HomeMy WebLinkAbout02-30001547
ENCROACHMENT PERMIT
CITY OF BAKERSFIELD
PUBLIC WORKS DEPARTMENT
1501 TRUXTUN AVE
BAKERSFIEW 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 description .
02-30001547 Date 11/18/02
2501 F ST
PW - ENCROACHMENT PERMIT
Owner
Contractor
Mark Ponder
Westchester Realty
2501 F Street
OWNER/BUILDER
BAKERSFIELD
CA 93301
Permit
Additional desc
Permit Fee . . . .
Issue Date . . . .
ENCROACHMENT PERMIT
145.00
11/18/02
Valuation
o
Qty Unit Charge Per
1.00 145.0000 EA PW ENCROACHMENT
Extension
145.00
Special Notes and Comments
PLACE TWO LIONS ON SIDEWALK IN FRONT OF
ENTRANCE TO "WESTCHESTER REALTY"
LION IS 3'2 LENGTH
1'7 WIDTH
4'4 HEIGHT
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 145.00 145.00 .00 .00
Grand Total 145.00 145.00 .00 .00
Applicant acknowledge
permit at an
the City Engineer, pursuant to the Bakersfield Municipal Code Ch
W Ie ~;0
r 12.20 to revoke the
Print Name
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)
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.
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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 14, 2003
SUBJECT:
Encroachment Permit Application for Installation of ceramic lion statues.
Mark Ponder - Westchester Reality
2501 "F" Street
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of
ceramic lion statues. The site is located at 2501 "P" Street.
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\2501 F Street.doc
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APPLICATION FOR ENCROACHMENT PERMIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNIA:
7~1
4. Period of time for which the encroachment is to be maintained:
to ( I' ~/JV..L..
Applicant agrees that if this application is granted, applicant 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, arisin~
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 permit is revoked.
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Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or !illQ!1
the revocation thereofby the CIty engineer. apolicant will at his own cost and expense remove the same from the oublic
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 01 said encroachment.
Applicant further agrees to obtain and keep all liability insurance required by the City Engineer in full force and effect
for how eyer long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of
Insurance evidencing 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:
~ ~T,NSL)r~~ ~XM ~~~
al Code Chapter 12.20 to
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfi
revoke the penni at an time.
Date: '/ 7 t' Z-
It'-, ~
wner or Representative
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF TH~ 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 Engineer
No.
.A
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. !tTY OF BAKERSFIELD
J DEPARTMENT OF PUBLIC WORKS
j:
TO WHOM IT MAY CONCERN:
~i v-~ "v e., ~~ 0105
We the undersigned I have no objection to the construction of a beside the
sidewalk within the public right of way.
,;(~D / F$" Br:fif.. &- '135D/ BV:'#fo/!c- ~~
(Street for puposed encroachment) (Owners Name)
of {)..5[) / F 51, ~~c..rJ2 &.Pl~\ Phone: ~(O I .. 3 ').) -'I tJ (; "2-
(Address of purposed encroachment) l.J;(() , . Z-oS- Lo)" 7~
SIGNED ,:
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II} Name: _~ ,,--,--\--..we c- 11> 1 \,,\ \ vv\ ~--:::- rVeJ't "el+tt \ Date:U ( (1l3 (0 L
Address: ,'L..-,-\,-\ ,~.- s." 81<FD ~ 9~~o (
~Name: ~VIE\l\ . -,M W~~ Date: It/ &> 162.....-
Address: ~ 'ff' ~ :>-~,,5& II) ftJ~O'L
(3.) Name: l Date: _ L t7-
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~)JName: A,,\ ~~<:J;:, 0lA.(\L-h~ ctcV"\nie.. \k~~t{.., Date: l ( "'l..o ~tfL.
Address: "2<::;"'Ll ~- ""t)\-. c>26-'204,-\
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~Name: S .:;,tt1JvR?c~ DI~.G~ate: t/-h'{)~
Address: ~4~ F oSf-. 3~1'"' q ~
~) Name: C-~A-.b+l.; ~a"k0z::f./D Date: ll-olo -0 L
Address: zS r 5" ~ \2-c... ~'L ~
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BBi 324 7483j
NOV-7-02 i2:2BPMj
PAGE 3/3
CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
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Oft.. "f; 'v.e.... .... J 0,0
We, the undersigned, have no objection to the construction ofa . . ~ the sidewalk I or other
encroachment as shown on the plot plan:
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(Street) (Owner's Name)
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Address '2-Q'z(/ ~ '";> 7 J..
a.\-~Name We.'ii:~:&...~ L, q>v>~ Date:
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: December 10, 2002
SUBJECT: Encroachment Permit Application for 2501 "F" Street.
