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
"
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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: 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
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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.
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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.
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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
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3. Location of the proposed cncroaclunent: I ~ 04
4. Period of time for which the encroachment is to be maintained: -- IN Ot::.FIN ~IC-
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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:
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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:
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Proposed Outdoor Seating Patio
'Metro Galleries
1604 19th Street
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art + wine + design
THE FINE ART OF" LIVING
Building
Entry Alcove
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Patio Area
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~""""'-----'-'6;-9';;"""'" ..,.-.-.~...-.....-4';6;;r':--.::::::,::::.::::::1
I Pot!1
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(23' 11" Total) 1-.-..,.-.-.]1
Patio
Area
r------..----------Win€lew-..-----------------..---..
... . "on".,.,,___,.,,__ ._..,_.",,_...._ .... ...... ... ._. .,.."...,. ...._,..,. '.',..._'._._n...._.__...,.,...h._.....,.,.. "" , ......"n"'...._. ..____.. ,_......._....,...",.'_ ...'.
1--.'..-.-. 12' 8"
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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.
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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