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HomeMy WebLinkAbout2300 R STAENCROACHMENT PERMIT CITY OF BAKERSHIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE J'"tr y 1l. c~ 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 . . . . . 09-30000001 Date 1116109 Property Address . . . . . . 2300 R ST Application type description PW - ENCROACHMENT PERMIT Owner HOUSING AUTHORITY OF KERN CO 601 24TH ST BAKERSFIELD CA 93301 Contractor OWNER Permit . . . . . . ENCROACHMENT PERMIT Additional desc . Phone Access Code 876136 Permit Fee . . . 208.00 Issue Date . . . . 1/16/09 Valuation . . . . 0 Sob ~a zB Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments To build 24 tree grates at 2300 R St 23rd St and on 24th St. These tree grates will be in the city R.O.W. in the sidewalk in the aformentioned streets. The Tree grates will need tree skirts city standard L-12 Neena # R-8707 ADA compliant. The Deposit will not be refunded until encroachment information is satisfied. Tree grates will be 60"x60". Fee summary Charged Paid Credited Due Applicant e tfia right o t i o o ity EnN#e~g, pursuant ~t$othe Bakers%ld Municipal Code Chapter 12.20 to revoke the ran ran 0 permit at any time. 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) 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 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: 2300 R St. Name of Applicant: Housing Authority of Kern Co. Description of Encroachment: Build 24 tree grates on R St, 23rd St, and 24u' St. Tree skirt will be installed to City Standards L-12 Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to build 24 tree grates with skirts around trees. 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\2300 R St..doc B K E R. S F I E E 1 PUBLIC'WORKS DEPARTMENT WE M0RANDUM TO: Ryan Starbuck, Civil Engineer III FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 11, 2009 SUBJECT: Encroachment Permit Application for: 2300 R St. Name of Applicant: Housing Authority of Kern Co. Description of Encroachment: Build 24 tree grates at 2300 R St. 23"' St and on 24th St. The tree grates are in the city Right of Way - the tree grates will need tree skirts installed to City Standard L-12 Please review the attached encroachment permit and return to me at your earliest convenience. 2ltZ ~2-a0~ S:\PERMITS\ENCROACH\TRAFFIC\2300 R St.doc _ Imo. E R S F I E E ]D PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: February 6, 2009 SUBJECT: Encroachment Permit Application for: 2300 R St. Name of Applicant. Housing Authority of Kern Co. Description of Encroachment. Build 24 tree grates at 2300 R St, 23rd St, and on24th St. The Tree grates are in the city Right Of Way- the tree Grates will need tree skirts installed City Standard L-92 Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. 00~r S:\PERMITS\ENCROACH\INSURANC\2300 R St.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: Qcz~,`.-QEOIA Ern?99,& AFib=*~5a_1✓ J_%O 51 M G a MI6 L_LA,C-_,E 'BEES K- SENIOR P\FAiZ_TM a rr-415 L. P 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...) % lL Gr~ I ~Lr . 0. ~5 S. c4_Ca41 k_ 3. Location of proposed p~encroachment: (Example; Side yard at back of sidewalk or front yard at back of sidewalk) (ILL(~~ ?A se -rte. TLS c~ 00 Other. 4. Period of time for which the encroachment is to be maintained: Ip' ndefinits e or (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 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 0~ 3©000001 ACORa CERTIFICATE OF LIABILITY INSURANCE DATE {MMfDDNYYY) 01/08/2009 PRODUCER (661)834-6222 FAX (661)281-4992 Walter Mortensen Insurance License #OD44424 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. 