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Home My WebLink About2317 L Street_CHEVRON_UST MINOR MOD 7.15.10ALARMS SPRINKLER S YSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. /D- lafb0ala File Number: 0?q3r'P to Date Received: o Address: A M / 7 •G s r Bakersfield, CA 933 Business Name: CG.Q.,� v-a 1-j SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank min modification nderground Storage Tank removal Underground Storage Tank ❑ ❑ Other: INSPECTION LOG Date Time Signature Signature Comments: cMe�e-) I pz;x y6ekw Ei AJ10 M ineimu 06 BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Reauest Phone No. (661) 326 -3979 1 DESCRIPTION I DATE I SIGNATURE 1 PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF PRIOR --T_O : OPEMT- ION-OF -ANY SYSTEM,', ALL UST AN_D /OR AST SYSTEMS SHALL BE INSTALLED, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY-FIRE DEPARTMENT. BUILDING AnnRFS-q JOB DESCRIPTION OCCUPANCY TYPE OWNER rJ PERMIT NO. D l Q / CONTRACTOR vat C. PHONE #.322 -04601 FD 1743 CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property use . . . . . . . . Application valuation . . . . Owner ------------------ - - - - -- SERVICE STATION HOLDINGS LLC 1508 18TH ST STE 222 BAKERSFIELD CA 93301 10- 10000210 Date 7/27/10 2317 L ST 005- 382- 07 -00 -1 FIRE DEPT 0 Contractor ------------------ - - ---- OWNER ---------------------------------------------------------------------------- Permit . . . BAKERSFIELD FIRE DEPARTMENT Additional desc PREVENTION SERVICES R S F I D 1501 TRUXTUN AVENUE, IT FLR FIRE BAKERSFIELD, CA 93313 4.. r Office Phone: (661) 326 -3979 10- 10000210 Date 7/27/10 2317 L ST 005- 382- 07 -00 -1 FIRE DEPT 0 Contractor ------------------ - - ---- OWNER ---------------------------------------------------------------------------- Permit . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . Phone Access Code 1020767 Permit Fee . . . . .83.50 Plan Check Fee 83.50 Issue Date . . . . 7/27/10 Valuation . . . . 0 Expiration Date 1/23/11 ----------------------------------------------------- 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 after180 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 Agen V,, _ 1 � 'Mr 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 Signatures :: g t _ a =,_ . _ .' F § ¢ 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 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 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 ... ¢ _A �`� ;� ate. ° d w. a Date BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 2101 H Street PERMIT APPLICATION H g s p I Bakersfield, CA 93301 TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW Phone: 661 - 326-3979 • Fax: 661 -852 -2171 TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD AR1� 1 Page i of 1 Permit # TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/ EXISTING FACILITY (CHFCK nNF nNi Yl n MnnTFT(- ATT0Kl nF FAr'TI TTY rl MTNr)D MnnTFTr'ATTr1N r1F FAr'TI TTV STARTING DATE/ PROPOSED COMPLETION DATE' 'rr J ` ` S 1 i - FACILITY NAME EXNG 4&LITYP ERMIT ISTI p FACILITYADDRESS CrPn ZIB40DE TYPE OF BUSINESS APN # �t7S T Tio.►� TANK OWNER PHONE # G eW D ADDRESS H CI ZIP ODE CONTRACTOR '" a �r' ; r { .t• y< 4� y a a 7 3 - 4* LICENSE # ICC:# f,.. . x„'r '° _''`` ?, �.£�, s b > : ]. �r✓.1yy 6 ADDRESS i C izt7 + tk v 7 r Z CODE .,£' PHONE r" g C BAKERSFIELD CITY.BUSINESS LICENSE #¢ r WORKMANS COMP # Y z4 I RER '' r BRIEFLY DESCRIBE THE WORK TO BE DONE: oUN WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYP XPECTED AT SITE # OF TANKS F BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? 104 ❑ YES ❑ NO )' YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK.# �r VOLUME r UNLEADED o REGULAR tirFr $r PREMIUM1 C DIESEL >yys OTHER -..s .g } }r .'� C y, T$ ,,' $ ".YFa '' L- Y . ✓" y� ..,. h4 _ f, � � },. � y '- k t - ��., .t '� >•.F. ,�_. ,;:. -r:i. _ ,: s:... �r•� -, , "��..Y �.��.... .�. .. � Vin' .._��.s.�.. -k.? ��.;"� Q>�3'��„� .. _�cu. �. X3 X11 A�i F 9 ytthi' .j 1.1 �`.., . _9 .. �.1 i�5. .� n SL' �.a :..J Yt t, f•., w 7, .wL.. ,,.5 t Z- .. ..,. ner l ...,�_.i .. , ,u�..r, ..,_ _�_ Y a�va� '�..�. .�.._ .^if -i .,. C2a'_.. � .Y �i .�!_ .._?•rte -1 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 PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL U ONLY PROVE 'kj- t{"153 is " _ .. � ''!•; 4 Ei ✓ d'.. ��' µ✓ ''(�' 4% 7� P � P sif Y• 3$"Y 4. j.i iiy. -. frE >i � £ T S FD2086 (Rev 08109) BILLING & PERMIT STATEMENT -CUP BAKERSF ELD FIRE DEPARTMENT B A111 �EE R S F I D Prevention Services PERMIT # _ F1RF � 2101 H Street rNg Bakersfield, CA 93301 �..��`� Dhr�n rn• LL1_Z7L_'2�7� � C-..• LL1 _4C7 7171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ 1 Alarm - New & Modification (minimum charge) SITE,INF • LOCATION OF PR OJ cL P1 RMATION PROPERTY OWNER �v V STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS 150 / `"� PH NE # 66 / -y.?, 7-Soo PROJECT ADDRESS 3 /7 l �� 5T ! r �m gA��SFIEI✓T STATE �'� ZIP CODE ��QI • 0 ' INFORMATION CONTRACTOR NAME CA LICENSE # NAME 7 TYPE OF LICENSE EXPIRATION DATE 6-3 6 b/ PHONE # CONTRACTOR COMPANY NAME FAX # ADDRESS /7� Qr / 1 � bleb, Il/ /i , CITY ZIP COD 33, All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ 1 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) MTM $167 /site 7# /O 65' 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