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ApPLICATION FOR ENCROACHMENT PERMIT
PERMIT NO.: EN-01500
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.
1. Fl!ll.naIlle of applicl!!lt and complete address including phone number:
.~,;Sq.l Properties nn
15Q~J8thStre~t . BA~~SFIELD CA 93301
Phone No.' 323-1142--
2. Nature or decription of the encroachment for which this application is made:
WHEELCHAIR RAMP FOR ACCESS TO NEW RESTURANT
3. Location of proposed encroachment is :
1514 WALL ST BAK
IN PUBLIC RIGHT OF WAY IN ALLEY
4. Period of time for which the encroachment is to be maintained:
PERMANENT
Applicant agrees that if this application is granted, applicant will idemnify, 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, 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 mantain 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 nearlyaSthat 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 insuance evidencing sufficient coverage for bodily injury or property damage liability of both and required
endorsements evidencing the insurance required.
The type(s) and amount(s) of insurance coverage is:
STEADFAST INSURANCE LIABILITY
100,000.00
Date:07/11/2001
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. .... ...
PERMIT
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
THEREFO~ENIED). ~aid permit shall expire
Date:07/11/2001 ........!~ ~....
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT ylA Y CONCERN:
We. the undersigned. have no objection to the constrUction of a fence or behind
the sidewalk on:
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Bv: SILL IJ2/J/GLnE.3
(Owner"s Name)
( )) Af"l Sr.
(Street)
(Address)
Phone: (hb /1 ~Z3 -I III z....
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Date: 7- ~ 2" 0 J
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B A K E R S F I E L 0
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Pat Flaherty, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
July 24, 2001
SUBJECT:
Encroachment Permit Application for 1514 Wall Street.
Sill Properties
Wheelchair ramp within alley R/W
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
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'Fro.m::'J~.~a(i6jonal~ At: Clifford & Bradford Insurar ~e Agency To: BOB WILSON
FaX#: (661) 283-8111 Date: 7/16101 03:05 PM Page 1 of 1
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ACORD.. CERTIFICATE OF LIABILITY INSURANCE OP ID JO I DATE (MMlDDIYY)
SILLP-1 07/16/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Clifford & Bradford Ins Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1515 20th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Bakersfield CA 93301
Phone: 661-283-8100 Fax: 661-283-8111 INSURERS AFFORDING COVERAGE
INSURED INSURER A:. Valley Forge Insurance Company
INSURER 8" State CamDensation Ins.
Sill pro~erties, Inc. INSURER c:
1508 18t Street INSURER D:
Bakersfield CA 93301
I INSURER E" ,
COVERAGES
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
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER ~~~;:.~~~ Pg;~~Y~~~~(RN LIMITS
LTR
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- 06/01/01
A ....!.... COMMERCLAJ... GENERAL lJASJLITY B181097977 06/01/02 FIRE DAMAGE (Anyone fire) $ 50000
- o CLAIMS MADE ~ OCCUR MED EXP (Any one person) $ 5000
PERSONAl & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 2000000
-
GEN'L AGGREGATE LIMIT APPUES PER" PRODUCTS - COMP/O? AGG $ 2000000
~ n PRO- nLOC
POUCY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f-- $
MlY AUTO (Ea acCident)
f--
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (per person)
c--
HIRED AUTOS BODILY INJURY
~ $
NON.OWNED AUTOS (per aCCident)
f--
f-- PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R N<Y AUTO OTHER nwJ EAACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
o OCCUR D ClAIMS MADE AGGREGATE $
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND X I ~OCR~~~~S I 10TH-
ER
B EMPLOYERS' LIABILITY 005010400301 01/01/01 01/01/02 $ 1000000
E L EACH ACCIDENT
, E l DISEASE. EA EMPLOYEE $ 1000000
EL DISEASE. POLICY LIMIT $ 1000000
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENCORSEMENT/SPECIAL PROVISIONS
*10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM WILL APPLY*
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
CITYBA1 SHOULD >>JY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* OAYSWRITTEN
CITY OF BAKERSFIELD NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
ATTN: BOB WILSON
1715 CHESTER AVENUE IMPoSE NO OBLIOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS A13ENTS OR
BAKERSFIELD CA 93301 REPRESENTATIVES. .
I Comuercial Lines
ACORD 25-S (7/97)
@ACORD CORPORATION 1988
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ARCHITECT
150& EIGHTEENTH STREET lJOe
BAKERSFELO CALFORNA 9JJOI
PIOE 661 m-9373 FAX 661 322-9375
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1514 Wall Street
Ba kersfield, CA
Sill Properties
Ba kersfield, CA
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PRINTED: 9-19-2001
DRAWN: WEB
A DATE: 6-26-200'
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NEW CONCRETE RAMP 1: 12 MAX SLO E 50" WIDTH, 60" SO
TOP LANDING, 1.655" DIA. PIPE RAILI G 34" HT wi EXTENSION
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STANCHIONS @ 5'-6" O.C.
FLQOR/SlTE PLAN
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
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TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
July 30, 2001
SUBJECT:
Encroachment Permit Application for Installation of a Whee/chair ramp.
Sill Properties
1514 Wall Street
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Engineering and Traffic staff have reviewed the attached encroachment permit to ano\\' the installation of a
wheelchair ramp. The site is located at 1514 Wall Street.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
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B A K E R S F I E L 0
PUBLIC WORKS DEPARTMENT
MEMORANDUM
Ryan Starbuck, Civil Engineer III
Marian P. Shaw, Civil Engineer VI, Subdivisions
July 24, 200 I
Encroachment Permit Application for 1514 Wall Street.
Sill Properties
Wheelchair ramp within alley R/W
Please review the attached encroachment permit and return to me at your earliest convenience.
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