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Home My WebLink About3225 BUCK OWENS Boulevard_UST LINE TESTING 6.19.10HOODS ALARMS SPRINKLER SYSTEMS `M' SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. • I.IJ� File Number: /66//g5 Address: _722's, —i9• c-- C4, 45UJ.e,6\3 S Bakersfield, CA 933 Date Received: Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Building Sq. Feet: R'S Calculation Bldg. Sq. Ft: ❑ �� Other: G . •v -P — s i .*.,.is Comments: 1: 2. 3. 4. Date Time Signature IVYIINII� 06 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 DESCRIPTION I DATE I SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF UST RE OVAL DESCRIPTION DATE SIGNATURE AST S ALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR/ MAJOR FAL DESCRIPTION DATE SIGNATURE ALL - U ST-AN DIO ii- AS'�_$YSTEMS SHALL BE. INSTAED, COMPLE PE AN LL D ACCEPTED BY; THE BAKERSFIELD CITY FIRE DEPARTMENT: BUILDING ADDRESS- 3 A k. [ JOB DESCRIPTION ��n� i ' "" sv OCCUPANCY TYPE OWNER tALke,-6 PERMIT NO. 16 – j CONTRACTOR l .pJ PHONE # ' =420 mmmm� - • FD 1743 gii�Tanknology Ray Simms Regional Manager - Northwest Division Local (209) 365 -1246 Cell (209) 595 -4204 Toll Free (800) 964 -0180 Fax (209) 365 -1543 rsirrims@tanknology. com 1110 W. Kettleman Lane, Suite'37 -381 Lodi, CA 95240 www.tanknology.com CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B E R 8 P i D 1501 TRUXTUN AVENUE, IT FLR FIRE BAKERSFIELD, CA 93313 ARTM T Office Phone: (661) 326 -3979 Application Number .. . . . . 10- 10000181 Date 6/22/10 Property Address 3225 BUCK OWENS BLVD ATN (11 Digits): 332 - 162- 16 -00 -8 Application type description „ FIRE.DEPT Subdivision Name . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor -------- -- ------ -- - - - - -- VALERO CALIFORNIA RETAIL CO., ------------------ OWNER - - - - -- 1 VALERO WY 78249 ---------------------------------------------------------------------------- Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 1011741 Permit Fee 96.00 Plan Check Fee 96.00 Issue Date . . . . 6/22/10 Valuation . . . . 0 Expiration Date .. 12/19/10 ------------------------------------------------------------------------',---- 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 DECLARATIONS Permit is issued in accordance with all applicable (661) 326 -3979 Federal, State and Local Ordinances. The permittee has properly signed and dated the reverse side of this form. This Permit expires after180 days of inactivity. Please state the Permit Number, the Job address, and I have reviewed the above application, and find it to the Type of Inspection. Requests for inspections be correct/complete. should be made at least 48 hours in advance. 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 £: F7v -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 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 kl&-e _ 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 faros 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 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 Date 05/27/2010 08:46 9516764061 TANKNOLOGY - PAGE 02/05 TANKNOLOGY TESTING NOTIFICATION Southern Californla Regional Office 41785 Enterprise Circle South, Suite D Temecula, CA 92590 951 - 676 -4000 800 -666 -2176 951 -676 -4061 Facsimile Tan knology_Comarate Weadg0ners 8501 North MoPac Expressway, Suite 400 Austin, TX 78759 512451 -6334 800-800 -4633 512 -459 -'1459 Facsimile TO: City of Bakersfield E -MAIL: mmw.cl,bakemfieJd.c_s _us Fire Department E -MAIL: TELECOPY NO. 661 -852 -2171 FROM: Deanna Davenport E -MAIL: ddavenport&O pknology.com DATE: 512712010 TIME: NO. OF PAGES INCLUDING COVER: 1 ORIGINAL TO FOLLOW: COMMENTS: Tanknology will be at the following locations: No Tanknology, Worldwide Leaders in UST Compliance Testing CONFIDENTIALITY NOTICE - This message Is intended for the use of the individual or entity for which it is addressed and may contain information that is legally privileged, confidential, and exempt From disclosure. If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any dissemination, distribution, or copying of this communication is strictly prohibited. If you received this communication in error, please notify us immediately by telephone to arrange for the return of the original material, DATE TIME SITE AND ADDRESS TEST TYPE 06/08/10 09:00 a.m. Ultramar # 3074, 3225 Buck Ownes Blvd., Monftor Cert, Leak Bakersfield, CA 93301 Detector and Spill 661 -324 -9481 Bucket Testing Dines '�:IXn'inv,Yi:ri!.Y�: +3:2++�."