The URL can be used to link to this page

Home My WebLink About1129 UNION AVENUE (2)057- Cak'es' HOODS ALARMS SPRINKLER SYSTEMS SPRAY o OO7H AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 0 i / File Number: Date Received: lQ Address: Bakersfield, CA 933 _ Business Name: Aw V--T- SYSTEM: BUILDING SQUARE FEET: 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 0---'Other: Comments: w1 C-- Building Sq. Feet: Calculation Bldg. Sq. Ft: 3. 4. F- NSPECTM LOG Date Time Signature Signature CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner JASSAR SIKANDER S 4413 CHERRY ROCK AV BAKERSFIELD CA 93313 BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES E R s P 1 n 1501 TRUXTUN AVENUE, 1sT FLR FIRE ). BAKERSFIELD, CA 93313ABTA/ T Office Phone: (661) 326 -3979ti 11- 10000411 Date 11 /15 /11 1129 UNION AVE 009 - 512- 04 -00 -7 FIRE DEPT 0 Contractor OWNER Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1146737 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 11 /15 /11 Valuation . . . . 0 Expiration Date . . 5/13/12 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 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 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 Agentf JPhone 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 theBusinessandProfessionsCodeandmylicenseisinfullforceandeffect. 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 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 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 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 ofsale). 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 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 ofthe 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 workforwhichthispermitisissued. 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, 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 ofthe 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 1 certify that l have read this application and state that the infbrmation contained herein is correct. 1 agree to comply with all city ordinances and statelawsrelatingtobuildingconstructionandherebyauthorizerepresentativesofthecitytoentertheabovementioned - propertyfor inspection purposes. Signature ofApplicant or Agent Date UNDERGROUND STORAGE TANKS APPLICATION TO PERFOU'l Fl-[)/I-INF-' T1 ::S1 -[N(7,/ B989 SFCONO/MRY CONTAINNIFN1 1'[ic7HNG/1 ANI T1(aIITNhSS II =S'I ANI) FUEJ.. NIONVIORTNG CEIRTTFICATJON D I:Nl iANCII'l) 11A1< 1)f' I hNiNk I IGH I NFS'S BAKERSFIELD FIRE DEPARTMENT Prevention Senfices 1.600 I -LIXI'Lln Ave., Suil:e 401 NRE Bakersfield, CA 9330J. DEPARrmsxr Phone 661-326-3979 o Fax: 661-852-2171, El LINI.; lll:c;l*iN(; 1-1 SB-98') SECONOARY CONTAINMI".191 MON110RINC-1, CI RTIFICATION SITE INFORMATION I:AC I1.11•.' MANI: V, PHONE 1) 01: q3 MYNI:R MAN[. 01,1*16*1 'N'V'11; 0111:kAri: V OF TANKS TO lil- ll:; 11:1): IS PIPING GOING '10 131: TI'S I -I)'? Ll yl-S C.I NO TANK it VOLUME CONTENTS TANK TESTING COMPANY W.; I. I/ ol: (:0WACI TESTI OHI 'ANN MAJ1.1 NG A0010- I'IFICArioi-i PHONE ol: INSHCIORVlllll u r 1.11: I'lloo 0A7I:,S *I(NI: ('(711,11)(1cil. 644401-9-4* BECOMES A PERMIT WHEN APPROVEDTHISAPPLICATION Al 1: rc-c-h : K-j /I AJ6-5 fec , q o BILLING & PERMIT STATEMENT PERMIT # BAKERSFIELD FIRE DEPARTMENT IF iEki'L D Prevention Services It,FiRe Y1 2101 H StreetRARY@9 T 11111" ° "II!hu,. Bakersfield, CA 93301IIii11Phone* 6El- 326 -3979 e Fax: 661 -R57 -7171 o• e LOCATION OF PROJECT PROPERTY OWNER l STARTING DATE cogA pN.9A.TE Tj }ltr rf NAME PRO) /E`CT NAME IL:1 °I LI_ _l(k Y' ADDRESSt yi2 1 Y1 It- ]Lln t PHONE # 11 -1 ' PROJECT ADDRESS ^ ^ l L Cy 1, . CTTY 41C>1:S I El_D STATE C ZIP CODE 96 /hr CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE U4Ll UA- Cull LAO PHONE # 1 G CONTRACTOR CMPANY NAME FAX # 84 ADDRESS CITY_. ( ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. I Alarm - New & Modification (minims m rha —N CONFIDENCE UST SERVICES, INC. 16250 MEACHAM RD. BAKERSFIELD, CA 93314 661) 631 -3870 AY TO THE DRDER OF . One Hundred of Bakersfield 10404 CITIBANK, N.A. BAKERSFIED-STO KDECA 93309 NIA OFFICE ELD I 90- 7172/3222 10/26/2011 5. 