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Home My WebLink About2900 UNION Avenue_UST MINOR MOD 1.14.11HOODS ALARMS SPRNKL ER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 3/5p Address: A4Af- Bakersfield, CA 933 Date Received: Business Name: S—(C:), -e— !_r �ycN•. SYSTEM: L BUILDING SQUARE FEET: INSPECTION L ®� New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 11. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank mino modification nderground Storage Tank removal Underground Storage Tank ❑ ❑ Other: Comments: Date Time Signature Signature r .a 39-2 13-7 ?o> L/hy, 3 3 * `/ �__ Illlllllllllllllllll 20 �, IE S L.� c Signature Signature r .a 39-2 13-7 ?o> L/hy, 3 3 * `/ �__ Illlllllllllllllllll 20 �, IE Z, 0 V 3 N v 0 N UNDERGROUND STORAGE TANK 4ftnPERMIT APPLICAT""�" ION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW / It Ir TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD w Permit BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852-2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY (CHECK ONE ONLY) ❑ MODIFICATION OF FACILITY M MINOR MODIFICATION OF FACILITY STARTING DATE/ 1 /I O1, LZ` PROPOSED COMPLETION DATE r' O /� ^ 1 FACILITY NAME Y ^, ^ kAT 'L 09 GLLWn EXISTING FACILITY PERMIITIJ# FACILITY ADDRESS 19 oz) + ` %M AYS7 -1 �{ 1 CrfY ` Z CODE TYPE OF BUSINESS • 1 ` APN # TANK OWNER Nq � ^ �` b� PHONE #1 :3111-112-1 ADDRESS /� 900 cn �Lt(6 (-{�JV `•i M C1TY � ZIP CODE q� �, CONTRACTOR . �canz�n CA LICENSE # ICC # ADDRESS „^^ " ! 3 `Q/V CITY ZIP CODE q Qn7[ t JL �,( PHONE # A �1 "1 / BAKERSFI BUSINESS LICENSE # WORKMAINS(CCOM`PA #` INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE: eft J,` A.t CfY\ ' qM Ca 1 WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? D YES O NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? O YES 0 NO THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS TANKS # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY # # OF TANKS FEES $ 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. AO :D BY ' • rPPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FD2086 (Rev 06/07) IS. CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B E R S P I D 1501 TRUXTUN AVENUE, 1sT FLR F/RE BAKERSFIELD, CA 93313 ARTM r Office Phone: (661) 326 -3979 Application Number . . . . Property Address . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . Property Use . . . . . . . Application valuation . . . Owner YOON THOMAS'Y 12 ROBINS TREE LN IRVINE CA 92602 11- 10000021 Date 1/19/11 2900 UNION AVE 012 - 071- 03 -00 -4 FIRE DEPT 0 Contractor -------7---------------- OWNER ---------------------------------------------------------------------------- Permit . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . Phone Access Code 1067750 Permit Fee . . . . 83'.50 Plan Check Fee 83.50 Issue Date . . . . • 1/19/11 Valuation . . . . 0 .Expiration Date 7/18/11 ---------------------------------------------------------------------------- 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 acid 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: 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 issi ed? My workers' compensation insurance carrier and policy number are: :.. :. .. Carrier Policy No. I certify .that in;the performance ofxhe'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. 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 BILLING & PERMIT STATEMENT PERMIT # BAKERSFIELD FIRE DEPARTMENT MARTIMI Prevention Services 1501 Truxtun Avenue, 1st Floor Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661 - 852 -2171 An M ❑ permits must De reviewea, stampea, ana approvea VK10K Tv OLUINNiNUx WUKK. I PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY TREASURY ACCT NO ❑ Over 10,000 sq ft LOCATION OF PROJECT 9L % �,,, •O) n + , ^ \1COMPLETIONfDDATTEE SITE INFORMATION '(�� (s PROPERTY OWNER � • ow) C � ` I STARTING DATE _L L �- .L _ I t I NAME PROJECT NAME , 1 � ( 1 `^ 1' ADDRESS 2000 wV%rl �"e u ! V PHONE #- 31cf (i �) PROJECT ADDRESS 2`100 u�`1�Cn ME )L CITY P��F K ERAS I E LI% STATE CA ZIP CODE �'33a � CONTRACTOR NAME CONTRACTOR INFORMATION �(� I C�LICENSE #, �,�`''11t1� TYPE OF LIC�NSE' EXPIRATION DATE A � � 4 PHONE # „y t ^„ -�� CONTRACTOR COMPANY NAME +r-� � , t i 1.1- ,LI` ❑ FAX #GU`�1(��1 �tNV�CIIY ✓�. Jh ADDRESS k oo ;,, CITY 1 L�1 / ZIP CODE 3 / -7, An M ❑ permits must De reviewea, stampea, ana approvea VK10K Tv OLUINNiNUx WUKK. I PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY TREASURY ACCT NO ❑ 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 C,K # f 1 4 -7 1..14-11 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 CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE C-- -MODIFIC- ATIONS MINOR /-MAJOR- -- 0 AST REMOVAL DESCRIPTION DATE SIGNATURE P RIO R- TO- OPERATION_OF A_NY-SYSTEM, ALL UST ANOM AS_T_SYSTEMS- SHALL -BE: INSTALL,- COMPLETE AND_ACCEPTED;BYI THE- BAKERSFIELD CITY FIRE DEPARTMENT: _FIREDEPARTMENT (FINAL)_ _ _ J �_ WILDING ADDRESS: z IOB DESCRIPTION: OCCUPANCY TYPE: DWNER: PERMIT NO. / /—/ --ONTRACTOR: AiC PHONE #-- v 7% FD 1743