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Home My WebLink About#725 FMC Folder 7-13-13FJOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 11 :116 z fL File Number: 30 ?40 Address: -</So / j . J&)IO A" Bakersfield, CA 933 Date Received: ;- Business Name: ,, S ; , P--2 SYSTEM: BUILDING SQUARE FEET: IHSPECTIOH LOG 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 EL,--'-O-ther: '7_7 7111 O Comments: Building Sq. Feet: Calcul tion Bldg. Sq. Ft: 2. 3. Date Time Signature MCI CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B B R s P I" D 1501 TRUXTUN AVENUE, I ST FLR FIRE BAKERSFIELD, CA 93313RIMA. 9& T Office Phone: (661) 326 -3979 Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner JAMIESON -HILL CO P O BOX 82515 BAKERSFIELD CA 93380 11- 10000232 Date 7/06/11 4901 S UNION AVE 412 - 161- 01 -00 -0 FIRE DEPT 0 Contractor OWNER Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1111137 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 7/06/11 Valuation . . . . 0 Expiration Date . . 1/02/12 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 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 ofthe 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 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 of the Business and Professions Code and my license is in full force and effect. Lie. Class Lie. 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 himselfor 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 ofproving that he or she did not build or improve for the purpose of sale). 1, 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 1 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 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 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 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 certify that / have read this application and state that the information contained herein is correct. / agree to comply with all city ordinances and state laws relating to building construction and hereby authorize representatives of the city to enter the above mentionedpropertyfor inspection purposes. Signature of Applicant or Agent Date BILLING & PERMIT STATEMENT PERMIT # dg o 9:9p :a II A E R_ S 11 1' 1. U F' FIRE -y ' qr- D OA R rNo r lg:ap e BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phona' 661 -'19A- Ag7Q . Fav • 661-Ac;)--)171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. LOCATION OF PROJECT I V: iS-r i ? fq Cron,. 49.61 S,. Un iu_n _, PROPERTY OWNER - a_01_1 -- STARTING DA E &PI ATF. _0XIE I3 20_Ck m NAM[ - PROJECT NAME AD SS PHONE # 3Yi3- 76 6 PROJECT ADDRESS S, t nian Ave. 9kf la Gl3 CITY _A- K E1ZSFI E LD STATE CA ZIP CODE 3 CONTRACTOR INFORMATION 84 _ CK-LSaU 1- NC CA I-IU`SCi -I4, C,l 1l TYC or NSE EXPIRATION DATE PHONIE U- , ` J, 1'\ V CONTRACTOR COMPANY NAME 1 1ul `'I L\ 111. tiS )LY_Vlce,D, II)C - FAX fl ADDRESS CITY ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 84 98 Over 10,000 sq ft 0 .028 x sq ft 84 _ 98 Sprinkler -New &Modification (minirrlum charge) 280 84 98 Over 10,000 sq ft 0 .028 x sq ft 84 98 Minor Sprinkler Modification ( <10 heads) 96 (inspection only) 84 98 Commercial Hood (New & Modification) 470 84_ 98 Additional hood 58 84 98 Spray Booth (New & Modification) 470 84 98 Aboveground Storage Tank (Installation /One Inspection) 82180 Additional Tank 96 82 Aboveground Storage Tank (Removal /Inspection) 109 82 1 Underground Storage Tank (Installation /Inspection) 878 /tank 82 Underground Storage Tank (Modification) — 878 /site 82 Underground Storage Tank (Minor Modification) 167 82 Underground Storage Tank (Removal) 573 /tank r 84 Oil well (Installation) 96 84 Mandated Leak Detection (test) /Fuel Mont Cert /SB989 96 /site a 82 NOTE: $96 for each type of test /per site even if scheduled at the same time— 3, I Tent 96 /tent 84 Il After -hours inspection fee 121 Pyrotechnic (per event, plus inspection fee of $96 /hr) 96 -I- (5 hrs min standby fee /insp) =$576 84 Re- inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? _ 96 84 Explosive Storage 266 84 Copying & File Research (File Research fee $34 /hr) 0.25 /page 84 Miscellaneous 84 FD2021 (Rev 06/07) 1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer) BAKERSFIELD FIRE DEPARTMENTUNDERGROUNDSTORAGETANKS , -7o Prevention Services ter __ -_ , _. . .. —. - -- -- _._- .. -_ -.._ -x- n , y — p —I- cn1000TI -UXtUn Ave., Suite 401 APPLICATION DB( FIRE MT Bakersfield, CA 93301. TO PERFORM ELD /1_INE TESTING/ v. -_ ; Phone: 661 -326 -3979 o Pax: 661. -852 -2171. SB989 SECONDARY CONTAINMENT Page 1 of I TESTING /TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION PERMIT 11 ENHANCE'[) LEAK OFTECTION LINL TESTING S13 -999 SECONDARY CON- rAINMEN'r El TANK TIGHTNES5 f T'LIEI_ MONI'rORING CER'T'IFICATION SITE INFORMATION - - - -' - -- - -- FACILITY - - - - -- . - - -- - - - - - -- - -' NAME: & PHONF # 01= CONTACT PERSON - -- _ -- S Yi___3• ADDRESS S, T f ICG1 S lEL -.T., CA- 41 0 OWNER NAME OPERATOR NAM[: PERMIT TO OPERATE !! V OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? Cl YES NO VOLUME CONTENTSTANK # TANK TESTING COMPANY TESTING COMPANY — NAME: 1', PHONE: !! OI' CONTACT PERSON L-Lck',I Q_I —lCi' - ll LY IL_'._.— f \< - -I t: —i 11S - - - — MAILING ADDRESS h L.F % !`_'l.i...G tL!.,i1•_\hC'.C:L !__Uu:,__5.. -1 IA' -, ,; ._ L i I _),— - - --- - -- - - -- -- N JE R PHONE u OF TFSTER OR SPECIAL INSPECTOR CER' IFICATION !! cn_ 0-5C v Ll - — - - -- - I'f: DATE & TIME TEST TO 131: CONDUCTED ICC I! S'I' t•11i rIiOD y -LA.O_10..ke-k- -- DATEAPPLICANTSIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED 13Y DA'r[i I- 132095 (Rev 06/07) BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD d at the Job Site and DO NOT Remove for Dura 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 PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BYMISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: !,9'0 / '5 L JOB DESCRIPTION: r-7yYf(, OWNER: ' CONTRACTOR: OCCUPANCY TYPE: PERMIT NO. PHONE #&!?A FD 1743 f TAR K'CE11' i JVURII Type, OC De2wogr; at .7A/il M f eceipt m: 14 ?s Iigscrictlon (quantity ko -,nt WILDING F;,Alfs bF' Y•Cf2lUll i PF'R.MIIa 1.00 011 1OM29 . . BP BUlI Dili PERAITSS- 1, 1394, Oki DMA ib1.1- 10'32 ' 1+1' BO LD1 6 4RVIT9 1.00 E 94. ±s' lonlier? ,tetail i:P;_t:ilkt .1+1 f1i3n.00 y:n1;a1 ten ierN i E1536.k- 1 c+ a; alo nt E1536. fran5 d ie: 710 /11 rim i6 :4"'; 1tfII,.Giwl,.DI Iii PI KIPULAT1UN Pi,::'(r3C, :AY rAW.O NEUTER . L• CONFIDENCE UST SERVICES, INC. City of Bakersfield 6/28/2011 HP Go Go- Wilson Rd. (MC 7/11/11) V #705 Fastrip #641 (MC 7/12/11) 725/775 Fastrip #19 & Chevron (MC's 7/13/11) 721/781 Fastrip #22 (MC's 7/20/11) 366/357 Chevron & Fastrip #640 (MC 7/21/11) 10301 192.00 192.00 384.00 384.00 384.00 Citibank Checking Monitoring System Certifications 1,536.00