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Home My WebLink About1101UNION• • .- �_ A 61 ��15 Permit No. 11111111111111111111 01 IE File Number: Date Received: Permit No. di - too-6m-e3 �/- 7 -O 5 Permit No. Address: Business Name: Permit No. Permit No. Permit No. Bakersfield, CA 933 ur��rv� Dr�1 C ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank INSPECTOON.LOG Date Time removal Underground Storage Tank -ZFd ; NECK CZ� a /lF.Av ❑ ❑ Other: Comments: or'.1 190/"59 Signature Signature 1111111111111 02 SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: .;Pz, Aid 0 ❑ LR' Fire Alarm System Calculation Bldg. Sq. Ft: �2z 4160 1 ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank INSPECTOON.LOG Date Time removal Underground Storage Tank -ZFd ; NECK CZ� a /lF.Av ❑ ❑ Other: Comments: or'.1 190/"59 Signature Signature 1111111111111 02 i BAKERSFIELD FIRE DEPARTMENT - INSPECTION RECORD CHECK LIST TO BE COMPLETED BEFORE FINAL OCCUPANCY For Inspection Request Call Phone No. 326 -3979 BUILDING ADDRESS: may; GROUP TYPE: OCCUPANCY NAME: ",v-t- OCCUPANT LOAD: PHONE # GENERAL CONTRACTOR: SPRINKLER CONTRACTOR: PHONE # FIRE ALARM CONTRACTOR: IPHONE # / COMMERCIAL HOOD CONTRACTOR: JPHONE# SPRAY FINISH CONTRACTOR: IPHONE # FIRE SUPPRESSION SYSTEM DESCRIPTION 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 DATE SIGNATURE FIRE ALARM SYSTEM & ASSOCIATED EQUIPMENT DESCRIPTION . DATE SIGNATURE FIRE ALARM-INSTALLATION PEIZ_PLAN 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 COMMERCIAL HO QD INSTALLATION & TEST EMERGENCY LIG14TS EXIT LIGHTS LOW LEVEL EXIT LIGHTS, (A, E, I & RI) OCCUPANCIES SPRAY BOOTH TEST DATE SIGNATURE S: \Forms \Prevention's Inspection Record Card t CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------ - - - - -- TURNING POINT FOUNDATION TR P 0 BOX 7447 VISALIA CA 93290 - BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES 1501 TRUXTUN AVENUE, IT FLR BAKERSFIELD, CA 93313 Office Phone: (661) 326 -3979 09- 10000083, Date 4/27/09 1101 UNION AVE 009 - 562- 09 -00 -9 FIRE DEPT 0 Contractork ----------Z------------- OWNER -- - - - - - - - - - - - - - - - - - - - - - Permit . . . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . FIRE ALARM PERMIT - - - - - - - - - - - - - - - - - - - - - Additional desc . . Phone Access Code . 900357 Permit Fee . . . . 313.00 Plan Check Fee 313.00 Issue Date . . . . 4/27/09 Valuation . . . . 0 Expiration Date . . 10/24/09 ---------------------------------------------------------------------------- Fee summary -- --- ------ - - - - -- Charged ---- - - - - -- ---- Paid Credited --- --- ---- - - - - -- ---- Due - - - - -- Permit Fee Total 313.00 313.00 .00 .00 Plan Check Total 313.00 313.00 .00 .00 Grand Total 626.00 626.00 .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/co l==Permittee Date��7� 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 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. regarding hazardous materials. Owner or Authorized Agent, t `, . "'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 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 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)): 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 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). 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). 1 am exempt under Sec. B. & P. C. for the reason 2 a_�ik 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 of the work for which this permit is issued, I shall not empI4 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 I 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 of the city to enter the above mentioned property for inspection purposes. Signature of Applicant or Agent , �v ;.., Date 1 BILLING & PERMIT STATEMENT q. F FIRE A.A. PERMIT # APA R FNi - - 4 BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phone: 661-326-3979 a Fax: 661-852-2171 LO` fiel OFaffron PRWM ffil Eij In P rtl� op C:h* -Sknsw STARTING DATE COMPLETION DATE PRa� NAM E I UYWN JAD I P481- OF CA7 PH ! ol3 6 » 5-n PqOJEfi6jRES -%) n ron icrrt .,AKERL SFIELD STATE 1�, CA ZIP co 'CO • XNFORkA-117014 CONINI r! I CA LICENSE 0 TYPE OF LICENSE EXPIRATION DATE PHONE If kh-172338 C-7 / C-113 04/30/09 (661) 397-5511 CONTRACTOR COMPANY NAME Tel-Tec Se�ty Systam, Inc. FAX # (161) _ 1111-3616 zIP CODE 93313 ADDRESS rI Crrf 5120 Lim MmB Co-wt I 0dkejSf1BlA All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. • ❑ Alarm - New & Modification (minimum charge) 1 $280 �--98 : 84 I A Over 10,000 sq ft 1 $0 .028 x sq ft 98 ❑ Sprinkler - New & Modification (minimum charge) 1 $280 84 98 ❑ I Over 10,000 sq ft $0 .028 x sq ft 84 98 ❑ I illinor Sprinkler Modification (<10 heads) $96 (inspection only) I 84 ■ 1 98 ❑ Commercial Hood (New & Modification) 470 ■L 84 --4 1 98 1 ❑ Additional hood $58 8i 84 98 ❑ I 1 ❑ Spray Booth (New & Modification) Aboveground Storage Tank (Installation/One Inspection) $470 $180 84 98 82 ❑ I Additional Tank 1$96 82 ❑ Aboveground Storage Tank (Removal/Inspection) $109 :1 82 ❑ Underground Storage Tank (Installation/Inspection) $878/tank 82 ❑ Underground Storage Tank (Modification). j $878/site 82 Underground Storage Tank (Minor Modification) 1$167 82 0 ❑ Underground Storage Tank (Removal) I $573/tank 84 ❑ Oil well (Installation) 1$96 84 ❑ Mandated Leak Detection (test)/Fuel Mont Cert/SB989 $96/site 82 NOTE: $96 for each type of test/per site even if scheduled at the same time ❑ I Tent I $96/tent ■ 84 ❑ After-hours inspection fee 1 $121 ■ 0 i Pyrotechnic (per event, plus inspection fee of $96 /hr) 1 $96 + (5) hrs min standby fee/insp)=$576 84 ❑ i Re-inspection/ccllon-up Inspection i $96/hr 84 ❑ i Portable LPG (Propane): # of cages? 1$96 ■ 84 ❑ Explosive Storage 1$266 84 1 i ❑ i Copying & File Research 'File Research fee $34/hr) 1$0.25l page 84 ❑ miscellaneous i 84 i F02021 (Re,, 06/07) 1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1-PINK (Customer) • • Y � w� iv r�• • • Y � w� 0 r�• • a y • • Y � w� 0 r�• • a � r