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Home My WebLink About2800 AGATE STENCROACHMENT PERMIT CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE C`gLIF 11. BAKERSFIELD CA 93301 (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 . . . . . 09-30000015 Date 4/07/09 Property Address . . . . . . 2800 AGATE ST Application type description PW - ENCROACHMENT PERMIT Owner Contractor PANAMA UNION SCHOOL DIST OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 895094 Permit Fee . . . . 208.00 Issue Date . . . . 4/07/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.OOQ0 EA PW ENCROACHMENT 208.00 Special Notes and Comments Panama School district will put in a light pole at Seibert School in the landscape area in front of the parking lot at Coventry Dr. 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. ilifLCYA4~5 L- A 6L/CKL=-: SignatureA 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 SITE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS THEREFO , (RED) ENIED). Said permit shall expire on date stated above. Signature of City Engineer Additional Terms on the Back i B 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 26, 2009 SUBJECT: Encroachment Permit Application for: 2800 Agate St Name of Applicant. Panama Buena Vista School District Description of Encroachment: Seibert School will install light pole in Landscape area in front of parking lot in City Right of Way. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install light pole in City Right of Way. 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. &TERMIMENCROACH\2800 Agate St.doc ,0~ 4P B A K E P S F I E L. D PUBLIC WORKS DEPARTMENT .MEMORANDUM TO: FROM: DATE: Ryan Starbuck, Civil Engineer III Marian P. Shaw, Civil Engineer IV, Subdivisions May 1, 2009 SUBJECT: Encroachment Permit Application for: 2800 Agate St. Name of Applicant. Panama Buena Vista School District Description of Encroachment. Seibert School will install light pole in landscape area in front of parking lot in City Right of Way. Please review the attached encroachment permit and return to me at your earliest convenience. .~l ~2 f Zed °l SAPERMIMENCROAMTRAFFIM1 traffic memo.doc F'> k KE R S F I E ED PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: April 9, 2009 SUBJECT: Encroachment Permit Application for: 2800 Agate St Name of Applicant: Panama Bueana Vista School District Description of Encroachment: Seibert School will install light pole in landscape area in front of parking lot In City Right of Way. 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 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: SEIBERT ELEMENTARY SCHOOL 2800 AGATE STREET BAKERSFIELD,'CA 93304 (661) 397-2200 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...) LIGHT POLE FOR PARKING, LOT 3. Location of proposed encroachment: (Example: Side yard at back of sidewalk or front yard at back of sidewalk) Front yard AT BACK OF ;SIDEWALK. 4. Period of time for which the encroachment is to be maintained: ndeflnite or Other. (Please Circle) 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 IIbb~oth and required endorsements evidenc-insurance red. Th SISC III POLICY NuIUMBER SLPy71C8- 09d SEE A~s ACHED rCERTIFICTH OF LIABILITY INSURANCE 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 091-3 00000 IS CERTIFICATE OF LIABILITY INSURANCE _ACDRQ 06/23/2 s' PRODUCER (661)636-4495 FAX (661)636-4418 SISC PO Box 1847 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. Bakersfield, CA 93303-1847 INSURERS AFFORDING COVERAGE NAIC # INSURED Self Insured Schools of CA SISC II INSURERA: Self Insured School s of Calif. 