192.00 DOLLARS 8 ( Two and 00/100 City of Bakersfield Permit (CA Mini Mart) n 010t,041I 1 :32227L72Le 1: 1 1 l I 009534 L48913 Underground Storage Tank (Removal) TR 573 /tank 82 84 Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot. NOTE: $96 /hr for each type of test /per site /per UST system even if scheduled at the same time 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 standb fee ins = 605 84 I 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 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 9 _ UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF t TANK TESTING REMARKS: 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 BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: llc2C7 e it JOB DESCRIPTION: C-- OCCUPANCY TYPE: OWNER: ,N PERMIT NO. CONTRACTOR: 6,*j L' c PHONE # ... FD 1743 BILLING &PERMIT STATEMENT ;liillllill;;;lu;u7 BAKERSFIELD FIRE DEPARTMENT B E 14 -1 Prevention Services PERMIT # I F1 I 2101 H StreetjP S F I A R rw r 41; I I;p; Bakersfield, CA 93301lilflilflll All Permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) 280 LOCATION OF PROJECT PROPERTY OWNER STARTING DATE EAf4P6R4QN -Q"E 71"F NAME I S;, kc nd er u.r PROD CT NAME ADDRESS PHONE # QkA 1261^ nio A-660 PROJECT ADDRESS crTy g CKE(_D STATEFiSFI ZIP CODE 0 .028 x sq ft Underground Storage Tank (Installation /Inspection) NI 878 /tank CONTRACTOR, Sprinkler - Minor Modification (<10 heads) CONTRACTOR NAME CENSE # TYPE O1ICENSE EXPIRATIO` DATE2 PHONE; l 1 I \ C `-tV I - 5S 16 CONTRACTOR COMPANY NAME FAX # 0 1 581-9 ADDRESS L CITY v\ ZIP CODE C All Permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) 280 98 Over 10,000 sq ft 0 .028 x sq ft 82 Additional Tank ATI Sprinkler - New & Modification (minimum charge) 280 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank Over 10,000 sq ft 0 .028 x sq ft Underground Storage Tank (Installation /Inspection) NI 878 /tank Sprinkler - Minor Modification (<10 heads) 96 (inspection only) 878 /site 84 82 Commercial Hood (New & UL 300 Upgrade Modification) Additional Hood 470 58 hood 82 Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84 84 Spray Booth (New & Modification) 470 98 Aboveground 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 /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 UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system ven if scheduled at the same time 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 X01 DFti V N . 10E5 `? tP4V COMPLIANCE WITH CONFIDENCE" October 26, 2011 CITY OF BAKERSFIELD Attn: David Weirather Office of Environmental Services Fire Department /UST Program 2101 H Street Bakersfield, CA 93301 To Whom It May Concern: Enclosed for your approval, please find Application to Perform Fuel Monitoring Certification and Billing and Permit Statement, along with our check in the amount of $192.00. Please fax the approved Applications and permit fee receipts to our office at 661- 587 -9758. Should you have any questions, please feel free to contact me at 631 -3870. Thank you for your attention herein. Enclosures Yours truly, CONFIDENCE UST SERVICES, INC. 74 CL,- C Karli Karns, Dispatch Coordinator 16250 Meacham Road • Bakersfield, CA 93314 661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758