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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 ~