi' f1~~ /(,,01-/~(l. 'if · . .~\Sc..v..'-r - ~Jb,,({~ . ({t/I? ' / !-s1. l , a~r-~. ,~y ?')9, Cj '7..5 '-I Date: II/~~Ioh . 'D~te: /I/zv h& f / ~ Dim: I/./z 1 ~ I I Date: /1/z1kp r fI!J7(){JJ Date: Oale: 'It 4 ~r , M o Proposed Outdoor Seating Patio 'Metro Galleries 1604 19th Street ._-=~:-=~~O:oors._=:== art + wine + design THE FINE ART OF" LIVING Building Entry Alcove ... co i"-..... ~ ~ ~ """'" - Patio Area -Wjndovv, ~""""'-----'-'6;-9';;"""'" ..,.-.-.~...-.....-4';6;;r':--.::::::,::::.::::::1 I Pot!1 , 'I (23' 11" Total) 1-.-..,.-.-.]1 Patio Area r------..----------Win€lew-..-----------------..---.. ... . "on".,.,,___,.,,__ ._..,_.",,_...._ .... ...... ... ._. .,.."...,. ...._,..,. '.',..._'._._n...._.__...,.,...h._.....,.,.. "" , ......"n"'...._. ..____.. ,_......._....,...",.'_ ...'. 1--.'..-.-. 12' 8" I.,.."..~.~!....,- j.....,..,_n, .,.,.....,,_..._._"n"'._...,.,._ .,...., .,.. ,..,.'. ", _...",,_,..'__, n, ..n._'.." _..,....,_._.",,_,.....,. ,...""h".. "... ,."..,., j . Gates.. Sidewalk U@ 00 @]~ @l\Dlrum@ @kJ@[rj~ 7'4" to Curb I !.=,:=-_~~====_~-=:::-___:::~==-.====~~==.=::=~:::==:.:=.=,:=_=:~=~=-:=:::-==.~.=.=:,===:::.::.::::._~ ~RI1fu@~ @~@!5)[M)~d .=:-__ -.=..=-:=-==..e_ur:b=='.=' _::~=- =-::"_- -::-'. - :=- ====.-='::=-_===__:=.__~ !== J O~ ~[nJ~ @@~~o 1604 19th St. .-)>- -.! I co I .... ..... f'... ~ ~ ~ """'" I I -, I I -. .',..._h,',",_._ ......,.._"._,..._.._~ I I i From: Vicki Pratt, AAI,CISR At: Oifford & Bradford Insurance Agency, Inc. FaxID: 661-283-8111 Cliffor To: Ralph Corn Date: 31912007 10:28 AM Page: 2 of 4 A~ORD~ CERTIFICATE OF LIABILITY INSURANCE OPIC L METRO-2 02 23 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. j ~S..t:!~ERS AFFORDING COVERAGE I NAJC # . INSURER A: Maryland Casual ty Ins Co 07 PRODUCER Clifford & Bradfo=d Ins Agency 1515 20th Street Bakersfield CA 93301 Phone:66l-283-8l00 Fax: 661-283-81l1 INSURED Metro Galleries Inc Don Martin 1604 19th Street Bakersfield CA 93301 INSU~ER B: INSURER C: INSURER D' I INSURER E: COVERAGES THE POLICIES CF INSURANCE LlSTE,D BELCW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIlE POLICY PERIOD INDICATED. NOTWITIlSTANDING At-N REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMEIIlT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTA',",. THE INSURANCE AF"'ORDED BY'THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CO.~CITIONS OF SUCH POLICIES AGGREGATE LIMiTS S'iCWN MAY HAVE BEEN REDUCED BY PAID Cl..AlMS. 0'0 L TR ,",SRO TYPE OF INSURANCE I GENERAL LIABILITY i A X;X COMMERCIAL GENERAL LIABILITY IpPS01478025 H=J CLAIMS MADE X OCCUR i ~~or 2000000 I , GEN'L AGGREGATE LIM:T APPLIES PER: I - ~-I PRo.. '-1 . i ?OUCV . JECT' Loe 8', AUTOMOBILE LIABIUTY . "1 ANY AUTO ALl OWNED AUTOS : SCHEDULED AUTOS b HIRED AUTOS H NON-QWNED AUTOS GARAGE LIABILITY h ANY