HomeMy WebLinkAbout3100 19TH STREET
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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:
December 5, 2003
SUBJECT:
Encroachment Permit Application for 6 decorative light posts within RlWalong 19h
Street '
Wilson Revocable Trust - David R. Wilson
3100 19th Street '
Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of 6
decorative light posts within R/W along 19th Street. The site is located at 3100 19th Street.
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.
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S:\PERMITS\ENCROACH\02-03 Permits\3l 00 19th Street.doc
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~~- CERTIFICATE OF LIABILITY INSURANCE DA1C~V)
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....oDllCM nt_ OfltnACA're" 18SUED'" A. MAnu Of IlPOAIIAfION
fteeJt4.1e I... (BIt.ncs oeUca) ONLY AMO COMma NO AlQHYS UPON TN! CUTIPICA'f
Lles... 'octl1S1 ttOI..NJL nftI {,o....n~ATE DOl. NOt' alltND, EXftNO 011
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~ IlJU(.LJALt. INSURANCE
COMMERCIAL GENERAL LIA~ILITY
Policy No.: &OPl04324l
'f1l~8 1&HDORaamll'1' e~.s IfIIJI .OLICY. PL&AS& IlaAD X'1'
CAUJ'ULLY.
ADI)I'I':toaL XN8VRJUJ - 0WRd.8. LEsszd OR
COII'rMCTOU (,.Oml B)
This endorsement modifies insurance provided under the
following:
COIIIII:RC:IAL QBllllRAL LXABILXW COVBL\GB PU'!'
SCHEDULE
Name ot Person oX' Org~;.%a.tion! City of Bakersfield. It~
Mayo~, Council, Agents, Employees and volunteers
RE: All California Operations: project Location 3100 19~h st
Bakersfield Ca
(If no entry appears above, information required to
co~plete this endorsement will be shown in the
Declarations as applicable to this endors=ment.)
is amended to include
organ1~ation.hown in
respects to liability
operations performed for
WHO XS AN xu8UUD (Seetion 11)
as an insured the person or
the Schedule. but only with
aa:ising out of your ongoing
that insured.
The Lim~t5 of liability for the adaitional tosur.a qr~ thoSQ speclfled
in ~he w~icten contract of agreement, or this policy, whicheve~ is
186&. These l~its are inclu5ive of and are not in addition to the
limits ot in.urance ebown in the declaration.
Cancellation Cla~8.; It is further un4exatood and agreed that the
ottached certificate bolder wilt be g~ven thirty (30) days written
nocie. before any reduction of coverage or cancolla~ion of this
1nsu~anee is ,-ffeeeive
CC 20 10 110"31
Copyrl,ht. In,,ur''''':;4 tl4rvl=t!15 gU.i.ee. Inc., 1192
P.03
PAGE 03
APPLICATION FOR ENCROACHMENT PERMIT
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 pennit to
place, erect, use and maintain an encroachment on public property or right-of-way as therem defined. ' "'\,
1. Full name ofapp' t and complete address including phone'number: 17AV l D fZ. l() I l-C;of'J ,
~'\~ ~\OD \9~ '~7
2. Nature or descnp . e encroachment for which this application is made: C)I2../,,/ ,q.L!DE~ TAL-
&-1~ffr'(N~ POUS.
3. Location of the proposed encroachment: /q[J:1 G7//!...6(rr-
4. Period of time for which the encroachment is to be maintain~: --1lJ Of: Y" I N Ira Y
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, clanns, actions, causes of action or demands, whatsoever against them,
or any of them, before administrative, quasi-Judicial, or judici,al 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 said encroachment or until such time that this pennit is revoked.
Applicant further agrees that u'pon the expiration of the fennit for which this application is made, if granted, or Y12Q!l
the revocation thereofbv the Cltv emrineer. applicant wi! at his dwn cost and expense remove the same from the public
property or right of way where the same is located, and restore s'aid 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 keel' all liability insuranc~ required by the City Engineer in full force and effect
for however long the encroachment remams. Applicant shall furnish the City Risk Manager with a Certificate of
Insurance evidencing sufficient coverage for bodily mjury or property damage liability or both and required endorsements
evidencing the insurance required. The type(s) and amount(s) of insurance coverage is:
,
Applicml;t adm, ow~edges the right of the City Engineer, pursuanttl, ~rsfi~d unicf;' al Code
the penmt at any yme. ( , : / /J
Date: [Rt (1l {) ~ ,K
Signa1nre of Applicant (Owner or Representative)
PERMIT I
I HEREBY CERTIFY THAT I HAVE MADE AN ~STIGATION 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) (DENIED). SAID PERMIT SHALL
EXPmE '
Date:
No.
Signature of City Engineer
G:\GROUPDA1\FormslEncroachmcntPennitApp.wpd
Jun-27-03 11:44A
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CITY OF BAKERSFIELD
DEPARTMENT OF PUBLIC WORKS
TO WHOM IT MAY CONCERN:
We, the undersigned I have no objection to the constru:ction of a fence behind the sidewalk I or other
encroachment as shown on the plot plan:
~\OO \91LS~.JU.+
(Street)
~y: L,.J\ \son ~\lOr~ll, ~vd-
(Owner's Name)
of
Phone: ~ 'LS S S 06
(Address)
SIGNED:
~ s.fJ~
I) Name ~'J - -, vne <::;uJwY\ Date: lQ. - LL\- -.03
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Address..3l00 l ~ ~~ -\t" ~(,~Q ,
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Address 3\00 \~~2.L
3)Nam.~/W"'~
Address~t '61 I0f&f-.
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Add_~I~J .
5) Name ~14f/
Address c'lco ( ()a.lrS-hc
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Address /tPo ,f 0 ~K :J /-f--
Date:
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Nov 21 03 10:03a
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FRO~l K.C.D1SCOUl"'lt llgktli"'l9..
FAX NO.
(661J334-2743
No", 2e 200~ 06: 22PN PI
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BAKERSFIELD
PUBLIC WORKS DEPARTMENT
MEMORANDUM
TO: Pat Flaherty, Risk Manager
FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions
DATE: November 19, 2003
SUBJECT: Encroachment Permit Application for 3100 19th Street.
Wilson Revocable Trust - David R. Wilson
Decorative light fixtures within RIW along 19th Street, 3' behind sidewalk.
Please review the insurance certificate with the attached encroachment permit and return to me
at your earliest convenience.
f)J
S:\PERMITS\ENCROACH\lNSURANC\3100 19th Street.doc
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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: November 19, 2003
SUBJECT: Encroachment Permit Application for 3100 19th Street.
Wilson Revocable Trust - David R. Wilson
Decorative light fixtures within R/W along 19th Street, 3' behind sidewalk.
Please review the attached encroachment permit and return to me at your earliest convenience.
S:\PERMITS\ENCROACH\TRAFFIC\3100 Oak Street.doc
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