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HomeMy WebLinkAbout01328 ::.:........ i APPL!CATION FOR ENCROACHMENT PERMIT PERMIT NO.EN-01328 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. Full name of applicant and complete address including phone number, PANAMA BUENA VISTA SCHOOL DIST 4200 ASHE RD SC ANDERSON - JIM BRACKETT BAKERSFIELD CA 93313 Phone No.392-7000 2, Nature or decription of the encroachment for which this application is made: CONSTRUCTION TRAILERS IN CITY RIGHT OF WAY CONTACT IS JIM BRACKETT OF S C ANDERSON. DURING CONSTRUCTION PERIOD OF NEW SCHOOL, 3, Location of proposed encroachment is 10800 ROSSLYN LN ON STREET AT 10800 ROSSLYN LN 4. Period of time for which the encroachment is to be maintained: JUNE 1 1998 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 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: SELF INSURED SCHOOLIABILTY 10000000 Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12,20 to revoke the permit at any time. Date:OS/30/1997 S' nature 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) (DENIED), Said permit shall expire Date:OS/30/1997 ,.".,.,",.~.....,' Signature of City Engineer .", i-' '_::.. / .... / ~"""- ,/ ~.- e e , i / ,//09/10/98 TUE 10:03 FAX 805 325 9182 CITY ATTOJUlIEY IfII UU~ .ia,. APPLICATION FOR ENCROACHMeNT PERIIIT TO THE CIlY ENGINEER OF THE CIlY OF BAKERSFIELD. CAUFORNA: ~ID'" pravISiOns alChapter 12.20 or the Balan_lei Mun....:CadeitheU,..,.......'J~..r',.rar. ",",It to piKe. erect. use and maintain an encraactlment an public property or. Df .."utll............ 1. F" n.....of appl..... end co pl.. acid... including telephone number: .J \ ~ ~ ~.C. l . (~~'2..7~ ,....._~,~, J 2. ~~, "'1h8 ~n1 rc.....ich.... appliI:IjIIan is ~--,-~~~'~.oN ~~~~~SL~ 3. LOCIIIJanafttMtP...~-w.nclO8Chment: lo~ ~L.~N LAN.E. ~IFU?~ ~~~II , ' 4. PedOCI ar time for whIcII the encroachment is to be mairalnecl: Applicant -.J....that If,"" applicatiOn is granted. applicant .haII,~. ........,...1\1. "-..I ,cay. Its arIic8Is. aQ111118 and empIayell..... any 8nd 8118bifily. claims. ac::uans-~i"-' ' . -of ...-'.t T - 1 .~t ~ -vel' agaInII....; arany afUlllm. bdn lIdminiStnIUVe. quasi-jUdicilll ar j~........,af,...Ufl~.- J' ",If1...-ang out 01. canMCI8d wIItI or caused tIy appliclu1t's placement. erecIIan. u_'Cbr~nt'or-"'" ~ 1 ...-....entiIY) ar~orsald enc.nrachment. The applicant further agrees to ~Uledw.III~-- r -...__II',durtng the lif. of the said enc:raKbment or until such time thllt this permit Is .."... ~......qrees"" upanthe upinltion Glthe pennil forwhlc:htNe,I.,Al: '_I. ~If.~ ..f..'_ _= ~:"""""~IN"'CIlvEnail ---, a_lellntwllla' bill ~~--r - - - .&. ~ -from ... _.hIIP M"" -.tv or right of way Where the same is located. and tMIUftI .....,puDlC prapeftJ..lIgIItaf.."tD the condlllDn .. nearty 8S thM In which it was before the placing, eNCtian~ malnl8ft8nca, Dr. . . J llC6-"af said encraacftrnenl. Appkantfullher.....tDotIbIin and keep 8111labiRty insurance requinrd by the City Eng....'" fuII....,..eII'ed for ho.ever long the encroachment remains. Applicant shall fum..... the City RJ8k ........;wIUr'.,~, of Insurance evidencing sutllclent caverage far bodily injury or prapalty dam... 11-'- or baIIr and AIqUIred endorRments evidencing the insurance required. The type(s) and 8IItOU~ of In...,.ne8 CO\.....ia: Applicant acknowledgea the nam of the City engine.r. purauant to Bakersfield Munlctp.U:ac",'CMpIer12.20 to revotul the permit ai, any time. Date: ~/~/47 Sig~...nt (OIIInor':" RtIpnIoo---) PERMIT I HEAEBYC!RnFY THAT I HAVE MADE AN INVESTIGATION OF THE FAcn8TATEDIN THE FOREGOING APPLICATION AND FIND THAT THE ...MAlNTENANCI! OF IMID ENCROACHMENT (1) WILL (NOT) SUBSTAN11ALLY INl'ERFBIBWITH THe'U8E OF THE PU8LIC PLACE WHERE 'DE SAMe IS TO BE LOCATED NGCI) WILL (NOT) caiIIrIITU'm A HAZARD TO PERSONS USING SAID PU8UC PLACEi SAID APPUCATION .S THEREFORE CGRANTED) CDENIED). SAID PERMIT~ EXPIRe Did.: ~- 3--c;7 /Z-vJ/? / Signature of City Engln..