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Home My WebLink AboutFMC FOLDER 7/14/2011HOODS AALARMS SSPRINKLER SYSTEMS SSPRAYY IOGTH A File Number: 93amtp Address: Bakersfield, CA 933 Date Received: -/ Cor - // --- 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 9,-'Other: C-- Comments: e. U'Z Building Sq. Feet: Calculation Bldg. Sq. Ft: ( C r 2. 3. 4. a Signature 9,-'Other: C-- Comments: e. U'Z Building Sq. Feet: Calculation Bldg. Sq. Ft: ( C r 2. 3. 4. a Signature CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B " $ R s 11 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313rArMTOfficePhone: (661) 326 -3979 Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner YAM BARBARA H 1999 TAFT HW BAKERSFIELD CA 93313 11- 10000215 Date 6/21/11 1999 TAFT HWY 184- 160- 21 -00 -9 FIRE DEPT 0 Contractor OWNER Permit ... . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1107218 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 6/21/11 Valuation . . . . 0 Expiration Date . . 12/18/11 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 ofextremely 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. regarding hazardous materials. Owner or Authorized AgentF JPhone 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 1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of the 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 ofthe Contractors License Law (Chapter 9 commencing with Section 7000 ofDivision 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 himselfor 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 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 1 1 Date WORKERS COMPENSATION DECLARATION I hereby affirm that under penalty of perjury one ofthe 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 ofthe Labor Code, for the performance ofthe 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 ofSection 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 ($100,000) IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance ofthe work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address I certify that 1 have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state laws relating to building construction and hereby authorize representatives ofthe city to enter the above mentioned - propertyfor inspection purposes. Signature ofApplicant or Agent I I Date BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD d at the Job Site and DO NOT Remove for Dura Inspection Request Phone No. (661) 326 -3979 I MODIFICATIONS MINOR / MAJOR UST REMOVAL AST REMOVALDESCRIPTIONDATESIGNATUREDESCRIPTIONDATE SIGNATURE BUILDING ADDRESS: JOB DESCRIPTION: OWNER: CONTRACTORS . EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BYMISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT., FIRE DEPARTMENT (FINAL) OCCUPANCY TYPE: PERMIT NO. t/- . PHONE #aOC -- FD 1743 Cit of Bakersfield UTDkR RECl:K TI + *# Pkj;fo(D Type: OC Lr awec,: IUate: Efi'1 /II 01 Receipt no: jes an ouantity +;count 6P BUI!_OINO PERMITS ez ier pie +,ai I I ' t$;i,CH 92.NT1taItendered :.192.00fs ±al paymeo 11312 00 Tr.aris date: E!21;11 Tiae: 10 :0 -23 FQ 4' 11.VTRUt THE NET P(,G''MATICN PLEASE SPAY AND: NEUTER UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # FIRM ARf/ T BAKERSFIELD FIRE DEPARTMENT Prevention Services atol l-t S-REET Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT TANK TIGHTNESS CViFUEL MONITORING CERTIFI N FD2095 (Rev 03/08) FACILITY UY NAME & PH NE # OF CONTACT. PERSON ADDRESS BnLdOWNERNAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS p 3 TANK TESTING COMPANY TESTING COMPANY ,, AAl'5 IJV \gyp NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS PJActGE 2SFlIF Q NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # 809850 DATE & TIME TEST 0 BE CONDUCTED I APPLICA C n ICC # TEST METHOD 10 aCe k aka - uT DATF APPLICATION BECOMES A PERMIT WHEN APPROVED AP BY DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # fiRe o^21oI SrtRV_ETdAefrfBakersfield, CA 93301 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. VJL G1 /1 SITE • LOCATION OF PRO]E PROPERTY OWNER Y Over 10,000 sq ft STARTING DATE 1 CO PLE11 DATE NAM PROJECT NAME ADD 5 PH NE O qT Over 10,000 sq ft PROJECT ADDRESS l Y gAKERS IEL STATE LA 71PCODE CONTRACTOR INFORMATION Minor Sprinkler Modification ( <10 heads) CONTRACTOR NAME CA LICENSE V TYPE OF LICENSE EXPIRATION DATE PHONE # o t t saci, .g CONTRACTOR COMPANY NAME FAX & 3a c0 -8a3gy ADDRESS T C- I E L-.J ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 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 heads) 96 (inspection only) 84 Commercial Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) 470 98 boveground Storage Tank (1 inspection per installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal, Mod,or Inspect n) 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 Mandated Leak Detection (test) /Fu Mont Ce SB989 NOTE: $96 /hr for each type of test/ en if scheduled at the same time TT 96 /hr (2 hrs minimu =$192 82 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