The URL can be used to link to this page

Home My WebLink About3150 PANAMA LN (2) HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST USA' Permit No. Permit No. Permit No. 111111111111111 65 Permit No. Permit No. Permit No. IE File Number: Acf 9clCco Address: 31 -TO Bakersfield, CA 933 Date Received: Business Name: otL. SYSTEM: F BUILDING SQUARE FEET: INSPECTOON LOG - New od. ❑ Commercial Hood System Building Sq. Feet: -,:2!r Date Time ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: ,�' '0. l b1/y 109 6�41 T�,fi ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank minor Signature modification Underground Storage Tank removal Underground Storage Tank Signature ❑ ❑ Other: IIIIIIIIIIIIIIIIIIII 66 Comments: IE FLOOR PLAN TOP VIEW GAS VALVE DUCT HOOD DUCT PLENUM PLENUM FRONT COOK LINE RONT CC SYSTEM CYLINDER PLACEMENT OF SYSTEM 0 JSTROBE\` DETECTORS, GAS VALVE, AND PULL STATION MAN UAL,PULL STATION. NOTE: REPLACING EXISTING FIRE FIRE EXTINGUISHER SUPPRESSION SYSTEM W/ UL-300 APPROVED SYSTEM PER LOCAL AH] AND EDIT '- LEGEND MFG. MOLLY I'S RESTAURANT CYLINDER �i FUSIBLELINK AAA.QUALITY SERVICES INC. 3150 PANAMA LANE 5800 SOUTH UNION AVE. BAKERSFIELD, CA 93313 F K-CLASS FIRE PULL STATION BADE RSFIELD, CA. 93307 EXTINGUISHER (661) 834-7372 PH. 833-5510 FAX 533-551 2 www.mo I lyjs.co m %v STROBE GAS VALVE CONT. LIC.#558821 N-2 N-2W. N-1HP N-1HP TO SYSTEM CYLINDER IV-2HP N-2HP N-1HP N-1LP N-1LP WILP APPLIANCES LEFT TO RIGHT NOZZLES AND HEIGHT PLACEMENT 20"X2411 CHARBROILER N-lHP MIN.30" MAX.48" PERIMETER OF HA22ARD 12"X24" 2 BURNER RANGE N-1LP MIN.30" MAX.40" WITHIN 3" OF CENTER- 24"X-24" 4 BURNER RANGE N-1LP MIN.3O" MAX.40" WITHIN 3 OF CENTER 4:5"X24" . GRIDDLE N-i LP MIN.30" MAX.43" 6"OFF EDOE,ON LONE; CNTR. LINE 14"X24" DEEP FAT FRYER N-2HP MIN.24" MAX.45" WITHIN THE PERI. OF THE HA22ARD 14"X24" DEEP FAT FRYER N-2HP MIN.24" MAX.4.5" WITHIN THE PERI. OF THE H.A22ARD MOLLY ]'S RESTAURANT AAA QUALITY SERVICES I H . 3 150 PANAMA, LANE PLACEMENT OF THE 5800 SOUTH UNION AVE. BAKERSFIELD, CA 93313 DHCT,PLEI IUM,APPLIANCE r BAKE IBS FI E LD, CA. 93307 (661).834-7372 AND THE NOZZLE DROPS FAH. 833-551.0 FAX 833-5512 www.moIl js.cam COIN, LIC.#553821 PIPING DIAGRAM IS APPROXIMATELY 0' OF 1/2" OF SCHEDULE 40 BLACK PIPE N-2 N-2W MOLLY I'S RESTAURANT 3155 PANAMA LANE BAI ERSFIELD, CA 93313 N-1HP j L N-1HP (551) E34-737 ww ..mo1ly,js.EDm N-1HP N-1LP N-1LP N-1LP N-2HP N-2HP 8LEGEND f-mat FUSIBLE LINK 0 PULL STATI ON GAB VALVE AAA UALIT E R I E S I H . FRO NT TO P` VIEW VIEW 500 SOUTH UNION AVE. . GFIFE EXTINGUISHER B KERSFIELD�, . 93337 CYLINDER PH. 833-5513 . FAX 833-5512 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEP ARTMEN • e it 3 F I P Prevention Services PERMIT # ,jR>IAII Ir 1501 Truxtun Avenue, 15" FLR Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 SITE INFORMATION LOCATION OF PRO3ECr PROPERTY OWNER �1 SD TANAMAr GANG' sf iie4" M. A' SSW 7C- STARTING DATE COMPLMON DATE' NAME Mo�.C.Y � ^e3�q"�7+ R03ECTNAME M014V RESIT 4IM*gf ADDRES M PAWAA40e tANE. w g3Y-•737Z RO3ECr ADDRESS SD pl9n►al`9l9 � � ,77�� ZIP CODE B.