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Home My WebLink AboutAST-PERMIT COVERSHEET 2/17/2011HOODS Permit No. ALARMS Permit No. File Number: _2 Date Received: a, —1 7 SPRIHKLER SYSTEM Permit No. Permit No. Address: 7v-,J,4 y Bakersfield, CA 933 Business Name: Other: Comments: AST Permit No. cxa000 ?7 1. 2. 3. 4. UST Permit No. N SPECTM LOG Date Time SYSTEM: BUILDING SQUARE FEET: New Mod. Tzw > O Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: O Fire Sprinkler System O Aboveground Storage Tank O Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other: Comments: AST Permit No. cxa000 ?7 1. 2. 3. 4. UST Permit No. N SPECTM LOG Date Time Signature Signature 722 T T5-1 to 11 rNr Tzw > T sT o (L riJ, / cv" srcG RyC,.l.e Signature Signature 722 T T5-1 Prevention Services PERMIT # ARrmr 1501 Truxtun Avenue, 1" FLR 13 ; Bak rsfleld, CA 93301 j:p Phone: 661-326-3979 • Fax: 661-852-2171 INFORMATION LOCATION OF PRO)ECT ' iZ . X Ta5 `2 r j NERPROPERTYOW ' ' CWw _ me2c -/ A0-'S , i L jSTARTING DATE COMPLETION DATE NAME , 2 L t E Cho`/ t-ES PPO)F(-T NAME r E zc 1A05?-tTRL ADDRESS a15 TIz X-r I l PHONE PROJECT ADDRESS a,2 1 5 Y Z v >C 0 ij cm 1 S,A ICERS F I E L_D STATE C14 TYPE OF LICENSE ' EXPIRATION DATE c61 40 t-1AZ 6• 0-0 ZIP CODE PHONE i 66l - 58g -2 ' CONTRACTOR NAME BRE i 'T "iACILET'T INFORMATION CA LICENSE Y 2 la- CONTRACTOR COMPANY NAME X311 (Z IIvC• FAX i' 6 -5gg -2 86 ADDRESS 6630 Z3 s Gb A L E H W y -*t5 Cm CAA ICE QSF-t C L v ZIP CODE i 330 8 All permits must be reviewed,' stamped, and approved PRIOR TO BEGINNING WORK. J Alarm - New & Modification (minimum charge) $280 1 1 i Over 10,000 sq ft 0 .028 x sq ft i Sprinkler - New & Modification (minimum charge) 280 0 Over 10,000 sq ft 0 .028 x sq ft Minor Sprinkler Modification ( <10 heads) 96 (inspection only) 84 0 Commercial Hood (New & Modification) 470 0 Additional hood 58 0 Spray Booth (New & Modification) 470 98 Nal- boveground Storage Tank (1 Inspection per Installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 0 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 a Underground Storage Tank (Minor Modification) MTM 167 /site 82__ j Underground Storage Tank (Removal) TR 573 /tank 84 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- inspectbn) X 96 /hr 82 Tent' # 96 /tent 84 After -hours inspection fee 121 /hr (2 hrs minimum) =$242 O 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 O Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 _ Miscellaneous B4 Y.DF City of Ba4v 4d W CUM)MR, *** Oper: TVAUFMN -ivp:. CC Dravipr-. I Date: 2/23111 Qll e, , pr n t) 74343 Descri tion Quenti', Albunt r 1 00T Bp BVILDING PEqrl! ro' 1. ti #180.119 Tender detaii CK NECK Iota! tendered Total payment UNA@ Trans date, P I i .me,, 13:.4 -02 HELP CONTROL THE QF'f Pe"',_A-TAN VASE Oppy jNEjjTE-R 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 ofBakersfield Fire Dept. regarding hazardous materials. Owner or Authorized Agen hone 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 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 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 ofcompletion, the owner - builder will have the burden ofproving 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 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 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 ofCalifornia, and agree that if I should become subject to the workers' compensation provisions of Section 3700 ofthe 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 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 CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner CATHOLIC HEALTHCARE WEST P O BOX 119 BAKERSFIELD CA 93302 BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES ERs P g D 1501 TRUXTUN AVENUE, 1sT FLR F/RE BAKERSFIELD, CA 93313 A' 1 Office Phone: (661) 326 -3979 11- 10000077 Date 2/23/11 2215 TRUXTUN AVE 004 - 184- 01 -00 -2 FIRE DEPT 0 Contractor OWNER Permit . . . . . . ABVGRND STR TANK (1 INSP /INST) Additional desc . . Phone Access Code . 1075464 Permit Fee . . . . 90.00 Plan Check Fee 90.00 Issue Date . . . . 2/23/11 Valuation . . . . 0 Expiration Date . . 8/22/11 Fee summary Charged Paid Credited Due Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total 90.00 90.00 .00 .00 Grand Total 180.00 180.00 .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: BAKERSFIELD FIRE DEPARTMENT ABOVEGROUND STORAGE TANK B E'R 3 p D Prevention Services I 1501 Truxtun Ave 1sT FLR APPLICATION FORM A Rrms, r Bakersfield, CA 93301 INSTALLATION /REMOVAL OF AN AST Phone: 661-326-3979 ? Fax: 661-852-2171 Page 1 of 2 2INSTALL [:] REMOVE PERMIT # FACILITY NAME ADDRESS OPERATOR NAME CHOr,-LiE PERMIT TO OPERATE OWNER NAME OF TANKS TO BE INSTALLED /REMOVED TANK CONTENTS Vo LU M,E,',,, C— S E L 0 00 4A LLO VQ NAME OF COMPANY INSTALLING AND/OR REMOVING TANK 13 -5-5 z i r-) C. MAILING ADDRESS 6630 R 0 5 E b f) L G- -4- 13 NAME & PHONE # OF CONTACT PERSON T"YEL C(>#1ZZkLL0 DATE &TIME TANK IS TO BE INSTALLED/ REMOVED 2 SIGNATURE OF APPLICANT C DATE 0,7- 1(,_ It APP VED BY DATE FD2081 (Rev 01/08) A Z A N Note: The elevation on the vent pipe for the day tanks is 10' higher than the main fuel tank. This will create head pressure and force any overflow fuel through the return line back to the main tank. E) BOILER BUILDING SYSTEM VENT PIPE 16TH STREET R_O:W_ PARKING LOT) I z DAY TANK MAIN DIESEL TANK FOR EMERGENCY GENERATOR rd9. I I ICI I r•• < r r -j i l= _ - l i = 1 IP I caoue atchlteclnic planning Bakersfield 5567 merg averaie, auae es7 MkersW. ca8o-ris 53362 66I.MIC 0fW.. 867 tXAMI Principal ArcNtcoln r 4 SECTION m VENT/TANK DIAGRAM ° t 3116" = V-0" s N o THIS DIAGRAM IS A REPRESENTATION OF THE EXISTING VENTING U SYSTEM FOR THE EMERGENCY GENERATOR FUEL TANKS AND IS. U v BASED ON INFORMATION PROVIDED BY THE OWNER_ job, no. 10188 dale 0901/18/12 i U1 I X Q v im J IS le Z to zI``. Imo' E. 0 S Y U! am co job, no. 10188 dale 0901/18/12 i