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HomeMy WebLinkAbout03-30000025 " ~ ENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN A VB 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 . . pin number . . . . . . Property Address . . . Application description 03 -3 0000025 9567 Date 6/16/03 1191 19TH ST 1712 19th Street PW - ENCROACHMENT PERMIT Owner Contractor Jack Arian c/o 1401 19TH ST STE 400 BAKERSFIELD CA 93301 OWNER/BUILDER BAKERSFIELD CA 93301 ---------------------------------------- ------------------------------------ Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 96974 145.00 6/16/03 Valuation o Qty Unit Charge Per 1. 00 145.0000 EA PW ENCROACHMENT Extension 145.00 Special Notes and Comments INSTALL A PIECE OF ABSTRACT ART ON THE CORNER OF 19TH ST AND H STREET Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.00 145.00 .00 .00 Grand Total 145.00 145.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit any time. /, Shelly f A,'lt~5 Print Name I 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 ~gineer -- 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 ~ ,;f ~ . /.In . ;25 .5 ~. ('jf?" ~ - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 23,2003 SUBJECT: Encroachment Permit Application for: art sculpture. Jack Arian 1712 19th Street Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of an art sculpture. The site is located at 1712 19th 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\02-03 Permits\1712 19th ST.doc \1fJ3,tr 5"7" 14'-QH < o w i i i i i i i @ I i i i i ALIGN i i i ._._._._,J ~-------- . ------- ---o-~! : N $ 19TH STREET PARTIAL SITE DIAGRAM 19TH &. H STREET ..J o < ~ B w LoeA noN OF (NJ CONCRETE PAD - REFER TO STRUCTu<tAL QRAWNGS .'1 PAUL UAUBOL, AICBlTBCT lltl OAI STlBBT sOIn 1I1 BA~BISP1BLD. CA 93301 (661) 334-1741 (M1) m-Z14! (PU) .btp~oltipltlJ...1 _ ..I.... ",Ill. s,.clllall.l. I..laltn .............n.~,...1IlII'11 ~ ~~.....~... ~llr...U_!I .u.sllllllll~"",,,_.,"IId.liII IllIlpCIflctnJd*ldia.,..'"'"..... tI.... 111.111. -.11 1M oWll.l. 'fI_ IIIl1El 1I1111D..,.lIId'~ l1li1 call11lrtal.IJl ",~llIaImlfklllll I- W W a: I- (J) ~ SCULPTURE 1712 19111 STREET BAKERSF1B.D. CALFORNIA 05-07-03 1838 iiS" ~ 'i' ..' " '- .'>:' '. -;".:; i, 1;,- ~ ,.... .1," i~:~!~~~t;t~;~:",;,~!~ "~,~)}:IJ~;fj,:fit;/~:ih:~.'S8tJj~6' , ~r~\nlil'~~'-"/:~ {''S,; ~ . (. :a-i~~' .V.: {".; ~ . r: .{ ''>:".. .. ''>'7Li~~jr- ,;'10.fiirl' ,< ~i'~;r#~ r.,,~, .,~~~ , -.--.-.---... .' 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 therem defined. 1. Full name of applicant and complete address including phone number: Jack Arian c/o M.D. Atkinson Company, Inc. 1401 19th Street, suite 400 Bakersfield, CA 93301 334-4800 (Shelly:'Phillips) 2. Nature or description of the encroachment for which this application is made: Install a piece of abstract art on the corner of 19th & H Streets 3. Location of the proposed encroachment: Northwest corner of 19th & H Street 4. Period of time for which the encroachment is to be maintained: Indefinite Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless City, its officers, agents and employees against .~y an~ allliabil.ity, ~13;ims, ac~o~s, cau~es of action or del!lands, whatsoever ~&ainst them, or any of them, before admimstratlVe, quasi-Judicial, or JudiCial tnbunals of any kmd whatsoever, ansmg 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. Applicant further agrees that upon the expiration of the permit for which this application is made, if granted, or upon the revocation thereofbv the City engineer. applicant will at his own cost end expens~ 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 req..uired by the City Engineer in full force and effect for however long the encroachment remains. Applicant shall funush the City Risk Manager with a Certificate of Insurance evidencing sufficient coverage for bodily mjury or property damage liability or both and required endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is: Commercial General Liability $1,000,000 per occurrence, $2,000,000 qeneral Aggregate see attached. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. .' Date: 6-4-03 PERMIT Date: 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 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 E~~gtJffz? Signature of City Engineer No. G:IGROUPDA T\FonnsIEncroachrnentPennitApp. wpd aOB: G~e G. h ThfF1=l( rWI-ewed iN.. AfflJ~/~ of H413 N() CoIIlH1"Tt f1(~ ~/(!MJA1tJh~ n~ ~ T'f!cel# cI..~1 Forw,Pr'IJ tv IJ I r -eofd( fOr d11t) "'J ' hi fhere. ~ Ct1lnIhJ'11{!( rIh# N&,/s 10 r(JAJ.!R.w.fh;J ------ - ---- - - ~-- -- - - - -- -- ?' z..-'~ CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS TO WHOM IT MAY CONCERN: We, the undersigned, have no objection to the construction ofa'statue, behind the sidewalk, or other encroachment as shown on the plot plan: 19th & H St. (Street) By: JackArian c/o M.D. Atkinson Co., Inc. (Owner's Name) of 1712 19th Street (Address~ SIGNED:. - . /!/J ~ ^ ~ .."\ l)Name'-.. ~UL-C .~[j.tAJ r '" ,(.J-o^> tit C' .4- 11/~1 7- Address 17 / ( I q . 0K. . \ 1l _ . 2)Name6_~ ~ \ ~ Addres~ I" ?-. ') ~ . 3) Narne7'-k r 4):::ess~~. Address ) ~ /., / 1'110 5{:' Phone: 334-4800 Date: '5 b3 (:;t1J3 Date: ~ /30"/ C) :s- o. , Date: 6/~3 Date: I//I!cY . ... 5) Name Date: Address 6) Name Date: Address '. C"__........._........._...... . ._, - '. /' " ,. ..-----;, ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 22,2003 SUBJECT: Encroachment Permit Application for 1712 19th Street. Jack Arian Sculpture Please review the attached encroachment permit and return to me at your earliest convenience. U 0 ; lr" ",,,,c.-+ (:IV\. .t-.rc..I~ IC:L.. %- 7/"'2. 1./0 3> S:\PERMITS\ENCROACH\TRAFFIC\1712 19th St.doc '- '. ..,g:- ~ . - Bi\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORAND"UM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 22,2003 SUBJECT: Encroachment Permit Application for 1712 1rfh Street. Jack Arian Sculpture Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. Pf S:\PERMITS\ENCROACH\INSURANC\1712 19th St.doc " oJ u.... 1:.1-' C:.UUW "'<J - "^" f T ,-,~ :,',:', ,': ,',', ':. ';' ';:,', , <..' -: ;'~;:",~~:;':~~.fr~': ~:""~:' ". :".1'.: .~'>'" .:" ",'. . ~f ,~_~~: ':~" PIlClDUCIIl AOA Risk Services, IDa. of Bouthem Califomia 707 wilshire Boulevard Suite 6000 LOB Angeles CA 90017-0.'0 USA PJIOlU. 213 'AX. IMUUD Jack Arian & AsBociates, Inc, DBA. supply SezgellDt 503 ..Victory Blvd. Burbank CA 91502 USA -'DATE'iMif/DDln;. 07109/03 CERTIFICATE IS ISSUED AS A MATI'ER 01' INFOllMATION ONLY CONnRS NO RlGB'IS UPON TBI carrmCATE HOLDEL THIS CAn DOES NOT AMlND.I:XTEND OR ALTER TRB WRAGE AProRDED BY TIlE POUCIES BELOW. INSUREJlS AJIfORDDiG COVERAGE ACORD", ... DlllUUll Ie DlSIJIlIIIl a: INSUIIEIl c: lNS\lIJlIl D: INSUIiIlI: riremans FuDCi Ins Co nm POUCIES OF lNS1JllANCE LISTED BELOW HAVE BJlIlN ISSUllD TO THE INStJUD NAMED ABOVE FOIl nm POlICY PI!U)D JNi:llcAT1!D. NOI'WlTHSTA.NDINO ANY 1lEQUIREMJlNT. tERM OR CONDmON OF ANY CONl1tAC1" OR 01'HJ!a DOCUMIlNT wrrH RBSPJ!CT TO WHICH THIS cmmFICATB MAY BE ISSUED OR MAY PIDlTAIN. THE INSURANCE AFFOJU>EI) BY nm POLICIU Ol!SCltIBED HEREIN IS SUBJBCT TO ALL THE TERMS, EXCLUSIONS AND CONDmoNS OF SUCH POLICIES. AOORIlOATJl LIMITS SHOWN MAY KAVE BEIlN UDUCBD BY PAlDa.AIMS. JR&R LJa TYPI OJ' ftIUaANCI: toUCY 'II1/MIIU. fOUCY JOUCY 1XlDIA1IOII DA1'I(MM\DIl'oW) DA'I'I(MM\IIIl'oW) 03/09/03 03/09/04 LDI!IS GINI. AGGQG.UIl LIMIf Al'l'LIES PIlI.: fOUCY 0 ~ 0 LOC PIODUCTI - CQMt/ClP ADO Sl,OOO,OOO $1,000,000 o $1,000,000 S2,OOO,000 $2,000,000 " GmIIaAL UAIIUTY X COMMll1IClAL GIlNIIIlAL LWI1LITY a.AINS 1oIAD8(!] OCCUK MZX8QBl3539 COmmercial Package EACH 00CVUIlNC8 A fDlIl DAMAGBtAnY _ lh) MIlD EllP rAllw ......