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Home My WebLink About03-30000029 -. 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 03-30000029 Date 7/21/03 pin number . . . . . . 3567 Property Address 4456 CALIFORNIA AVE parcel/APN: - - - Application description PW - ENCROACHMENT PERMIT ~*E.p..1-Y Owner Contractor,: Permit Owner BARNVYN BAKERSFIELD ASSOCIATES POBOX 9456 MINNEAPOLIS MN 55440 OWNER/BUILDER , ) BAKERSFIELD Stuart's Petroleum 11 East 4th Street CA 93301 Bakersfield, CA 93307 ----------------------------------------- ----------------------------------- Permit . . . . . Additional desc . Phone Access Code Permit Fee . . . Issue Date . . . ENCROACHMENT PERMIT 109520 145.00 7/21/03 Valuation o Qty Unit Charge Per 1.00 145.0000 EA PW ENCROACHMENT Extension 145.00 ----------------------------------------------------- Special Notes and Comments DRILL AND CONSTRUCT A GROUNDWATER MONITORING WELL COMPLETE WITH WELL COVER SET IN CONCRETE APRON STREET PERMIT IS 03-20021632 OK PER B WILSON 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 Bl!kersfield Municipal Code Chapter 12.20 to revoke the permit ime. / ~u 12~L4L~v- 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'€ngineer 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. _ (j..av~d and acknowledge the above. pp icant's Initials ......-/,,- 0fACE BUILIllNGS PARKING I / MW.3 ~ r;:.---------------J ,--------1 FORMER '________Jj- FORMER IlISPEHSER MW.l ;_-_-___-_-_-_-_j 12.ClOO-GAllON ISlANDS ~ IItI,.f - - - - - - -, GASOUNE USTa L ~--------~ p--------~ 1__ __ _ _ __..J t-f'-f C;; (p CA-u r- SIDEWALK Ct.L1FQRNI~ A VE~UE SIDEWALK SIDEWALK lANDSCAPING LANDSCAPING lANDSCAPING ALlEY SCAlE IN FEET APARTMENTS APARTMENTS o 30 I 60 LEGEND STUARTS' PETROLEUM COMPANY .. ~ SOIL BORING MONITORING WELL FORMER CALIFORNIA AVENUE MOBIL SERVICE STATION 4456 CALIFORNIA AVENUE BAKERSFIELD, CALIFORNIA FIGURE 2 - PLOT PLAN + PROPOSED MONITORING WELL LOCATION CENTRAL SIERRA ENVIRONMENTAL, LLC REVISION DATE: MARCH 31, 2003:: ill .i '. i "j~\- ;'j: COb ANNEX 1ST#j aa1 3~4 7493 j MAY-7-03 1:50PMj PAGE 7/7 APPLICATION FOR ENCROACHMENT PERMIT TO THE CITY ENGINEER OF THE CITY OF BAKERSFIELD, CALIFO~lA: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code;'1he undersi~ ~pijcs for a permit to place, erect, use and maintain an encroac1nnent on public property or right-of-way as therem defined. 1 ?1.'11 name of applicant and complete address including phone number:Stuart' s Petroleum Company ....- 11 East 4th Street, Bakersfield, California 93307, (661) 325-6320 2. Nature or description of the encroachment for which this application is madc:Drill and cons true t groundwater monitoring well competed with well cover set-in concrete apron. 