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 ✓
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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