- PIlUOJW. & ADY JNl'UI.y GIlNDAL AOOIEGAl8 MZXB0813539 ~ial .Package 03/09/03 03/09/04 COMBINED 8INOLB UNIT (1l& ICCitIaIt) $1,000,000 IOlm,Y INJ\aY ( ...,..,) 1CON OWNED All'l'OlI IIODIL Y INIt1I.Y (Pol' ICddIeI) noPEUYDAMAGB (Pol' ICCIdoaO Atno OK.Y - EAACCUlENT ANY Atno 0THIlIl11W>l Atno ONLY: IlA Aa: AOO BACH 0CCUIQlIICB AOGII!GA'II! DI!DUC'I'ELB RErllNTJON woaxI1lS COMl'IlIISA 110If AND 1NPLOYUI'1.LQILDY J!1., IlACII ACCIDIlHl 11., DISBASB-POUCY LIMrr n, DlIBASJl.IIA IlMPLOYlIB 0'11ID DE!CIllP11ON Of OPEIlAl1ON11LOCAnoN!IIYEHICIa/Ea.uSDIS ADDID BY Ill'lDORSIMIlNJPItOVISIONS "UVISBD" I RH. Statue Installation at Kern Land Building, at:1713 19th St., Bakersfield, CA / City of Bakerstield. ita mayor, council. agents, employees. volunteers is ~ aB additional inaured .s respects to operations perfoned by or on behalf of the IUllIlIId. inaured./roJ:1ll CG2010 attached. City of Bakersfield City Hall . 1501 Truxtun Ave. Bakersfield CA 93301 DSA SBOULDANY OF 11IB AllOY! DIilClUBIlD fOUCIES 11& CANCILLBD UJOIlIl TIll! 1!XPIVt1JON DAl8 TIlIRIOF. nm ISSUING COMPANY WILl. IlNDEAYOR TO w.n. JO DA VI wa.n"J1lN NOJICIllO THIt CER.TlFlCAl8 HOLIlO NANIID TO 11111 LB1'T. BUT FAILtIU TO DO 10 SRAU..lMPOSI! NO 0BlJGA1ION OR IJAJIILITY 01 ANY KIND tlPON 11111 COMPANY. m Aomrrs OR IlEI'IIlSl!NfATIVIIS. M11'tIOIIIZIDUPUIENTATIYa ~ ~ --r::s.-~ - _ -..- .". , - ~~;-..~ ;~'~<~~-:';~~7"'r~~--::-z -_ -;-7-- - ,'-~ r.'; j, \ ~:'1;~"~:-.-}'1,,"~ ,.', ;-". . ---.~ h;_, ~ " ,--:' _ ,- I ,,' ~ \ ::. ::- C"Nftftl!lttt\ N" : O;"JnnnlO"J"J1 Ii' n Rn....r ."_..fI.... , .~....:to .. .- .., -- -"'" ......-- ,. .. . POLICY N\JMBI!R; COMMERCIAL GBN6RAL UABIUTY MZX8OI13S39 THIs ENDORSKMENT CHANGES THE POUCY. PLEAsE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSESS OR CONTRACTORS (FORM B) This endorsement modifies insurance provided UDder the fo11owins: COMMBltClAL GENBRALlIABJLITY COVERAGE 'AltT. ScIImVLE Name .,....... or Oraauizadoa: City ofBakenfleld City HaD 1501 Trutun Ave. BaJr.enfIeld, CA 93301 WHO IS AN lNSUIlED (Sec:tion II) is ameoded 10 iDcluded as an iDsurecl the person or 0f8I'1'li'>'.JI00n sboWll in die ScheduJe. but only with respect to liability arising out of "your work" for that insured by or for you. CIty of Babnfleld, its mayor, coaacD. 1pDta, employees and wIwteen are Darned .. additioul IDsureds. CG 20 10 11 85 Copyrighl, IDsuraDce Services Office, Inc., 1984 TOTAL P. 03 ~ f r.1 ~U1 C~ U~ 11;1~e ~KerpnOj H~~OOle~~~ l bb 1 J ~~.. - c:.,..~ p.~ ~ l ~5/0$/03 ION 07:Z8 FAX '81 811 8158 Brian L Ward IRIAN L WARD STRUCTURAL ENGINEER. INC'. n ScMIt Real ROId Suite C BAKERSFIELD, CA 93309 ("I) 827.'155 FAX (t'1) IZ7.tJSI 08111:01\' IlJ004/005 .-.. SliARPHOL ASS?W'l'ES .II>> 1712 IC\- ~J!::Lor-' c.o.u1ID1IY-L..UJb" ,..ft.-J, -JI"4\ &MIa' .. ~ " :~ J..... "'1 , j . ! .~ : - --:-T::-r-.t!j I ; .j...+....+. ...j. I , I . !~ i ~ r ! ....a~ .__.1'. .T"'T~:.' j ~. ! t i ! . . .~ ' .. (..1'.... ! .. . . .... ~. . f . t - ~ J JJ'---r' ..............!. ~ ...~...,.' r. .- "i.. .... : ; I' ; i .....:..~....4-:-,.,' '" "~' __. ..........i t f -. ~ . i "l:' . .:...,. ~.'; ;", ! ! i ' . ..T......, !,g""": .....+.. .' ...~.~ . ...!-... . L' .~, ;~\. i :...! ; I , !- . 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