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Home My WebLink About7030 SCHIRRA COURTHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 0 22-7 File Number: ( Address: -2c 30 Sc_% .-y`PA-C Cam• Bakersfield, CA 933 Date Received: _ag Business Name: tQ e_ e_ C C- c. =yeLS SYSTEM: BUILDING SQUARE FEET: NSPECTM LOG New Mod. Commercial Hood System fire Alarm System Fire Sprinkler System Spray Finish Systems Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 0--' Other: Comments: may! % ?mil Building Sq. Feet: P Calculation Bldg. Sq. Ft: 9s S 1. 2. 3. 4. Signature BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT PERMIT # we> r Prevention Services 2101 H Street Bakersfield, CA 93301 V=1 nut must ve reviewea, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft $0 .028 x sq R Sprinkler - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft E3 Minor Sprinkler Modification ( <10 heads) $96 (Inspection only) 84 Commercial Hood (New & Modification) $470 SITE INFORMATIONLocAnoNor: PROIECr Fleet Card Fuels PRDPERry OWNER Fleet Card FuelsSTARTINGDATECOMPLETIONDATE 7/12/2011 7/12/2011 NAME P. ECT NAME 470 ADDRESS 4200 Buck Owens Blvd. PHONE # 661- 327 -9341PROJEaADDRESS 180 /tank 7030 Schirra Ct. Lazy 1 ,AV- EiR- SFlEL -D STATE Crh ZIP CODE CONTRACrnR NAME CA LICENSE CONTRACT .• INFORMATION TYPE OF LICENSE EXPIRATION DATEfaha. 9217 PHONE # p- 22a 6c - 2 _ comTRAcrok coMPAmy NAME 109/ta.nk FAX # Y f6/- 32S -ZS ZADDRESS 3Sv6 Gr'v ror. jlt._ a1y l3 ' / ZIPOODE933d V=1 nut must ve reviewea, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft $0 .028 x sq R Sprinkler - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft E3 Minor Sprinkler Modification ( <10 heads) $96 (Inspection only) 84 Commercial Hood (New & Modification) $470 Additional hood 58 Spray Booth (New & Modification) 470 98 kboveground 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/ta.nk 82 Underground Storage Tank (Installation/Inspection) NI 878 /tank S2 Underground Storage Tank (Modification) MOD 878 /site 82 R Underground Storage Tank (Minor, Modification) MTM fWPA- 0 /` / 96' 71111, 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 @I 121 hr 96 /hr + (5 hrs min standby fee/Insp)= $576 5 hrs min stand ins = 605 84 O Re- inspection/Foilow -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 I RILLIPT Pat E' I:s rpi tin u;j'li t it AUf U, I RG PERMITS cv, u:ft" 641 Sri T .),al terldpred; Iran= dl;d ?, "O'Pl Time: i RIEW UINIRa W. R-1 MPULAT304 PV.R;E ;:,NY AN) WUTER UNDERGROUND STORAGE TANK 046. 1 P 1 D FIREPERMITAPPLICATIONRr1 ;I ARTM T TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY)/NEW TANK INSTALL (EXISTING FACILITY)/MOD -MINOR MOD Permit * I u BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H St. Bakersfield, CA 93301 Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171 Page 1 of 1 TYPE OF APPLICATION: NEW TANK INSTALUNEW FACILITY NEW TANK INSTALUEXISTING FACILITY CHECK ONF ONI Y1 moniFICATInN OF FACII ITY Y MIN(1R KAr) iPIrGTIr)M (lG Fe(`II ITV STARTING DATE/ 7/12/2011 7PROPOSED COMPLETION DATE 7/12/2011 FACILITY NAME Fleet Card Fuels EXISTING FACILITY PERMIT # FACILITY ADDRESS 7030 Schlrra Ct. CITY Bakersfield ZIP CODE TYPE OF BUSINESS Fuel Card Lock APN # TANK OWNER Fleet Card Fuels PHONE # ADDRESS 4200 Buck Owens Blvd. CITY Bakersfield ZIP CODE 93308 CONTRACTOR Cal - Valley Equipment CA LICENSE # 921733 A HAZ ICC # 520136 -U1 ADDRESS 3500 Gilmore Ave. CITY Bakersfield ZIP CODE 93308 PHONE # 661- 327 -9341 110BAKERSFIELD CITY BUSINESS LICENSE # 00054089 WORKMANS COMP # 80- 4852009 INSURER ICCW BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace 87 UL and 91 UL fill and vapor Phil -tlte spill buckets With OPW Spill buckets. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE OF TANKS TO BE INSTALLED 10ARETHEY FOR MOTOR FUEL? YES NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES NO THOS SECTOON IS FOR MOTOR FUEL STORAGE TANKS TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS TANKS # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY # OF TANKS FEES $ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. A D BY APPLICANT NAME (PRINT) Bruce W. Hinsley APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner FLEET PROPERTIES 4200 BUCK OWENS BL BAKERSFIELD CA 93308 BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R s P 1AE D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, CA 933134RINrOfficePhone: (661) 326 -3979 11- 10000227 Date 7/06/11 7030 SCHIRRA CT 385 - 420- 02 -00 -4 FIRE DEPT 0 Contractor OWNER Permit . . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . . Phone Access Code . 1110782 Permit Fee . . . . 83.50 Plan Check Fee 83.50 Issue Date . . . . 7/06/11 Valuation . . . . 0 Expiration Date . . 1/02/12 Fee summary Charged Paid Credited Due Permit Fee Total 83.50 83.50 .00 .00 Plan Check Total 83.50 83.50 .00 .00 Grand Total 167.00 167.00 .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. regarding hazardous materials. Owner or Authorized AgentF 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 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)): 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 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). 1, as owner ofthe 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 ofproperty 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 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: Policy No. 1 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 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 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 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. I agree to comply with all city ordinances and statelawsrelatingtobuildingconstructionandherebyauthorizerepresentativesofthecitytoentertheabovementioned - propertyfor inspection purposes. Signature ofApplicant or Agent I I Date