HomeMy WebLinkAbout01449
APPLICATION FOR ENCROACHMENT PERMIT PERMIT NO.: EN-01449
,
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 publi~ property or right of way as therein defmed.
1. Full name of applicant and complete address including phone number:
SUPERINTENDENT OF SCHOOLS
1300 17TH ST BAKERSFIELD
CA 93301 Phone No.
ORIGINAL
2. Nature or decription of the encroachment for which this application is made:
UNDERGROUND CONDUITS AND PULL BOXES FOR CABLE
SYSTEM. NO FEE PER MARIAN SHAW
3. Location of proposed encroachment is:
1300 17TH ST BAK
LAND 21 ST ST, & ALLEY BETWEEN
APPROX 350 FT
17TH AND 18TH ST FROM L ST E
4. Period of time for which the encroachment is to be maintained:
.H>>HZ 1BBB PER-MAt-J EI>-J T
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, ~ctions, 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 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 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:
W ALTER MORTENSEN INS LIABILITY
,
1000000
Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke
the permit at any time. '/ ','/ ' V '
Date:06/13/2000 ~~~..........
Signature of Applicant (Owner/Agent)
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
THEREFORE (GRANTED) ('mSllIEB). Said permit shall expire
Date:06/13/2000
./~~-::~:J~~:.........
8ignature of City Engineer
,~
I ~~ I
KGET NBC Telellision
Studio
Bakersfield College DONntONl'l Center
21st Street
20th Street
19th Street/'
18th 'Street
17th Street
G)
~
c
G)
~
~
.!
CI)
CD
.c
o
Bank of America
~Vault
own town
School
2 - Z' conduits
connect to existing
conduit at school
property, line
2 - 4" conduits with
4 interducts
2 - 4" conduits
with 4 interducts
(West side)
2 - 4" conduits with
4 interducts (East
side)
Parking
I .5.,vault
PacifIC Bell Main
ED UNDER PERMIT E 01400 199s
-. - ...~--'..~ ....._~._--_..~._--- --, - ~~ ,-
DA Administration
& Crime lab
i I Parning I
. . ~ 1~"lc~~~"
P~ng 19
I-~ I ~
2000
...
CD
!
...
en
:E
Truxtun Avenue
Existing Conduit Ne~
KCSOS Extension~
Child Care Center
...
CD
e
...
en
z
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Scott Manzer, Risk Manager
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
June 20, 2000
SUBJECT:
Encroachment Permit Application for 1300 I?" Street,
Superintendent of Schools
Underground conduits & pull boxesfor cable system.
Please review the insurance certificate with the attached encroachment permit and return to me at your
earliest convenience.
o~
" 1'2.6 \00
~\
-'.j
S:\PERMITS\ENCROACH\INSURANC\1300 17th St.wpd
J,:........"'i.-- -..
~
.
-
BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO:
Ryan Starbuck, Civil Engineer III
FROM:
Marian P. Shaw, Civil Engineer VI, Subdivisions
DATE:
June 20, 2000
SUBJECT:
Encroachment Permit Application for 1300 17" Street.
Superintendent of Schools
Underground conduits & pull boxesfor cable system.
Please review the attached encroachment permit and return to me at your earliest convenience.
ov-e. L.. lW\.v ~ ^ .L"c:..L. ~i'''''t,,&h'oVl.