Mark Ponder
Ceramic Lion Statues.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
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S:\PERMITS\ENCROACH\INSURANC\2501 F Street.doc
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02-12-2003 13:32 FROM-WALTER MORTENSEN INSURANCE 661-834-6662 T-016
H"'UnLf' "'....n Ilrn..", I&;; ur LI",gla.-11 , 1"~UI'Uo\N\.r~
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Walter Mort(!t1Sen Insurance,
License 190;! 67
4701 Stockdille Hwy.
Bakersfield" CA 93309
lN$uRa.\ Mar PI: nder
PO Box 654
Bakers1field, CA 93302
(661)834-6662
Inc.
ONa. Y AND CONFI!;RS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CEfnlFlcATE DOES NOT AMEND. EXTEND OR
ALTER ruE COVERAGE AFFORPED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
P.001/003 F-682
LlAT!: \1IIMIPIJIYYj
02/12/2'003
INSURER A: Firemans Fund Insurance
INSUReR B:
INSuRER C'
INSuRER 0'
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AUTONOIIIU; Ul
MY AUTO
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SCHEOUle:
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NSlJRANCE LISTED BEl-OW HAve 8Eellllssu~D TO THE INSURJ:Q IIlAME:D AaOVE FOR Tf'1E: POIJC'I" PERIOD INDICAT~D, NOTwITI'iSTANDIN:;
iT. TERM OR CONDITION OF ANY CONTRACT OR OTI'lE:R DOCUMENT WITf'1 R!:SPE:CT TO WI1.CI'1 THIS CERTifiCATE MAY BE: ISSU!;!:) O~
; INSuRANCE AFFOROED By THE POLICIES DE:SCRIBEP I1ERE:IN IS SlJaJECT TO AU THE TERMS, exCLUSIONS AND CONOITlONS OF SUCH
3ATE I-IMITS SHOWN MAY HAVE: SEEN REOUCED BY PAID Ct.AIMS.
INSUl'lANCE POUCY~UMSER DATE IIlllMIPPlYYI DATE lMMIllPIYY I-IMIT$
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lY ~C8070S497~~'II 07109/2002 07/09/2003 a~1'I OC,;uRflEfol(:E $ l,OOO,O(JID
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i !1!J'l!i'lOCATIONSN5HlCc.~CLlJSIONS AD~ BY t:tIDQ~~~TISPI5CIAI- PIlO\II$lOIlS are named additional insuU'elll
,field, its mayor, council, agents, employees and volunteers
to Genl!ra 1 Liability only per form CG2010 (10-93) attached.
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ity of Bakers
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City of Bakersfield
1505 Trtlxtun Avenllll!
Bakersf-,jeld, CA 93301
~ULD ANY QF TIlt: ABOW DESCRtPF-D POWClIOS BE CANCELl-ElIllEFORE lli5
liXPIRATIOIl DAn TIffRa)f, THE ISSUlIlG COMPAN'fWlLl.IiNlIf""QFl TCI MAIl.
....10..- M'no WRITlli... 1'I0Tle~ TO THE CIiRTlFlCATI' 1l0l.OER 1II11oftllEP TO TtU: ~EFT.
BUT FAlUJRE TO PMIL sue,", NOTlCE S~ UIlIl"QSE 1\10 OBl.IGA,..O" OR UABlUTY
Of /4HY "'liD uPON TIl~ COMPAAY,lTS AGliNT5 OR IUiPRWNTATI\Il:S.
AUTI10~ R!P NTATlVE.
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02-12-2003 13:33
FROM-WALTER MORTENSEN INSURANCE
661-834-6662
T-016 P,003/003 F-682
~
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POLIcY NUMBER;
NAMED INSURED;
COMMERCIAL GENERAl LIABILiTY
CG 20 10 10 93
Tars ENDORSEMENT CHANGES THE POLlCY. PLEASE lU:AD IT CAREFl)LL Y.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS (FORM B)
This endorsel11l!Qt modifies insUIa!1ce provided under lIle followinS:
:OMMERCIAL GENERAL LIABILITY COVERAGE PART,
SCHEDULE
~ame"of Person or O.-gaaizalion:
,;ity of Bakersfield, its Mayor, Council, Agents, En1ployees anI! VolunTeers
[505 TtuJttlm Avenue
.:lakersfield, CA 93301
I If no enolX)' appcm above, infommtion required TO complete this endorsement will be showo 111 the
I)eclarations as applicable TO This endorsemenT.)
