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HomeMy WebLinkAbout2524 OSWELL Street_UST MINOR MOD 7.27.1010111111 17 IE 1 HOODS ALARMS SPRNl LER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. �o-�cama2 a File Number: �i/7 7!o 7 Date Received: '? --;2 7 — /6 Address: 6 Bakersfield, CA 933: Business Name:e�� ❑ ❑ Other: INSPECTION L ®G� Date Time Signature' Dill ia IE SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ Underground Storage Tank minor modification nderground Storage Tank removal Underground Storage Tank ❑ ❑ Other: INSPECTION L ®G� Date Time Signature' Dill ia IE BILLING & PERMIT STATEMENT PERMIT NO.: AIRS ARM '# RSFIELD• FIRE DEPT. Prevention Services 1600 T uxtun Ave Ste 401 Bakerafleld CA 93301 TeL: (661) 326 -3979 ■ Fa= (661) 852 -2171 SITF •- `°�" 1' w-4f A0.61,iL • Lo &-A-6 e--HA0 UrARTM D 'r! 0 1 r l �oononi ATE 0 M�E NAME EA 4-, PROJECTNAME ! �LGJ o L Z 4 . oJI�eLL % 3',,,T= PROJECTADDRESS p J�fZL -.1 SME /s%fID G4 ZPCW 3 0 CONTRACTOR CONTRACTOR NAME "WENSE N0. • TrPeaF uc6dsE o ATroN oaTE PrrONE Na CONTRACTOR COMPM"VA FAXNO. 3921-0(094 ADDRESS crnr aPCaoe 1; P. All.permits mustbe roviewv4 sbn pod, and approved_PRIOR.TO.BEGINNING PIORKON T .HAT PROJECT. ❑ Alarms - New & Modific edons - WWrm in Charge) $280.00 ■ 0 Over 10,W0 Sq. FL S¢ FL x.028 m Plemrit fee ■ ■ 84 88 ❑ SpdMers - New & ModiflMons - (Urcimum Charge) $280.00 . • }- . _ ■ ■ 84 98 ❑ Over 10,000 Sq. FL 84 98 ' ❑ Minor Sprinkler Modit atfone (< 10 heads) IS 96A0 pnspedbrr OnW 98 'O Commerdal Hoods — New & Modificalons $ 470.00 ■ 84 ❑ Additional Hoods $Saw ■ ■ � 88. O Spray Booths - New & Modifications % $470.00 ■ ■ 84 08 O Aboyeground Stomp Tanks (gyp. -t° lime) $180.OQ 82 O Addidonal Tanks $96.00 ; 82 ❑ Aboveground MOM Tanks (RoWm lrrspec6on) $109.00 ; 82 ❑ Underground Storage Tanks ( ) $878.00 (per Ilow 82 O Underground Storage Tanks (Modiecalari)* $878.00 (Waft) '82 6L Underground Storage Tanks Mm LUNcalon) 1-10 S ■ 82 ❑ Underground Storage Tanks (Removal) $MOO (per tonk) ■ 84 ❑ Oiiweu (IrrstsWm) ' $ ss oo ; -.84 C Mandated Leak Detec don (roofing) / Fuel MonitCeN56989. NoW MW lbreac+ Mm cf lmt /perslte (emffsdmdufed at fire sstrre GhTe). MW W &OF4 t41. - ■ ■ 82 ❑ Tents $98.00 (peram" ■ 84 ❑ PWOWft - (Per event. Plus Insp. Fee 0 $96 per hour) $ 960 + (s hm mtL SWWby be 84 ❑ Aftarhom Inspection fee $121.00 ■ 84 O RE4NSPECWAf(S) /FOLLOW- UP /NSPEC710N(5) $ 96.00 (per hour) ■ 84 ❑ Portable LPG (Propane): NO. OF CAGES? _ $ 96.00. ■ 84 ❑ Explosive Storage $266.00 ■ 84 ❑ Copying & File Research (File Research Fee $50.00 per hr) 23¢ per page ; 84 ❑ Macetlaneous 84 FO 202, (Ftev. 0697) 1- ONG WA1. WHFrE (to Troaafry). 1 -YELLOW (to File). 1-PINK (to Custmor) !Permit # BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 11 Floor Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661- 852 -2171 Page 1 Of 1 TYPE OF APPLICATION: 0 NEW TANK INSTALL/NEW FACILITY 0 NEW TANK INSTALVEMSTING FACILM fri4r -ry A(JF noel Vl n MnnTCTf ATTnN nF PAP'TL rrV 1W MTNno Mnn7RTCOTTnN AF FAPn TTV STARTING DATE/: M2- FAC LITY NAME < FACILITY ADDRESS QTY ZIP COD �G G TYPE OF BUSINESS APN E �� ` TANK OWNER PHONE i Lw 6 L o � ADDRESS CITY ZIP cc!