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HomeMy WebLinkAbout300 PLANZ Road_UST SB989 2.7.11HOODS ALARMS SPG°3NKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 37 37 Date Received: a_ -2 -- iq Address: 345 p '7(A^5 -z- , Bakersfield, CA 933 Business Name: y4c J rke-A S IE BUILDING SQUARE FEET: HOODS ALARMS SPG°3NKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 37 37 Date Received: a_ -2 -- iq Address: 345 p '7(A^5 -z- , Bakersfield, CA 933 Business Name: y4c J rke-A S Comments: 1. a. 3. 4. INSPECTION LOG Date Time Signature Signature SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ COY Other: S Z - 9g`7 !-� 4s Comments: 1. a. 3. 4. INSPECTION LOG Date Time Signature Signature 0 IE 0 �.. i Citu of Bai sw;field (JUS"TOMER RECEIPT *4 Mpr3H:0RD Type- CC- Dra*w"er:, I 2111111 M Receipt na'. 7131 im Quantity At D*Unt i 1p BUILOIff ,PERMITS 1. JOWN48 BP DOIT I Mb PEW TS $Irc. go. BUILDINIG Pt RM I T3. 00 Bp BODUlk PERM11 S 00 BP WI? ItING PEIM11 TS 00' Nil IONRA53 Nil 'AIRDIN9.- PERM .US US, 101-* PILAMITB 3 i.iLD106 PERMITS L 0 -0 B! ILD',K_, 'RM i'm 92, 6i 100 B Y 1 1,51 IN, (i PERPT" VOILD1% PIEPM• ' :1. B-' SUi1.D 1vG i+ROITS ell I - !OWN&I DIWLDING, PE, RIMT M 15.6 [Ot al. t endey %c,4 N",t ae rf leans CA ClIK"ThU TEL PEE T PUPULATIM Z) -Y PWJ SUER. 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 i PERMIT NO. //—�6= Q tj PRIMARY PIPE PHONE # 3ZZ-- SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF ( ______.__ - - -- -- - - _TANK_TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR I AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR-TO .OPERATION OF ANY SYSTEM, ALL US AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 3B Q cf. JOB DESCRIPTION: $ .. 94' OCCUPANCY TYPE: OWNER: i PERMIT NO. //—�6= Q tj CONTRACTOR: PHONE # 3ZZ-- FD 1743 PERMIT # i BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 f ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING !Q SB-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION SITE INFORMATION UNDERGROUND STORAGE TANKS �u �t NAPE & PHONE CONTACT PERSON 660 ADDRESS fie. W tn. ' APPLICATION 4 poet ARrim i p T O rCRCOnI , Ei-M S 11111 F•• TESTING/ �'1 OPERAT ME SB989 SECONDARY CONTAINMENT PERMIT TO OPERATE # TESTING/TANK TIGHTNESS TEST AND IS PIPING GOING TO BE TESTED? ❑ YES FUEL MON21TORIIfr G CERTIIFECATIION TANK # (Please note that Obese are separate CONTENTS individual tests and will be charged per �a Alt� -- � separate type test accordingly.) PERMIT # i BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 f ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING !Q SB-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION F0209S (Rev 03/08) a SITE INFORMATION FACILITY NAPE & PHONE CONTACT PERSON 660 ADDRESS fie. W tn. OWNER NAME. OPERAT ME PERMIT TO OPERATE # # OF TANKS T TE D: IS PIPING GOING TO BE TESTED? ❑ YES Q% NO TANK # VOLUME CONTENTS �a Alt� -- � TANK TESTING COMPANY TESTING COMPAN trtA �Wr— NA94E & P m # OF CO CT PERSON X MAILING ADORESSI NAME & PHONE F TESTER ORS CIAL INSPECTOR d� CERTIFICATION ' DATE &TIME TEST 0 BE CO ED � ICC # 4/ /�� �� r � '[ Z TEST � APPLIC rl-NG4A E DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY -0 DATE 0?- 16 F0209S (Rev 03/08) a CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES H R S P I n 1501 TRUXTUN AVENUE, 1sT FLR F /BE BAKERSFIELD, CA 93313 'A R THI T Office Phone: (661) 326 -3979 Application Number . . . . . 11- 10000048 Date 2/11/11 Property Address . . . . . . 3300 PLANZ RD ATN (11 Digits): 441 - 024- 01 -00 -2 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor PARK YONG KIL OWNER 3300 PLANZ RD BAKERSFIELD CA 93309, Permit MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 1073097 Permit Fee, . . . .. 96.00. Plan Check Fee 96.00' Issue Date . . . . 2/11/11 Valuation 0 Expiration Date 8 /10 /il ------------------------------------------------------- -------------- - - - - - -- Fee summary Charged Paid Credited' Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total 96.00 96.00 .00 06 Grand Total 192.00 192.00 .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 afterl80 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 AgentF 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 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 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 I Date