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2200 BRUNDAGE Lane _ust 10.29.10
aiw\01 0! 5 HOODS ALARMS SPG3NKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No., Permit No. File Number: 33`13 Address: c�icc�ir/W e G�c% Bakersfield, CA 933 Date Received: l0 c? S — /40 �m (e- . e �e L S Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor ' modifcatio Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other:. Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. Date Time Z-A��- Signature Signature 'INSTALL VEEDER-P-bff- qRt--,.WP I&D 'f)E-TECTDZ-`, T4?. '�,�UKJC�AGE- IMP I- PLLD Transducer Installation Red Jacket Maxxum Big -Flo Red Jacket Maxxum Big -Flo 1. Switch Off, tag, and lockout all AC power to the TLS console, dispensers and submersible pumps. 2. If a ball valve is installed down line from the pump, close it. 3. Remove the cap from the 2 -inch Transducer port next to the 3 -inch discharge port. Thread the PLLD transducer into the transducer port (see Figure 11). Q IMPORTANT! Seal any pipe threads using a UL- classified, nontoxic pipe sealant suitable for the fuel In- volved. Junction box PLLD transd in 2" Transdu port Seal -off_ enoxy seal per NFPA spec )plied) conduit to console (customer supplied) AMmamum.aps Figure 11. Example PLLD installation in a Red Jacket Maxxum Big -Flo 4. Get a watertight cord grip from the transducer installation kit and coat its 1/2" NPT threaded end with UL- classified, nontoxic pipe sealant suitable for the fuel involved. Screw the cord grip into one of the openings in the weatherproof junction box. Feed the end of the PLLD transducer cable through the cord grip and then tighten the nut to ensure a watertight seal. Connect and seal the pressure transducer wires to the wires from the TLS console as described in `Epoxy Sealing PLLD Transducer Field Wiring Connections' on page 21. 5. Open the ball valve down line from the pump. 17 PLLD Transducer Installation Red Jacket Maxxum Big-Flo Red Jacket Maxxum Big -Flo 1. Switch Off, tag, and lockout all AC power to the TLS console, dispensers and submersible pumps. 2. If a ball valve is installed down line from the pump, close it. 3. Remove the cap from the 2 -inch Transducer port next to the 3 -inch discharge port. Thread the PLLD transducer into the transducer port (see Figure 11). Q IMPORTANT! Seal any pipe threads using a UL- classified, nontoxic pipe sealant suitable for the fuel In- volved. Junction box (customer supplied) PLLD transd in 2" TransdL port Seal -off, epoxy seal per NFPA spec (rustnmer suoplied) conduit to console (customer supplied) AAmamum.eps Figure 11. Example PLLD installation in a Red Jacket Maxxum Big -Flo 4. Get a watertight cord grip from the transducer installation kit and coat its 1/2" NPT threaded end with UL- , classified, nontoxic pipe sealant suitable for the fuel involved. Screw the cord grip into one of the openings in the weatherproof junction box. Feed the end of the PLLD transducer cable through the cord grip and then tighten the nut to ensure a watertight seal. Connect and seal the pressure transducer wires to the wires from the TLS console as described in 'Epoxy Sealing PLLD Transducer Field Wiring Connections' on page 21. 5. Open the ball valve down line from the pump. 17 PLLD Transducer Installation Red Jacket Maxxum Big -Flo Red Jacket Maxxum Big -Flo 1. Switch Off, tag, and lockout all AC power to the TLS console, dispensers and submersible pumps. 