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
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Citu of Bai sw;field
(JUS"TOMER RECEIPT *4
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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