VV\. \A.,.!:> t; vc.. w\" i",
f}p>l-Vl
I
~ (g/2i./OO
S:\PERMITS\ENCROACH\TRAFFIC\1300 17th St.wpd
---~---
Walter Mortensen Associates
4701 Stockdale.Hwy.
Bakersfield, CA 93309
'":.' ~-'I ".,~...."-,>.: ""~"'.. ","' "--"~i"""" '-~:'-,."'.,."'~""',.,."':" ""~c"",,,~,,,~.,"}_,..c,:''''_':''~''~"'~ '_::':^~~"":-~' _ " ' --";".' ':.",',,,..' ,'''''''', ,< '-'--' "." '.' ;.. ".,,,,,, ~"" ; C'","N~\.'.'1'>'"'''' :',.., .,_~.-" :"~'~'~':',~~~~~~'''''''~,,''''':<,:'''',''~'~r-\<<?:-';,",''<;:'~7'''':''''"''_~'~'''-'':'~';'''',C::-,*",,:, "'_'. .~_~ '"" "~"", ""~""'''''';M.c~_~
CEATIFICA TEOFINS~RANCE.. . ". ..<,.< ISSUE DATE (MM/DD/YY) .
. .. ;...,..,..k......C.. .,.".. ~,;"":':Fomt#;~..;..4686~.,~~;":.:';,:,:~:~,_~"._."..,,......06/13/2000.1
l THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND i
! CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ;
I DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE i
Insurance LP'_Q!"J.CIJ;~..~~bQW.!_..,..,_..,_......._......._.",.__,__............,.......-.-..---,.--.--...---..,--.,.,...-,-.1
COMPANIES AFFORDING COVERAGE I
AtDttlllt..
. PRODUCER
COMPANY A
LETTER
SISC~Self InsurecL Schools of Calif.
i INSURED
COMPANY B
LETTER
SELF INSURED SCHOOLS OF CALIFORNIA,EI' MOMPANY C
- ~TTER
P.O. Box 1847
1300 17th Street
Bakersfield
CA 93303-1847 COMPANY E
, LETTER
!cove=s CO .,,'SUP'r:.,..OF.,~SCHOOLS~'7:<'T":.'! ,w":'~7"r;""'?:"'7?'7"::,w"""?"""'!~::""'r,,,,'''''U,~
COMPANY 0
LETTER
:>"""~'~""iC";,","":/~:""~~"':':-:.:~~~'~:7~'::~'~:.~~~~~j7:""N,<r"''f''''''-''-~.J;<<v.!",?^~,;,~.:":~~~4~~i,,"~'_~'j""~='':~7''~'.o..I''''1
, ~. '\ '. -, '.' '. . , ' '. - ",. . "
THIS IS TO CERTIFY THAT 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, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I
ico POLICY EFFECTIVE POLICY EXPIRATION i
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS i
:",~,._.".".___,_.....,.u~,._~,,,,.,...~......m"...,,_,,~.~,_".._"'__....,.".._..".,,.,_'''_,..,,~.,..",.,',.._''"''_...,, ""'U"'W"_"""'~"__"''''''''='._~'W""'''_,_,."""_,,,"'~_"_'_'_'~""'_""~=_'_"'_"_'^'_'._~~=_'I
; GENERAL LIABILITY GENERAL AGGREGATE $ I
I
X, COMMERCIAL GENERAL LIABILITY ,PRODUCTS-COMP/OP AGG. $ I
CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ ,
OWNER'S & CONTRACTOR'S PROTo SLP 1100 01 01/01/2000 01/01/2000 EACH OCCURRENCE $ 100000o.