�;?f8'.'r „'i :: tNim:O:!•21iri5 ti ji Z: >,. : `.?Ff: 'Sq �Ya 'i.YYS!<' :;.: {.� {i {:::";:: 1, :i�Q. .:i:# G >� + }O, iJ? •:hjl� ri::i{Y�rt{; •'Finn :.v4.:. r �i;t, ,,} tvt:! } i'ri'•u i�;'if::v�fi�:�:;'k� „f�k:y�: krrt,.by. �s :y.yyE+::f'� iE ' Ei33Ctisa•r �.' >.t : ^$��ikf:4C �.ih.Yi•ii5ii ;':1;:!��3Y �':i �YF� ..i!..�.�1?:l,. ,�k +, .5 ;..,.w , i��r.`�'`•i2�C�yi��Rf:'.a s iii >r': ",, ° >,• Ys; £ <'i`s' Tanknology, Worldwide Leaders in UST Compliance Testing CONFIDENTIALITY NOTICE - This message Is intended for the use of the individual or entity for which it is addressed and may contain information that is legally privileged, confidential, and exempt From disclosure. If the reader of this messaage is not the intended recipient, you are hereby notifiedthat any dissemination, distribution, or copying of this communication is strictly prohibited. If you received this communication in error, please notify us immediately by telephone to arrange for the return of the original material, 05/27/2010 08:46 9516764061 TANKNOLOGV PAGE 03/05 I NDERGROUND STORAGE TANKS .. BAKERSFIELD FIRE DEPT. )) i' Prevention Services JURN iA/�i'l>T 3.501 Truxtun Ave., First Floor APPLICATION �C T3eLkersfield, CA 93301. PERFORM ELD I LINE TESTING Tel,: (661) 326 -3979 8989 SECONDARY CONTAINMENT TESTING 1 Fax: (66 .l) 852 -2171 ANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page I of I PERMIT NO, ENHANCED LEAKpGTECTION LINE TESTING ❑ SB-989 SFCONOARY CONTAINMENT TFSTING El TANK TIGHTNESS TEST 0 TO PCRFORM FUEL MONITORING CERTIFICATION ...I• ' " (1 r NA BPHONE NUMBER OFFCQNT C S�N, A.tut- _q 1 - -A-M&— — ' " 3W A PE qRS N M P$RMIT TO OPERATE NO, UMBER OF TANKS TO BE TESTED w _ IS PIPING GOING TO BE TESTED? n- YES _CI_NO_ _� -• — ..,,.TANK 0 - VpLUME CONTENTS --- • --.... - « ++ .. ... .. r. I;::..: n. .:,:, r. i, I: .....H..,..;. .n..,,.••,.:I,y:,..,.,,,.. r.r....i.:,:a:.a..:..j.;,. t.,. I w ....... .. ...... ,I „T4 li.9,.. ._... ,. .. ... _1 .I1 ....,u..u.,.u._ �... NAME OF TESTING COMPANY NAME & PHONE NUMBER bF Tanknology, Inc. Deanna Davenport CONTACT PERSON 800 -666 -1130 AILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 AME PHONE NUMBER bF CERTIFICATION : � n I� ESTER R OR 9PECI SPECTOR: _ _ '� ATE $ TIME TE TO ,/� ICC #: TEST - DUCTED; t « . �?z — tA- METHOD ON 0 0 IGNATURE O APR IC DATE; - 'L7LRi�r_�5,•�ft i' 4S4N�7�al1r�.4.!'�4�►45ia' ....,_- _ T DATE � r � , ; - �_ a � 05/27/2010 08 :46 9516764061 8501 N MOPAC EXPRESSWAY, SUITE 400 AUSTIN, TEXAS 78759 (512) 451 -6334 PAX (512) 459 -1459 WEST THIRD ST FORD, CA 93230 dy Buff 9)583 -3298 1 TELMON -C NITORING CERTIFICATION TE T -LTLD TE TINGr-LINE AND LEAK DETEC'T'OR XS SURVEY IN ORMATION SERV2CES — SITE SURVEYS TEST ULTRAMA.R 074 3225 BUCK OWENS ELVD. HWY 99 /Hw 58 SWCERSFIELD, CA 93301 MarAagex (661)324 -9481 NET 30 TESTING I I 1 A 1 TESTING I 1 3 Printed 05127/2010 08:59 MUNDSEY TANKNOLOGY-SO. CALIFORNIA P14. (051) 616-M 41786 OnWPRISE CIR 8 STE D TEMM11A CA 925SO-OW ' THE NPOEROF 111,00000049Ono 1:1220002L,?1.0 o? 26 r'll• 4917 ,a- 2402204W WE 1$ 47, In. f. CD En I CD I-- CD (S) 01) AN, (T) to Ul F, cn -i Tl .01 CD --I 2> z 0 a) (S) A Ul UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD 1 LINE TESTING I S8989 SECONDARY CONTAINMENT TESTING 1TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION q-.: PERMIT NO. ❑ ENHANCED LEAK DETECTION LINE TESTING r-1 r A BAKERSFIELD FIRE DEPT. TT wI�t Prevention Services A R -raAwr 1501 Truxtun Ave., First Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax:. (661) 852 -2171 Page 1 of 1 ❑ SB-989 SECONDARY CONTAINMENT TESTING V IANR Ii�nlntas ItJ.I IL.1 IUFLKI-UKMI -UtLMUNIIUKINGGtRTIFIGAIIUN eta.`. lb.INFOIiMAtTI�N,.s.w..& Jra FACILITY NAME S PHONE NUMBER OF CONTACT PERSON 6( / //Zt'/7 ,�/� 3°1 K err (v 3W- ADDRESS 3 225 cirlc Owens 13t uB I Akl61Rsc.(1�1( C14 9330 / OWNERS NAME u 1 i% a #1 a /c- OPERATORS NAME PERMIT TO OPERATE NO. TANK# VOLUME CONTENTS 3- all, � 01 t-A NAME OF TESTING COMPANY TanknolO , Inc. NAME & PHONE NUMBER OF �05e / ,,L � gy, CONTACT PERSON Z O �- _ l V'L MAILING ADDRESS I I I o W • IGP 4 to n1a vl La-ti -e S," 3-7-3Z L-o ckk CA Q S'Zq 0 NAME & PHONE NUMBER OF CERT FICATION #: -Z TESTER OR SPECIAL INSPECTOR: on 1 „. kokam S 0 J _ f DATE & TIME TE T TO BE ICC #: TEST CONDUCTED: _j (A rl.e Z 3 Zp /Q @ C�' gyy/ d2 S 6L4- (IL-r i�W W METHOD/L� SIGNATURE OF APPLICANT DATE: APPROVED DATE G ?ep�-