- No. : ......- T .....:t, ... 8058345662 WRLTER MORTENSEN INS F-759 T-075 P-002/002 MAY 29 '9'7 13:57 (lL~!.~,~,~~~~' ,L",.~;, ,::,i."L; "..:~).,<,lt,::~~;<", ;:, ,;.i..:: ~"'\':~'''/'''''':~' , THIS IS EVIDENce THAT INSURANC~ AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILaGES AFFORDED UNDER THE POLICY, : PRODUCER ; PAle .. COYPANY Walter Mortensen Insurance Agency Inc 4701 Stoc~dale Highway 'I , Bakersfield, ': CA 93309 : CODE: '. SU8 COD!!: ,A Federal Insurance Group ( Chubb Group) LOAN NUMBER POUCY 1tU_1lR 657-6948 Self Insured:: Schools of California 1300 17th Street PO Box 1847 Bakersfield, CA 93303-1847 EI'FEC1IVE DAn: 12-31-96 12-31-97 T1W REJILA(:Q PRIOR lMDlNCE DATED! CON1'lNuEO UN'nL TERMINATED IF CHfCKfO 'LOcAilONiDESCRPnorc " PANAMA BOENA"VISTA SCHOOL DISTRICT RONALD REAG~N ELEMENTARY SCHOOL 10800 ROSSLY~ LANE BAKERSFIELO,:CA 93311 ',0 ,.1,)1' '...~'I' .ci.. .', ........ ..... COV~RAQE/PERlLIIFORM9 MIOVNT OF IN8UfWlCli DEDucn8U COURSE OF COijSTROCTION ALL RISK, EXCLUDING EARTHQUAKE AND FLOOD 10,000,000. $100,000. '.. .... ....... .,. ,..." \....J,.<o;..,....." .. .. ... .. _ ~, ~tf.;;:: ,:~:.~. ~..;(~ ~,~s.;.;j;t:~,~.~;o~~~j.~~i r.::i.~~::~~~.~ :~h~ ~!:.'~,;~~> :.~;:~~i7;!~~, .~~;:t~~.~;;~ij ~t~~~!rl~::.~~;:;W'::~;.:' :r:::.~~:~~~~~~~'~~~;A:'j€l..ij:~~~:~~i~~~:uj~:~::i~~;;~~U~~~~:;~~~:~;! THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE AODmONAllNTEREST IDENTIFIED BELOW DAYS WRITTEN NOTICE. AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST. IN ACCO~ANCE WITH THE POLICY PRQVI$IONSOA AS REQUIRED BY LAW, :~l~k:.h~f~f~~}:. ~"j i"~~t~"i"': ~j'~ :/~:::~. ~~'~.,; :':~ ..:: ~~: " ~ ~;r;'. "~:/~':~ :~. : ~ : ~ ~:~~i: ~ :;/ t~ ~:~ ~.:.;~ ~: ';. . .... .... . ,,' , ... t ," '". .:.: :.';':~,:';~':'i.l ~:':'~";:.:.:::;-~,: iJ: ;:'..~::'~'.."~~"':i~:~ ;.(.~~!.:,,: I ADDITIONAL INSURED' . . MAIlE AND ADDRESS I, I ::::.~~ . l1~6.A:l I; '"'" ~ - ~ l . BAKERSFIELD , PUBLIC WORKS DEPARTMENT MEMORANDUM (p Aot. ~ 3DrZ 1~ ftPt TO: Ra M. Rojas, Public Works Director FROM: Jacques R. LaRochelle, Engineering Services Manager DATE: June 3, 1997 SUBJECT: Encroachment Permit Application for 10800 Rosslyn Lane Panama Buena Vista School District Construction Trailers in City Right-of Way during Construction of New School Engineering and Traffic staff have reviewed the attached encroachment permit to allow construction trailers to be located temporarily in the street right-ofway during the construction of the school. This will be the site will of the new Ronald Reagan Elementary School. The applicant has provided proof of appropriate insurance coverage to the Building Department representative. Based on their review, staff recommends approval of the permit. M:\PERMITS\ENCROACH\1 0800ro, wpd xc: Reading File Project File Marian p, Shaw *J?~b ~ . - BAKERSFIELD . PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Brad Underwood, Civil Engineer III, Traffic FROM: Marian p, Shaw, Civil Engineer III, Subdivisions DATE: June 3, 1997 SUBJECT: Encroachment Permit Application for 10800 Rosslyn Lane Panama Buena Vista School District Construction Trailers in City Right-of Way during Construction of New School Please review the attached encroachment permit and return to me at your earliest convenience. o \L- /{ftrv\ M:\PERMITSIENCROACH\I0800r0s, wpd xc: Reading File Project File Marian p, Shaw