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HomeMy WebLinkAbout300 TRUXTUN AVE~,cA oRA ENCROACHMENT PERMIT CITY OF BAKERSFIELD U fl O PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE ✓``°"ly 1114 BAYERSFIELD CA 93301 1 OR (661) 326-3724 'O THE CITY ENGINEER OF THE CITY OF BAKERSFIELD CALIFORNIA: ursuant to the provisions of Chapter 12.20 of the Bakersfield Municipal Code, the undersigned applies for a permit to.place, erect, use and., iaintain an encroachment on public property or right of way as therein defined. Application Number . . . 09-30000024 Date 5/29/09 Property Address_ . . . . 300 TRUSTUN AVE Application type description PW - ENCROACHMENT PERMIT Owner Contractor WHITEHEAD BROOKS & DONNA TR OWNER 2514 PARKGATE ST BAKERSFIELD CA 93311 Permit . . . . . . ENCROACHMENT PERMIT Additional desc . . Phone Access Code . 910182 Permit Fee . . . . 208.00 Issue Date . . . . 5/29/09 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 208.0000 EA PW ENCROACHMENT 208.00 Special Notes and Comments CAST IN PLACE CONCRETE RAMP WITH STEEL HANDRAIL. 43' OF RAMP WITH 38' OF HANDRAIL. CONTACT: JOHN ANDERSON, 327-1436. Fee summary Charged Paid Credited Due Permit Fee Total 208.00 208.00 .00 .00 Grand Total 208.00 208.00 .00 .00 ~ pplicant ►ermit at to the Bakersfield Municipal Code Chapter 12.20 to revoke the Lez~ Print Name 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) >UBSTANTIALLY INTERFERE WITH THE USE OF THE PLACE WHERE THE SAME IS TO BE LOCATED AND (2) HILL (NOT) CONSTITUTE A HAZARD TO PERSONS USING SAID PUBLIC PLACE; SAID APPLICATION IS CHEREFORE (GRANTED) (DENIED). Said permit shall expire on date stated above. signature of City Engineer Additional Terms on the Back 0 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: July 21, 2009 SUBJECT: Encroachment Permit Application for: 300 Truxtun Ave. Name of Applicant: Brooks & Donna Whitehead Trust Description of Encroachment. Install handicap ramp & curb with railing in front of lot. Ramp is behind sidewalk. Bldg. is in process of being built. Engineering and Traffic staff has reviewed the attached encroachment permit to allow the applicant to install fence as described above. The applicant has provided proof of appropriate insurance coverage to Risk Management. Based on their review, staff recommends approval of the permit. SAPERMITS\ENCROACH\2009 approval letters\300 Truxtun Ave..doc D _A Iz E R S F I E E PUBLIC WORKS DEPARTMENT MEMORANDUM TO: John Ussery, Civil Engineer II FROM: Marian P. Shaw, Civil Engineer 1V, Subdivisions DATE:. July 14, 2009 SUBJECT: Encroachment Permit Application for: 300 Truxtun Ave. Name of Applicant: Brooks & Donna Whitehead Trust Description of Encroachment: Handicap ramp & curb with railing in front of lot, ramp is behind sidewalk. Building is in the process of being built. Please review the attached encroachment permit and return to me at your earliest convenience. 0 4r- SAPERMIMENCROACHURAFFIM300 TRUXTUN AVE..doc 1 = I~ a S F I E L n PUBLIC WORKS DEPARTMENT MEMORANDUM TO: Ralph Korn, Risk Manager FROM: Marian P. Shaw, Civil Engineer IV, Subdivisions DATE: July 8, 2009 SUBJECT: Encroachment Permit Application for: 300 Truxtun Ave. Name of Applicant. Brooks & Donna Whitehead Trust Description of Encroachment. Handicap ramp & curb with railing in front of lot, ramp is behind sidewalk. Building is in the process of being built. Please review the insurance certificate with the attached encroachment permit and return to me at your earliest convenience. S:\PERMITS\ENCROACH\INSURANC\300 TRUXTUN AVE..doc ENCROACHMENT PERMIT APPLICATION FORM CITY OF BAKERSFIELD PUBLIC WORKS DEPARTMENT 1501 TRUXTUN AVE BAKERSFIELD CA 93301 (661) 326-3724 Fax: (661) 852-2012 LOCATION OF ENCROACHMENT(Address required where available): CA If there is no address adjacent to work describe limits of work by distances from nearest existing street intersection. APPLICANT INFORMATION FULL NAME OF APPLICANT ~~o~• Tom S hVL, , A rM: L ,4 (JrW-E s COMPLETE ADDRESS: 5100 lae~dtFu~Ml Auz ST.. M5- PHONE: 'Z7-57611 1310 .sr-+su> , CA 0(33 FAX: ekoo S IbNh . Az V,)f\ %".J -IR t S -f CELL: 600 OU o~ VJ" PROJECT INFORMATION DESCRIPTION OF ENCROACHMENT (Example: Wood or wrought iron fence, concrete block wall, raised planter, etc.): W I L w "L Ezeg:r dF ?A&-P , t o r rg- 3L?5~ ol= t NpMAu. PERIOD OF TIME FOR ENCROACHMENT: EINDEFINNITE or OTHER: fp~ CONTAC'T' PE RSON Jvj.M ktl M ° Wwu, .F !5y-,T4 PHONE: ?Z7 lgafe 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 