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Home My WebLink About2 OAK STREET (2)HOODS ALARMSG°3]iiSSPRINKLERSYSTEMSSpG°3AY BOOTH Permit No. Permit No. Permit No. Permit No. File Number: Date Received: /p -3 / - // Address: e-,2 na(< :55-k Bakersfield, CA 933 Business Name: - -iVoIQ I 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 21- Other: -.5&- 5 Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: AST UST Permit No. Permit No. Q20 y/s 9. 2. 3. 4. INSF'ECTM LLic:; Signature CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner STUARTS PETROLEUM 2 OAK ST BAKERSFIELD CA 93304 BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R s FIB; D 1501 TRUXTUN AVENUE, 1 ST FLR FIRE BAKERSFIELD, CA 93313 7 r Office Phone: (661) 326 -3979 11- 10000415 Date 11/15/11 2 OAK ST 008 - 062- 15 -00 -2 FIRE DEPT 0 Contractor OWNER Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1147941 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 11/15/11 Valuation . . . . 0 Expiration Date . . 5/13/12 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 of Bakersfield Fire Dept. regardinghazardousmaterials. Owner or Authorized Agentf 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 1 hereby affirm under penalty ofperjury 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 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 itsissuancealsorequirestheapplicantforsuchpermittofileasignedstatementthatheorsheislicensedpursuanttotheprovisionsoftheContractors 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 ofnotmorethanfivehundreddollars ($500)): 1, as owner ofthe 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 buildsorimprovesthereon, 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 theburdenofprovingthatheorshedidnotbuildorimproveforthepurposeofsale). 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 ofthe following declarations: Carrier I have and will maintain a certificate ofconsent 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 workforwhichthispermitisissued. 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 I should become subject to the workers' compensation provisionsofSection3700oftheLaborCode. 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 ($100,000) IN ADDITION TOCOSTOFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address 1 certify that / have read this application and state that the information contained herein is correct. 1 agree to comply with all city ordinances and statelawsrelatingtobuildingconstructionandherebyauthorizerepresentativesofthecitytoentertheabovementioned - propertyfor inspection purposes. Signature of Applicant or Agent I Date BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE F- j- I EVR UPGRADE PRIOR TO "OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED-BY' MISC. ACTIVITY - -- __. _ THE BAKER$FIELD CITY FIRE DEPARTMENT. -, FIRE DEPARTMENT (FINAL) _ REMARKS: UILDING ADDRESS: Q,q( S7 OB DESCRIPTION: - OCCUPANCY TYPE: WNER: PERMIT NO. - ONTRACTOR: C ',J PHONE FD 1743 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 # ENHANCED LEAK DETECTION BAKERSFIELD FIRE DEPARTMENT Prevention Services oZ10L STREET PI/Pd Bakerstield, CA 93301AJrNRT ` Phone: 661- 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 LINE TESTING TSB -989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CERTIFICATION ceti, SITE INFORMATION" h FACILITY 1' ILE- Ma NAME & P OF CON!V PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 2 3 s. tI{ITANK,TESTG COMPANYr , fp d a pr #'" s ' u: >41 TESTING COMPANY NAME PHONE ir# OF CONTACT PERSON MAILING ADDRESS Jla 13 t RookS C_T. - P K+RSF 1 ELD CA °13308 NAME & PHONE # OF TESTER OR SPECIALINSPECTOR T _ U (0 CERTIFICATION # A S v DATE & TIME TEST O BE CONDUCTED ICC at 0a (-a 10213 - L) TEST METHOD m(2.W lAPPLICANTSIGNATU mo(Z, JT DATE o 3/ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY q DATE FD2095 (Rev 03/08) BILLING &PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Ills Prevention Services PERMIT # FIREff- 0-1101 1r\ CzT. METAmrarrBakersfield, CA 93301 Dhnn=* AA! _111Z-1070 - cam... cci _orn n, -» All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 PAY TO THE loRDERA . i CHASE JP Morgan Chase Bank, N.A. Bakersfield, A 9330 N FOR c QQ LL V 11' 0318L5n' i:32227+r6271: 90- 7162/3222 3815, DATE 74 AUTHORIZED SIGNATURE 308 3 50 400 TI k +. - y.. 1 cl vi VUI w anK (instauation /Inspection) NI r un. VV1- V.JL -G1 /1 SITE INFORMATION LOCATION OF PROJECT n\ok PROPERTY OWNER L-t RITLUS-L"ISTARTINGDATECOMPLETIONDATENAME PROJECT NAME Q n ADDRESS ' I _ P NE ii 11_J 82 Underground Storage Tank (Removal) TR PROJE& ADDRESS c arr, gAj,/ERSFIELD STATE Cl ZIP CODE CONTRACTOR INFORMATION Mandated Leak Detection (test) /Fuel Mont C SB98 NOTE: $96 /hr for each type of test/per site scheduled at the same time Tr 96 /hr (2 hrs minimu =$192 CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # o l l ell ' CONTRACTOR COMPANY NAME 132 FAX # vv v mil E l- 8a co -893 y ADDRESS 5b I ' 3 R00`, 5 C+ 84 ZIP CODE B All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 PAY TO THE loRDERA . i CHASE JP Morgan Chase Bank, N.A. Bakersfield, A 9330 N FOR c QQ LL V 11' 0318L5n' i:32227+r6271: 90- 7162/3222 3815, DATE 74 AUTHORIZED SIGNATURE 308 3 50 400 TI k +. - y.. 1 cl vi VUI w anK (instauation /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) /Fuel Mont C SB98 NOTE: $96 /hr for each type of test/per site scheduled at the same time Tr 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 rotechnic 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