��cERS�i EL.D STATE 11.4 g33r� CONTRACTOR 1NFORMAT10N CONTRACTOR NAME CA LICENSE# OF LICENSE EXPIRATION D TE 'r(.101)E# Woo Lam-/0 C- r0 3-/� 833.55,110 CONTRACTOR NjPANY ME L r I Kr S /A)C FAX.* -Cr1 Z ADDRESS •/•�•� SN' (� AVMQ�� CIT1�AKMFI". ZIP CODE 3`3Q7 J All permits must be reviewed, stamped, and approved PRIOR•TO BEGINNING WORK. ° CALCULATION Z, PERMIT TYPE FEE ' ❑ 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 heads) $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 82 • Aboveground Storage Tank(Removal/Mod/Inspect) 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 TT $96/hr(2 hrs minimum)=$192 82 NOTE: $96/hr for ea type of test/per site even if scheduled at 4he same time il well(Installation, Inspection,or re-Inspection) X $96/hr 82 ent # $96/tent 84 fter-hours inspection fee $121/hr(2 hrs minimum)=$242 ❑ Pyrotechnic(1 permit per event,plus an inspection fee of$96/hr $96/hr+ (5 hrs min standby fee/insp)=$576 84 during business hours) PY NOTE*After hours Pyrotechnic event Inspection is 121/hr 5 hrs min standby fee ins = 605 ❑ 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 FD2021(Rev 04/08) "J%! 14�A M 5800 S. Union Avc. - Eiakcrsficld,CA.93307-4526 QUA>FIN Ph#(66.1)833-5510 SF..RV[CES, INC. Fax (66 t) 833-5512 8/12/2009 License #558821 HOOD SYSTEM UPGRADE NAME: MOLLY J'S RESTAURANT LOCATION: 3150 Panama Lane CITY: Bakersfield, California 93313 PHONE: (661)834-7372 TYPE OF SYSTEM: BUCKEYE FIXED FIRE SUPPRESSION SYSTEM. Qty. (1) 15 FLOW SYSTEM CYLINDER NUMBER OF NOZZLES: N-IHP: 3 N-2HP: 2 N-1LP: 3 N-2W: 2 NUMBER AND TEMP. OF DETECTORS. 360F: 2 450F: 1 50OF: 1 NUMBER OF FLOW POINTS: 14 - MAXIMUM ALLOWABLE: 15 SIZE AND LENGTH OF PIPE: 30' OF '/2" Schedule 40 black pipe SIZE OF HOOD: LENGTH: 1215" WIDTH: 4' SIZE OF PLENUM#1: LENGTH: 2'6" •WIDTH: 24" SIZE OF PLENUM#2: LENGTH: 5"4" WIDTH: 24" SIZE OF DUCT#1: LENGTH: 13" WIDTH: 13" PERIMETER: 52" SIZE OF DUCT#2: LENGTH: 22" WIDTH: 21" PERIMETER: 66" FILTER BANK: SINGLE: V-BANK: XXX GAS VALVE SIZE: 2 '/2"EXISTING GAS VALVP a ' ELECTRICAL DISCONNECT: YES P SEt REMOTE PULL STATION: YES: XXX NO: .. h. 1 Z�i p... � MEETS UL-300: YES: XXX NO: APPLIANCES LEFT TO RIGHT: 20"X24" CHARBROILER, 12"X12"2—BURNER RANGE, 24"X24"4—BURNER RANGE, 45"X24" GRIDDLE, 14"X24"DEEP FAT FRYER, 14"X24"DEEP FAT FRYER. 5�zrving thQ Loeat Gorrimunity for ovQr 4.0 YQttrB Fire Extinguishers a, Hood Systems • First Aid Supplies, • Sales &Service FLOOR PLAN TOP VIEW HOOD PLENUM DUST PLENUM DUCT FRONT COOK LINE SYSTEM CYLINDER PLACEMENT OF THE STROBE SYSTEM CYLINDER AND AND INITIATING DEVICE %v (STROBE) NOTE: REPLACING EXISTING FIRE FIRE EXTINGUISHER SUPPRESSION SYSTEM W/ UL-300 APPROVED SYSTEM PER LOCAL AHJ AND EDIT M FG. LEGEND MOLLY I'S RESTAURANT CYLINDER Fm&i FUSIBLE LINK AAA QUALITY SERVICES INC. 3150 PANAMA LANE 0 K-CLASS FIRE 5800 SOUTH UNION AVE. BAKERSFIELD, CA 93313 F 1 EXTINGUISHER PULL STATION BADE ICE`FIELD, CA. 93307 (661) 834-7372 PH. 833-5510 FAX 833-5512 -www.-mollyjs.com %v STROBE. GAS VALVE CONT. LIC.