\ FIRE DAMAGE (Anyone fire) $ I
l-'''--~~;;;'~;~'~-~;;~;;:;~~--'-'~''=-'''''''._'-''''-''''''"->>''-'""._,,,__,,_ww,w_,__,,,,,,_,,,,,,,,,.w,,,,,,,w,,.,,,,",,,~,..,,=w...'"'"._'~,...""'..,_~;.;~!;~~;~~~~!.~.~~~-!~.._._'--'~----1
; ANY AUTO LIMIT , $ i
i
!ALL OWNED AUTOS
i SCHEDULED AUTOS
'A
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON-OWNED AUTOS
BODILY INJURY
(Per accident)
$
~ GARAGE LIABILITY
\ PROPERTY DAMAGE $
1 ,
j~-'~"~;~~-~;~>~~;~'~->'''-''''''-'''''''''~'''''""''''''",'_,_.=...=.._.>N._......~,..>.."..",..'''''"M..'''_>...,''=,.,'"""........,...",=,..,.,..._"....,...._..,.......>,.....=......"....'-......"E~CH OC~UR~~CE>...--~'="$~....._..>~-=.,~-';'.--i
UMBRELLA FORM AGGREGATE $ 1
. - -. r
: OTHER THAN UMBRELLA FORM'. >',. '.' .' .\
,,<I.),J,..""""',.......,""""""",.....,,""''''-'~_'''""'rn-'',~'8,''''".~O"''.,k ..'. ...."'". ,..,"~"""",.,""<="""'__\\<'.~"W'NW'-_"_"'.""I<U'N"''''''''-,'1''"''''"~,..'''''''='''''''-''''''''',%....,~_'''.-.,l<<-,..~."''"W''.t,'''',~,''''-'.,'''.,,'')"'.-<<''_'''''~IU,"""~,.".,.,'"'",,,',.,,....",,'M-*.\"'''''''''''.'~.''....,,'''...J,,,''''~''"',"'"',""~,~"...,.=,,__."."'=M_;,~"""~"><.!<..i'w1<,,~;.,.'..';.~....'~w~_,.~,...'''',.,,"""^.-<-."""""""~~.,.,;:~_"'~~'"""'-'W""'-...........~*",~...>""'"'i
. i . STATUTORY LIMITS" . 1
, WORKER'S COMPENSATION I
. EACH ACCIDENT $ I
DISEASE-POLICY LIMIT $ i
. EMPLOYERS' LIABILITY . DISEASE-EACH EMPLOYEE $ :
I
I
AND
i
l~~;;~;;;;~;~;'~.;~.~;;;~'~~;~~~;~~~~~~~;~~~~;~;~';~~1;C;;~.;;>N.'~..~'~'""~"M.'.""',M', ENCROACHMENT.N'PERMIT:'''-vAi:ID'-'6:"12:00-":..''''oi~oi:oo--'~1
FOR UNDERGROUND CONDUIT AND PULL BOXES FOR CABLE SYSTEM, FOR WHICH THE CITY OF BAKERSFIELD,
ITS OFFICERS,AGENTS AND E11PLOYEES ARE NAMED AS ADDITIONAL INSUREDS,Bl1I' ONLY FOR KERN CO. !
L. SUPT.OF..SCHOOLS.Q~~TIO~SLI1\BII.+'U MISINGFROM'I'HEABQVEDESCIUBEi)PROJfPI'.,n. ......... .. ." .!
fCERTlFICA TE HOL.DER. .... ... ....i-.. .,... .': . .... ....~. .... ." ........ . ...."?;..::.:.CANCELLATION-..'~.~..'.,.r.:"::...,~'...__;:'I:":'S":?':~:":.:~" -~,:?""r'T:~~7"=;~~"C'=:-~""''':-';'!
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES.
CITY OF BAKERSFIELD
ATI'N. : RISK MANAGER
C/O KERN CO. SUPT. OF SCHOOLS
ATI'N. : BOB FRAPWELL
AUTHORIZED REPRESENTATIVE
. . ..>..' . J .B'JErr' ChiefO~rat1rgofficer
:,.Af.Q,.~,R,;.2,?~~_(!l9.Q)""....,,,Ci..';,;:,.,,;.;,,...;L.c:~.,.,....;..:... '.~........ ::::s,....,.;: ....::c,,:._;:;....'...:;,'".. _.;..."....,.;,.....,.............. .....,...c;,:~;;,...;,:.,::;.d:J.:,;;".....,.;;i,;;L:i:.;L..:::::l;~~g2~Q....9g,m;~g~~JI;<lI\L1:~~~J
~002
W--r.;:;".
'..:0.- __ "....
