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HomeMy WebLinkAbout8601 HAGEMAN RD0 A ENCROACHMENT PERMIT d CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE y ✓ "RY It BAKERSFIELD CA 93301 ~LIFO(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 . . . . . 04-30000067 Date 12/21/04 Pin number . . . . . . . . . 515943 Property Address . . . . . . 8601 HAGEMAN RD ATM (11 Digits): 389-291-03-00-5 Application description . . . PW - ENCROACHMENT PERMIT Owner KERN HIGH SCHOOL DISTRICT 8601 HAGEMAN ROAD BAKERSFIELD BAKERSFIELD CA 93312 Contractor OWNER/BUILDER BAKERSFIELD CA 93301 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 308965 Permit Fee . . . . .00 Issue Date . . . . 12/16/04 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 .0000 EA PW ENCROACHMENT .00 Special Notes and Comments INSTALL APPROX 300 LF OF FENCE Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 .00 .00 Grand Total .00 .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, e Signature of Applicant (Ow,n/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) SUBSTANTIALL-Y-INTERFERE WITH THE USE OF THE 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 on date stated above. Signature of 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: January 31, 2005 SUBJECT: Encroachment Permit Application for 8609 Hageman Road Kern High School District The Centennial High School will be installing approximately 300 feet of six (6) high chain link fence (no wood slats) with a 6" wide footing. The fence will be installed at the back edge of the sidewalk on the south side of Hageman. The fence will start at the Friant Kern Canal fence and terminate sixty feet west of the entrance to the north west parking lot of the School. Permit No 04-30000067 Engineering and Traffic staff has reviewed the attached encroachment permit to allow the installation of description of encroachment. The site is located at address of encroachment. 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. SAPERMITS\ENCROACH\_8601 Hageman Road Appl memo.doc D K E R S F I E L ID PUBLIC WORKS DEPARTMENT . MEMORANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE:. January 31, 2005 SUBJECT: Encroachment Permit Application for 8601 Hageman Road Kern High School District Chain Link Fence Please review the attached encroachment permit and return to me at your earliest convenience. . Nb SIcG'TG~ F1Z6 UI aC-D fJiJ d /-~~'~h~ ~ M1 Cy~~cuGF lfG~(; l~f' S:\PERMITS\ENCROACH\TRAFFIC\ Traffic memo.doc . A Imo. E a S F I E L I7 PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Pat Flaherty, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: January 31, 2005 SUBJECT: Encroachment Permit Application for 8601 Hageman Road Kern High School District. Chain Link Fence Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\_ Insurance memo.doc 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 permit to place, erect, use and maintain an encroachment on public properly or right-of-way as therein defined. 1. Full name of applicant and complete address including phone number: 2. Nature or description of the encroachment for which this application is made: ~ /A l',1A/: /L -5 3. Location of the proposed encroachment: 4. Period of time for which the encroachment is to be mainained: Ono/ ~'e~Pd t/r ~1t 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, 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 pipserty or right of way where the same is located, and restore said public property or right of way to the 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 fuTmsh 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 Jrequired. The type(s) and amount(s) of insurance coverage is: 'Applicant acknowledges the right of the City Engineer, the permit at any time. Date: ~7- z-, - - to revoke I. HEREBY CERTIFY THAT I HAVE MADE AN INVESTIGA I'ION 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: No. Signature o City Engineer G.\GROUPDAT1 Fotms\EncroachmentPernitApp.wpd ACQBPM CERTIFICATE OF LIABILITY INSURANCE 08/1iz0o PRODUCER (661)636-4495 FAX (661)636-4418 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION SISC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P .0. Box 1847 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bakersfield, CA 93303-1847 INSURERS AFFORDING COVERAGE NAOC # INSURED Self Insured Schools o California INSURERA: Self Insured Schools of Calif. Kern High School District INSURERB: Insurance Corp of Hanover P.O. Box 1847 INSURER c: Discover Specialty Ins. Bakersfield, CA 93303-1847 INSURER D: INSURER E: COVERAGES ` THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN 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 DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY SLP 7104 05 07/01/2004 07/01/2005 EACH OCCURRENCE $ 1,500,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISE $ CLAIMS MADE I OCCUR MED EXP (Any one person) $ A PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: , PRODUCTS - COMP/OP AGG S O• LOC POLICY JE PRCT AUTOMOBILE LIABILITY SAP 7104 05 07/01/2004 07/01/2005 COMBINED SINGLE LIMIT X ANYAUTO INCLUDES ACV COMP/COLL (Ea accident) $ 11500,000 ALL OWNED AUTOS SUBJECT TO $1,000 DED. BODILY INJURY A SCHEOULEDAUTOS - (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE i F-1 - (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ F ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG • $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F ]CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND H350402228 07/01/2004 07/01/2005 WC STATU• OTH- TORY LIMIJS ER EMPGOYERS'tIABILITY - - _ B -ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. E ACH ACCIDENT $ 2 5 , 606,0O - OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ ~lan~cet Building & D003Z00039 07/01/2004 07/01/2005 $5,000,000.00 All Risk, excl. C quipment $250,000 earthquake and flood ed. 1 ' L I DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS-ADDED-BY ENDORSEMENT] SPECIAL PROVISIONS . greement for use of facilities by Bakersfield-Adult School for classes at Martin Luther King Center, or which the City of Bakersfield, its mayor, council, officers, employees and volunteers are listed as additional insureds, as respects Kern High School District's use of facilities. City of Bakersfield Office of the City Attorney 1501 Truxtun Avenue Bakersfield, CA 93301 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVORTO 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 INSURER, ITS AGE R REPRESENTATIVES. 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Date: 12/20/2004 12:17:43 PM Subject: 8601 Hageman Rd - No. 04-30000067 STREET ENCROACHMENT PERMIT Additional information to be applied to Permit No. 04-30000067. Kern High School District - Centennial H.S. Their insurance is on file at Risk Management. Reliant Fence to install 6' high Chain Link Fence COB Detail S-10 (D-12). So. Valley Conc. Construction will be installing the six (6") wide footing. Contractor's will provide proper signage and safety barricades during construction on Hageman. The new fence will be installed at back of sidewalk and observe the sight distance (60'-60') at the entrance to the parking lot. Dan Anson