AUTO E;XCESSlUMBRELLA LIABIUTY OCCUR CJ CLAIMS MADE POUCY NUMBER UMrTS PERSO~AL 1 AOV INJURY . s 200_0000 s 2000000 s 10000 $ 2000000 54000000 54000000 02/15/07 PREMISES f Ea o:::;:';..Tence ~ MEO EXP (Any OM person} GENERAL AGGREGATE PRODUCTS - CCMP;O" AGG COMBINED SINGLE LIMIT ' (Ea accioent) Is 1$ , BODILY INJURY iF.' po,"Son) . BODILY INJURY . (PSI" accident) $ I PROPERTY DA/lAGE : (p.,. acedent) Is I AUTO ONLY. EA ACCIDENT $ i OTHER THAN EA ACC , $ AUTO ONLY: AGG ' S RETENTION s ~ OC'""~" , ' . .OC,,~~ -i-: , S , WOR><:I:RSCOMPI:NSATION AND '1 EMPLOYERS' LIABILITY MY PROPRIETO~iPARTNERlEXECUT1VE , OFFICER/MEMBER EXCLUDED? If yes. de9::ri~ under , SPECIAL P~OVISIONS be_ I OTHER I --!QRY liMITS ER E,L. EACH ACCIDENT E,L DISEASE. EA EMPLOYEE S EL DISEASE. POLlGY L'YIT S DESCRJPTION OF OPERATIONS I LOCATIONS I VlO:HICLES I EXCLUSIONS ADDED BY ENDORS EMENT I 5PEClAL PROVISIONS re: Permit To Install Fence @ 1604 19th Street, Bakersfield, Ca The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insured per CG2012 07 98 form attached. *10 day cancellation notice will apply in event of non-payment of premium. CERTIFICATE HOLDER CANCELLATION CITY OF BAKERSFIELD 1501 TRUXTUN AVE BAKERSFIELD CA 93301 CITYBAK SHOULD ANY OF THE ABOVE DESC~IBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN ~OTICE TO THE CERTIFICATE !-lOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR UABILlTY OF ANY KIND UPON "l"HE INSURER, ITS AGENTS OR A~O~:J Z5 {ZJ:J~;.-:3~ .~: )...CC;:z:; ::c-R.?'':J?-~ -'.:;-~~ 4=23 From: Vicki Pratt, AAI,CISR At: Oifford & Bradford Insurance Agency, Inc. FaxlD: 661-283-8111 Cliffor To: Ralph Corn Date: 31912007 10:28 AM Page: 3 of 4 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 cert~ficate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACOq~ 25 (2CC~ :~3; From: Vicki Pratt, AAI,CISR At Oifford & Bradford Insurance Agency, Inc. FaxlD: 661-283-8111 Cliffor To: Ralph Corn Date: 319f2007 10:28 AM Page: 4 of 4 POLICY NUMBER: PPS01478025 COMMERCIAl. GENERAl. LIABILITY CG 20 12 07 98 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - STATE OR POLITICAL SUBDIVISIONS - PERMITS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Political Subdivision: The City of Bakersfield, its mayor, council, employees & volunteers 1501 Truxtun Ave. Bakersfield, Ca 93301 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section 11- Who Is An Insured is amended to include as an insured any state or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. 2. This insurance does not apply to: a. "Bodily injury," "property damage" or "personal and advertising injury" arising out of operations performed for tne state or municipality; or b. "Bodily injury" or "property damage" included within tr,e "products-completed operations hazard". CO 20 1 2 07 98