8500 Stockdale Hwy., Suite#200 Bakersfield, CA 93311 INSURERS AFFORDING COVERAGE NAIC # INSURED Housing Authority of the INSURER& Great American Assurance Co. County of Kern INSURER B: 601 24th Street INSURER C: Bakersfield, CA 93301 INSURER D: INSURER E: A/111C,] A /+CC THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT , THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN , POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION fi/DDfPO LIMITS GENERAL LIABILITY GLP2267607 12/12/2008 12/12/2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY _ TENTED DAMAGE O R $ 50,000 CLAIMS MADE FX OCCUR MED EXP (Any one person) $ eXCI A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- F-1 LOC JECT AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS {Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ H AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EXC2267608 12/12/2008 12/12/2009 EACH OCCURRENCE $ 4,000,000 X OCCUR CLAIMS MADE AGGREGATE $ 4,000,000 A $ DEDUCTIBLE $ RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER ^10 day cancellation will apply for non-payment of premium* DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS ertificate holder, its mayor, council, officers, gents, employees and volunteers are added as additional insured per the attached CG2033 07/04 object to the terms, conditions and exclusions of the policy. A written contract must be in place in order for coverage to apply. Project: Village Park Corner of 24 & R. f1Ak1f%CI l ATIf%M rcelrla.r~lc n ~ - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Bakersfield Economic & Commercial Development Department BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1600 Truxtun Avenue #300 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Bakersfield, CA 93301 AUTHOR17EDREPRESENTATIVE ~ ~yJ Michael Moore, CIC, AAI/MTM ACORD 26 (2001/08) ©ACORD CORPORATION 1938 Sage Document: ISO-Forms I CG 20 33-Additional Insured-Owners, Lessees or Contract... Page 1 of 1 ISO I Commercial General Liability Forms 107101/04 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 © ISO Properties, Inc., 2004 ©ISO Properties, Inc. ©2009 SilverPlume Reference Systems, inc. All Rights Reserved. https://www.silverplume.com/sponline/SPSage.asp?cmd=doc&id=527706&rd=83 616&lsig... 1/8/2009 CITE( OF BA.KERSEIELD - PERMIT RIDER PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVENUE, BAKERSFI'ELD, CA 93301 (661).326-3724 INSPECTION 326-3049 DATE 1 _ 1 q To be attached to and made a part of: 20 r /Street Permit No 09 - ?,000/370 0 Transportation Permit No W d* U M Nj UrV4-1 21LPIHONE f J~ S 1 APPLICANT LOCATION 00 S' In response to your request of 1 ~ j numbered permit as follows: , 20 0 7 we hereby amend the above Date of expiration extended to: Description of work changed to: Z A) < 1'2 1 ~ a /V 4 0")( (o 0" T^ e. G g, fe s IV 'tA e Si,-.1.ewa ? 300 r 5; -2 -33 51' 4. 2 4'- ' St- P rr ~ ac~~c/ proved tr- e ''ll f N d-ez)f-5l ~OA) qcr,- ooJ`08---?,0061f W }~i1r f PJe✓ lam rt l;-,iC± i'f UA dJt e-lycrn,,-AAe)f-- AA- AnD rAAI~' ~e ()rAn'7Yri;12 7-Pee Skir'~s will be rLQptreel see St:7Nr/jv^,J CO W,) Except as amended, all other terms and provisions of the original permit shall remain in effect. This rider must be attached to the original permit. APPROVED BY: Raul Rojas ~CCITY ENGINEER BY:Q~ ~7TJL~I /DEPUTY " White -Applicant Yellow - Public Works Pink- Construction Rider Fee $ 'a 0 Other Fee $ Total $ 2/08 ISSUED BY THE DIRECTOR. OF PUBLIC WORKS CITY OF BAKERSFIELD J PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE e~+Z, RYBAKERSFIELD CA 93301 (661) 326-3049 Inspections 24 HOUR NOTICE IS REQUIRED FOR ALL INSPECTIONS AND TESTING Application Number . . . . . 08-20001370 Date 11/06/08 Property Address . . . . . . 2300 R ST Application type description PUBLIC WORKS - STREET PERMIT Owner Contractor HOUSING AUTHORITY of KERN CO WEST COAST COMMUNITY BUILDERS 601 24TH ST 3325 LANDCO DR BAKERSFIELD CA 93301 BAKERSFIELD CA 93309 (661) 327-1436 - - Permit . . . . . . STREET PERMIT Additional desc . Phone Access Code 859728 Permit Fee . . . . 