.,
,
APPLlCA nON FOR ENCROACHMENT PERMI1
o~
---
TO THE CITY ENGINEER OF THE CllY OF BAKERSFIELD, CALIFORNIA:
Pursuant to the provisions of Chapter 1220 of the Bakersfield Municipal Code, the u
to place, erect. use and maintain an encroachment on public property or right of ~-"'.-'I..;m:ln aennea.
t1\ft;,
1. Full name Of applicant and complete address including telephone number: Kern County Superintendent
of Schools, 1300 17th Stree,t Bakersfield, CA 93301
2. Nature or descnptlon of the encroachment for which this application is made: Undergroung conduits
and pull boxes for cable system.
3. Location of the prq~ed encroachment: "L" and 21st Streets, and alley between 17th & 18th
~treets, from L Street, east approximately j)U teet.
4. Period of time for wt'llch the encroachment is to be maintained: June 2000
Applicant agrees that If this application is granted, applicant shall indemnify, defend and hofd hannlesa City. its
officefs, 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 maintain the aforesaid encroachment during
the life of the said encroachment or until such time that this permit is revoked.
Applicant fuIther agrees that upon the expiration of the penn it for which this application is made, if granted, or upon
the revocation thereof by the City Engineet. aapllcant will at his own cost and exaense remove the same from
the public proDeltV or right of way where the same is located, and restore said public property or right of way to the
condition as nearty 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 effed
for however long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of
Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required
endorsements eyidencina ~~ insurance required. The type(s) and amount(s) of Insurance coverage is:
see attachea certlflcate
Applicant acknowtedges the (1gtn of the City Engineer. pursuant to Bakersfield Municipal Code Chapter 12.20 to
::th:i7ii:me. ~~
Signature of Applicant (Owner or RepresentatlYe)
PERMIT
I HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGATION OF THE FACTS STATED IN
THE FOREGOING APPLICATION AND FINO THAT THE MAINTENANCE OF SAID
ENCROACHMENT (1) WILL (NOT) SUBST ANllALL Y INTERFERE WITH THE USE OF THE
PUBUC 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.
~ - - .... 50 ,..,
','
..
PERMIT INFO
Permit No.....: EN-01449
Permit Type.: ENCRO
Status...........: PENDING
LOCATION
Job address.: 1300 17TH ST BAK
Location......:
Description. :
PEOPLE
Owner.........: SUPERINTENDENT OF SCHOOLS
Applicant...: SUPERINTENDENT OF SCHOOLS
ArchlEngr..:
Contractor..:
FEES
Plan Check.......: ??
Tot Calc Fee ...:
Addtional Fee.:
P.W. Fees........:
Tot Permit Fee:
Payments........:
Balance Due...:
$0.00
$0.00
??
$0.00
$0.00
$0.00
FEES TO BE PAID
Initials Date
Plan Check Fee.: $
Permit Fee Due.: $
Mult Permit Fee:
$
** NOTE: See Comments Below **
TOTAL BUILDING.: $
P. W. Fees.....: $
TOTAL ALL FEES.: $
COMMENTS:
;.
~ .
-
B A K E R S F I E L D
PUBLIC WORKS DEPARTMENT
MEMORANDUM
30A ~
;lq 1)8J ~r(
TO:
Raul M. Rojas, Public Works Director
FROM:
Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE:
June 29, 2000
SUBJECT:
Encroachment Permit Application for Installation of underground conduits & pull boxesfor
cable system.
Superintendent of Schools
1300 17th Street
Engineering and Traffic staff have reviewed the attached encroachment permit to allow the installation of
underground conduits & pull boxes for cable system. The site is located at 1300 17th Street.
The applicant has provided proof of appropriate insurance coverage to Risk Management.
Based on their review, staff recommends approval of the permit.
ORIGINAL
S:IPERMITSIENCROACHI1300 17th St.wpd
xc: Applicant ~ ?na.',lecI
Reading File
Construction Inspection
0(,/;. Cf I/) 0
#-/449
~