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HomeMy WebLinkAbout2515 CHURCH AVE1"�C RPORA ENCROACHMENT PERMIT � r dCITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE )A�ARY 1L�4+ BAKERSFIELD CA 93301 5 a 41_IFOR (661) 326 -3724 `- 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. Application Number . . . . . Property Address . . . . . . 'Application type description Owner ------------------------ UNIVERSITY BAPTIST CHURCH 2515 CHURCH AV BAKERSFIELD CA 93306 08- 30000084 Date 11/06/08 2515 CHURCH AVE PW - ENCROACHMENT PERMIT Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 859710 Permit Fee . . 208.00 Issue Date . . . . 11/06/08 Valuation . . . . 0 Qty Unit Charge Per 1.00 208.0000 EA PW ENCROACHMENT Extension 208.00 ---------------------------------------------------------------------------- Special Notes and Comments Build 51 wrought iron fence approx 75' long, mid block on Church Ave. Fence will be set in 12" mow strip and is on the side yard of the church. 12' removeable gate can be added. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - ---- ------ - - - - -- ---- - - - - -- -- -- -- - - -- ---- - - -- -- - -- --- - - -- Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Arl� 0av2 Busse Signature of Applicant (Owner /Agent) Print Name 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 PLACE WHERE THE SAME IS TO BE LOCATED AND (2) WILL (NOT) E A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO (GRANTED) DENIED). Said permit shall expire on date stated above. Signature f City Engineer Additional Terms on the Back S A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Raul M. Rojas, Public Works Director FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: May 19, 2009 SUBJECT: Encroachment Permit Application for: 2515 Church Ave. Name of Applicant. University Baptist Church Description of Encroachment: Build wrought iron fence behind sidewalk, this fence is a side yard fence and will be 5' high. Engineering and Traff ic staff has reviewed the attached encroachment permit to allow the applicant to build wrought iron fence behind sidewalk, not over 5' high. 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. SAPERMIMENCROACH\2515 Church Ave..doc 1 A I� E R S F I E L I PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 12, 2009 SUBJECT: Encroachment Permit Application for: 2515 Church Ave. Name of Applicant: University Baptist Church Description of Encroachment: Build 5' wrought iron fence approx. 75' long, mid block on Church Ave. Fence will be set in 12' mow strip and is on the side yard of the church. 12'removeable gate may be added. Please review the attached encroachment permit and return to meat your earliest convenience. -7 /Z 06; L �d S: \PERMITS \ENCROACH \TRAFFIC\2515 Church Ave..doc Il .0� B A K E R S F I E L I) PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: December 9, 2008 SUBJECT: Encroachment Permit Application for: 2515 Church Ave. Name of Applicant. University Baptist Church Description of Encroachment: Build 5' wrought iron.fence approx. 75' long, mid block on Church Ave. Fence will be set In 12' mow strip and is on the side yard of the church. A 12' removeable gate may be added. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. c� S: \PERMITS \ENCROACH \INSURANC\2515 Church Ave..doc • M, B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 APPLICATION FOR ENCROACHMENT PERMIT Permit Fee $208.00 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: dlwe✓s r 2. Nature or description of the encroachment for which this application is made: (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc...) 