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HomeMy WebLinkAbout1534 19TH STI~~CCRP0 A ENCROACHMENT PERMIT t' CITY OF BAKERSFIELD u; PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE f"C"RY 1~ BAKERSFIELD CA 93301 ~LIF®(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 . . . . . 06-30000032 Date 9/21/06 Property Address . . . . . . 1534 19TH ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor SHERMAN GROSS OWNER PO BOX 43 BAKERSFIELD CA 93302 File 06-32 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 606327 Permit Fee . . . . 150.00 Issue Date . . . . 9/21/06 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 1:150.0000 EA PW ENCROACHMENT 150.00 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Grand Total 150.00 150.00 .00 .00 Applicant acknowledges the right of the City Engineer, pursuant to the Bakersfield Municipal Code Chapter 12.20 to revoke the pe t at any time. ro eif 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 THEREFORE GRANTED)° DENIED). Said permit shall expire on date stated above. _s Signature of City Engineer Additional Terms on the Back 0~-3~-, B A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: FROM: DATE: SUBJECT: Raul M. Rojas, Public Works Director Marian P. Shaw, Civil Engineer IV, Subdivisions October 9, 2006 Encroachment Permit Application for: 1534 19th St. Name of Applicant. Sherman Gross JOa Ir Description of Encroachment. Permit allows outdoor seating & wrought iron fence at 19"' & Eye St. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to.have outdoor seating and fence around the tables and chairs. 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. SAPERMIMENCROACK1534 19th St.doc 0(o -3,?, B A K E R S F I E E D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: October 2, 2006 SUBJECT: Encroachment Permit Application for: 1534 19th St. Name of Applicant. Sherman Gross Description of Encroachment To allow outdoor seating at 19th & Eye St. Please review the attached encroachment permit and return to me at your earliest convenience. j b`b 3106 SAPERMITS\ENCROACH\TRAFFI0\1 traffic memo.doc elk OP A K E R S F I E L D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Luda Fishman, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: September 29, 2006 SUBJECT: Encroachment Permit Application for: 1534 19th St. Name of Applicant. Sherman Gross Description of Encroachment. To allow outdoor seating at 19"' & Eye St. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\ Insurancememo.doc tD J* APPLICATION FOR ENCROACMLENT PERMIT TO THE CITY ENGINEER OF THE'C= O BAKERSFIELD, CALIFGMNLk: Pursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned ap lies for a permit to place, erect, use and maintain an encroachment on public property or right-of-way as thereon ed. 1. Full name of applicant and complete address inel -,ding.ohone number: 1,523 t/ I l- A 2. Mature or description of the encroachment for which this application is made: .,jro Ah ,~L 11 i 2pl C . fi q- rood o(-eh 3. Locatiora of the proposed encroachment: 4. Period of time for which the encroachment is to be maintained: A licant 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, claims, actions, causes of action or demands, whatsoever against thews, 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 thereofbv the Citv engineer. applicant will at his own cost and expense remove the same from the nu lic 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 o said encroachment. . Applicant further agrees to obtain anti keep all liability insurance required by the City Engineef 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 evidencing the insurance required. The type(s) and amount(s) of iinsurance•coverage is: Applicant acknowledges the right of the City Engineer, Pursuant to-Bakersfield Mu_nicipal..Cgde,Ch*p~ar1.2.20 to revoke the permit at any time. Date: 1 tr.- LgIlc~'C Ure'O' jJ~~D4 WrI'eI`oT- rCSCntatlVe FEMMIT I HEREBY CERTIFY THAT I HATE MADE AN INVESTIGATION OF THE PACTS STATED M THE FOREGOL iG APPLICATION ANTI) FIND TELkT THE MAL iTENANI CE OF SAID ENCROACHIi EsNT (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 SAM PUBLIC PLACE; SAID A-PPLICATION IS THEREFORE (GRANTED) (DENIED). SAID PERMIT SHALL EXPIRE Bate: ignatme o City Engineer No. CITY OF BAKERSFIELD DEPARTMENT OF PUBLIC WORKS 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. i?er 0 a !Vr/Vl e~i 5 EY` (Streei for P~prosed encroachment) (Owners blame} of 1 ~ l 57, 6A •-,5 Phone: (Xd-&ess of purposed encroachment ) SIGNED : 1) Name: Address 2) Name: Address 3) Name: Address 4) dame: Address: o -5} Marne: Address: 6) Name: Address: -3J Date: Date: OIAMA Date: XDate: ®ate: Date: PC RD A, CERTIFICATE OF LIABILITY INSURANCE P ODUCER Michaud's Low Cost Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 6300 White Lane Suite E ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Bakersfield, CA 93309 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW (661)396-9900 INSURERS AFFORDING COVERAGE NAIC # INSURED Capistrano's 1534 19th Street Bakersfield CA 93301- DATE (MM/DD/YY) 08/07/06 INSURERA: OREGON MUTUAL INSURANCE COMPAN C: ' i INSURER D: INSURER E: COVERAGES :INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THEINSURED 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' POLICY EFFECTIVE POLICY EXPIRATION LTR.; LNSRD,___.. TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/Y DATE MMIDDI Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 e9 COMMERCIAL GENERAL LIABILITY I I DAMAGETO B56219010 08/21/06 08/21107 (Ea RENTED occureence $100,000 A ❑ ❑ CLAIMS MADE W OCCUR I MED EXP (Any one person) 1 $10,000 ❑ I PERSONAL & ADV INJURY $1,000,000 ❑ I GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: i PRODUCTS - COMP/OP AGG $2,000,000 ❑ POLICY ❑ PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) _ ❑ ALL OWNED AUTOS BODILY INJURY B ❑ ❑ SCHEDULED AUTOS ❑ HIRED AUTOS (Per person) - BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ I PROPERTY DAMAGE ❑ _ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT C ❑ ❑ ANY AUTO ; OTHER THAN EA ACC AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE i D i ❑ El OCCUR ❑ CLAIMS MADE I AGGREGATE - - ❑ DEDUCTIBLE I ❑ RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER / MEMBER EXCLUDED? If yes, describe under SPECIAL PP,,OWSIONS be!a: OTHER F E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LiiJi T DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant Property $100,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRI TICE TO THE CERTIFICATE HOLDER NAMED TO LEFT, BUT FAIL RE TO DO O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF A 14Y KIND UPON THE INSVREFtj ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endrosement(s). DiS%LAHV1ER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the polcies listed thereon. .-....v~.v - J- "Vol GS, focl~ r P U u~~ 4F3 xr~e~„~33~c-L'f cJ ~'iL~'ct~ .•~r-,ate ~G c'~ ~~•C~,v /J-z---~- f f ; 1 f` LTV zq y. r