#558821 Buckeye KITCHEN MISTER Coverage Summary Sheet This summary-sheet is provided as a quick reference,a complete understanding of the technical manual(BFR-TM) is required. The most current Buckeye Kitchen Mister Restaurant Cooking Area Fire Suppression System Technical Manual(Part Number.BFR-TM)supersedes this reference sheet. It is essential that this reference sheet be compered WIBI the current technical manual before using. DUCT,SMALL(50"MAXIMUM PERIMETER) • DUCT,LARGE(150"MAXIMUM PERIMETER) NOZZLE WiLP NOME:N-2W FLOW PTS.:t FLOW PTS.:2 COLOR BAND:RED COLOR BAND:WHITE D iIr MAX• MAX D 47-112' DUCT NOZZLE TIP DUCT NOZZLE TIP t'e' J_L I I tr w NOZZLE TIP NOZZLE to W W NOZZLE TIP NOZZLE �jw W TIP TIP �L t� LONGEST SIDE~~11 -6.3f4_- LONGEST 31DE:5lr HOOD/PLENUM HOOD(PLENUM PLENUM,SINGLE& —W 113H'. RANGE:TWO BURNER(LOW PROXIMITY) "V"BANK 1121N NOZZLE N-1 UP I FLOW PTS.:1 NOZZLE:N-1 HP } COLOR BAND:RED AIM: 8'FROM FLOW PTS.:1 - H MAX.HEIGHT 30" OPPOSITE EDGE, COLOR BAND:BLUE ON LONG MIN.HEIGHT 18" CFN'rFR 12 FT V BANK CAN BE USED W.T1t LINE. MAX. 1l3H BACK-SHELF,SHELF g' \ MUST NOT INMFERE 12 .MAX.• + •MATH NOZZLE DISCHARGE � / H 2' MAX.H D MAX.HAZARD LENGTH:12' WIDTH:24" d SINGLE BANK PLACEMENT: 37 FROM FRONT OR BACK EDGE,ON LONG CENTER LINE .110-10 loll SEEN— RANGE FOUR BURNER, RANGE,FOUR BURNER, PLACEMENT: (HIGH PROXIMITY) PLACEMENT: (LOW PROXIMITY) CENTER OF RANGE MAX.HEIGHT 4(r WITHIN 3"OF —MAX.I MIGI I r 30' NOZZLE:N-1LP CENTER NOME:N-2W FLOW PTS.:1 MIN.HEIGHT 30' FLOW PTS.:2 —MIN.I4r-1611 COLOR BAND:RED COLOR BAND:WHITE . AIM: AIM:CENTER CENTER OF Or RAPOE RANGE CAN BE USED WITH . BACK-SHELF.SHELF MUSTNor INTEFERE WITH NOZZLE BURNER TO BURNER URNE TO DISCHARGE BURNER TO DURNE 'ro LENGTH:24' BURNER BURNER LENGTH:21' OUR WIDTH:24' w1uT11:74" RANGE,SIX 8 J6.PLACEMENT:CENTER OF RANGE ) RANGEIGRIDDLE COMBINATION NOZZLE:N-2LP —MAX.HEIGHT 43' NOZZLE:N-1LP FLOW PTS.:2 FLOW E: :1 MAX.HEIGHT 40" PLACEMENT: —MIN.HEIGHT 38" J WITHIN 3'OF COLOR BAND:YELLOW COLOR BAND:RED w � MIN.HEIGHT 30' CENTER - 6 AIM: i AIM:CENTER OF CENTER OF RANGE ANGE-GRIDDLE x Q BURNER TO BURNER ' BU TO $ MAX.WIU71-I: LENGTH:36" BURNER 24' WIDTH:24" ! MAX. NGTH:30" i DEEP FAT FRYER,LG.SINGLE VAT TILTING SKILLET COVER MUST NOT INTEF6RE PLACEMENT: WITHIN NOZZLE:N-2H THE PERIMETER OF THE NOZZLE:N-2HP WITH NOZZLE DISCHARGE FLOW PTS.:2 HAZARD FLOW PTS.:2 COLOR BAND:GREEN `�. COLOR BAND:GREEN MAX.HEIGHT 45' 7 —1 FOR MIN.8 MAX MIN.HEIGHT 24' NOZZLE HEIGHTS, REFER TO FRYER AIM:CENTER NOZZLE OF HAZARD PARAMETERS AREA . MAX.WIDTH:24' _r MAX.LENGTH:2025' BPN:PIS10374 REV.DATE JULY,2008 Buckeye KITCHEN MISTER Coverage Summary Sheet This summary sheet Is provided as a quick reference,a complete understanding of the technical manual(BFR TM) Is required. The most Current Buckeye Kitchen Mlster Re6taurent Cooking Area Fire Suppression System Technical Manuel(Part Number.BFR-TM)supersedes this reference sheet. It is essential that this reference sheet be Compared with the current technical manual before using. GRIDD:NE