3, l.ocation of the proposed encroachment: Sidewalk on south side of California Avenue across from Former California Avenue located at 4456 California AVPTIlIP .:..?eriod of time for which the encroachment is to be maintained:Approximately 5 years (unbn California Regional Water Quality Control Board permits well abandonment) , Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold hannlcss City, its officers, agents and employees ~t any and allliabilit>" chums, actionsl causes otaction or demands, whatsoever a~ainst them, or any of thcin. before administrative, 9uasi-judicial, or judicial tribunals of any kind whatsoever, arismg out ot: connected with, or caused by applicant 5 placement, erection, use (by applicant or any other person or entity) or maintenance of said encroacmllent. > The applicant further agrees to maintain the aforesaid encroachment during the life of said encroachment or until such time tDat this pcnnit is revoked. ~ ApEcant further agrees to obtaln am( keep all liability insurance required by the City Engineer in full force and effect fo-:" h'Jwever.long.the enc~hment remains. .Appl}cant shall furnish thc ~ity. ~ Manager wi~ a Certificat.e (If Insura:nce cvidenCmg suffiCient coverage for bOOd)' injUry or property damage Itablllty or both aDd reqUired endorsements evidencing the insurance required. The type(s) and amount(s) of insurance coverage is: , I. I HEREBY CERTIFY THAT I DAVE MADE INVESTIGATION OF THE FACTS STATED IN THE FORI GOING APPUCATION AND FIND THAT TilE MAINTENANCE OF SAID ENCROACHMENT (1) WILL (NOT) SUBSTANTIALLY INTERFERE WlTH THE USE OF THE PVBIJC PLAC! WHERE THE SAMllS TO BE tOCA TED AND (1) WILL (NOT) CONSTlTl./TE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLlCA110N IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE . Applicant acknowledges the right of the City Engineer, pursuant to Baker the pennit at any time. ,- .....1..) A\-7 . J'!tc: 'J /" ;; , '" 7 Date: No. Signature of City Engineer a:\Olt.Ot."o.'l.N~J'UlnitAl'I'wpcl ., I 07/~8/2003 12: 3S ~A.'t l;i} ~)(:.2 ;t." .... .......... ,,'NO ~~ ACORD ~t,.:. ':'%I,':'"';.oe':.:~'It:'jro:~II:'~ PIlODUCER ,~",,'r"':':':"::~~-'~:c ., .~~:~~. .~:.~:';.... -',~:- , - :...- . ,; .) .~~/ ~ .::.i-~~::::~ ....#0"" FEDERATED MUTUAL INSURANCE COMPANY 5701 W. T~[av[ BOl.llevard Glendale, AZ. 85036 Phone: 602-944~566 Home Office: Owatonna, MN 5~~60 STUAFlTS PETROLEUM '1 E 4TH ST BAKERSFIELD CA 93307 THIS CEAnFICATi! IS 'HUED A:s A MA""~R 0,= ;;;;:=..:.,;~:...:;..-;;.;:;;, , ONLY AND CONFERS NO RIGIfTS UPON THS CER-r!l~iC.i:;lS : HOLDeR. THIS CERTIFICATE ODES NOT AMirJD, ~~'~,\!:, ' ALTeR -mE COVERAGE AfFORDED BY THE ?GUCif:~ PANJES AFFORDING CO\IE;:lAtS:: ~O~PANY FEDEI'lATED MUTUAL INSURANCE COM,:lANY C!=; A FEDERATED SERVICE INSURANCE COi\it~A,W lNeURED 300-203.7 COMPANY B COM/'AII/Y C ~;';"': ' DiSCRlJlTlON OF OPERATIOH5I\.OCATI0I\I8JVEHICLEaJ.PEClAL ITEM' C(R'rI'JCAnHOLD~ 18 AN ADDmQtlAl.IN$U"~ FOR <II.HiRAI.. UArllUn' PeR eo _.. OLD QAiQUNE $ITIi CONVEIICIOII TO W1iLL COV!AACE IS SI!cOti~F.\" 10 OTHER II18URAIICI!. ANV COVI!RAGE PAOVlm;u BY TIfIJ l!llg0A6~MIHT APPLlf.$ ONLYTO , ',' 3'iJn~ CITY OF BAKERSFIELD ITS MA YCA COUNCIL AGeNTS EMPL YS & VLNTRS 1501 TRUXTON AVE BAKERSFIELD CA 93301 ..,}~ ...~ .L:;f:.~~;'~i:;': ::t k';; .~:~. ;m~~~i~i~~;;W~~~jl~~~,~f~:~:;~:~};';'~;i(: SftOOLD ANY Or THE AllQvE DE$OfllllED I'tlUOlB 81 CA.'1CEL~;; ~c;=():',! ".-,'= D:PIIlATlQN DATe lMEReOf, nfl; ISSUUlIll COMP""T W\l.