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Home My WebLink About13004 STOCKDALE HWYHOODS ALQG°3MS SPRINKLER SYSTEMS SPRAY BOOTH AST Permit No. Permit No. File Number: X66 s3 -Z- Date Received: 16-,31-11 Permit No. Permit No. Permit No. Address: 4Wn q 5-1-6c Bakersfield, CA 933 Business Name: 0 (A e ,,,) Z SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: 1. Fire Sprinkler System 2. Spray Finish System 3. Aboveground Storage Tank 4. Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank QZ Other: S j -9 -- UST Permit No. W4 Data Times Signature Comments: l'oP CC>6tivs -71 DC's I Ty,.eu 7 wr-.e, AloT nh 2b1t 7 7 aCC S3 CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner 13004 STOCKDALE HWY LLC 13004 STOCKDALE HW BAKERSFIELD CA 93314 BAKERSFIELD FIRE DEPARTMENT t PREVENTION SERVICES E R s r I D 1501 TRUXTUN AVENUE, 1 ST FLR FNPB BAKERSFIELD, CA 93313PAfMTOfficePhone: (661) 326 -3979 11- 10000414 Date 11 /15 /11 13004 STOCKDALE HWY 409 - 122- 21 -00 -9 FIRE DEPT 0 Contractor OWNER Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code . 1147883 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 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 ofa 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 Agent_- gen 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. 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 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 ofproperty 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 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 1 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 ofthe 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 ofCalifornia, 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 EMLOVER 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. / agree to comply with all city ordinances and statelawsrelatingtobuildingconstructionandherebyauthorizerepresentativesofthecitytoentertheabovementioned - propertyfor inspection purposes. Signature of Applicant or Agent I Date UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # ENHANCED LEAK DETECTION LINE TESTING TANK TIGHTNESS FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10L F-t STREET Bakerstleld, CA 93301 Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171 Page 1 of 1 CSB -989 SECONDARY CONTAINME FD2095 (Rev 03/08) BILLI & PERMIT STATEMENT PERMf I NI I' BAKERSFIELD FIRE DEPARTMENT Prevention Services FINE 02101 STREET75Prevention r Bakersfield, CA 93301NtlU1W"' Phone: 661 - 326 -3979 . Fny: Ar,1 _as')_ '),'7, SITEMW INFORMATION 1. Auuv egrouna.Storage I ank (kemoval, Mod,or Inspect'n) ATR 109 /tank 878 /tank 878 /site 167 /site 573 /tank LOCATION ECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME 82 PROJECT NAME ADDRESS 82 ONE # PROJECT ADDRESS 82 ZIP CODECITYgCER S (Fi LD STATE C CONTRACTOR NAME CA LICENSE # Sim TYPE OF LICENSE EXPIRATION DATE PHONE # V-5 - Q902 o l SCONTRACTORCOMPANYNAME 82 l FAX 3ac -gq3 { ADDRESS I ' 0 CM ZIP CODE emu NWI nnw nwsL oe reviewea, Stamm]. and aDOrnvArl PPTnD Tn 12C1`TIUIUTSIPn aao. - RICH ENVIRONMENTAL SERVICE STATION SERVICES 90- 7162/3222 3 816 LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 DATE /d /3/ n , (661) 392 -$687 PAY TO THE ORDER OF C CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 LL FOR U T61F_ H 003aIGo 1 :322271627i: Exi l LLARS r. 4. rGt9ry AUTHORIZED SIGNATURE 308 3 50400 ?III m11. Auuv egrouna.Storage I ank (kemoval, Mod,or Inspect'n) ATR 109 /tank 878 /tank 878 /site 167 /site 573 /tank 82UndergroundStorageTank (Installation /Inspection) NI 82 Underground Storage Tank (Modification) MOD 82 Underground Storage Tank (Minor Modification) MTM 82 nderground Storage Tank (Removal) TR 84 Mandated Leak Detection (test) /Fuel Mont C SB989 NOTE: $96 /hr for each type of test/per site ev scheduled at the same time TT 96 /hr (2 hrs minimu =$192 96 /hr 96 /tent 121 /hr (2 hrs minimum) =$242 96 /hr + (5 hrs min standby fee /insp) =$576 5 hrs min standby fee ins = 605 96 /hr 96 /hr 266 82 Oil well (Installation, Inspection, or re- inspection) X 82 Tent # After -hours inspection fee NOTE: Pyrotechnic (1 permit per event, plus an inspection fee of 96 /hr during business hours) Py After hours Pyrotechnic event inspection is @ 121 /hr Re- inspection /Follow -up Inspection 84 84 Portable LPG (Propane): # of Cages? — 84 Explosive Storage 84 Copying & File Research (Fie Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 m1 BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD st this Card 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 7 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 BYE MISC. ACTIVITY - CITY FIRE DEPARTMENT:} FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: Q JOB DESCRIPTION: PPERMITNO. CCUPANC TYPE: OWNER: G v-p —/ CONTRACTOR: PHONE FD 1743