2. If a ball valve is installed down line from the pump, close it. 3. Remove the cap from the 2 -inch Transducer port next to the 3 -inch discharge port. Thread the PLLD transducer into the transducer port (see Figure 11). IMPORTANT! Seal any pipe threads using a UL- classified, nontoxic pipe sealant suitable for the fuel In- volved. Junction box (customer supplied) PLLD transd in 2" Transdu port Seal -off, epoxy seal per NFPA spec (customer supplied) conduit to console (customer supplied) Ad\mauum.eps Figure t 1. Example PLLD installation in a Red Jacket Maxxum Big -Flo 4. Get a watertight cord grip from the transducer installation kit and coat its 112" NPT threaded end with UL- classified, nontoxic pipe sealant suitable for the fuel involved. Screw the cord grip into one of the openings in the weatherproof junction box. Feed the end of the PLLD transducer cable through the cord grip and then tighten the nut to ensure a watertight seal. Connect and seal the pressure transducer wires to the wires from the TLS console as described in 'Epoxy Sealing PLLD Transducer Field Wiring Connections' on page 21. 5. Open the ball valve down line from the pump. 17 & CONSTRUCTION INC City of Bakersfield Fire Department Date Type Reference 11/9/2010 Bill Wells Fargo 001 Permit for Wholesale Fuels 11/9/2010 Original Amt. Balance Due Discouni 167.00 167.00 Check Amount 1363 Payment 167.00 167.00 167-.00--- CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------------ JAMIESON THOMAS J P O BOX 82515 BAKERSFIELD CA 93380 ^P� BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R S F II D 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 =RTM T Office Phone: (661) 326 -3979 10- 10000344 Date 11/15/10 2200 E BRUNDAGE LN B 141 - 300- 08 -00 -9 FIRE DEPT 0 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . . Phone Access Code . .1047000 Permit Fee . . . . 83.50 Plan Check Fee 83.50 Issue Date . . . . 11/15/10 Valuation . . . . 0 Expiration Date . . 5/14/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due -- - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit Fee Total 83.50 83.50 .00 .00 Plan Check-Total 83.50 83.50 .00 .00 Grand Total 167.00 167.00 .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 after 180 days of inactivity. I have reviewed the above application, and find it to be correct/complete. 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 Agerif hone 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). I am exempt under Sec. B. & P. C. for the reason Owner Signature I I 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 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: Carrier 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 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 1 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 I I Date VF-EbER-,QbDT- IRLSWR I&JD I �'JNE I-Efir TE-TEC7DUS, MR. OF (o 00 IA L 2D, Obb 6AL 0 'A z G-11 20.00D &A L 0 2 J Cot 10, DDD 6AL I D►Doo QL lllo&�N INSTALL.. VEDER -moor bf P.,DF �RUh1��11f�E ��f '.0 20. ODD 6AL f _ � u Q 20,00D GAL ` Q 10, ©M. (-qqi. f i D,00Li sAL J � BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT 4FR 3 F I lL _D Prevention Services PERMIT # FIRE 5 2101 H Street wRru r Bakersfield, CA 93301 DL.nne,. GG1 _47 G_207D � Cam... GG1 _4C9_7� 71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION Qf PROJECT PROP T 4WNER STARTING DATE COMPLETION DATE NAME �T PROJECT YE ADDRESS PHONE # $280 PROJECSADDRESS CITY P�rCI�F� ? SFIE� -D STATE CA ZIP ODE $0 .028 x sq ft CONTRACTOR INFORMATION • Minor Sprinkler Modification ( <10 heads) $96 (inspection only) CO OR NAME I CA LICENSE # I TYPE OF LICENSE EXPIRA310N DATE PHONE # Commercial Hood (New & Modification) $470 CO OR COMPANY