218.00 Issue Date . . . . 11/06/08 Valuation . . . . 0 Expiration Date . . 3/06/09 Qty Unit Charge Per Extension BASE FEE - 218.00 - Special Notes and Comments BORE UNDER 23RD ST. TO FACILITATE GAS TIE-IN FOR VILLAGE PARK SENIOR APTS. ALSO, 2 COMMERCIAL, DRIVE APPROACHES, 6 HANDICAP RAMPS, AND APPROX. 850' OF SIDEWALK TO BE INSTALLED. CONTACT: PAT SENTES, 661-979-3752. DEPOSIT TO: WEST ` COAST COMMUNITY BUILDERS, P.O. BOX 2268,~~ ! e ' BAKERSFIELD, CA 93308. SIDEWALK f DRIVE APPROACHES: (TRAFFIC DEPT) 1. All travel lanes shall remain open C) at all times in street. 5 ~w~ ( ) l 2. Any open pits will need-cones and caution tape. 3. Signage and striping shall conform to Federal Standards (M.U.T.C.D. 2003 California Suppliment). 4. Hours of work must be 6 am and 9 pm weekdays and 8 am to 9 pm weekends per city ordinance. 5. Any unattended openings must be covered with steel plate. - Other Fees . . . . . . . . . DEPOSIT - STREET PERMIT - - 4850.00 - - Fee summary Charged Paid Credited Due - Permit Fee Total 218.00 218.00 .00 .00 Other Fee Total 4850.00 4850.00 .00 .00 Grand Total 5068.00 5068.00 .00 .00 Deputy's Initials ~ A , Terms and Signatures on the Back APPLIt:AN hISIBILITIES FOR ALL DAMAGES TO STREETS OR OTHER PROPERTY THATYMAYY RESULT FROM THE WORK PERFORMED. ILL ORDINANCES APPLICABLE THERETO, AND ASSUME RESPO ALL TRAFFIC CONTROL MUST CONFORM TO FEDERAL STANDARDS (M.U.T.C.D. 2003 CALIFORNIA SUPPLIMEN T THE CITY MUST COMPLETE THE WORK. TIME EXTENSION REQUESTS MUST BE APPROVED BY THE ON DATE S TO YOU IF OPPOSITE. THIS PERMIT EXPIRES RESULT CITY ENGINEER PRIOR TO THE EXPIRATION DATE. PERMIT FEE COVERS UP TO TWO INSPECTIONS. ADDITIONAL INSPECTIONS WILL BE DEDUCTED FROM THE DEPOSIT. $65.00 EACH TIME EXTENSIONS OR ADDITIONAL WORK MAY BE ADDED TO PERMIT WITH A RIDER. FEE: $20.00 PERMIT MAY BE CANCELLED PROVIDING NO WORK HAS COMMENCED. FEE: $85.00 REQUIREMENTS TRENCH OR EXCAVATION IS FIVE FEET DEEPER, APPLICNT SHALL, AT APPLICANT'S SOLE COST, COMPLY WITH MUNICIPAL, STATE FEDERALOAUTHORITIIES NOWIN FORCE, OR WHICH MAY HEREAFTER BE IN FORCE' NCUD NG ALL VIREMENTS OF AND PREGULATIONS OF THE LABOR CODE THE STATE OF CALIFORNIA. APPLICANT SHALL BE RESPONSIBLE FOR ERMITS FROM MUNICIPAL, STATE ANDOFEDERAL AUTHORITIES, OBTAINING PRIOR TO PROCEEDING WITH ANY OF THE WORK. THE REQUIRED PER THE APPLICA ALL NECESSARY GRADING, i'EITHBACKFILLING, RESURFACING AND CLEANUP OUT INSPECTORS APPROVAL OR SPECIFIC IAL OWA CE BY THIS DOCUMENT~T OPEN CUTTING OF STREETS WILL NOT BE PERM IN =MPLEREES AGAINST OANY AND ALL ERMIT, APPLICANT SHALL INDEMNIFY, DEFEND. AND HOLD HARMLESS CITY, ITS CLAIMS, ACTIONS, CAUSES OF ACTION OR DEMANDS WHATSOEVER AGAINST THEM, OR OF, OUT OEVER. AND D =MPLO I CONNECTED ANY OF THEM, APPLICANT, APPLIICANTT'SIEMP OYEES,IAGENTS. INDE ENDENTKCONTRACTORS, COMPANIES, R SUBCONTR CTORSI N THE PARSED AP ANT C1Tll'S SOLE ACTIVE NEGLIGENCE OR WILLFUL MIS ONDUGTR OR NOT CAUSED IN PART B A PERFORMA NCOEREUNNY WY ARISING DERAEXCEPT FOR FROM, PARTY INDEMNIFIED 1 haue read and acknoivledv the afl 've. f Applicant's Initials Applicants Signaturc :approved 13y: I:.AUL ROJAS, CITY ENGINEER Inspeeto Report: rit, o 8al,erY, field r',~.' t;?51 Omn RECL i rT P"41" Type: OC 1}'" Rl Rre,pt. ryn; 0ter: ~,1 11e: 1/S6i{+° i"lption li~a3rrtl$Y {{IC+{?c?301 Ois, prTAI' = Ji D . L W T~r~dw'r dEtai { Total tendered c:1+J.Qii Total peymrlt. r'Uli,'.}{i Trans d3t2: 1!l,~/~~r I?Sfrt?' !r :fi:/a31 HAPPY WIC-tJ YEAS' r te? ~ -2 Print Name - a Deputy By: EiiI of Saker~shel" CtJST(IP1EIl FICEIPT xxt opera PIK Type: OC orarter I Data: i/lol1E? c"a F{wCE:iAt iit: r De5C1•iPt1rr, QLtar,tity hic ur a rtECEIM 141k. 1.'.1(11.fg1D.lJtj GUM EMPIRE AFFOFtDAD)l I AW1 24 TREc GRATES 3 SKIRT':) DFPOSIT ps Tender- deta;I TOW tendered ~y16001 00 Tritai payment 10(0. (""T Te,aDs date: 1116. r)9 Time, 1..;° 31;:0.3 HAPP's NE-6 G:R T)atp. Finaled: No_ of Insp_ Inspector: