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Home My WebLink About4855 BUENA VISTA ROADPermit No. Permit No. File Number: Date Received: SPRINKLER SYSTEMS SPRAYY o OO OO ` H AST UST Permit No. Permit No. Permit No. Permit No. Address: eLj Ad. 4- Bakersfield, CA 933 _ Business Name: rri.az /e ' < <' SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Flood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System 2. Spray Finish System 3. Aboveground Storage Tank 4. Underground Storage Tank minor modification Underground Storage Tank removal nderground Storage Tank Other: Comments: —TA .5 p INSF'ECTM Li!) Time G, FJ, r f ST7 ?.JLfe-M 6 %9111 F* -7 Asr T2.K Re,'-w4- Signature Signature V/ z VAI 3 IA-V 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 REMARKS: EVR UPGRADE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR-TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL,_ COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) e ^j 0Qv - BUILDING ADDRESS: 8e;-G- `- JOB DESCRIPTION: / OCCUPANCY TYPE: OWNER: , 7 -,J PERMIT NO. -- / BO 1 5 e) CONTRACTOR: Aj PHONE FD 1743 J , REcE /i/FJ) SAN JOAQUIN VALLEY UNIFIED AIR POLLUTION CONTROL DI Wr2,0'' Northern Region Office Central Region Office Southern Region OI;Rl7 hJVAPC 4800 Enterprise Way 1990 East Gettysburg Avenue 34946 Flyover Court ern ReD Modesto, CA 95356 -8718 Fresno, CA 93726 -0244 Bakersfield, CA 93308 -9725 209) 557 -6400 FAX (209) 557 -6475 (559) 230 -6000 FAX (559) 230 -6062 (661) 392 -5500 FAX (661) 392 -5585 San Joaquin, Stanislaus and Merced Counties) (Fresno, Madera and Kings Counties) (Tulare and Kern Counties) DEMOLITION PERMIT RELEASE The purpose of this form is to verify compliance with or exemption from the National Emission Standards for Hazardous Air Pollutants NESHAP) asbestos notification requirements. It is the Applicant's responsibility to obtain the required signature from the District and return this form to the appropriate ci or county building department prior to obtaining a demolition permit. Project Description Job Site Address: v ueQ,4 p U t Owner's name: ( r : f/ j9G.- Owner's Address: 1 U Contractors Name: C`t( Q.yy1V1 ,! r,Ud Contractor's Address: II(1 tk, ` y ,3 I-, City: tY }- K f' -i/ (--.4 Zip Code: -I Telephone: 1 n (oLl - ! 0__ 5' Fax: City: P a-V urs L 0-kiA Zip Code: 9 33,1 , Telephod "1) 75_= i9yD Fax: City: L,_) &,s L C> Zip Code: 1. Structure(s), being demolished: Yes No 2. Proposed project: Yes No One structure (non- contmercial), with four or fewer s El Sin le Family Dwelling Subdivision, Retail or Commercial Project M Other describe : G /iiiif'S Public Project School, Highway, etc.. 1A Is demolition by iAtenfonal burning? Other describe : Comments: ignature ofa plicant Title Date FOR SJVUAPCD USE ONLY This certifies that the demolition applicant has satisfied the APCD's notification requirements. The APCD allows the demolition to proceed on or after , 200 This certifies that the Demolition application is exempt from the APCD's requirements. District approval on this form only indicates compliance with or exemption from the NESHAP notification requirements. Enforcement action will be taken if asbestos NESHAP violations are found at the project. Further, there are other agencies that regulate the handling and disposal of ACM, such as OSHA, Cal -OSHA, and DTSC regardless of NESHAP applicability to your property. Comments: Printed Name: cv 'A Title: Approval Signature: Date: 6 Asbestos Demolition Permit Release (rev.: 4 -2 -09) CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES E R 11 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313ATMTOfficePhone: (661) 326 -3979 11- 10000190 Date 5/31/11 4801 BUENA VISTA RD FIRE DEPT 0 Contractor OWNER Permit . . . . . ABVGRND STR TANK REMV /MOD /INSP Additional desc . Phone Access Code 1101534 Permit Fee . . . 54.50 Plan Check Fee 54.50 Issue Date . . . 5/31/11 Valuation . . . . 0 Expiration Date . 11/27/11 Fee summary Charged Paid Credited Due Permit Fee Total 54.50 54.50 .00 .00 Plan Check Total 54.50 54.50 .00 .00 Grand Total 109.00 109.00 .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 ofthe outer boundary of a school? Yes—No Will the intended use ofthe 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 AgemF 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 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) ofthe 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 ofthe 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 ofnotmorethanfivehundreddollars ($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 herselfthrough 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 ofcompletion, 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 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 of consent 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 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 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 of the work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address 1 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 state laws relating to building construction and hereby authorize representatives ofthe city to enter the above mentioned - propertyfor inspectionpurposes. Signature of Applicant or Agent I Date NSM RECYCLING INC City of Bakersfield Date " Type Reference 5/27/2011 Bill tanks removal 5/27/2011 Original Amt. Balance Due Discount 1,199.00 1,199.00 Check Amount 1691 Payment 1,199.00 1,199.00 Wells Fargo -ckg #272 Foothill Energy (11) tank removal 1,199.00 ABOVEGROUND STORAGE TANKS APPLICATION FORM FOR INSTALLATION / REMOVAL OF AN AST INSTALL Pe REMOVE PERMIT: # B fl R P I ARM r BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 2 FACILITY ADDRESS L + rle . t OPE TORS NAME PERMIT TO RATE NO. r OWNERS NAME NUMBER OF TANKS TO BE INSTALLED /REMOVED r Md.,x 4f+a -1 z a STANK NO `, NTS =k VOLUME a s, sn t, ;ME l /' s ww 'J- c 0L4 o —I tz'5--pl o T953 5 A 0-0 10 37- oZO -o6 NAME OF COMPANY I STALLING & / OR REMCOVING TANK(S) r MAI NG ADDRE 6000 , f NAME & PHONE NUMBER OF CONTAC PERSON Fzhf 4t2 eV - -A6 DATE & TIME TEST IS TO BE INSTALLED OR REMOVED SIGNAT OF A ANT DATE f APPROV BY DATE FD 2081 (Rev. 09/05) DF P rJL.MER RECEIPT Oiler: Type: W Drawer: I Date.- c /31/11 zi Receipt ne,, 11@682 tien ja nt It. j ADount W001W Bp PERMIN W99. N Termer het;.l GX NECK 1691 411?9. bb Total tendered .1199.a Total pament m Trans date, 5.131 fI Tiset i5:5042 HrLP- CONTRI POPULATICA, WD EWER BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT 4L D Prevention Services PERMIT #I pine 2101 H StreetHerrr Bakersfield, CA 93301 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION OF JECT PR RTY WNER 1' rA,21fq \ STARTING D TE COMPLETION DATE NAME ` PROJECT NAME ADDRE S S eand-U s n PHON # 6 t-1- 102.r PROJECT ADDRE S a v C) T CITY F K FiT S I Fi I D STATE CA ZIP COD ^/ L.]` R INFORMATION Over 10,000 sq ft CONI&ACTOR 1Mb "Y CLICEN # TYPE 0 LICENSE EXPIRATION DATE PH NE # r CONTRACTOR C1 = ME FAXq/- ADDVfiS CITY ZIP C E 41920 41.1v 40560 CIA Commercial Hood (New & Modification) 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 headsp ( ) 96 (inspection only) 84 Commercial Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) 470 98 Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 1f X651 7 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 cheduled 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