'IVHO IS AN INSU.RED (Section U) is Il1nalded to include as an insured the person or orgalli2arion shOVi'Jl
in the Schedule, but only with resJXlC1: to liabilily arising Out of your ongoing operations perfonned for
I nat insured.
('020101093
Copyright, Insurance Services Office, Inc. 1984
02-12-2003 13:32
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FROM-WALTER MORTENSEN INSURANCE
T-016 P,002/003 F-682
661-834-6662
IMPORTANT
If me certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorseo. A statement
)n this certificate does not confer rights to me certificate holder in lieu of such endorsement(s),
f SUBROGATION IS WAIVED, subject to the terms and conditions of tne policy, certain pOlicies mal'
"equire an endor:rement. A statement on this certificate does not confer rights to the certificale
'\Older in lieu of such endorsement(s}.
DISCLAIMER
'fhe Certificate of Insurance on the reverse side of this form does not constitute a contract betwaen
'he iss~ing insurer(s), aLlthonzed representative or prodl-lcer, and the certificate hol(!er, nOf does it
,lffirmaJively Or nttgio11ively ameno. extena or alter the coverage afforOeQ Dy tI'le policies liste<t ttlereon,
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POLICY NUMBER A S3 AZC 80705497
NAMED INSURED
PONDER, MARK
AMERICAN BUSINESS COVERAGE POLICY
PROPERTY/LIABILITY DECLARATIONS
WE WILL PROVIDE YOU WITH INSURANCE FOR THOSE LOCATIONS DESCRIBED IN THE GENERAL
DECLARATIONS AND FOR THOSE COVERAGES FOR WHICH A SPECIFIC LIMIT OF INSURANCE
(LIMIT) IS SHOWN.
COVERAGES
LIMITS
SECTION 1.
COV. A BUSINESS REAL PROPERTY
REPLACEMENT COST
lOC 001 $
300,000
COV. B BUSINESS PERSONAL PROPERTY
REPLACEMENT COST LOC 001 $
25,000
DEDUCTIBLE: $500
SECTION 2. EXCEPT FOR FIRE LEGAL LIABILITY OR TENANT'S LEGAL LIABILITY,
EACH PAID CLAIM FOR THE FOLLOWING COVERAGES REDUCES THE AMOUNT OF INSURANCE
WE PROVIDE DURING THE APPLICABLE ANNUAL PERIOD. PLEASE REFER TO PARAGRAPH J 4
OF THE BUSINESS L
$1,000,000 PER OCCURRENCE
000,000 GENERAL AGGREGATE
$ 10,000 EACH PERS
$ 100,000 ANY ONE FIRE OR EXPLOSION
. D MEDICAL PAYMENTS
TENANT'S LEGAL LIABILITY
OPTIONAL COVERAGES
THE OPTIONAL COVERAGES SHOWN BELOW APPLY TO ALL LOCATIONS UNLESS OTHERWISE IN-
DICATED. THE lIMIT OF INSURANCE FOR THESE COVERAGES IS THE APPLICABLE SECTION 1
OR SECTION 2 LIMIT SHOWN ABOVE FOR THAT LOCATION UNLESS A LIMIT OF INSURANCE IS
DESCRIBED IN THE COVERAGE FORM OR IS SHOWN BELOW.
BUSINESS OWNERS EXTENSION ENDORSEMENT
MORTGAGEES AND LOSS PAYEES
MORTGAGEE A/I NO. 01 LOC 001
NAME: FRANZ SCHOLZ AND CHRISTA M. SCHOLZ HW/JT
STREET: 3008 STANFIELD PLACE
CITY: BAKERSFIELD ST: CA ZIP CODE: 93306
THESE DECLARATIONS ARE ISSUED IN CONJUNCTION WITH AND ARE PART OF POLICY
FORM AB9000 -12-93 REV 01
AB - 1
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B~t\.KERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Ryan Starbuck, Civil Engineer III
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: December 10, 2002
SUBJECT: Encroachment Permit Application for 2501 "F" Street.
Mark Ponder
Ceramic Lion Statues.
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\2501 F Street-doc
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