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HomeMy WebLinkAbout1114 STOCKTON STHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: iqp .416 S-6 Date Received: -?, ;z /.- o5 SYSTEM: New Mod. ❑ Commercial Hood System ❑ ❑ , Fire Alarm System ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ minor modification removal Fire Sprinkler System Aboveground Storage Tank Underground Storage Tank Underground Storage Tank Underground Storage Tank ❑ ❑ Other: IIIIIII VIII III IIII 27 Address: - Bakersfield, CA 933 Business Name: ,c. y BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. INSPECTION LOG Date Time Signature Signature Comment: 28 CONSTRUCTION PERNHT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B nFiRl u 1501 TRUXTUN AVENUE, 1 ST FLR BAKERSFIELD, CA 93313 r Office Phone: (661) 326 -3979 Application Number . . . . . 09- 10000154 Date 8/04/09 Property Address . . . . . . 1114 STOCKTON ST ATN (11 Digits): 014 - 200- 01 -00 -2 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor -------- ---------- - - - - -- ---------------- --- - - - -- PACE DIVERSIFIED CORP OWNER 13061 ROSEDALE HW # G196 BAKERSFIELD CA 93314 ---------------------------------------------------------------------------- Permit . . . . . . FIRE ALARM PERMIT Additional desc . Phone Access Code 929216 Permit Fee . . . . 140.00 Plan Check Fee 140.00 Issue Date . . . . 8/04/09 Valuation . . . . 0 Expiration Date . . .1/31/10 ---------------------------------------------------------------------------- Fee summary ----------- - - - - -- Charged ---- - --- -- ---- Paid Credited - - - - -- -- -- -- - - -- ---- Due - - - - -- Permit Fee Total 140.00 140.00 .00 .00 Pan Check Total 140.00 140.00 .00 .00 Grand Total 280.00 280.00 .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 ab a application, and find it to be correct/corn e. 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 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��s ' x` z Yk ,`: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. OWNER - BUILDER DECLARATION Exp. Date Contractors Signature Date 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). I am exempt under Sec. B. & P. C. for the reason Owner .Signature .7�a ��f:��,s� sS x�`�k c ��^v �: �" Y'�,���''z -� � �. x�'� fY �9r; ,F �..t � ".t' ? _ v'� - � u � � a� v �..r'+� � $ Y.x �,:.�..^� �� , .::.f:>r„ _. ,.. ,..,,�„ ..,....,.� ......Y::.lJ_ ...�:.t. 3 , � � 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 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 m'4nner 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. 1 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! M4 } ` i } F F & �°� � h wh A i j S YR L R Date BILLING & PERMIT STATEMENT PERMIT # B fN•ai'� F E R S F V���D FINE iy D W ArtrtR rx r BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 1St Floor Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 SITE INFORMATION LOry 1 F PRQ`CC) v"Y 'W J P W TER • J M i V r\ S STARTING DATE COMPLETION DATE E ij bV(n v 1 ROi C� 1 1 wh 1 ` ()Uf G AD ✓ �t PHONE jY� _ s V IJ�J RODEv ESS sL .G� CM SPATE CA ZIP CODE A "11 3 3o y CC�IT CCrOR NAME MM 11YY CONTRACTOR CA LICENSE # #472338 INFORMATION TYPE OF LICENSE EXPIRATION DATE C -7 C -10 I 04/30/2010 PHONE # 661 397 -5511 CONTRA COMPANY NAME I Tel -Tec Security 5 sterns Inc. FAX # 661 834 -3616 ADDRESS 5020 Lisa Marie Court CITY Bakersfield ZIP CODE 93313 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. J • • 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 I $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 NOTE: $96 /hr for ea type of test/per site even if scheduled at he 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 cr»n,)i (Qp� ncmm BAKERSFIELD FIRE DEPARTMENT - INSPECTION RECORD CHECK LIST TO BE COMPLETED BEFORE FINAL OCCUPANCY For Inspection Request Call Phone No. 326 -3979 BUILDING ADDRESS: /// OL�G� gam. GROUP TYPE: OCCUPANCY NAME: �� �y-ep, OCCUPANT LOAD: GENERAL CONTRACTOR: PHONE # SPRINKLER CONTRACTOR: PHONE # FIRE ALARM CONTRACTOR: ip-L kQ IPHONE # 39 7 �S / COMMERCIAL HOOD CONTRACTOR: IPHONE# 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 FI +� RE;ALARM`- INSTALLATION PWPLANA 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 HOOD INSTALLATION & TEST EMERGENCY LIGHTS EXIT LIGHTS LOW LEVEL EXIT LIGHTS, (A, E, I & R1) OCCUPANCIES SPRAY BOOTH TEST DATE SIGNATURE Z: \0001 \Prevention's Inspection Record Card.xls