�30 ;. �yi•a' :'t^F � °�j •et ,Y ;j {.��:0.�: .:'.rv: :,:t:G €• .F.S:: j,,".:};- ea:tvs`::.fs >�t � °�!.T:.� rT:.r y, is �( yt �.: • . d..'.i r :Hti ZIP r t I• n' 1SX• j L.S l I� �y",tYi NYW"'�"... ^ �'' rtC� fut yiy' Liter .. •PHONE. #.�� � .L—Y . .d: ?. ,4,. �•�. INSURER' Lv :�;r�1:•.:: f�.ty':w,..sw a'..:• i'k• -.. •`•t•. ••�/... ,( ;t ''4• �s-I.i! �•�:•:. i� +':'+ .5x1: i }i•d• ,, a::`a rw, "..5a. L :. BRIEFLY DESCRIBE THE WORK TO BE DONE: WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECIED AT SITE i OF TANKS TO BE INSTALLED TA E THEY FOR MO1DR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES a NO G YES O No THIS SECTION IS FOR STORAGE TANK IDENTIFICATION .:;i,!•'•- •::r4.:, y�!�� •�A:.:1'. •',- tT�' -''n: :, eY lr'�4' ill. �'P. �Vfi.Y�'r' +'.i:L,:J}in i;r�F. s{ %,. 'P `'i+`+: -,. :D�L !,•i ' :::..��,_ .>1..n ,•"yS ,:�.'� .141 ..t. y - :'t:' t,. _:s:;••: '�4� •�- '`�'s�'���.�t. '; is �Y•ii i f..:,t° ,.i" n� =� =. fi, :, +R'r. .\1•. :.W`!n?S:JWn(5 :. .•.fYY.. •�1 4Y �i:J r.+s:." rsx t'f a ! � �•f '.ifs'•" - ",�:- . j. ^�.J:M.t�:i�.r.:rr, w::„ , K . • �. � . e� • . i' • t1 •, - '1 ::•s: "• "'a.,.. .8:•r ,f. .+:. :4� r�: ..er {. it: =,r., �..r'�� y_i..r "•s:r �.i L ?ia's `may e ^'t'<` - M�. +,`.T „'q5; :- •,Y.4 .fnr::`+<:y . "P �s': "`:: £'�., .,:3. .,a._: v.. r.. -: .�� :'Y •. .ti: •ff:(.: l3• ^. a s. ro:.;:::k } ?'•t`a^ Tank TeWng Company NAME oT= Tesr>Tw cAN,►`� �i� ., -,,►L ETA L TAE T.RmER I(— �L a MATasNeaNORTrss �d y ,��o�J NAME OF TENTER 9,7-0 �+ 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 PERIURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME Or- TESIM =0 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY {MTT:•Rr.W gGYrw .3:' _ _ �J.',:ti'�.,'fviy5-? r1''!Y_.T wy.. EIR _ •r f� :r ^'� .. TIP. - ., F• .4•.' ruzu60 kKev uC /uvi r BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 1501 Truxtun Avenue, 11 Floor PERMIT APPLICATION t� phone 661-326-3979 •Fax: 661- 852 -2171 TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW 4VAACTra— mw TANK INSTALL (E)ISTING FACILITY) /MOD -MINOR MOD Page lofi ,Permit # TYPE OF APPLICATION: 0 NEW TANK INSTALL/NEW FACILITY 0 NEW TANK INSTALL/EXISTING FACILITY (CHFCK ONF ONLY) ❑ MODTFICATTON OF FACILITY JW MINOR MODTFTCATTON OF FACTLTTY STARTING DATEI j /ta N'DI►.'n11: . °. FACARY NAME �`T.FIGC>?ITY PERMIT F FAQLr" ADDRESS 2- O.Sti -e7� CITY ZIP COD TYPE OF BUSINESS APN # 1 TANK OWNER/ PHONE # o e, ADDRESS 2 � � J C17Y� - ZIP /� 0 / '.9.. i'�.. fz• •:,r•, � ::ry ^`{•. .n: ?j:"iks`yii: +. °i5 }�:,': :ti:x n::Qi`.r }hi: ::ti' y }::f ?:a;: rk^:a'es,.;" r.:t'.'¢ %'r::.. <.rJ!E.. %•:`. '�:a ?:•i:'S;?•;,.: y:�_: • .'. :�' J-': •�:s '-.�f: .t: .'f :fJ: ':'J.l.• 'Yr. 'r' }J:, K.r .W,:: 11UUlinp-' :i� +�'` ;'�,,, ,�.,:. •; %� +.::v He1.c•�..'•'li ":! ``.%: _ •!t •. ;:y, >tx -:f evY1' .'Si',::. ,• %•" :LCer. r:. ^,,;.e.. ''!br. t;,,«;,; �, `� '.. . ;':• >• 1�. �,,,..T. t,�." -fit.. ,4'i�r;:rg:3. i•. .,:4: `rte.. ,fir A,f52 .- L '4 .'.� ..�./ �PHDNE' #'^ - �.:�•.: t�:' ' -p, 1i..itt:. t- • h'r ' °.. ,#., •_\M'�F N'�r INSURER' ���i'•-�li ^`, .