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HomeMy WebLinkAbout2601 WHITE Lane_UST MINOR 2.19.10HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Pgrmit No. Permit No. Permit No. Permit No. File Number: Date Received: - .-1 !k - �a Permit No. Address: ti Lp.a -e. , Bakersfield, CA 933 Business Name: t4A r -L c -,r MkAw-l4ve--t"' Permit No. a - i0000e� UILDING SQUARE FEET; INSPECTION BOG New Mod. ❑ 0 Commercial Hood System Building Sq. Feet: _ Pate Time ❑ ❑ Fire Alamo. sy rn Calculation Bid'. Sm Ft 0 O Fire Sprinkler System ❑ ❑ Spray Finish System 0 ❑ Aboveground Storage tank ❑ Gd Underground Storage Tank minor - Signature Modifcati Underground Storage Tank removal Underground ;Storage Tank Si,g00t are 1 ❑ Other-: Comments: �v2 UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT414STALL NEW TANK (NEW FACILITY) NEW TANK INSTALLATION (EXISTING FACILITY) / MODIFICATION & MINOR MODIFICATION - FACILITY 00 D AREA/ #1r PERMIT NO. TYPE OF APPLICATION: ❑ NEW TANK INSTALL / NEW FACILITY IfIl—L, n.. !*am nnl.% . n UnnIF:If1ATInM OF PArIl ITV BAKERSFIELD FIRE DEPT. Prevention Services 501 Tnixtun Ave., 18t Floor Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661).852-2171 Page -I of 1 . ❑ NEW TANK INSTALLATION I EXISTING FACILITY ri mimnR mnniFICATinm nF FACILITY 3TARTING DATE ............... . .. . :ACILITY NAME -ACILITY ADDRESS ITY P CODE '2-6 0/ TYPE OF BUSINESS iu 5 C7—AIL e5AJ AN Or;ER PHONE NO 0 S-4 ADDRESS 31ITY COPE col Z 923 0 !I �A ACTOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . al" �o ... .......... Eul 4- 9 W IR' N . . . ..... ... BRIEFLY DESCRIBE THE WORK To BED NE F7 t--,v�iZA22r EL--F 1,--X-7- Jt- n� I—AgQ,!52 ZAA,,gg 4/.t- I- d" .4A zQ A.,o WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE NO. OF TANKS TO HE INSTALLED ARE THEY FOR MOTOR FUEL SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE ❑ YES ❑ NO ❑ YES ❑ NO T&ilQ -Qgt--nnu IQ rnp unTnia ci im N Jkk ............... . .. . I ... .......... . . . ..... ... Twi-q-qpr,nntji-qs:nRmnmur%vnociICI The applicant has recetyeg understands, and will comply with the attached con&nons of the permit and arty other state, local and fideral regulations, This form has been completed under penalty of perjury, and to the best of my kwwledge, is ow and correct. APPROVED BY: APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPLICANT SIGNATURE FO 2086 (Rev. 09106) ... .......... The applicant has recetyeg understands, and will comply with the attached con&nons of the permit and arty other state, local and fideral regulations, This form has been completed under penalty of perjury, and to the best of my kwwledge, is ow and correct. APPROVED BY: APPLICANT NAME (PRINT) THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPLICANT SIGNATURE FO 2086 (Rev. 09106) BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work InsDection Reouest Phone No. (661) 326 -3979 DATE I SIGNA PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF AST N S ALL DESCRIPTION DATE SIGNATURE TANK TF7RTINC: I I MODIFICATIONS MINOR/ MAJOR ST REM()VAl DESCRIPTION DATE SIGNATURE 1 DESCRIPTION PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR.AST- SYSTEMS SHALL BED , INSTALLED ,_COMPLETE- ANDACCEPTED BY \THE BAKERSFIELD CITY FIRE -DEPARTMENT. BUILDING ADDRESS aGO MA; r.P = JOB DESCRIPTION A_=V /Z OCCUPANCY TYPE OWNER 61" ' ! PERMIT NO. 6J CONTRACTOR .' i✓'c� . PHONE #--:?%Z — S7 FD 1743 CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B ER`s P i D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, CA 93313 ARTM T Office Phone: (661) 326 -3979 CALL FOR INSPECTION DECLARATIONS Permit is. issued in accordance with all applicable (661) 326-3979,- 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. Please state the Permit Number, the Job address, and I have reviewed the above application, and find it to the Type of Inspection. Request's for inspections be correct/complete.. should be made at least 48 hours in advance. Permittee: Date: Application Number . . . . . 10- 10000065 Date 2/25/10 Property Address . . . . 2601 WHITE IN ATN (11 Digits): 405- 230- 20 -00 -6 Application type description FIRE DEPT Subdivision Name Property Use . . . . . Application valuation . . . . 