HomeMy WebLinkAbout430 CALIFORNIA AVENUE (3)HOODS ALARMS SPRINKLER SYSTEMS SST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
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File Number: Address: r 3 "ch1(/2,
Bakersfield, CA 933
Date Received: !y
Business Name:
SYSTEM: BUILDING SQUARE FEET: ONSPECTMN LOG
New Mod.
Commercial Hood System
Fire Marm System
Fire Sprinkler System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
2.
3.
4.
Date Time
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Signature
Signature
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BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request Phone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING ,
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR-TO-OPERATION OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY I THE BAKERSFIELD CITY FIRE DEPARTMENT!
FIRE_DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: -Aw, ;
JOB DESCRIPTION: 9 OCCUPANCY TYPE:
OWNER: PERMIT NO. -/ Q 357
CONTRACTOR: PHONE # '.3t/—<6cn3
FD 1743
Cit„ of Eakmfif;d
ml G- IiMMER RECEIPT
Oder: TVANFOSMI Type: 01, Drawer: 1
Data : 1t/17/12, 01 Receipt no, . 48657
Desr.ri }n,tinn uklantity kount
10 351
SP BUILDING PERMIT'S
Cry NECK 13140 4192.00
Total tvrdeFeo sI92.0
Total payinert 3192.00
Ti -ar., date: 1. 17/10 Tine: 14:54:33
HELP "AIMML T1 E PE7 POPULATION
PU'4SE SPAY OR MEMER
REDWINE TESTING SERVICES, INC. P.O. BOX 1567 BAKERSFIELD, CA 99302
f-)olco 5 i !( L0
Sj (12_
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13140
CONSTRUCTION PERMIT ,fix BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
B4-F RS A I$ D 1501 TRUXTUN AVENUE, 1sT FLR
FIA BAKERSFIELD, CA 93313
i ARTMT Office Phone: (661) 326 -3979
Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits):
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Application valuation . . . .
Owner
REYNA AGUSTIN & IRENE
10055 SAN EMIDIO ST
LAMONT CA 93241
10- 10000351 Date 11/17/10
430 E CALIFORNIA AVE
016 - 480- 10 -00 -4
FIRE DEPT
0
Contractor
OWNER
Permit . . . . . . MANDATED LEAK DETECT TEST
Additional desc . .
Phone Access Code . 1049568
Permit Fee . . . . 96.00 Plan Check Fee 96.00
Issue Date . . . . 11/17/10 Valuation . . . . 0
Expiration Date . . 5/16/11
Fee summary Charged Paid Credited Due
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total 96.00 96.00 .00 .00
Grand Total 192.00 192.00 .00 .00
CALL FOR INSPECTION
661) 326 -3979
Please state the Permit Number, the Job address, and
the Type of Inspection. Requests for inspections
should be made at least 48 hours in advance.
DECLARATIONS
Permit is issued in accordance with all applicable
Federal, State and Local Ordinances. The permittee
has properly signed and dated the reverse side of this
form. This Permit expires after180 days of inactivity.
I have reviewed the above application, and find it to
be correct/complete.
Permittee: Date:
HAZARDOUS MATERIALS STATEMENT
Yes—No Will the applicant or future occupant handle hazardous material or a mixture containing a hazardous material equal to or greater
than the amounts specified on the list of extremely hazardous substances? See checklist for guidelines.
Yes — No Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school? Yes—No Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification
from the Kern County Air Pollution Control District (KCAPCD) or from the Bakersfield Fire Dept? See checklist for guidelines.
Yes—No I have read the Hazardous Material Guide and KCAPCD Permitting Checklist. I understand my requirements under the Calif.
Health and Safety Code Sec. 6.95 and Calif. Govt. Sec. 65850 and the requirements of the City of Bakersfield Fire Dept. regardinghazardousmaterials. _
Owner or Authorized Agen Phone No. Date
DECLARATIONS: The declarations below are mandated by the State of California under Section 19825 of the Health and Safety Code.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of the Division 3 of the
Business and Professions Code and my license is in full force and effect.
Lic. Class Lic. No. Exp. Date Contractors Signature Date
OWNER- BUILDER DECLARATION
I hereby affirm that under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason (Sec. 7031.5 Business
and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its
issuance also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 commencing with Section 7000 of Division 3 or the Business and Professions Code) or that he or she is exempt there from
and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ofnotmorethanfivehundreddollars ($500)):
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who buildsorimprovesthereon, and who does such work himself or herself through his or her own employees, provided that such improvements are not
intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the
burden of proving that he or she did not build or improve for the purpose of sale).
1, as owner ofthe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts for such
project with a contractor(s) licensed pursuant to the Contractor License Law).
I am exempt under Sec. B. & P. C. for the reason
Owner Signature I Date
WORKERS COMPENSATION DECLARATION
I hereby affirm that under penalty of perjury one of the following declarations:
Carrier
I have and will maintain a certificate of consent to self- insure for workers' compensation, as provided for by Section 3700 of the Labor Code,
for the performance ofthe work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work
for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy No.
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions
of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Applicant: Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN
EMLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TOCOSTOFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST AND ATTORNEY'S FEES
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.)
Lenders Name Lenders Address
1 certify that 1 have read this application and state that the information contained herein is correct. 1agree to comply with all city ordinances and state
laws relating to building construction and hereby authorize representatives ofthe city to enter the above mentioned - propertyfor inspection purposes.
Signature of Applicant or Agent I Date
BILLING & PERMIT STATEMENT "
FIMEPERMIT #
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tSAKtKSA'1tLD F1KE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 1s' FLR
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
INFORMATION:
LOCATION OF PROJECT ' •
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STARTING DATE
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e COMPLETION DATE4/p 3 CJ
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PROPERTY OWNER
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NAME /
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PROJECT NAME. - I I
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ADDRESS
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PHONE #
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CONT CTOR NAME• v R C CA LICENSE # TYPEAF LICENSE EXPIRATION DATE PH NE
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CONTRA COMPANY NAME
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All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
I U, j
Alarm - New & Modification (minimum charge) $280 ,
Over 10,000 sq ft 0 .028 x sq ft
Sprinkler - New & Modification (minimum charge) 280
Over 10,000 sq ft 0 .028 x sq ft
Minor Sprinkler Modification <10 headsp ( ) 96 (inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 58
Spray Booth (New & Modification) 470
98
Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82
Additional Tank ATI 96 /tank 82
Aboveground Storage Tank (Removal /Inspection) ATR 109 /tank 82
Underground Storage Tank (Installation /Inspection) NI 878 /tank 82
Underground Storage Tank (Modification) MOD 878 /site 82
Underground Storage Tank (Minor Modification) MTM 167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
t Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test /per site even if
scheduled at the same time TT
96 /hr (2 hrs minimum) =$192 84
Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82
Tent # 96 /tent 84
After -hours inspection fee 121 /hr (2 hrs minimum) =$242
Pyrotechnic (1 permit per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE: After hours Pyrotechnic event inspection is @ $121 /hr
96 /hr + (5 hrs min standby fee /insp) =$576
5 hrs min standby fee /ins =$605
84
Re- inspection /Follow -up Inspection 96 /hr 84
Portable LPG (Propane): # of Cages? _ 96 /hr 84
Explosive Storage 266 84
Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
Miscellaneous 84