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HomeMy WebLinkAbout2011 RESULTSHOODS ALARMS SPRINKLER SYSTEMS SPRAV 800TVl AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 6=36 File Number: '=26'T 40 Address: Go(-de-,J Bakersfield, CA 933 Date Received: 5-077-// Business Name: SYSTEM: BUILDING SQUARE FEE F OR4SPEC4ION LOG New Mod. Commercial Hood System Building Sq. Feet: l=ire Alarm System Calculation Bldg. Sq. Ft: 9. Fire Sprinkler System c-b \ g, Aboveground Storage Tank ! \ q, Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank a-- 'Other. Comments: Dale Time e unirl6u Sigr-jure CITY OF BAKERSFIELD E,PPLICATION NUMBER: FEE DESCRIPTION PLAN CHECK FEES MANDATED LEAK DETECT TI PROGRAM BP820L 11- 10000365 1800 GOLDEN STATE AVE AMOUNT DUE 96.00 TEST 96.00 JTAL DUE 192.00 Please present this receipt to the cashier with full payment. CAL - VALLEY EQUIPMENT, INC. 0064594 DATE I LOC I REF I GROSS I DISC NET I I DATE LOC REF GROSS DISC NET 09127/11 2DO03001 97261 192.00 1 0.00 192.0011 1 09/27/11 2020007 - BAKERSFIELD FIRE DEPARTMENT 192.00 0.00 192.00 CAL- VALLEY EQUIPMENT, INC. UNION BANK; 1s -a9 =s 09/27/11 0064594 3500 GILMORE FRESNO, CA 1220 DATE CHECK NUMBER BAKERSFIELD, CA 93308 661) 327 -4628 AY EXACTLY THIS AMOUNT AMOUNT On,'Hundred Ninety -Two Dollars "" `192.00 City of Bakersfield CUSTOMER RECEIPT *+ Oper: SCARRILLO Type: OC Draw;,,,, i Date: 10/11/11 01 Receipt no: 343,68 Description Quantity Amount, 2011 10000365 BP BUILDING PERMITS 1.00 s1 00 Tender detail CK CHECK 64594 319..00 Total tendered Total payment 319.00 Trans date: 10/11/11 Time: 11:39:18 HELP CONTROL THE PET POPULATION PLEASE SPAY AND NEUTER L E .T DI-FEI +J'ER UDC' FUEL HLFRM EfJSJF' HL--,R I - ::E .T Ci I _:F'EIL' -,E}' ULCD1E:PL12ER F'r lJ FUEL tiLr R'f °I 10 1 1 SIE FL IEL SAD Rf-1 i;_•T 31 , ''U1 1 : 14 hf °1 L 1 :f•1fdllLhR Ph =:E 1 .,I .•ill I :_ ". J`I CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES E E R s P 1 D 1501 TRUXTUN AVENUE, IT FLR Y FIRE BAKERSFIELD, CA 93313 YNA r Office Phone: (661) 326 -3979 Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner RJC INVESTMENTS LLC 2508 BRENTWOOD DR LANCASTER CA 93536 11- 10000365 Date 10/12/11 1800 GOLDEN STATE AVE 332 - 210- 03 -00 -0 FIRE DEPT 0 Contractor OWNER Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1139724 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 10/12/11 Valuation . . . . 0 Expiration Date . . 4/09/12 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 ofthe 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. regarding hazardous materials. Owner or Authorized AgentF 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 ofChapter 9 (commencing with Section 7000) ofthe Division 3 ofthe Business and Professions Code and my license is in full force and effect. Lie. Class Lie. No. Exp. Date Contractors Signature Date OWNER - BUILDER DECLARATION I hereby affirm that under penalty of perjury that I 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)): 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 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 of sale). I, as owner of the 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 Date WORKERS COMPENSATION DECLARATION 1 hereby affirm that under penalty of perjury one of the following declarations: Carrier I have and will maintain a certificate of consent to sell' insure for workers' compensation, as provided for by Section 3700 ofthe Labor Code, for the performance ofthe 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. 