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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. r a 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 r 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 a6 /cla k rn 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 Q r 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 l,li_li CONTRA OR COMPANY NAME 98 FAX B ln.La. ADDRESS CITY ZIP CODE 96 (inspection only) 84 98 r 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 t 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* : I{ t a:: <s•i. 7iiqt i t i 1366/357 Chevron & Fastrip #640 (MC 7/21/11) 384.00 4 i is k:i, 9 9tit44•c 4 Ip 11 +11 DIN, T ki-;t'a i 00 Qiq 1384. 00 i3P BURP1*t(3 PI RMi?Z 2rtifications 1,536.00 lqo 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