HomeMy WebLinkAbout05-30000097
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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
05-30000097 Date
1600 20TH ST
500-554-03-00-2
PW - ENCROACHMENT PERMIT
8/29/05
Owner
Contractor
JAMES DAVID S
POBOX 37
BAKERSFIELD
OWNER/BUILDER
CA 93302
BAKERSFIELD
CA 93301
Permit . . . . .
Additional desc .
Phone Access Code
Permit Fee . . .
Issue Date . . .
ENCROACHMENT PERMIT
431304
150.00
8/29/05
Valuation
o
Qty Unit Charge Per
1. 00 150.0000 EA PW ENCROACHMENT
Extension
150.00
Special Notes and Comments
APPROX 68 LF OF 3'0" HIGH WROUGHT IRON
FENCING WITH ON SET OF GATES
SHANNON URIBE 345-4313
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 a any time.
Signature of Applicant ( wner/ Agent)
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
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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 indeninified 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 th~ 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:
September 14, 2005
SUBJECT: Encroachment Permit Application for 1600 2dh St.
Name of Applicant David James Owner Dagneys Coffee Co.
Description of encroachment. 68' of 3' high wrought iron with a set of gates
Shannon .Uribe 345-4313.
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the
installation of description of encroachment. The site is located at address of encroachment.
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\_Approval memo.doc
05-97
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B ~t:\. K E R S FIE L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
September 7,2005
SUBJECT: Encroachment Permit Application for 1600 20th St.
Name of Applicant David James Owner Dagneys Coffe Co.
Description of encroachment 68' of 3' high wrought iron with a set of
gates Shannon Uribe 345-4313
Please review the attached encroachment permit and return to me at your earliest convenience.
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S:\PERMITS\ENCROACH\TRAFFIC\1 traffic memo.doc
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Pat Flaherty, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
September 6, 2005
SUBJECT: Encroachment Permit Application for 1600 2dh st
Name of Applicant David James Owner Dagneys Coffee Co.
Description of encroachment. 68' of 3' high wrought iron with a set of
gates Shannon Uribe 3454313
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
If
S:\PERMITS\ENCROACH\INSURANC\1600 20th Street.doc
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,Citv of Bakersfield
~~, CUSlOMER RECEIPT *'*
Ope!': BHAVSLET . '!'V~: OC Drawer: 1
Date: 8/29/0S 01 Rec~ipt no: 28562
Description Quantity
2li95 3000~097
BP BUILDI~G PERHITS
1.0$
Tender detail
CK CHECK
Tofal tendered
'I'ot.'ll payment
1403
AlilOunt
S150.e;0
Sl50.00
5150.00
$1~,00
Trans date: &/19/05 Time: 13:e0:53
PLEASE BE A RESPONSIBLE PET OWllER
HAVE YOUR PETS SPAYED OR NEUTERED
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APPLICATION FOR ENCROACHMENT PER\-IIT
TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFORNL.\:
Pursuant t.o 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,
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1. Full name of aoolicant and comolete address inclu ing 0.. hone nwnber: "l)#:!P ~ en ~C-
j II If/) {~ ()~ 1- ',/' fJ- 330 \
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3, Location. of the prq3~crachment:
4, Period of 'mefor~hich ~eencr..oaCbmenntobemainmin~: "" ~fi ~Ltr
_. U~5.~ -".... .
Applicant agrees that' this application is granted, a'p'plicant shall indemnify, defend and hold hannless City, its
officers, agents and employees against any and allliabllny, claims, actions, causes of action or demands, whatsoever
against them, or any pfthem, before administrative, quasi-Judicial, or judicial tribunals of any kind whatsoever, ari5in~
out of, connected with, or caused by ap1!licant'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?achment or ~til such time that this pennit is rev?ked,... . . .. .
Applicant ~rther agrees that upon. th~ expiratio!1 of the, pe~t [or which this application is made, if granted, or .YQQn
the revocatIon thereofbv the Citv en2lneer, aoohcant wIIl at his own cost and exoense remove the same from the ou~lic
prooertv 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 or 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 evide~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) of insurance. coverage is:
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Applicant acknowledges the right of the City Engineer pursuant to,S
revoke the permit a~e, ,.
Date:~OS .
PER~IIT
I HEREBY CERTIFY THAT I HA YE MADE A..~ INVESTlGA nON OF THE FACTS STATED IN THE
FOREGOING APPLICATION Ai~D FIND ffi-\T THE MAINTENk"lCE OF SAID ENCROACHMENi (1) WILL
(NOT) SUBSTA:.~TIALL Y INTERFERE WITH THE USE OF THE PtJBLIC PLACE WHERE THE SA'IE IS TO
BE LOCATED kW (2) WILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE;
SAID APPLICATION IS THEREFORE (GR.A.....TED) (DENIED), SAID PERMIT SHALL EXPIRE
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Date:
SIgnature of City Engmeer
No,
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ACORDTM
! PRODUCER
lWALTER MORTENSEN INSURANCE/PHS
\131625 P: (866)467-8730 F: (877)905-0457
'P. O. BOX 33015
!SAN ANTONIO TX 78265
CERTIFICATE OF LIABILITY INSURANCE
I
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LJTI DATE
P4K2i 08-04 2005
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.
