The URL can be used to link to this page

Home My WebLink AboutCOMM HOOD PERMIT 1/6/2005Application Number ...... 05-10000003' ~ Date. 1/06/05 Pin number ......... 304902 Property Address .. ~ .; ~%.' ; ~10150 STOCKDALE ATN (11 Digits): - - - Application description .. FIRE DEPT Subdivision Name .: ...... .: Property Use ........ App%ication valuation .... Owner Contractor ........................ JORGENSEN & CO 2691 S EAST AVE FRESNO : ' CA 93706 ' .327~4352 . · Permit ...... COMMERCIAL HOOD - ' .'. Additional desc . Phone Access Code . 314872 Permit Fee .... 177.00 · Issue Date . 1/06/05 ExpirationDate 7/05/05 . ' Fee's~a~7 ." 'Cha;g~d Permit Fee Total 177.00 Plan Check Total 221.25 Grand Total 398.25 · Pian Check Fee . .. 221.25 Valuation .... : . .... 0 Paid ..... Credited 'Due© 177.00 ' .00 .00 2~1.25 ' ".00.. .00 398.25 .00 .00 CALL FOR INSpECTION .. DECLARATIONS. .. (661) 326-3979 Permit is issued in accordance withall applicable Federal, Sate and Local Odnances. The permitee has. properly signed and dated the reverse side Please state the Permit Number, the Job Address, and the. · of this form Type of Ispection. Reque. sts for inspections should be made at least 24 (twenty-four)· hours in advance. Inspectors office hours 'are: 7 am to 5 pm Monday thm Fdday This permit expires after 180 days of inactivity. ~..reviewe~i the above appliCatiOn, and find it to be correct/complete. ~ i~. Date u. r~ No Will'the appliCant or future occupant liandle ~rd0ds~'matetial 0r a:mix;tu~:~oalainifigi~ hazard6us~'material equal'to 0'r greater tl~filihe am~uhis sPeCified onth~ i ' i'~ ~, list0fextremelyhazardoussubstances?Seegh¢,cl~I~iS~f0t~delines~ i ":' ':'~?::. · ::. ' C;3Y~:" CINO Willthe~edbuilaingorm~ifiedr~li~wi~hi~i~eto~t~eO~icr~h~ara~C~l~ , ", . ~Y~ .: ~No :..Wi~theinte~eduse~f~hebui~dingbyiheapp~c~nt~tu~bui~ding~cu~a~t~q~i~a~itf~r~ns~cti~n~rm~i~cati~n from the Kern County Air Pollution Control Dist~ct (KCAPCD) or ~m t~ City of~k. Fim ~pt? See checklist for gu del nes ~ Y~ ~ N~ I have mad the H~ous Material Guide and KCAPCD Pe~ining Checklist. I undentand my ~qui~menls under the Cai f ' Elcahh and ~fety Code Sec. 6.95 and Call[Govt. Sec. 65850 and the requim~nts oft~ City of Bakc~field Fire ~pt. ~gard'ing h~ardous materials. Owner or Autho~zed Ag~t '~ Phone No ~ Date DECLA~TIONS: The declarations below are mandat~ by the State of California under SeXton 19825 of the Health and Safety Code. LICENSED CONTraCTOR'S DECLARATION I h~eby a~nn und~ p~alty of ~u~ that I am licensed under provisions of Chapter g (comm~cing with Sc:lion 7000) of thc Division 3 of thc Business and Profusions C~e and my lic~se is in ~11 tbrce and citer. Lic. Cl~s Lic. ~o. Exp. Da~ Cont~ct~r's 5i~nture Dat~ OWNER-BUILDER DECLAR?TIO~ I h~by affirm tha~ und~ ~nalty ot'p~u~ that ~ am ex~mpt t~om the Cont~ctor'~ License ~w tbr th~ ~bllowing reason (S~. 7~3 I.~ Business ~nd PmlL~ion~ Cod~: Any ci~ or county which r~uir~ a permit m cons~ct, alter, improve, dcmelish, or r~pair any s~ctUm p~r m i1~ issu~n~ also r~quires t~ applicant' tbr ~uch pe~it to file a si~d s~t~m~nt ~a~ h~ or she i~ liccns~ pu~nt to the provisions ot'~hc Cont~ctor's Lic~ ~w (Chapter 9 commencing with Sec~ on 7~ ol' Division ~ or the Bu~in~ and Pmt~sions C~e) or that he or sh~ is ex,pt th~r~t~om and the h~i~ lbr ~he all~gcd ~x~mpfion. Any violation of S~cfien 7~3 ~ .~ by an~'applicam lbr ~ pe~fi~ subjects the applicant to a civil ~lty or'not mor~ than ~v~ hundred doll~ ($~)): ~ I, as own~ ot'th~ pro~y, or my ~mpl~y~ with wages ~ th~i.r sole com~nsafion, will do th~ work and thc st~c~u~ i~ not impeded or ofl~red E~r ~al~ (5~. 7044 Busings and ~o[~sion~ C~e: ~e Com~c~or's License Law d~ not apply m ~n owner ~o~ who builds or improv~ ~hercon. and w~o do~ ~u~h work . himself or he,elf' through.his or her own employees, provid~ tha~ such impmv~mems, are no~ in~ or oflL~ lbr sale. IE however, th~ building or improve- ment is ~old within on~ year of completion, ~c owner-build~r will haw ~h~ burden of proving ~hat h~ or sh~ did no~ build or improv~ Eu' th~ pu~ o~' ~). ~ 1. a~ own~ of the prop~y, am ~xclusiv~ly contacting Tith licens~ con'cmn io ~ons~cl th~ proj~:~ (~. 