Cit~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 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 of said encroachment. Applicant farther 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 evidencing the insurance required. Applicant acknowledges the right of the City Engineer, pursuant to Bakersfield Municipal Code Chapter 12.20 to revoke the permit at any time. Encroachment Permit Fee: $208.00 S:\PERMITS\ENCROACH\ Encroachment Permit Req Form.DOC January 2009 APPLICATION FOR ENCROACEDIENT PERMIT TO THE CITY ENGINEER OF THE CITY OF IIIAKERSFIELID, 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 th`rda defined 1. Full naive of applicant and complete address including ohone number. -5r c tN~ . fAM LAIN (c~, ~u I ~x~~ tv tw. 140~ 5M_1Zq' B s~+ izLi> CA- 93309 2. Mature or description of the encroachment for which this application is made: tA( _ 3. Locatioa of the proposed encroachment: q5W 4. Period of time for which the encroachment is to be maintained: 19peRr4 R-E - - Ap ticant agrees that if this application is g-~i~te-d, a}lpiicant shall indemnify, defend and hold harmless City, its offPeers, agents and eruplov es va3inst. iii ar d al l iiaE l llt Claims, actions, causes of action or demands, whatsoever ~o !ii?s~ tl,ei±g, qr any rift ein, be*cre a~iziliai,str~ti~ , c;uLsi ~udic-d or judicial tribunals ofany kind whatsoever, arisin G t :1?', t t IlatL taxi k~7itk, rar r 8ll5Cd L~; c~ii It e~"ITplaz if;rt; erection, use (by applicant or any other person or entity t?E l~sii~teriance ~yt said 'Pi l~~bli t. ' t~ 3}7 Ii~cSiit aTr~13v; ag.-as to maintain the aforesaid encroachment during the ii JI.53id1 L116.& 7~ei3siie'A 6 &!I` iaa3~Ll Such tIIIIe t t this permit is revoked. Fpplicant r~,irtlier a~ e~°s +.h~.t u~t~n tEie expii-atiou o;•th erniit for ~rhicli dais appllca.t~t~fi is made, if grailied, or upon tn~; *t.t~oc=n t?3ere,~f b r the C€.rv eoc~FUeer apolicant wi ! Lt' l~.is r~wr cost end e~e;ts° remove the same frtam else pu lie ,prt);L z r'.,1ti gr* of rI ere t e saii e is Icy ted, and stare said public property ar ri e 4f kvay to the conditit~n a:= :aH.'•i e~' Sze{~.3 3: T} g'st~:o th~"j7 3~?.T?D* t'rG"i ;~1L~ m ~E '~.]7E;4 {3'r ~ 23C ??f i7 5 'uid ~biL'CQBChs'1i Lilt. Applicant further agrees to obtain and keep all liability hr stir-anct rerlu =I by the City F.ngineet in full force and effect for however' long the encroachment remains. Applicant shall furnish the City Risk Manager with a Certificate of Insurance evide4cing sufficient coverage for bodily injury or property damage liability or both and required endorsements evidencing the insurance required. The type mss) and amo°wn js) of insurance-coverage is: Applicant ackaowledges the right of the City Engineer, puirsuant to-Bakers-field Mwiiicipal C9de CW_'_e&12.20 to NY -1 revoke the permit at any time. Date: tury'o pP t weer or epresentatavc PEILMIT G I I•IEF.EBY" CEXr IF, Y THAT I E1A_V-E.A-,'L D kN friNTST?GATION' OFT FIE FACTS STA'T'ED V4 THE FCx iEGGt33 G Ai 'LICA7EFt7 i r#°r3 FLND TR. T THE, KkINTENANCE OF SAID ENCROACWMEINT (I) WILL (NOT) S€ ST.424"i°IALLY 0TERFERE WITH THE USE OF THE PUBLIC: PLACE NVRERE THE S-A-ME Is TO SAID APPLiCATIN{I9 THEREFORE (GRANTED) i3~A D TO PERSONS US DNG SAID PERMIT SHALL E aPME PUBLIC PLACE; Date: Tgnature of City ng-ineer No. _ Date: 6/17/2009 Time: 11:53 AM TO: 1-661-327-8865 @ 9,1-661-327-8865 James G Parker Page: 003 { IM %`::::DATE MM ,fie ee ; :z:>: ;;:::::.:::::>::::::4: 6/17/09 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED , 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (M&UDD,YY) POLICY EXPIRATION DATE (MMIDONY) LIMITS A GEN ERAL LIABILITY GENERAL AGGREGATE $ 2,000,00 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP:OPAGG $ INCLUDE 7 7 CLAIMS MADE X❑ OCCUR 19 0DW12 8 04 10/01/08 10101109 PERSONAL &ADV INJURY $ 1, 000 , O 0 OWNERS & CONTRACTOR'S PROT EACH OCCURRENCE $ 1 , 0 0 0 , 0 D FIRE DAMAGE (Any one fire) $ 300,000 MED EXP (Any one person) $ 1,00c) AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANYAUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ THE PROPRIETOR' INCL DISEASE- POUCY LIMIT $ PARTNERS:FXECUTIVE OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS,'LOCATIONS,'VEHICLES!SPECIAL ITEMS ADDITIONAL INSURED PER BLANKET FORM BG-G-305(05/03). 10 DAY NOC FOR NON-PAYMENT OF PREMIUM. RE: TRUXTUN OFFICE r''nMAT,F.Y - RTTTTMNr A. inn TRUXTUN AVE. BAKERSFIELD, CA 93301. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF 3AKERSFIELD EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. POX 20S7 a _O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BAKERSFIELD, CA 93303 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR. REPRESENTATIVES. AUTHORIZED RE ENTATIVE ANGELIOU 12 4WI1.1111- G0 fi_ Date: 6/18/2009 Time: 3:08 PM To: 1-661-327-8865 Q 9,1-661-327-8865 James G Parker Page: 002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSUREDS. ENDORSEMENT CONSTRUCTION CONTRACTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM This endorsement changes the policy effective on the inception date of the policy unless another date is inrlir±atPri hPlnw _ Endorsement Effective _ Attached to and forming a part of Policy Standard Time Endorsement Number Number mm dd 12:01 A.M. 190BW 12804 (The above information is required only when this endorsement is issued subsequent to preparation or the policy.) Authorized Representative This endorsement is provided in consideration of an additional premium. Premium:$750 flat - fully Exposure: Only the person or organization named earned Date Classification Code: 49950 Who Is An Insured (Section II) is amended to include as an insured any person(s) or organization(s) (hereinafter called "additional insured") with whom you agree, by virtue of a written construction contract, written construction agreement or permit (all of these hereinafter called "Contract"), that is an "insured contract," to name as an insured with respect to liability arising out of your ongoing operations performed on the project specified in the construction contract, including acts or omissions of the Additional Insured in connection with the general supervision of such operations. Except as provided above, this insurance does not apply to any "bodily injury," "property damage" or "personal and advertising injury" arising out of or resulting from the neglect or negligence of the Additional Insured described in this endorsement. The Company will have no duty to defend any "suit" which alleges neglect or negligence of the Additional Insured. Such insurance as is afforded by this endorsement will only extend as is required by the Contract and will in no event provide for insurance not afforded by this policy. Insurance afforded by this endorsement applies provided the "bodily injury", "property damage" or "personal and advertising injury' occurs subsequent to the execution of the Contract and further provided that the "bodily injury", "property damage" or "personal and advertising injury" arises from "your work" performed during the policy term. Coverage for liability assumed by the Named Insured in a Contract shall only be to the extent of the negligence or fault of the Named Insured according to applicable principles of comparative fault. If other valid and collectible insirance is available to the additional insured for a Icss we cover under Coverage A or B of the Coverage Form to which this endorsement attaches, then the additional insured must also tender any loss to each such other insurance. Should such other insurance apply, then this insurance is excess over any other such insurance. This insurance does not apply to any "bodily injury' to: a. An "employee" of any insured, or a person hired to do work for or on behalf of any 130-0-305 0503 Page 1 of 2 Date: 6/18/2009 Time: 3:08 PM To: 1-661-327-8865 @ 9,1-661-327-8865 James G Parker page: uu3 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (continued) (1) Employment by any insured; or b. To any obligation to share damages with or repay someone else who must pay damages because of the injury. (2) Performing duties related to the conduct of any insured's business; or b. The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph a. above. -This-exclusion-applies=------ a. Whether the insured may be liable as an employer or in any other capacity; and These provisions and exclusions apply in addition to those contained in the Coverage Form. All of the provisions and exclusions of the policy that apply to LIABILITY COVERAGES also apply to this endorsement. BG-G-305 0503 Page 2 of 2 D = o~ l a: > n o N r~ t C1 I ~ nmD ' ~ _ ~ a a ly~~ r r ~ I N D pti'L'~o'° ~ I n ~ sr2 j ~ I sro~2, !a~y~ o yon X0\0 ( 'I 22 °T E N C i I OtiO~ O to I o B R K IN ENTRANCE r d` o 00 C I C D 10 IQ I i Z Ae rn DC) 1 ~ > D D co m ~ 9 t`. D A I ~ t [ r H F F ~ ~ I A i ED -n -n 0 q tr >a 0 0 ;u rn 0 0 x II w °a o m W NOO'00'00" E r F F 115.00 R i C c 89.78 EXIST. CURB AND GUTER TO REMAIN w C 0 X n CD CO) m 0 Q Z C~ - i Z 5 D r iv v D r W W O 0 K a C)i .1 N O 07