�.1 :�•r��r� ;.Y wa.Si: .::f.. ...(J..r sr BRIEFLY DESCRIBE THE WORK TO Be DONE: WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE i OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND CDUNiERMEASURES PLAN ON FILET O YES G NO O YES O NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION aYaa:W :.`. _ •T�•�t' �N�: SrF:r, "r -:r u� °�e,::•- ��i]'- 'yhV`.��'ri ,.M, i�T�: ��T' ^�'.� ._a ;.3.' n+Y:, ::., <�T:. k�Lri::':.G�vr sY[0 : /.t ;i'k'.c " ''��"%r.:':Jrr.i tf. y; ... _.*.t: ':e p•.,• ., .d::9:'y,•npSy:s..i' - ^,x. .J.L,yC,i: e,.,c: tyr•;o- y� y5t' •T /�_`:.'" •'>' - �TMER•.:'. .r:•'SS„ _ 7.. `�iY2>F >•rt ?'ll +A.. `+T`�: i,,�z]],,`r`1� - � ��:.'4:.: :✓,s: ..+,hr.:. �Sr: 1k •'ili.`,�'!'.�'...':k'.$ >..t�3. .f:••<tt.� 6 •it „ >!- ,.„,�... ..,.•_'i, E,.Y.r;.;rn;.,'r. .sS.toW'�:s 'S °.' z.Jrh:' -t'�wt f,r4NS.:.K:. i:a,..'+. *` :Mrs' k�: i:.' ".~� .. �.�• -'i'�. .':2l'i:'•.':�'” �•}`t::° J;•s w :fx.!, �. -!yT S - �� �:.: �-• .:�•°: ;sl. :s�i- ir•_�:_ e1. .�. ...?�i '- �ti,�._yF:. r.b /l\..v,:.rv�'aA'`.'acV. st4, a+:r_,.•�t•`.�'zY<,.c::..:'z::: ���'x! ?ix'. Y.}'Y: .'.' „7. .f''.. • k. i F.: �F• SS — .r♦e � �� Vii.: r�:r Tank Testing Company NAME OF TESTING COMPANY �I/t`� �) �n L /�� �f/ •l PHONE NUMBER 3.X.4,_ ee b �1 MAILTaI® AD<iRE58 y ��° , f Y o NAME of TESTER ' ! ,fir v ' 7 0 _ 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 PERIURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF YEW= mw THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY .DATE APPROVIED:- - - :t, :tom .; :. ,r)xr .. ?,: x: `H :f 4 �,. ! _ rue.u60 (Kev UiflUy) ,L 4 Mkty �of 'aakersf ield eye C115T1 R RECEIPT ** ! Leer: 5Ci1RRILLU TYpe: M 'Drawer: 1 Date: gt13t10 01 ; ;Receipt no: X1542 DescriPPtio,+ Quantify Aeount 2Q110 1031 : ' BUILDING PE[D41T5 1 1. 99 . $167A . I T der d fait S157A 1 : , 1167;W Total Tendered '. Si7.00 4 Total payment, Trans date: 8!13110 Tise: 14:12:45 -HELP CONIRDL THE r�T ppp1�ATIC I pLEME SPRY•LR NEATER - ` n CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R S F I D 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 61._ r Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000231 Date 8/13/10 Property Address . . . . . . 2524 OSWELL ST ATN (11 Digits): 130 - 162- 12 -00 -4 Application type description • FIRE-DEPT Subdivision Name Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor ----- ---- ----- ---- ---- -- CHAO LOUNG K & MELISSA Y ------------------------ OWNER 5609 $TINE, RD BAKERSFIELD CA 93313 ( 66) 345 -6208 ------------------------=--------------------------------------------------- Permit . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . . Phone Access Code 1024967 Permit Fee 83.50 Plan Check Fee 83.50 Issue Date- 8/13/10• valuation . . . . 0. Expiration Date 2/09/11 ---------------------------------------------------------------------------- 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 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 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 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. 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 I Date