HomeMy WebLinkAboutFMC DOCS 2011HOODS ALARMS
Permit No. Permit No.
File Number: 36 z-r.
Date Received: 6 - — //
SPRINKLER SYSTEMS SPRAY o®OyH AST UST
Permit No. Permit No. Permit No. Permit No.
dam ZZ
Address: h1O 13 S /,(. 5`
Bakersfield, CA 933
Business Name:
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
SPray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Ek Other: y
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
2.
3.
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Signature
BILLING Bt PERMIT STATEMENT
PERMIT #
90991 ;51Pa
11 A- E R S_ _I: I 11, U
FARE tg. _
ID AR rm r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Avenue, Suite 401
Bakersfield, CA 93301
Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171
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All permits must be reviewed, stamped, and approved PRIOR TO BIEGINNXNG WORK.
INFORMATION
LOCATION OF PROJECT
ms v % p a a , 0 3 S, . Sk. 1 .. `l336 \ - -
PROPERTY OWNER
o.eco_ _0_x.1 - - - - -- - --
STARTING DATE COMMttTt9td•B9tTE-n
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NAME
or
PROJECT NAME
F s riP.
98
ADDRESS
0 _Actx
PHONE
PROJECT ADDRESS
413 S h 1 St,ee -+ pk I 1330
CITY .c:s ic.n SPATE c ZIPGODE
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CONTRACTOR INFORMATION
98
CO TRACTOR NAME
JYUALI e.fir
CA LICENSE A
o 1g9 1
TYPE Of LICENSE EXPIRATION DATE
CS L.1
Over 10,000 sq ft
PHONE M
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CONTRA OR COMPANY NAME
98
FAX B
ln.La.
ADDRESS CITY ZIP CODE
96 (inspection only) 84
98
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All permits must be reviewed, stamped, and approved PRIOR TO BIEGINNXNG WORK.
Alarm - New & Modification (minimum charge) $280 84
98
Over 10,000 sq ft 0 .028 x sq ft or 84
98
Sprinkler -New &Modification (minimum charge) 280
r
84
98
Over 10,000 sq ft 0 .028 x sq ft 84
98
Minor Sprinkler Modification ( <10 heads) 96 (inspection only) 84
98
Commercial Hood (New & Modification) 470 84_
M 98
Additional hood 58 84 --
98
Spray Booth (New & Modification) 470 84
98
Aboveground Storage Tank (Installation /One Inspection) 180 82
Additional Tank 96 82
Aboveground Storage Tank (Removal /Inspection) 109 82
Underground Storage Tank (Installation /Inspection) 878 /tank 82
Underground Storage Tank (Modification) 878 /site 82
Underground Storage Tank (Minor Modification) 167 82
Underground Storage Tank (Removal) 573 /tank
r
84
Oil well (Installation) 96 84
Q" Mandated Leak Detection (test) /Fuel Mont Cert /SB989 96 /site 82
NOTE: $96 for each type of test /per- site even if
scheduled at the same time3
Tent 96 /tent 84
After- hour's inspection fee 121
Pyrotechnic (per event, plus inspection fee of $96 /hr) 96 -I• (5 hrs min standby fee /insp) =$576 84
Re- inspection /Follow -up Inspection 96 /hr 84
Portable LPG (Propane): # of Cages? 96 84
Explosive Storage 266 84
Copying & File Research (File Research fee $34 /hr) 0.25 /page 84
Miscellaneous 84
FD2021(Rev 06/07)
1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
PERMIT //
o
l l FIRE f J
DEPAR rmsm r
I -NHANCHI) LEAK OFTECTION LINL TIESrING
TANK TIGHTNESS MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 TrLIXtUn Ave., SUite 401.
Bakersfield, CA 9330:1
PliOne: 661- 326 -3979 o Far.: 661-852 -2171
Page I of I
Sf3 -989 SECONDARY CON-rAiNMENT
SITE INFORMATION —
FACILITY --------- _ - - -_ -- - - - -- ---- - - - - -- NAME & PllOP11? 11 01' CONTACT PERSON
ADDRESS r >. l i c :J e L_ CA
OWNER NAME
OPERATOR NAME PERMIT To OPERATE: 11
V OF TANKS TO BE TFSTED: IS PIPING GOING TO 61: TESTf_D? CI YES NO
TANK # VOLUME CONTENTS
TANK TESTING COMPANY
TESTING COMPANY -- — NAME R PI IONE N 01' CONTACT PERSON
Ire I :.— 1' -) td .I l s
MAILING ADORESS L 11 I -- - - - - -- -- - - - - -- - - - - -- -
NAI.IE R PHONE B OF TESTER OR SPECIAL INSPECTOR CERTIFICATION 11
c —
DATE R TIMI: TEST TO IM: CONDUCTED ICC 11 -- —' f[ST MI:TIIOD
APPLICANT SIGNATURE DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
nP -D by OATH
FD2095 (R-2v 06/07)
CONSTRUCTION PERMIT
Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits):
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Application valuation . . . .
Owner
JAMIESON -HILL CO
P O BOX 82515
BAKERSFIELD CA 93380
BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
R s P I D 1501 TRUXTUN AVENUE, 1sT FLR
FIRE BAKERSFIELD, CA 93313kM, r Office Phone: (661) 326 -3979
11- 10000229 Date 7/06/11
4013 S H ST
405- 330- 13 -00 -5
FIRE DEPT
0
Contractor
OWNER
Permit . . . . . . MANDATED LEAK DETECT TEST
Additional desc . .
Phone Access Code . 1110832
Permit Fee . . . . 96.00 Plan Check Fee 96.00
Issue Date . . . . 7/06/11 Valuation . . . . 0
Expiration Date . . 1/02/12
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. 1 understand my requirements under the Calif.
Health and Safety Code Sec. 6.95 and Calif. Govt. Sec. 65850 and the requirements of the City ofBakersfield Fire Dept. regarding
hazardous materials.
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
1 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 of
not more than five hundred dollars ($500)):
1, 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 builds
or improves thereon, 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 ol'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 ofproperty who builds or improves thereon and who contracts for such
project with a contractor(s) licensed pursuant to the Contractor License Law).
1 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 of the work for which this permit is issued.
I 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 ofthe 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 I 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 TO
COST OF COMPENSATION, 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
I certify that I have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state
laws relating to building construction and hereby authorize representatives ofthe city to enter the above mentioned- property for inspection purposes.
Signature ofApplicant or Agent I Date
i
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4
10301
6/28/2011
d Go Go- Wilson Rd. (MC 7/11/11) 192.00
1705 Fastrip #641 (MC 7/12/11) 192.00
1_T.y ;r .ia r - 1725/775 Fastrip #19 & Chevron (MC's 7/13/11) 384.00
tl r+•,: i;% D+rid^: 3 X721/781 Fastrip #22 MC's 7/20/11P ( ) 384.00iYe* :
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7iiqt i t i 1366/357 Chevron & Fastrip #640 (MC 7/21/11) 384.00
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11 +11 DIN, T ki-;t'a
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1384. 00
i3P BURP1*t(3 PI RMi?Z 2rtifications 1,536.00
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BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Inspection Request Phone No. (661) 326 -3979
UST REMOVAL
DESCRIPTION DATE SIGNATURE
I MODIFICATIONS MINOR / MAJOR
EVR UPGRADE
II -- j PRIOR TO OPERATION OF ANY SYSTEM,
ALL LIST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BYMISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
FD 1743