1300 17th Street INSURER B: PQ BOX 1847 INSURER C: Bakersfield CA 93303-1947 INSURER D: e Panama-Buena Vista Union School District INSURER E: CQVERA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 EXCLUSIONS AND CONDITIONS OF SUCH ECT TO ALL THE TERMS B . J MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS GENERAL UABILITY SLP 7108 09 07/01/2008 07/01/2009 EACHOCCURRENCE $ 1,200,00 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED IF: p C nn $ r CLAIMS MADE ® OCCUR MED EXP (Any one person) $ $ A PERSONAL 8 ADV INJURY GENERAL AGGREGATE $ GEN 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS • COMPIOP AGO $ POLICYF_j JECT LOC AUT OMOBILE LIABILITY SAP 7108 09 07/01/2008 07/01/2009 COMBINED SINGLE LIMIT $ ANYAUTO $1 000 DED ACV COMP/COL (Ea accident) 1,200,000 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) A WREDAUTOS D AUTOS BODILY INJURY (Per accident) $ NON-OWNE PROPERTY DAMAGE (Per accident) S AUTO ONLY - EA ACCIDENT S GA RAGE LIABILITY EA ACC OTHER THAN S ANYAUTO _ AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LUASILTTY 0 MADE AGGREGATE $ - OCCUR CLAIMS S DEDUCTIBLE S RETENTION 5 WC 7108 09 07/01/2008 07/01/2009 WC STATU• OTH- WORKERSCOMPENSATIONAND EMPLOYERS'LIABILITY E.L.EACH ACCIDENT S 1,000,00 A ANY PROPRIETORMARTNEWEXECUTIVE RIMEMBER EXCLUDED? OFFICF E S 110001000 . if yes, describe oncer $ 1,000,00C SPECIAL PROVISIONS below OTHER SPP 7108 09 07/01/2008 07]01/2009 T $250,000 LANKET BUILDINGS & UCTIBLE A PERSONAL PROP ERTY DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS r which the City of Bakersfield, its mayor, f i o cy year, nchroachment permit during the pol auncil, employees, agents and volunteers are listed as Additional Insureds, as respects anama-Buena Vista Unin School District's legal liabilitiy arising from the above activity. CERTIFICATE HOLDER r'.," SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Bakersfield 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. Risk Management BUT FAILURE TO 11-SUCH NOTICE SHALL IMPOSE NO BUGA7lON OR LIABILITY Attn • Mary El 7 en • OFANYKIND 0 H URER,CFSAGENTSO EPRE NTATIVES. TruXton Avenue 1501 Bakersfield, CA 93301 AUTHORiZEDR RES E .-.r~on rnfl oAAAT1C1h1 iQRR ACORD 25 (2001108) DOTES UBGRADE: 90% TO A DEPTH OF 0.50 FEET ONCRETE: 8" THICK, 6 SACK MIX, LIGHT BROOM FINISH, BLANKET CURE FOR 14 DAYS EINFORCING: #4 Q 18" o.c. EACH WAY REBAR PLACED ABOVE q OF CONCRETE DRIVEWAY 2 #4 Q GUTTER FULL WIDTH OF DRIVEWAY 0' 4' G ,a -CR 0, ~1 w ~0 N -.1 N w O B Cr ,r1 c m x T 'n Q 00 y w 1-+ p a p •QbNAMA~e` V oS k a bis16 tz d~ r O w y ~ y y cn g y W C m N R w ~ x S d H 9 Q REMOVE (E) FENCE AND A REMOVE (E) FENCE AND POST ASSEMBLY. SALVAGE SK-4 POST ASSEMBLY. SALVAGE AND REUSE. AND REUSE. 76'-6" 20'-0" MIN. 0' 10' 20' 40' y, z Architecture Bakersfield 5500 ming avenue, suite 450, bakersfield, ca 93309 661.836.4300 fox 661.836.4311 Principal Architects david r, cartnol, t.a.i.a., C-6564 mark engelien, mi.a., C-8021 williom r, tuculet, a.i.a., C-8702 dean a. tatsuno, a.i.a.. C-9190 brad henderson, a.i.a.. C-10901 richard I. mello, a.i.a., C-18079 SED A Rc V~~a NENDF~so I J ~ N No. 010901 Q I REN.02 07 = TF of CA\-\F0 3 z I® .J 1j 0 1- 0 0 94 NJ Uj iz ® r A. la 14 U) ® y,, _ % S~ JOB No. 08207.001 SK DATE 4/06/09 4