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) 15/,/,t- yClra✓ cr dkyYeL a r 6aek_ at 14 4. Period of time for which the encroachment is to be maintained. IndefiniPircle) or Other. ease Applicant agrees that if this application is granted, applicant shall indemnify, defend and hold harmless the 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 maintain the aforesaid encroachment during the life of 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 the 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 restored 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 Insurance evidencing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidenc- ing the insurance required. The type(s) and amount(s) of insurance coverage is: Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. S:\EncroachmentPermits\ApplicationforEncroachment C)$- 30000084 B A K E R S F I E L D Public Works Department 1501 Truxtun Avenue Bakersfield, California 93301 (661) 326 -3724 TO WHOM IT MAY CONCERN: We the undersigned, have no objection to the construction of a fence beside the sidewalk within the public right -of -way. By: (Street for proposed encroachment ) (Owners Name) Of Phone* (Address of proposed encroachment) SIGNED: 1.) Name: Date: Address: 2.) Name: Date: Address: 3.) Name: Date: Address: 4.) Name: Date: Address: 5.) Name: Date: Address: 6.) Name: Date: Address:, r w6v. VVG ACORD. CERTIFICATE OF LIABILITY INSURANCE ioiisi2008 PRODUCER (800) 995 -7525 FAX: (800) 995 -7521 Church &Casualty Insurance Agency Inc 3440 Irvine Ave suite 150 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NmTort Beach CA 92660 INSURERS AFFORDING COVERAGE NAIC # INSURED Fratima Romero FAX: (661) 871 -0924 INSURERA Church Mutual Insurance 18767 UNIVERSITY BAPTIST CHURCH OF BAKERSFIEID INSURER B. 2515 CHURCH AVE INSURER C: INSURER D: BAxzReF2Em CA 93306 -1099 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X X COMMERCIAL GENERAL LLABILITY I CLAIMS MAOE aOCCUR 0089455 -02- 970267 9/16/2008 9/16/2011 RR MISES Ee o rice $ MEDEXP IAny one person) $ 10,000 PERSONAL &ADV IN,AIRY $ 1,000,000 GENERAL AGGREGATE 3,000,000 GE AGGREGATE LIMIT APPLIES PER: POLICY JEC LOC 1, 000 , 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWIJED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIREDAUTOS NON- OVYNEDAUTOS BODILY INJJRY (Peraccident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EA ACC ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY OCCUR FI CLAIMSMADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TVO'CR T O R E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE .$ OFFICER/MEMBER EXCLUDED? If yes, describe under — , E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATI ONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECUIL PROVISIONS Evidence of insurance for installation of wrought iron fence at 2515 Church Avenue, Bakersfield, CA beginning approximately in the first week of November and for about a three weeks time frame.. The City of Bakersfield, its mayor, council, employees, agents and volunteers are added as additional insureds only with respect to installation of the wrought iron fence on the above described premises. All activities /operations not specifically run /or conducted by the Named Insured are excluded. CERTIFICATE HOLDER CANCELLATION (661) 852 -2132 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Bakersfield EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Attn : Building Dept. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 1501 Truxtun Avenue FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Bakersfield, CA 93301 4CORD 25 (20( NS025 pw).ma AUTHORIZED REPRESENTATIVE Shelley Zertuche, -4 0 ACORD CORPORATION 1988 Page 1 of 2 30 Ft. to R/W _ D 18 Ft. 6 Ft. 6 Ft. MM �1 Z Lu o Q w Z Z J O q pq 2 A to -. -4 EXISTING CURB, GUTTER, � w � AND 5 FT. SIDEWALK 1/4" PER. FT. -RCy INSTALL 5 FT. HIGH WROUGHT IRON FENCE �► WITH 12" WIDE MOW STRIP TYPICAL SECTION (N.T.S.) INSTALL 5 FT. HIGH WROUGHT IRON FENCE '� -�- WITH 12 " WIDE MOW STRIP .q -��- (APPROXIMATELY 75 FT. WITHIN R /W)"� o - _ o i - .O PQ 12 FT. WIDE \- REMOVABLE PANEL �- I FOR SERVICE ONLY �-�- i i o J , ' -- -- - - -1 v' o � W V i i _� IIIIIIIIIIIIII sz N � � o SITE PLAN 40' Feet rx 8 OF, n L J_ J_ J 30 Ft. to R/W ui 18 Ft. 6 Ft. Z/ W a W z z J J W = p Z EXISTING CURB. GUTTER, u- AND 5 FT. SIDEWALK 1/40 PER. FT. r _ 12 FT. WIDE REMOVABLE PANEL FOR SERVICE ONLY 0 SITE PLAN TYPICAL SECTION (N.T.S.) 6 Ft. a 3 0 I c? INSTALL 5 FT. HIGH WROUGHT IRON FENCE WITH 12" WIDE MOW STRIP INSTALL 5 FT. HIGH WROUGHT IRON FENCE WITH 12" WIDE MOW STRIP (APPROXIMATELY 75 FT. WITHIN R /W) on 0 f.�v /O Z m N 0 40• Feet U g m � m � � a v � v � I v o �I a m w� LA) 2 a w� 9 • U � w � m J W g n