ARD(42"MAX.) GRIDDLE,LARGE(46"MAX.) NOZZLE NOZZLE:N-1 LP FLOW P PLACEMENT: ON THE FLOW PTS.:1 PLACEMENT: 8"OFF COLOR PERIMETER OF THE HAZARD COLOR BAWD:RED GRIDDLE EDGE,ON LONG CENTER LINE AIM:6ER —MAX HEIGHT 48' AIM: 3"FROM OF HA MAX.HEIGHT 43" CENTER,IN LINE INLINE —MIN.HEIGHT24' WITH NOZZLE MIN.HEIGHT 30" 6" MAX.LENGTH:48" X.LEN MAX.WIDTH:30' MAX.WIDTH: 31r GRIDDLE,X"LARGE(60"MAX.). RADIANT CHARBROILER PLACEMENT:WITHIN THE PLACEMENT:ON THE NOZZLE:N-2LP NOZZLE:N-1HP PERIMETER OF THE HAZARD PERIMETER OF THE HAZARD FLOW PTS.:2 FLOW PTS.:7 COLOR BAND:YELLOW COLOR BAND:BLUE HINO1fT�, —MAX.HEIGHT 48' AIM:CENTER OF —MIN.HEIGHT 30' AIM:8"FROM CENTER HAZARD AREA OF HAZARD AREA MIN.HEIGHT 24' INLINE WITH NOZZLE s MAX.LENGTH: MAX LENGTH:36' MAX.WIDTH:24' MAX.WfDTW.30" LAVA ROCK CHARBROILER BROILER AND UPRIGHT BROILER NOZZLE:N-2HP `PLACEMENT:WITHIN THE NOZZLE:WILP FLOW PTS.:2 PERIMETER OF THE HAZARD FLOW PTS.:I AIM:CENTER COLOR BAND:GREEN COLOR BAND:RED OF COOKING MAX.HEIGHT 40" GRATE —MIN.HEIGHT 24" PLACEMENT: % AIM: CENTER OF TOP HAZARD AREA CORNER OF FRONT OPENING MAX.WIDTH:24' MAX.LENGTH:38" MAX LENGTH: MAX LE T}h 2,r U Li WOK Piping LImBeflons: NOZZLE:N-I HP W.AT CENTER OF MAX,HEIGHT 48' >3B"or U2'Bch.40 black pipe. >Max.number d elbows babseen any 2 noalee:s. FLOW PTS.:t WOK BOTTOM >Pipe shod largest to smallest arty. >Max.vertical Nee:10 feet COLOR BAND:BLUE >No baps'cowed. >Max.veNkel rbe from node to soppy One:2 feet >Straight or ap1O One pong sowed.No nodes betas a spa. —MIN.HEIGHT 30" PLACEMENT: MAXIMUM PIPING PER CYLINDER SIZE WITHIN THE CYLINDER MAX FLOW MAX PIPE VOLUME MAX.PIPE VOL.BETWEEN. MAX I OF PERIMETER OF THE SIZE POINTS ALLOWED pd) ANY TWO NOZZLES(ml.) ELBOWS HAZARD SFR-5 5 7500 1000 20 BFR-10 10 2600 2000 25 MAX. K IA:30' am-is IS 2800' 2500 25 MIN.WOK DNA:12" BFR-20 20 2800' 2500 25 'TOM vdum-of 318"plphp dowel Is 25W ML CONDUIT AND BUCKEYE SHIELDED CABLE LIMITATIONS I PIPE 61ZE(BQH.40) PIPE VOLUME MAXIMUM MAXIMUM BBC TO MAXIMUM 3B" 37.5 mUFT VDU NUMBER NUMBER OF CONDUIT NUMBER OF V2' 5g.8 mUFT FUNCTION LENGTH OF OF BfiC BENDS M THE TRAN8mON8 FUSIBLE CORNER ON MM. M MSER OF LIKE AND Mlnlmun Piping Requlremente(Wok,Range,d OFF only): (F) PULLEYS BEND RAMA) BSCq HOLDERS >Min.I d elbows beta- 1, 'reeds: S. FUSIBLE LINK LBO;CONDUIT M 88C 25 8 03,58(91) 8 >Min.a�N p1p barn coded L 380 ' MECHANICAL GAS UNE;CONDUIT 8.BBC 25 8 6 NA > number bar pdnh mydarn:3. RPS-M UNE;CONDUIT 8 BBC 25 NA FU8BLE LINK LINE;CONDUIT ONLY ISO 35 NA REMOTE CYLINDER ACTUATION LIMITATION'S MECH LAICAL GAS LINE;CONDUIT ONLY 150 36 NA NA ACTUATtpN NUMBER OP MIX.LENGTH MAX.LENGTH RPS-M UNE;CONDUIT ONLY 1 NA CARTRIDGE Cyl'"SWRIS) OF 1M'OD OF TUBING PART NUMBER T1/11T CAN SE COPPER BBITNEEN FUSIBLE LINK LINE;BBC ONLY NA NA 8 ACTUATED TUBING CYLINDERS MECHANICAL GAS LINE,BBC ONLY NA NA 8 NA BFR- 8 1-3 15 FEET I } RPS-M LINE;BliCONLY NA NA 35 8 B') NA BFR-AC-L 1-5 251 _ 3 FEET-R >83C CAN NOT be called Orlooped vdran Installed. BPN:PIS10374 1tEV. t'F ,lUl�,rrrt4i CONSTRUCTION PERMIT BAKBRSFIEM FIRE DEPARTMENT PREVENTION SERVICES 