HomeMy WebLinkAboutAST 4/25/2011L r,cTVi
HOODS ALARMS SPRINKLER SYSTEMS
Permit No. Permit No. Permit No. Permit No.
File Number: —3L2 r_
Date Received: 'e "r
Address:
Bakersfield, CA 933
Business Name: Lv ` `>
AST UST
Permit No. Permit No.
6-Q /y7
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:
Fi ABarPn System Calculation Bldg. Sq. Ft: 9
minor
modification
removal
nr
Fire Sprinkler System
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
Other:
Comments:
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Signature
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
PRIORTO - OPERATION OF ANY SYSTEM,,
ALLUST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE-BAKERSFIELD CITY, FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: // j
JOB DESCRIPTION: k OCCUPANCY TYPE:
OWNER: PERMIT NO. //— /q
CONTRACTOR: V-A- PHONE # _?cj/--
FD 1743
u ty.of Ba6.erafield
x* CUSTA.R RECEIPT
Type: .QC Drawer: 1
z1d, E 4, 3!! l 01 Receipt no: 93682
ULIsCrigtlop ugantity Ritoud
roll' IRWI47
nF' L BUILDIIV9 K`EMITS
1.0 $276.00
f ?n ;ter detail
Hai ieoaefe f $276,N .
TAa.l pnyaant $276:6
Trans date; 4/29''l1 Tree: 10:4$:?0
i
HU P ININ RO, THE VF PCIPOLWIGN
PLEASE :3PAY fft WUTER
I
Melo's Gas & Gear
CHECK NO. 4580 State Road —:— Bakersfield, CA 93308 AMOUNT
661) 387 -6800 — FAX (661) 387 -6807 4o1 7 /
MEMO INV. DATE INVOICE NO. AMOUNT DISCOUNT NET AMOUNT
CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
B B R S P[ D 1501 TRUXTUN AVENUE, 1sT FLR
FIRE BAKERSFIELD, CA 93313
AST r Office Phone: (661) 326 -3979
Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits):
Tenant nbr, name . . . . . .
Application type description
Subdivision Name . . . . . .
Property Use . . . . . . . .
Application valuation . . . .
Owner
MELDS WELDING EQUIP LLC
4580 STATE RD
BAKERSFIELD CA 93308
11- 10000147 Date 4/29/11
311 KENTUCKY ST
014 - 350- 17 -00 -3
2 TANKS
FIRE DEPT
0
Contractor
OWNER
Permit . . . . . . ABVGRND STR TANK (1 INSP /INST)
Additional desc . .
Phone Access Code . 1092444
Permit Fee . . . . 90.00 Plan Check Fee 90.00
Issue Date . . . . 4/29/11 Valuation . . . . 0
Expiration Date . . 10/26/11
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 afterl80 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. 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. regardinghazardousmaterials.
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 ofthe
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 ofperjury 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)):
I, 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 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 I Date
WORKERS COMPENSATION DECLARATION
I hereby affirm that under penalty of perjury one ofthe following declarations:
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 work
for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Carrier Policy No.
I certify that in the performance ofthe work for which this permit is issued, 1 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 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
I certify that I have read this application and state that the information contained herein is correct. Iagree to comply with all city ordinances and statelawsrelatingtobuildingconstructionandherebyauthorizerepresentativesofthecitytoentertheabovementioned - propertyfor inspection purposes.
Signature of Applicant or Agent Date
ABOVEGROUND STORAGE TANK
0INSTALL [] REMOVE
PERMIT #
P
4 JURN
AR1N T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 2
FACILITY NAME
loS GC-s 0j GCC4 41-
ADDRESS
OPERATOR NAME f PERMIT TO OPERATE #
315
OWNER NAME
OF TANKS TO BE INSTALLED / REMOVED
TANK # CONTENTS VOLUME
ME OF COMPANY INSTALLING AND /OR REMOVING TANK
J1— tP
MAILING ADDRESS
G, v we% N- Sal L /cam (f
NAME & PHONE # OF CONTACT PERSON
Yc_-k S D ,, 3 3 Z
DATE & ME TAN IS TO BE INSTALLED /REMOVED
Zy i
SI O APPLICANT DATE
APPROVED BY DA E
FD2081 (Rev 05/10)
BILLING &PERMIT STATEMENT A yji {Sliiuii BAKERSFIELD FIRE DEPARTMENT
e 9 u Prevention Services
PERMIT # " FIRE 2101 H Street
OCbd
Rrr r
p w Bakersfield, CA 93301
J oti.,.,e. __o o . Gam..• _f2SO_D171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge)
SITE ••
LOCATION OF PROJECT
SY L --kcic
PROPERTY OWNER 405e
0 .028 x sq ft
STARTING DATE COMPLETION DATE NAM o VV'Q. vOt,dl
PROJECT NAME ADDRESS PHONE#
PROJECT ADDRESS / CITY gAK &R SFI EL_D STATE CA ZIP CODE/.
30
CONTRACTOR INFORMATION
0 .028 x sq ft
CONTRACTOR NAM CA LICENSE #
c G oc sf s-
TYPE F LICENSE EXPI TIO DATE
3/ a i 3
PHONE #
0(5
CONTRACTOR COMPANY NAME FAX #
84
ADDRESS .\(
UV WLJ
CITY ZIP CODE
e /O
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
C Aboveground Storage Tank (1 inspection per installation) AST Q180 /tank 4 -dS -II G 1 Loi S 2 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) /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 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
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