NAME FAX # Additional hood ^� ADD Z� All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ 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,or Inspect'n) 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) MT $167 /site 82 • Underground Storage Tank (Removal) TR $573 /tank 84 • Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even if scheduled at the same time TT $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) $0.25 /page 84 ❑ Miscellaneous 84 BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 2101 H Street PERMIT APPLICATION » B R s P I Bakersfield, CA 93301 TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW w� rN Phone: 661-326-3979 •Fax: 661 -852 -2171 ARTS t TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Page 1 of 1 Permit # TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY (CHECK ONF ON1 Y) a Mnr)TFTCATToN nF FACTI TTY M MTNnR Mnr)TFTrATTnN nF FACTI TTY DATE/ PROY PO:Z S- ED 'LOMPLETSTARTING - IY' ,,�; 1' :''.Y �,'t: Y✓S'F .;:#4':.. FACILITY NAME EXISTINGiFACILITY FACILITY ADDRESSL Z CODE 1- TYPE OF BUSINESS APN # TANK OWNER PHONE # ADDRESS E ,C_ONTRAC7OReer, I'/r R „; .`'aA- , s,� ;:� nF �. ,•t;a /X::sSr�d',ct z s � r' f /'�`' r 5ti -�' , 7't AJ } Vii, �,. h'a.•' s w,rtJ 4 r'''f t �` # �' t,Gpn{ 'ICC # t r+; t,��YC�s, } "t�; r / s ;a P . t :CA,LICENSE �t , ' M, eS.., {sd .�:.,. ., ,{...,., .. .. .. ". .. a -..r,> ....mot r.= ,`. *;: -:•'., �:. , sn - v k_. 1. .. ,...." ..., ..., .. ,. .� .CV �, , ..... - t da _ - .. V ::::e -; .: ✓,r,.t,.f..a�.:.... :,,,- ..,,o....tx..:.:,. - ......,....:.- ..r..ir. s,.'t..,s.,> ADDRES u �, t „ <_ ....: .. .t.: .., .rv,.,r.., .,.:.�,.,._ .. ,., rv. , '$'.�..,,.�,, ...:.,,.i..c, C _ ..,.. ,. r. .,,•sa' ,to-' .::ez` =ti = :n:�r;" r. �;a. %i4,. ';4!.;'::` _�n4 rY'�:,'' ,x: ,.c+, .�. :;y't ••;i2: ,..ii'x;" s "Yjl:` Z:. ,�...DE >..<:;: , -,� "�� ;•;;: "`;.'ti -i✓ c t ..: , .. - .;}.;� ✓vaY n :., .w.: ..v.>., e..,^.. /,:,;: Ki'F.�' - - ,'1' - S "9..: •, - PH M ., >.. „T.. FIELD" BUSINESS,LICENSE. #.= %'�Yy: ;.t• - WORKMANS'COMP.: #.r :: -- a s' s' : .L .. pd INSURER.. — v <<M,ka`:y, ', _- t J..{p,..t _ .r'_„ "zr ="Y•:" "( - = � .� �E<'S _51r ,- ”. �. "- .�'[Ju•..g;.:'s. -_ /I � <r _.,.. ._,a.:`a' -._.. u. :- ".,7,:f:?� - _,:+.. :i.:ti`h.: a. 1,5..+"i ?'i•_ c,f�:::,e::ank' BRIEFLY DESCRIBE THE WORK TO BE DONE: / O / T WATER TO FACILITY PROVIDED C de DEPTH TO GROUND WATER SOIL,7V EXPECTED AT SITE # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVE ON CONTROL AND COUNTERMEASURES PLAN ON FILE? 113 YES Cl NO Or- YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION : z., ., S_.i +. l,.i .. .1_. TANK, #', F- VOLUME:. �:.. •� UNLEADED4 '(.” REGULAR,. ?'•� -" ;' .� PREMI M ?;:.,,.:•�` . 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J fr_ e. a r: t.� t IJ / . . , 1 u ,.. .. : .,.. ,r,- . . 3 n. ,,... . `, . �. , „ _ _ .r. ..v .._.,' . e. , f :V + 5:- , , : __ , .r,.. t'5-., a . a = , ,%.,..:, . ✓. . � .v..( =.t.. z.... x ..Y r^r 'Ln✓.- � >;� {:: '•:�'; !` -`�£,` '{.,i..- )l'::7: Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER ICC# THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PER7URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY 0 ! .+.� �.lirNk. , ,- xn .. '� "_ ••.e ” a ". '.. .AL'."Yi «n3i` '•`i)$.v •. .; "Sc `a `Y'1,. .=1,;..�,,.vx P�l �t,s }.,Lt %• k ",`- t(t. 'av v ^h .,.. ,..- ••d- ...mot ✓rc.. .w- �, •:,,..*.: �•r.Y<�.,, ,.3a,.- -r$�_?. ..Pr, quo-. t UZU00 (KeV VO /Vyl LL7T'f1,77T',r �-_ tir� �- Y `v• _ -_ ! ._.. G t y daict .f•i'ei ate MAW i IL 113 p£RI�II f� TWO 'r..'. Aetai•Y.: ve 'pen T _ 1:,, too- W Lyn