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Home My WebLink About2612 BUCK OWENS Boulevard_UST MINOR MOD 8.18.10HOODS ALARMS SPRNKL ER SYSTEMS SPRAY BOOTk AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: ,e Address: Z Oic.k+ e)c.t "5- C . HOODS ALARMS SPRNKL ER SYSTEMS SPRAY BOOTk AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: Address: Z Oic.k+ e)c.t "5- C . Bakersfield, CA 933.. Date Received: Business Name: INSPECTION LOG BUILDING SQUARE FEET: SYSTEM: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: 59 Date Time ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1.%3I ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4.1 1 ❑ Underground Storage Tank fAl—we�— minor Signature modification Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other: Comments: Signature CONSTRUCTION PERMIT Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------ -- - - -- YAM HAING 1505 MC PHERSON LN BAKERSFIELD CA 93311 BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R s F I D 1501. TRUXTUN AVENUE, IT FLR FIRE BAKERSFIELD, CA 93313 �I RTM r Office Phone: (661) 326 -3979 10- 10000262 Date 8/31/10 2612 BUCK OWENS BLVD 332 - 580- 09 -00 -6 FIRE DEPT 0 Contractor ------------------ - - - - -- OWNER --=-------------------------------------------------------------------------- Permit . . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . Phone Access Code 1029529 Permit Fee 83.50 Plan Check Fee 83.50 Issue Date . . . . 8/31/16 Valuation . . . . 0 Expiration Date 2/27/11 ---------------------------------------------------------------------------- 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 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. 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 stricture 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. 8c P. C. for the reason Owner Signature 1 1 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 Date UNDERGROUND STORAGE TANK PERMIT APPLICATION - - -� -� TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (E)ISTING FACILIM /MOD -MINOR MOD Permit # TYPE OF APPLICATION: trwr- 'ie nNF nNi Vl *Arms ARTZ O NEW TANK INSTALL/NEW FACILITY n MnDTFTCATTnN nF FArTLTrY BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 15t Floor Bakersfield, CA 93301 Phone: 661- 326 -3979 a Fax: 661- 852 -2171, Page Iof1 0 NEW TANK INSTALL/EXISTING FACILITY ❑ MINOR MODIFICATION OF FACILITY STARTING DATE/ _ _ - - -- - -- - - 'PROPOSED- COFIPtETII)N:DA`TE:= - J:7:• 'r l:` : �• {,r.. ;+ is -`�-•' % {i,' i j••:� ^:. FACILITY NAME PERMIT FACILITY ADDReWt. Q ��kp Lla_ CRY ZIP �D J`70 TYPE OF BUSINESS R.4,j APN P TANK OWNER ro �� onmo PHONE P ADDRESS 1 ZIP 1 ^ ` �V biz r�r ' Y.:tw yyn • <uk x`�p• _'y;a. 5 ?r z::':.4 `. -. 'i.1:'r, :': •. � �' :•• I '�z � >• "h . ^:' n - �LYi: � ' :L�iS': :'r , P. ZIP a, •• YY' ;' i., ... .�'- - - -' .Y ..; .v. ...,�• .� t ''art , ,IAfORIOANS'QOMp 'Ti, i O RER: 1 . J. :l` R4. ;' PHONE r ". $AIfERSFIEI(3- CIi1(BIJSAiESS 'NSE, ;i:•:':,. e: L': +Y.f.,:w :i . .O. �• ,i•6,•. v.t ^.. ::5rv: :,.1• �• � L BRIEFLY DESCRIBE THE WORK TO BE DONE: I WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE i OF TANKS TO BE INSTALLED TARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES O NO 0 YES O NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION ,tif.'