1501 TRUXTUN AVENUE, 1 FLR wt1` BAKERSFIELD,CA 93313 Office Phone. (661)326-3979 ATN (11 Digits) : 516-010-01-00-6 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor BAKERSFIELD GROVE LTD LLC OWNER ONE POINT DR STE 330 ti BREA CA 92821 t ---------------------------------------------------------------------------- Permit . . . . . . FIRE SUPPRESSION ADD/ALT Additional desc . Phone Access Code 932657 Permit Fee 140.00 Plan Check Fee 140.00 Issue Date . . . . 8/14/09 Valuation 0 Expiration Date •2/10/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 140.00 140.00 .00 .00 Plan Check Total 140.00 140.00 .00 .00 Grand Total 280.00 280.00 .00 .00 i CALL FOR INSPECTION DECLARATIONS Permit is issued in accordance with all applicable (661)326-3979 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. 'lease state the Permit Number,the Job address,and I have reviewed the above application,and find it to he Type of Inspection. Requests for inspections be correct/complete. hould be made at least 48 hours in advance. �,� °' Permittee• '�"" Date: HAZARDOUS MATERM LS STATEMENT —Yes_No Will the applicant or future occupant handle hazardous material or a:mixtuve containing a hazardous material equal to or greater than the amounts specified on the list of extremely hazardous substae`c 0 tSa-ch cadist4br guidelines. Yes_No Will the proposed luilding or modified facility be within 1000 feet of the outer bouA6y of a school? ° —Yes—No Will the intended use of the building by the applicant or fatale building occupant require a permit for construction or modification from the Kam 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 understated my requirements under the Calif. . Health and Safety Code Sec.6.95 and Calif.Govt Sec.65850 and the r equiranents of the City of Bakersfield Fire Dept.regarding hazardous materials. egen ..N Owns or Authorized^8`.' �;,��.�,�.:�,:,�k��,:� ,.��:'=•Phone No. Date DECLARATIONS: The doelarados below are mandated by the State of Callfaesnia under Seeedon 19US of the Heakh and Safety Code, LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I stn licensed under provisions of Chapter 9(commencing with Settler 7000)of the Division 3 of the Business and Professionn Code and my license is in full force and effect. Lim Class Lic.Na Exp.Dux Contractors Signature Date OWNER-BUHAER DECLARATION I hereby affirm that under Penalty of perjury that I on exempt fiom the Contractors License Law for the following reason(Sec.7031.5 Business and Profissuons Coda Any city or county which requires a permit to construct,alter,improve6 demolish,or repair any structure prior to its issuance also requires the applicant far 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 eacempt there from and the basis for the alleged uunWdon. Any violation of Section 7031.5 by any applicant for a permit soNeota the applicant to a civil penalty of not more than five hundred dollars(5500)) I,as owner of tine property or my employees with wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Sera 7044 