INSURERS AFFORDING COVERAGE
INSURED
,
;DAGNEY'S COFFE COMPANY LLC
!1600 20TH ST.
iBAKERSFIELD CA 93301
COVERAGES
I' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
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
I POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.INSR POLICY EFFECTIVE POLICY EXPIRA TION
'LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY
SBA TH8284
COMMERCIAL GENERAL LIABILITY 51
CLAIMS MADE [1[1 OCCUR .
Business Liab i
:
- -- -~------~-------~--
I
GEN'L AGGREGATE LIMIT APPLIES PER:
~~gi- rx-: LDC
AUTOMOBILE LIABILITY
A ANY AUTO ,51 SBA TH8284
!
ALL OWNED AUTOS !
SCHEDULED AUTOS i
X HIRED AUTOS I
X NON.OWNED AUTOS J___
GARAGE LIABILITY
R ANY AUTO
EXCESS LIABILITY
OCCUR D CLAIMS MADE
I DEDUCTIBLE
RETENTION
WORKERS COMPENSA TION AND
EMPLOYERS' LIABILITY
'---' --~='~6THER'-~-
I'NSURERA:Hartford Casual tv Ins Co
! INSURER B:
, INSURER C:
I INSURER D:
INSURER E:
LlMffS
, EACH OCCURRENCE
I 11/15/04 ! 11/15/05 ' FIRE DAMAGE IAny one fire I
: I
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$1,000 000
$300, 000
$10 000
$1,000 000
$2, 000, 000
$2,000 000
MED EXP IAny one personl
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMPtOP AGG
COMBINED SINGLE LIMIT
11 / 15 / 04 11 / 15 / 0 5 lEa accidentl
$1,000,000
BODILY INJURY
(Per person)
BODILY INJURY
: (Per accident)
i PROPERTY DAMAGE
~ (Per accidentl
AUTO ONLY - EA ACCIDENT $
OTHER THAN
AUTO ONLY:
EA ACe i $
AGG $
EACH OCCURRENCE
AGGREGATE
OTH-
E,L, DISEASE - EA EMPLOYEE $
_____~~- ,E,L~DJSEASEoP_OLl_C_y_L1MIL!_$
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DESCRIPTION OF OPERA TlONS/LOeA TIONSNEHICLES/EXeLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations. The City of Bakersfield, its mayor,
council, employees, agents and volunteers are Additional Insureds per the
Business Liability coverage form SS0008, in regards to the installation of the
wrought iron fence being installed at 1600 20th St,
CERTIFICATE HOLDER
X ADDITIONAL INSUREO; INSURER LETTER:
The City of Bakersfield
1501 Truxtun Avenue
Bakersfield, CA 93301
ACORD 25-S (7/97)
A
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES 8E CANCELLED 8EFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
08L1GATION OR L1A81L1TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTIjElI!
~~..e..~~.st..Q...
~ ACORD CORPORATION 1988
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~:-CITf O~ BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
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We the undersigned, have no objection to the construction of a fence beside the
sidewark within the public right of way,
f), 0 lf1\ <L fit0 gf.
(Street for pupose ncroachment)
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Ph~ne: h~t/-OgOfo
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(Address of purposed encroachment)
SIGNED:
1) Name:
Address:
2) Name:
.!\ddrcss:
. 3) Name:
Address:
4) Name:
Address:
5) Name:
Address:
6) Name:
Address:
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Date: ~ L-f-DS
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Date:
Date: ~/lo-~--~/
Date: Z~ to r D5
Date:
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Public Works Department:
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Please find attached the necessary paperwork to complete the encroachment permit
process for Dagny's Coffee Co. We are interested in completing this process ASAP so
that we can get started on our Wrought Iron Fencing for our business. Jack Leonard has
been in contact with your department and has assisted us in making the necessary
changes. If there is anything further we need to do to complete the process please let us
know.
Sincerely,
Shannon Uribe/ Kelly Haines
Owners
Shannon Uribe 345-4313
Kelly Haines 549-6180
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Donald W. James Jr. and David S. James
2005 Eye Street Su 9
Bakersfield, CA 93301
(661) 859-1215
August 5, 2005
To Whom It May Concern:;
This letter of consent from Donald W. James Jr. and David S, James, owners of
1600 20th Street, to Dagny'sLLC, tenant at 1600 20th Street. Donald W. James Jr. and
David S. James has seen and agrees to plans drawn up by Dagny's LLC for the outdoor
wrought iron fencin . surround and enclose the patios on 20th & Eye Street sides
of the property.
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~. , CIJ:Y O~- BAKERSFIELD ~ ~ I
DEPARTMENT OF PUBLIC WORKS IN (1'" \IP
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We the undersigned . have no objection to the construction of a fence beside the f(;
side\{v'alk within the public right of way.
Bv:
of
(Owners Name)
(Street for puposed encroachment)
Phone:
(Address of purposed encroachment)
SIGNED:
1) Name:
Address:
2) Name:
Address:
3) Name:
Address:
4) Name:
Address:
. 5) Name:
Address:
6) Name:
Address: .
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Date:
Date:
Date:
Date:
Date:
Date:
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