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Home My WebLink About3221 TAFT Hwy_UST FMC 8.13.10Permit No. No. Permit No. 111 EE SYSTE 00' 4Q—. G-"ilST UST Permit No. Permit No. Permit No. Permit No. ra- �cx�aoa6 File Number: Address: 32.x2 ! /A4-t' /44jy Bakersfield, CA 933 Date Received: Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 'I. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System � � �f t � ��? � 3. ❑ ❑ Aboveground Storage Tank h � �� , �2 p�. 4. 1 ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank Q� removal Underground Storage Tanko ❑ * C5-*' Other: Comments: Date Time Signature Signature IIEtlN9 UNDERGROUND STORAGE TANKS ;k akaia' }S:R >:, seat?: f. �. 2::;, Yl x: :nvuCrtbrth:.cr„eS.4YFS3a.*.v JaCrbSSx _.,:...'�1xv'wetw.;e>vffi'cti <•., APPLICATION r TO PERFORM ELD / LINE TESTING I SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ SB-989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TFST ,®tiY0 PERFORM FI IFI MONITORING CERTIFICA ION SITE INFORMATION FACILITY BER OF CONTACT P €RSQN� ADDRESS C ^ ' a BAKERSFIELD FIRE DEPT. IAFR'rRrRM, Prevention Services T 900 Truxtun Ave., Ste. 210 TANK # Bakersfield, CA 93301 CONTENTS Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ SB-989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TFST ,®tiY0 PERFORM FI IFI MONITORING CERTIFICA ION SITE INFORMATION FACILITY BER OF CONTACT P €RSQN� ADDRESS C ^ ' a OWNERS NAME OPERATORS NAME PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS L4 t o1 TANK.TESTING COMPANY NAME.OF TESTg COMPANY t IE K� V 19 V '1�Pr4- NAME & PHONE NUMBER OF CONTACT PERSON 8Co F% MAILING ADDRESS r _ �� C-0-- 9 O� NAME & P E NUMBER OF TESTER OR SPECIAL INSPECTOR 'wLn non '4 160 CERTIFICATION #: So9 S's d DATE & TIME TEJT TO BE CONDUCTED ICC #: 5o`LLe t �i TEST METHOD 'o C -o � SIGNATURE OF APPLICA DATE t t Q Akita APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY • 41 1 DATE '70,. 3v ... /40 FD 2095 (Rev. 09/05) BILLING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. B - B n., F S D prevention Services FIRE ARfM T 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 - r All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ • 1 ❑ SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE C PLETION DATE NAME PROJECT NAME - - ^ ADDRESS w �� C`J)� PHONE N?,,, PROJECT ADDRESS Q. CITY � � S TE ^ /�-' nom- ZIP CQ E Cam/ • • • • • • CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE SCE f D40A)4,4 w/0 PHONE NO. Sq 2 CONTRACTOR COMPANY NAME Etc-"- 'E-1%_)Aj FAX NO. 59z_0(10cL( ADDRESS �� CITY ^ ZIP CODE - r All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ • 1 ❑ PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) FEE CALCULATION TOTAL , • $280.00 ■ 84 ❑ Over 10,000 Sq. Ft. Sq. Ft.. x.028 =Permit fee ■ ■ 84 98 ❑ Sprinklers-' New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 . 11 Over 10,000 Sq. Ft Sq. FL x.028 = Permit fee ■ 84 98 • Minor Sprinkler Modifications (< 10 heads) $ 96.00 [Inspection Only] ' ■ 84 98 • Commercial Hoods —.New & Modifications $ 470.00 ■ 84 98 ❑ Additional Hoods $5 8.00 ■ ■ 84 98 ,❑ Spray Booths - New & Modifications $470.00 ■ 84 98 ❑ Aboveground Storage Tanks (Installation/Insp. -1g Time) $180.00 ; 82 ❑ Additional Tanks $ 96.00 ; 82 ❑ Aboveground Storage Tanks (RemovaYInspection) $109.00 : 82 ❑ Underground Storage Tanks (InstallationAnspection) $878.00 (per tank) ■ 82 ❑ Underground Storage Tanks (Modification) . $878.00'( per site) ■ 82 ' ❑ 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) Fuei Monit.0 rVS13989. Note: $96.00 for each type of test /per cheduled at the same time) ■ ■ ■ 82 • Tents $ 96.00 (per tenO ' 84 • Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $ 96.00 + (5 hrs. min. standby fee /inspection) =$576.00 NJ 84 ❑ After hours inspection fee $121.00 . 84 • RE- INSPECTIONS) /FOLLOW -UP INSPEC77ON(S) $ 96.00 (per hour) ■ 84 • Portable LPG (Propane): NO. OF CAGES? $ 96.00 ■ • Explosive Storage $266:00 ' 84 • Copying & File Research (File Research Fee $50.00 per hr) 250 per page : B4 ❑ Miscellaneous 8a FD 2021 (Rev. 06/07) 1 ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to customer) . � . j;• . , ,, CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES 8 R S F I n 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 ARTNATT Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000267 Date 8/31/10 Property Address . . . . . . 3221 TAFT HWY ATN (11 Digits): 184- 170- 26 -00 -7 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor BUDIYAN VIKRAM S & AMITA S OWNER 3221 TAFT NY BAKERSFIELD CA 93313 ---------------------------------------------------------------------------- Permit . . . . . MANDATED LEAK-DETECT TEST Additional desc . . Phone Access Code . 1029636 Permit Fee . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 8/31/10 Valuation . . . 0 Expiration Date 2/27/11 ------------------------------=--------------- - ----------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- - -- -- -- - -- ---- - - - - -- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total 96.00 96.00 .00 .00 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 Agent; Phone 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 1 hereby affirm that under penalty of perjury that 1 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 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 1 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 I I I Date BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Reauest Phone No. (661) 326 -3979 UST NEW IU"-L DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT, SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK OFF LL DATE A AL DESCRIPTION DATE SIGNATURE F-UST OPERATION OF A_NY SYSTEM; ND /OR ASTSYSTEMS SHALL BED;_COMP_LE°fEAND ACCEPTED BY RSFIELD CIl°Y -FIRE DEPARTMENT. .Z JOB DESCRIPTION C_., OCCUPANCY TYPE OWNER PERMIT NO. /O —/ RC% CONTRACTOR PHONE # 2 FD 1743