Business and Professions Code: The Conbutors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself through his or her oar employees,provided that such improvements are not intended or c M. eel for ask If,however,the building ar or improvement is sold within one ye 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). L as owner of the property,am exclusively contracting with lkennsed contractors to construct the project (Sec.7044 Business and Professions Coda 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 c onuactor(s)licensed pursuant to the Contractor License Law). I sm exempt under Sec. B.&P.C.for the reasen Owner S -- �.- -�,.:� ,�„ Date WORKERS COMPENSATION DECLARATION I hereby affirm that under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided for by Saban 3700 of the Labor Code, for the perfiernanee of the work for which this permit is issued. I have and will maintain workers'cotton insurance,as required by Section 3700 of the Labor Code,for the perfimmence of the wale for which this permit is issued. My workers'compensation insurance carrier and policy number are: Carrier Policy No. I certify that in the pcaformanee of the wank for which this permit is issued,I shall not employ any Person in any mom r an.=to become subject to the workers'comporu ation Loa of California,and agree that if I should become subject to the workers'compensation provkaicns of Section 3700 of dw Labor Code. I shall forthwith comply with those provisions. Applicant: Dame WARNING: FAII.URE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN EMLOYER TO CIMINAL PENALTIES AND CIVIL F1NES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,800)IN ADDITION TO COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IIVTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is a construction lending agency for the perFormmce of doe work for which this permit is issued(Sec.3097 Civ.C.) Lenders Now Lenders Address l ceertijy drat lhave read this appheirdon anctswe that the LrJbrmadon ovnazined heriein is correct I agree to comply with aU city orrllhanors mud state laws re►lattgg to building eonatruedon and hereby authorise mprr'sentadvar oaf the dly to enter the above me+rdmed pro jbr JsopwdoRPa Signature of Applicant or Agent BAKERSFIELD FIRE DEPARTMENT - INSPECTION RECORD CHECK LIST TO BE COMPLETED BEFORE FINAL OCCUPANCY For Inspection Request Call Phone No. 326-3979 BUILDING ADDRESS: /s d AAA A L,P. GROUP TYPE: OCCUPANCY NAME: -JA4 CS LC, OCCUPANT LOAD: GENERAL CONTRACTOR: PHONE# SPRINKLER CONTRACTOR: PHONE# FIRE ALARM CONTRACTOR: ja IPHONE# COMMERCIAL HOOD CONTRACTOR: A A, PHONE# -. SPRAY FINISH CONTRACTOR: JPHONE# 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 DOORS ELECTRICAL&ALARM TEST FIRE PUMP RUN&ALARM ANNUNCIATION TEST EMERGENCY GENERATOR RUN&LOAD TEST Co. ME CIAL HOOD-I'NSTALL-ATION.&TESTI EMERGENCY LIGHTS EXIT LIGHTS LOW LEVEL EXIT LIGHTS,(A,E,I&R 1)OCCUPANCIES SPRAY BOOTH TEST DATE SIGNATURE FINALJNSP-ECTI.ON_CQ P:L-ETED-ON . 10=_y, Z:\0001\Prevention's Inspection Record Card.xis