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.
AUTHORIZED REPRESENTATIVE ,r?A
ACORD 25 (2001108) AKCORD CORPORATION 1988
Ex%571.vj cAp-,~v
6"-t'k f2 W d S/Q.Y~r'
,
,
,
PI)oP o5r-0 ,vow
Ch A n/ l1Nl<
,
,
Z C,F
J-' C/ ~7 AVA//t
Cv)2jo s Gvffeje
D
G)
a
mot ~
g13 z
C v ~ ~ ~u {fc~
NE IA-7
$ GL
6j
S #40W e S
r{~
iiI
n
i ~ PU'~►tw ~ b +Foa"'G~NL..- -1~~ -_n~p-Co~tiy►~k?~------
1 l ► Z.l SZr.TP~
6
O
'e
f~
i
L
G
c
'F z Z,,br`
, -97
r~ ~ moo
= O
n
0
¢ E~a
E ~ Eo ~ g K
O o~ -
o ~
~C~ Quo /
n
1
c At
t
~4z
man
a
E07
OC
j
co
r
9
y
F
c
4
y
9
0
O ~ 1
/ s
s
y Y_
a i0 g
11 &
~ ~-~Ig
m
L
m
C
f
m
ilV'1
pl~
x
W
0
z
W
r-
N
ui
rn
N
1-
O
N
(3
W
U)
r
W
cn
Z
H
n
Y N
m ~
~a
o
GCY (YM077VJ
0
~
o
T
[y]
w
p o
Z 4
W
U
NR° °
W ~ -°aN3
H~yo
~
W r
(n
p
(n
o°o
aE
~~c~.N
U
11yy ~~~~rr
~
W
o
? }
Y
E N
NT
Vl 6
_
U
?
x
W
LO
st'
0
a I a~ - 1
i
;o
\aa~
Ilh
Z
h
e
Y ~
mM
W
0 IQ"
x
W
0
Z
IZ
~ W
Y
O
Z O
~z
N
~ O
O U
cn
N
W
N
Q
Patrick HaPtman - 8601 Ha eman Rd - No. 04-30000067 Page 1
From:
Dan Anson
To:
Permits Tech.
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