1 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 1 hereby affirm that there is a construction lending agency for the performance ofthe 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 - propertyfor inspection purposes. Signature of Applicant or Agent Date 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 , THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: gn Ccd lA $ `d JOB DESCRIPTION: 2= ,L{ OCCUPANCY TYPE: OWNER: PERMIT NO. - 36 g~ CONTRACTOR: - PHONE # 7 FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING SB989 SECONDARY CONTAINMENT TESTING TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ENHANCED LEAK DETECTION TANK TIGHTNESS TEST H'Adll R 9 P I D P 'RQ AR1M T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING XTO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing FD 2095 (Rev. 09/05) FACILITY Coach America NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 1800 Golden State Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO TANK# VOLUME CONTENTS 1 Diesel s; TANK <TESTINGCOMPANY NAME OF TESTING COMPANY Cal - Valley Equipment Bruce W. Hinsley 661 -327 -9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661 -327 -9341 CERTIFICATION #: 548333761 DATE & TIME TEST TO BE CONDUCTED Icc #: 5270921 -UT SIGNATURE OF APPLICANT DATE 9/28/2011 APPROVED BY _ DATE 'e— 16— f/ FD 2095 (Rev. 09/05) SICCING & PERMIT- STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servk:es PERMIT # F1ee 2101 H StreetART'w' Bakersfield, CA 93301 SITE INFORMATION Coach America Same SrAMMG DATe amPLET" OATS ADDRBS Ivtow s 1800 Golden State CONTRACTOR TNFOW4ATION MNTRAr`R1A IJAMF FA 1 TPFNCF A TVM rw 1 tt'FNCR I FVMATTAN TTATF PWTNF A Cal- Valley Equipment 921733 A 9/30/2011 661 - 327 -9341 IccumcroR cOMCAw NAME I FAX t Cal- Valley Equipment 661 - 325 -2529 1AEORESS I a r I nPaWE I 3500 Gilmore Ave. Bakersfield 93308 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. DUE Alarm - New & Modification (minimum charge) $280 ONLY ACCT •. Over 10,000 sq ft 0.028 x sq ft 96/hr 82 Sprinkler - New & Modification (minimum charge) 280 84 Over 10,000 sq ft 0.028 x sq It 0 Pyrobechnic (1 peimlt per event, plus an inspection fee of 96/hr during business hours) PY NOTE: After hours Pyrotechnic event Inspection Is @ 121 r 0 Minor Sprinkler Modification ( <10 heads) 96 (Inspection only) 84 96/hr Commercial Hood (NeW & Modf adon) 470 Portable LPG (Propane): * of Cages? _ 96/hr Additional hood 58 266 84 Spray Booth (New & Modification) 470 84 13 Aboveground Storage Tank (1 Inspection per Installation) AST 180/tank 84 82 Additional Tank ATI 06/tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect'n) A 109/tank 82 Underground Storage Tank (Installation/Ird;pecHon) NI 878/tank 82 D Underground Storage Tank (Modification) MOD 878/site 82 Underground Storage Tank (Minor Modification) MT14 167 /sibe 82 Underground Storage Tank (Removal) TR 573/tank 84 7 NoTEi$ `m `ar of e ems, If qg . C. . 6 0 Oil well (Installation, Inspection, or re- inspection) X 96/hr 82 O Tent # 96 /bent 84 After -hours Inspection fee 121/hr (2 hrs minimum) -.$242 0 Pyrobechnic (1 peimlt per event, plus an inspection fee of 96/hr during business hours) PY NOTE: After hours Pyrotechnic event Inspection Is @ 121 r 96/hr + (5 hrs min standby fire nsp) =$576 5 hrs min = 84 Re4nspection/Follow -up Inspection 96/hr 84 Portable LPG (Propane): * of Cages? _ 96/hr 84 Explosive Storage 266 84 0 Copying & File Research (File Research fee $50/hr) 025 /page 84 13 Miscellaneous 84