. _.'.a,.,• ";•� -. <s `s. :fJ' �.:�6fiNGf vor�i�ie., tf r::+ fi' 'tsiFiioETi: ,• ° ='' :;'YC>: �,}:.A: iiiiu�' �•�:. ;�lg:ot. - ;PiLiii`: �.,:,a ^5 ulEi:t:a': O•��: .,;5• i { .yr.'s: — . p:N ` �S1 yt, r• :. fir,. •Ht.1.. ,'S�'` �: '�a i,.'' I:�'•u',� ��1l: Tank Testing Company NAME OF TESTING COMPANY i PHONE NUMBER V Y MAILING ADDRE� li\ NAME OF TESTER ICCi 0 o -or 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 TITER ICCir THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR 0 FFIXti3AL USE 94LY r;e':.i ': K�,r' °i,Y,..r IN •F ^t� ,.,TS, ., �F,,, FD2086 (Rev 08/09) BILLING & PERMIT STATEMENT PERMIT NO.: FIRE f► •/ ., BAKERSFIELD• FIRE DEPT. Prevention Services 1600 Truxhm Ave Ste 401 Bakersfield CA 95301 , Tel_! (RRII RW R479 • F'aac (6611852 -2171 i All.permits must be reviewed, stamped, and approved E Yi� T ■ PER[,liT TYPE FEE CALCULATION TOTAL OUE ❑ Alarms - New & Modifications - (Mirdmum Charge) $260.00 IWAWW ONLY TREASURY ACCT NO 98 p Over 10,000 Sq. Ft SITE INFORMATION 84 � f ❑ Spdnlders - New & Modifications - (Mirimum Charge) . $280.00 ■ ■ 98 '�► a•' �� Over 10,000 Sq. Ft . ■ 84 98 ❑ Minor Sprinkler Modfficiations (< 10 heads) $ 96.00 [Inspection Only] ; 84 96 , • CONTRACTOR INFORMATION ■ 96 ❑ Additional Hoods $ 5&W ■ ■ 84 96. • Spray Boothe - Now & Modifications $470.00 ■ ■ 96 • r .� � � l V ■ice ■' � o Additional Tanks $ 90.00 ; 62 . All.permits must be reviewed, stamped, and approved E Yi� T ■ PER[,liT TYPE FEE CALCULATION TOTAL OUE ❑ Alarms - New & Modifications - (Mirdmum Charge) $260.00 IWAWW ONLY TREASURY ACCT NO 98 p Over 10,000 Sq. Ft Sq. Ft x.028 = Permit fee 84 � f ❑ Spdnlders - New & Modifications - (Mirimum Charge) . $280.00 ■ ■ 98 O Over 10,000 Sq. Ft . ■ 84 98 ❑ Minor Sprinkler Modfficiations (< 10 heads) $ 96.00 [Inspection Only] ; 84 96 , • Commerdal Hoods — New & Modifications $ 470.00 ■ 96 ❑ Additional Hoods $ 5&W ■ ■ 84 96. • Spray Boothe - Now & Modifications $470.00 ■ ■ 96 • Aboveground Stomp Tanks (lm tall brAnsp: 1" Time) $180.00 ■' 82 o Additional Tanks $ 90.00 ; 62 . ❑ Aboveground Storage Tanks (RemoveMnaImoon) $109.00 : 82 ❑ Underground Storage Tanks (lnstafadbnAnsp6don) $878.00 (per tank) a 82 ❑ Underground Storage Tanks (MocABcatlori)• $878.00 (peralte) : 62 Underground Storage Tanks (Minor Modficatlon) $167.00 )S • 82 • Underground Storage Tanks (RenwovaQ $573.00 (per tank) ■ 84 • Olk"ll (Installation) $.96.00 54 • Mandated Leak Detecflon (Testing) / Fuel Monit.CerMB989. Not, MW foreadr type cl test /perelte (every if scheduled at tfre same tlrne). ■ • 82 • rents $ 96.00 (perm* ■ 84 • Dfflotech* • (Per event, Plus kxgx Fee G $0 per hw) $ 9&W + (5 hm mh smnoy foe Ampecum).W&.00 � 84 ❑ ARerhours inspection fee $121.00 ■ 84 • RE- INSPEC710N(S) /FOLLOW-UP /NSPEC710N(S) $ 96.00. (per hour) ■ 84 ❑ Portable LPG (Propane): NO. OF CAGES? _ $ 96.00• ■ 84 ❑ Explosive Storage $266.00 • 64 ❑ Copying & File Research (Flle Research Fee $50.00 per hr) 250 per page : 84 Q Miscellaneous 84 FD W21 Mm. 06" 1- ORIQ WAt. WHrrE (to Tteem 4. 1 -YELLOW (to Rb) 1-PINK (to CU40 ner) I :? `Cityy of -Bakersfield-, RECEIPT " U Daptei�: PiAt1R1z: _ e r BU81/�1A,3f;, • , ::. ;. , :;• .:. ;•.::.Receipt; :+- jescri ion, °k• �aantit y:"} • :�aoiirit ^' 'pill: 6t� y.;j._ ' tii:QI1�G :uE12h1IT5 TeP.ier ,ietail:;