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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 a