~ litt~,;;:..V';'"" ';;),L". ~ IlATli WIIIT1'ElIlIllO'l'ICE TO ~ C1!RTUICATIi HOUlEl\ NIloMl!O TO T:,= ~",~;, aWl fAliUlle TO MAI~ OUgH NOTIO!! SHAll. IMI'OSE ilia OIUGATIQ'N vl\ l.:,,~I"-fY OF MY KIND UPQN TIlE . I'lS S Dll lIEPRESE.'., ATiVo;",. AUTHORI2!J) AEPIlESiNTATfV '-/ 2:0 39'1;id wn3l0~13d,Sl~'l;inlS 18t>8S2:E199 81;':21 ':;2s=:,<~:. ;. i U7/18/2003 12:36 FAX -..;...: '-"'''''':'' Federated Jnternal Cap]! ~ 'fonts <.-md format may v(;~rifnJrn orij~lnaj COMMERCIAL GENERAL U;:'3!U-.'"'{ CG ~D 1(; ";0 ;)'j THIS ENDORsEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS.. SCHEduLED PERSON OR ORGANIZA!ION ThIs endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LlAelUTY COVEI=:AGE PART SCHEDULe Name of Person or Organlbtion; . CllY OF BAKERSFIELD ITS MAYOR COUNCIL OFF AGeNTS cMPL & VOLUNTEE~S 1501 TRUXTUN AVE STE 0001 BAKERSFIELD CA 93301 (If no entry appears above, information required to complete this endorsement will be shown in the Decls.rsoti-::,-,:; as applicable to this endorsement.) . , A, Section II . Who Is An Insured is amended to (1) All work Including material's, pa!1S C. Include as an insured the person or organization equipment furnreh~d in connection wIti", shown in the Schedule, but only wIth respect to such work. on the project (other that, liability arising out of your ongoing operations service. maintananC$ or repairll) to be performed for that insured, performed by or on behalf of the B. With respect to the Insurance alTorded to lhase additional inSl,l~d($) at the site of t:;~ additional insureds, the following exclusIon is covered o!:leratlons has bean com;:::e:ec; ~dded: or (2) That portion of "your work" OL;t of 'Nh:c(, 2, ExclU$ions the Injury or damage arl$e$ has been This insurance does not apply to "bodily put to its intended use by any person iJi injury" or "property damage" OCCllrring after: organization other than anc,thet contractor or subcontractcr erg2:S2C: ,,- performing operatIons for :a pr;nci,02i .;:;;: a part of the same project Job or ProJect: ANY COVERAGE PROVIDED BY THIS SNDORSEMENT APPLIES ONLY TO OLD GASOLINE SITE CONVERSION TO WelL COVERAGE IS SECONDARY TO OTHER INSURANce. STUARTS F'ETROLEUM 11 E 4TH 5T BAKERSFIELD CA 93307 CG 20 10 1001 @ ISO Properties, Inc_. 2000 Pagtil -; .,:.'{ 1 Policy Number: 9068995 Tr~nsaction EffectlYe Date: 07-17-4:0C;'; E13 39'ii'd wn3l0~13d,Sl~'ii'nlS 18t>8SlE199 8' :2"<: ZZ2;:;/T:' c ,.'~ j ..---' ~ . - Bj\.KERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 23,2003 SUBJECT: Encroachment Permit Application for 4456 California Avenue. Stuart Petroleum Company Groundwater monitoring well in sidewalk. Please review the attached encroachment permit and return to me at your earliest convenience. ;/01<- I ~ 7/z-r;-loj S:\PERMITS\ENCROACH\TRAFFIC\4456 California Ave.doc i ~ . - BAKERSFIELD PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 23,2003 SUBJECT: Encroachment Permit Application for 4456 California Avenue. Stuart Petroleum Company Groundwater monitoring well in sidewalk. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. IIv S:\PERMITS\ENCROACH\INSURANC\4456 California Ave.doc