7~44 ~usin~s~ and Prol~ion~ COd~: Th~ Conm~tor~ License ~w does not apply ~ an own~r ofpro~ who builds or imp~v~ th~r~n and who ~n~c~ t~r such pm~t wi~h a contra~tm~) li~n~ pu~uam m . the Contractor Lic~se ~w). " ~ I am ~xempt uhd~r Sec. ~.~ P.C. lbr thi~ rca~n ' Owna- Signature Date WORKER'S COMPENSATION DECLARATION ,. " I h. ereby affirm that under penalty of perjury one or the tbllowing di:clarations: ~ i have and will maintain a certificate ot'conscnt to selt'-insur¢ tbr workers' compensation, as provided lbr by Section 3700 of thc Dibnr Code, lbr thc performance of the work tbr which this permit is issued. ,, -- I have and will maintain workers' compensation insurance, as ruxluired by Section 3700 of the LabOr Code. lbr the pertbrmance of thc work Ibr which this permit is issued. My workers' compensation insurance carder and policy number are: Carrier Policy No. I certifi~ that in the performance of the work /bt which this permit is issued, I. shall not employ any person in any manner so as to become subject to the work~2rs' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of thc Labor Code. i shall tbrthwilh comply with those provisions. Applicant:. " Date · WARNING: FAILURE TO SECURE'WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND sHAI.L'~U B. IECTAN EMPI.OYER TO CRIMINAL PENAl.TIES AND .CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000) IN ADDrEION TO THE COST OF COMPENSATION~ DAMAGES AS PROVIDED FOR IN SECTION ..t706 OF THE LABOR CODE. INTEREST, AND A'I'¥ORNEY'S FEES. ' .... consTructIon LEnDInG~GEnc¥ ' ..... - · . . · :'. ;I.: - I hereby affirm that there is a construction lending agency lbr thc ped'ormancc of thc work for which this permit is issued (Scm. 3097 Civ. C.).' I certili' that tha'ne read this applicatioa attd state that the i,tbrmatioa co,tai,ed herehi 'is ~n'e~t.-I agree to comph' With all ciO. brdi;tanceS aim State laws ~rhtting to b~tildi,g co,tstructio, ami. here~r attthorize representative~ q/'the cio[ to otter the above-mottio,~d propero'Jbr i~tspectiott purposes. Signature of Applicant orAgent. .. : : .... Date :-: "!' '' ' APPROVED BUILDING DIRECTOR By BAKERSFIELD FIRE DEPARTMENT --- INSPECTION RECORD CHECK LIST TO BE COMPLETED BEFORE FINAL OCCUPANCY For Inspection Request Call Phone No. 326-3979 BUILDING ADDRESS: /{~, .,~"(~ ~~..(g~_~_l~ ~l.~t.,/~ GROUP TYPE: ~-~ OCCUP~CY N~E: C~t~-~=~:~-~,~ ~,~~ OCCUP~T LOAD: GENE~L CONT~CTOR: PHONE ~ SPRINKLER CONT~CTOR: PHONE ~ FIRE A~ CONT~CTOR: PHONE ~ CO~ERCIAL HOOD CONT~CTOR: Il ~~ ~ k~ ~ PHONE ~' ~~ SP~Y FINISH CONT~CTOR ~ PHONE ~ FIRE SUPPRESSION SYSTEM DESCRIPTION DATE SIGNATURE UNDERGROUND DEPTH, PIPE SIZE & THRUST BLOCKS FDC, PIV, WITH ATTACHMENT SIGNS UNDERGROUND HYDRO TEST UNDERGROUND SYSTEM FLUSH OVERHEAD PIPE & HANGER INSPECTION OVERHEAD HYDRO TEST FIRE PUMP TEST RISER, FIVE YEAR 'START DATE SPRINKLER CALCULATION SIGN AT RISER LOCATION FIRE ALARM SYSTEM & ASSOCIATED EQUIPMENT DESCRIPTION DATE SIGNATURE FIRE ALARM INSTALLATION PER PLANS SPRINKLER 'FLOW TEST SMOKE DETECTOR TEST ~HEAT DETECTOR TEST ~DAMPERS, FIRE DOO~S ELECTRICAL & ALARM TEST FIRE PUMP RUN & ALARM ANNUNCIATION TEST EMERGENCY GENERATOR RUN&LOAD TEST COMMERCIAL HOOD INSTALLATION & TEST EMERGENCY LIGHTS EXIT LIGHTS LOW LEVEL EXIT LIGHTS, (A,E,I & Ri) OCCUPANCIES SPRAY BOOTH' TEST FINAL INSPECTION COMPLETED ON i I ! I ! ! I ! i HEALTH DEPARTMENT NOTES GENERAL NOTES PLAN NOTE FIELD DIMENSION NOTES SHEET INDEX Ft ?¥ Z II X~,lutxo-~d YSIH (~ ,O0't3x _'1 ,00'3I 10aH-a~u~l I FI I I I I I I I F L J I 0 · ['?~ II ~ 0 I I I I ~1 I X%lUlXOJd HOIH 13 ,QO't3x -t ,O0'V3 aou~a aun~n4 fryer-S w/Drip. ~4,00' L xEl,O0' High Pr oxlnKcy Cooker (No Cove~'*ge~ Pts~ High Pr oxlml~cy /