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Home My WebLink About349 UNION Avenue_UST MINOR MOD 2.16.11IE HOODS ALARMS SPRUKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1/ -/O 7 File Number: 3412 3 Address: Bakersfield, CA 933 Date Received: Q-- /6 — Business Name: n) e— c�„o SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: Date Time 3/irbt EAr ;V411C -ems ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank . minor Signature modification U derground Storage Tank removal Underground Storage Tank ❑ . 0?"'- Other: Comments: Signature J 30 IE J CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B E R S F I D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, CA 93313 ABTM T Office Phone: (661) 326 -3979 Application Number . . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------------ SHERGILL A GENERAL PARTNERSHIP P O BOX 60426 BAKERSFIELD CA 93386 11- 10000072 349 UNION AVE 010 - 080- 22 -00 -1 FIRE DEPT 0 Date 2/17/11 Contractor ------------------ - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . . Phone Access Code . 1074574 Permit Fee . . 83.50, Plan Check Fee 83.50 Issue Date . . . . 2/17/11 Valuation . . . . 0 Expiration Date . . 8/16/11 ---------------------------------------------------------------------------- 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 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 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 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 I I Date WORKERS COMPENSATION DECLARATION I hereby affirm that under penalty of perjury one of the following declarations: Carrier 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: 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 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 Date 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 JOB DESCRIPTION: 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 MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: NiQ JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: yVe, PERMIT NO. //- 1690(00(0 ? Z CONTRACTOR: K.C.r , PHONE # &3cF— 510 FD 1743 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT B 8 B B P 7 o Prevention Services PERMIT # AFR 1501 Truxtun Avenue, lst Floor Bakersfield, CA 93301 Phnna f,F,i - i7F- X979 • FAY- SITE FiFi1 - RS7 -71 71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 ❑ 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 ❑ INFORMATION $96 (inspection only) LOCATION OF PROJECT �� r7 A r f L,J �Z �J� PROPERTY OWN 'R n 2C t %�r� 12 �- r l.� v (Z F r r CC L STARTING DATE I COMPLETION DATE Additional hood NAME Ive- PROJECT NAME ADDRESS PHONE # PROJECT ADDRESS N / (�� 'v� U D Y V� D ^ 4^ CITY gA�ERI'SF ELD STATE C/ \ ZIP CODE ❑ CONTRACTOR INFORMATION 82 CONTR_ACi� a �n� - � -- V\ . — . -. -- -- - - _ -- . ; CA LICENSE # L J r ,< dos $96 /tank TYPE OF LICENSE EXPIRATION DATE PHONE # (�3� -S 910 CONTRACTOR COMPANY NAME 1Z _ C v u� C-c C a K -b ji -C4-'j q o' r FAX # A a a � ❑ A / �' R f� i-E c� ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 ❑ 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 _ ai; 82 Ick Underground Storage Tank (Minor Modification) MTM $167 /site CC lip N 82 ❑ Underground Storage Tank (Removal) TR $573 /tanks 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 02/10/2011 12:00 6616349233 KERN CONSTRUCTION PAGE 02/02 UNDERGROUND STORAGE TANK dw, cu; Pxx- r! uc+ i• cv�axvyvs° 4P�+ M;a YiY.' �,,". v?: 3u` �S; �uF': �+ ri- wt`+•';} 3Fl +y;yYZr.w'•:v'r "r:nr:-..n. .. PERMIT APPLICATION TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACIL17Y) /M00-MINOR MOD Permlt * BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 I�RI Phone: 661 -326 -3979 a Fax: 661- 852 -2171 A�Page 1 of 1 TYPE OF APPLICATION: 0 NEW TANK INSTALLINEW FACILITY 0 NEW TANK INSTALL/EXISTING FACILITY `=-0 UTAIAG UATITCTl- ATTnNI AF CAry rry STARTINC, DATE/ PROPOSED COMPLETION DA1B h, FACILITY NAME D EXISTIN • FACILITY PERMIT TF ' FACILITY ADDRF",,S i h� h CITY r ZIP cog 3�49 7 TYPE OF BUSINESS "� _ ^ Q C / h� APN i 'TANK OWNER PHONE # Z O 7� ADDRESS r � j� (, CITY t 4-w l ZIP COW �� rj y V tONTRAGTQ0. ' C,7� r 'CA LIC E P , a :3 I 0 ADOaLSS .+._ EY CITY :r {/�• ZIP Dfi � 'BARERSFIPLd drTY.6 MSS LTdNSC. *.: WORRMAN5 C SNSU a7 BRIEFLY DESCRIBE THE WORK TO BE DONE: P LCi 410271 41 6e5t WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE F %PELTED AT SITE P OF TANKS TO BE 1PRALLID ARE THEY FOR MOTOR FUEL? p YES j 0 NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILET Cl YES 0 NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION ' .TANK # VOLUME' UNL'EADBD REGULAR, •dRE'MIuk ' DIESEL OTHER. ' 2.. >2 Tank Testing Company NAME OF T"VTNC. COMPANY r PHONE NUMBER MAILING ADDRESS NAME OF TESTER Icco 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. NAME OF TESTER ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE NLY DATE AFPROVEb t4APPR6 F,b BY rvcuou Imev uclu9] 1 V