0 Owner Contractor SOLANKI YOGENDRA OWNER 2601 WHITE LN BAKERSFIELD CA 93309 --------------------------------------------=------------------------.------- Permit . . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . Phone Access Code 981365 v Permit Fee 83.50 Plan Check Fee 83.50. Issue Date 2/25/10`, Valuation . . . .. 0 Expiration Date 8'/24/10 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 DECLARATIONS Permit is. issued in accordance with all applicable (661) 326-3979,- 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. Please state the Permit Number, the Job address, and I have reviewed the above application, and find it to the Type of Inspection. Request's for inspections be correct/complete.. should be made at least 48 hours in advance. 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 one 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. Lie. Class Lie. 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). 1, 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 :_ - °p._ 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 6y, 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 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_ Date BILLING & PERMIT STATEMENT PERMIT NO.: pal BAKERSFIELD. FIRE DEPT. .4 It S P 1IRZ-D Prevention Services FIRE RY 1600 Truxtm Ave Ste 401 "Y' t Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fam. (661) 852 -2171 All.permits must be reviewed, stamped, and approved PRIOR T.0 BEGINNING WORK ON THAT PROJECT. 1 N Alarms - New & Modifications - (Minimum Charge) $280.00 "':98 SITE INFORMATION ❑ LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME Spridders - New & Modifications - (Minimum Charge) O PROJECT NAME J � A CT" ADDRESS PHONE NO. s -7 -539 PROJECT ADDRESS � CITY STATE : ' ZIP CODE � n� CONTRACTOR INFORMATION 98 CONTRACTOR NAME CA UCENSE NO. —cS IR ITYPEOFLICENSE. EXPIRATION DATE PHONE NO. �rYY13 98 CONTRACTOR COMPANY NAME FAX NO. _ 1$470.00 O ADDRESS '611 CITY ZIP CODE 9:6,8 � All.permits must be reviewed, stamped, and approved PRIOR T.0 BEGINNING WORK ON THAT PROJECT. 1 N Alarms - New & Modifications - (Minimum Charge) $280.00 "':98 ❑ Over 10,000 Sq. Ft Sq. Ft x.028 = Permit fee 98 • Spridders - New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 ❑ Over 10,000 Sq. Ft. Sq. Ft x. 028 = Permit fee 84 98 • Minor Sprinkler Modifications (< 10 heads) $ 96.00 [Inspection Only] 98 ❑ Commercial Hoods — New & Modifications 1$470.00 ` 64 98 ❑ Additional Hoods $ 58.00 ■ ■ 84 98. ❑ Spray Booths - New & Modifications $470.00 ■ ■ 84 98 ❑ Aboveground Storage Tanks (InstallatlotAnsp: to Time) $180.00 ' 82 ❑ Additional Tanks $ 96.00 ; 82 ❑ Aboveground Storage Tanks (Removal/Inspection) $109.00 r 82 ❑ Underground Storage Tanks (Installatlon./Inspection) $878.00 (per tank) r 82 ❑ Underground Storage Tanks ( Modificatlon) $878.00 (perSft9) • 82 W Underground Storage Tanks (Minor Modification) $167.00 ■ 82 ❑ Underground Storage Tanks (Removal) $573.00 (per tank) 84 ❑ Oilwell (Installation) $.96.00 84 ❑ Mandated Leak Detection .(Testing) / Fuel Monit.CerVSB989. Note: $96.00 for each ON of test /per site (even If scheduled at the same time), - $16:9& fpeF6de ,- ■ ■ 82 ❑ Tents $96.00 (per tenQ ■ 84 ❑ Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour) $ 96.00 + (5 hrs. min. standby fee hnspect6)4576.00 84 ❑ After hours inspection fee $121.00 ■ 84 0 RE4NSPEC710N(S) /FOLLOW -UP INSPEC77ON(S) $ 96.00 (per hour) ■ 84 ❑ Portable LPG (Propane): NO. OF CAGES? _ $ 96.00 ■ 84 • Explosive Storage $266.00 ' 84 • Copying & File Research (17119 Research Fee $50.00 per hr) 250 per page ; 84 ❑ Miscellaneous 84 FD 2021 (Rev. 06/07 1- ORIGINAL WHITE (to Treasury). 1- YELLOW (to File) 1 -1PINK (to customer) K ,. Cityy of Bakersfield CUS'iDMER- RECEIPT. * ' Dper:: SCARRE I.D 'Type:' DC . Draper: '1 � Date: .2/25110 01 Receipt'no: 73920 Description .Quantity Awount. 22510 .1000 765 bN BUILDIN13 PERMITS 1..00 *167.00. 1 Tender.detai+ E Total tendered 8167.0e, Total payoent X167 >00 trans. late 2125/10.. Tiger 14:37:35. �` .. NEtP CONTROL THE PET PDPULATIDN PLEASE. SPAY. OR NEUTER '