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Home My WebLink About4800 FAIRFAX Road_UST MINOR MOD 3.29.10HOODS ALARM 3 Permit No. Permit No. IIIIIIIIIIIIIIIIIIII 23 IE _ File Number: �vd�G3g Date Received: 3 _ ,R5— /o SYSTEM SPRINKLER SYSTE S New Mod. ❑ ❑ Coon metrciai Hood System ❑ ❑ Fire A90r$i - System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray. Finish System 0 ❑ aboveground Storage Tank ❑ ❑ Underground Storage Tank min r modification Underground Storage Tank removal Underground Storage Wank ❑ ❑ Other: Permit No. Address: SPRAY [8007M Permit No. t—+o•c v�-S, Bakersfield, CA 933--.- AST Permit No. !UST Permit No. Business Name:czc'� BUILDING SQUARE FEET: 9MSPEC` ION LOG Building Sq. Feet: Calculation Bldg. Sq. Ft :2. 3. 4. Date . Time Signature �E , "LOCATION OF PROJECT PKOPtKIY 43 F OWNLK STAR G DA E COMPLETION DATE NAME 12 v PROJECT "" ADDRESS HONE # PROJE�ADDRESS ` � � CITY gA1'_eR:SF(EL-D STATE CA ZIPCOD33 RACTOR INFORMATION CONTRACTOR NAME � ��• CA LICENSE � TYPE 3 (V� OF LICENSE EXPIRATION DATE A PHONE # ## TRACTOR COMPANY AME FAX AD ESS a X �5 CITY a��.�e�,eid ZIP O E ��,' Z App permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. O 1° °' Vim: • ❑ 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 p ( ) $96 (inspection only) 84 .❑ Commercial Hood (New & Modification) $470 ❑ Additional hood $58 ❑ Spray Booth (New & Modification) $470 98 ❑ Ab oveground Storage Tank (1 inspection per installation) AST $180 /tank 82 ❑ Additional Tank ATI $96 /tank 82 • Aboveground Storage Tank (Removal /Inspection) .. ATR $109 /tank 82 • Underground Storage Tank (Installation /Inspection) NI $878 /tank 82 ❑ Underground Storage Tank (Modification) MOD $878 /site 82 Underground Storage Tank (Minor Modification) MTM $167 /site ' 82 ❑ Underground Storage Tank (Removal) TR $573 /tank 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 84 0 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 1hr 84 ❑ Explosive Storage $266 84 ❑ Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 ❑ Miscellaneous 84 UNDERGROUND STORAGE TANK . . . .. . im umme 4 Va* 11 PERMIT APPLICATION N TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY)/NEW FIRS r R TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD IPermit # BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 61-326-3979 9 Fax: 661-852-2171 Page 1 of I TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY (I_wr_r1V nrl(g: r)hll V) r-I Mr)r)TF:TrATIr)KI C)F= FArT1 TTV I MTrmr)p mnr-)TFTrA-rTc)N nF FACTI TTY STARTING DATE/ q1I 7- 1Z o C) ED COMPLETION DATE": FARLITY NAME r EXISTING FACILITY,PERMIT FACILITY ADDRESS Q= mi C i&-%6 ZIP CODE I TYP OF BUSINESS 071riso6ile- Mi si ,A 6 APN # TANK OWNER I j C3- 16ym CL 1 PHONE # 601 _a36__S_0q q ADDRESS QYN) 0op-Ow i2d CITY ZIP CODE CONTRACTOR Fk&�'lle-fty%ve r i6e5 , Inc. CA LICENSE #* ICC ADDRESS..- 4. Cm P.,eid ZJACODE -15302 PHONE #. I U1 43q -Lo M I BAKERSFIELD PITY USINESS LICENSE # :WORKMANS-COMP Iry F, IrA BRIEFLY DESCRIBE THE WORK TO BE DONE: R&D140co Anwotj�gi seglsa_5 Cleo m4;7�0_ eer4j, fk6fion ana Secon&" It 0 WATER TO FACILITY PROVIDED BY Ce 1 -44 laam! DEPTH TO GROUND WATER 1-2,610 SOIL TYPE EXPECTED AT SITE 6 -/7�vvy 4 .0 VI-71 OF TANKS TO BE INSTALLED n ARE THEY FOR MOTOR FUEL? 1 ❑ YES ❑ NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? ❑ YES ❑ NO THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS TANK VOLUME UNLEADECI,— REqULAR PREMIUM DIESEL- AVIATION THIS SECTION IS FOR NON-MOTOR FUEL STORAGE TANKS TANKS #'" VOLUME UNLEADED REGULAR PREMIUM AVIATION' FOR OFFICIAL USE ONLY APPLICATION DATE FAmYry # OF TANKS FEES .$ 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 PERIURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. PPRO N D BY V APPLICANT NAME (PRINT) APPLIW SIGNAZIL$E -v THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FD2086 (Rev 06/07) CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT - PREVENTION SERVICES rPF,PAR D 1501 TRUXTUN AVENUE, 1sT FLR BAKERSFIELD, CA 93313 T Office Phone: (661) 326 -3979 Application Number Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------ - - - - -- AUBURN MAX ENTERPRISES INC 4800 FAIRFAX RD BAKERSFIELD CA 93306 10- 10000102 Date 3/30/10 4800 FAIRFAX RD 434 - 030- 03 -00 -1 FIRE DEPT 0 Contractor ------------------------ - OWNER -------------7-------------------------------------------------------------- Permit . . . . . . UNDGRND STR TANK MINOR'MODIFY Additional desc . Phone Access Code 989772 Permit Fee . . . . 83.50 Plan Check Fee 83.50 Issue Date . . . . 3/30/10 Valuation . . . . 0 Expiration Date . . 9/26/10 ---------------------------------------------------------------------------- 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 after180 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. Lie. Class Lie. 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 _ ¢.. _ : ". "' _'x'_ "~ G -' - 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 E'.__g ° *x -8 �- - - - °° - `s�, —k- - `— - - =— Date —�— REDWINE TESTING SERVICES, IN P.O. BOX 1567 BAKERSFIELD, CA 93302 12743 QLT r��' � u') tv gel 11 i19 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 BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF DESCRIPTION DESCRIPTION S.MINOR/ AST =0 AL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE I INSTALLED, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. BUILDING ADDRESS JOB DESCRIPTION OCCUPANCY TYPE OWNER j4&j (per ��` �'t eS PERMIT NO. 1-6 — 16M O/D Z-- CONTRACTOR E irJ 41--` PHONE # �i -6�' FD 1743 CONTRACTORS STATE LICENSE. BOARD N ®e • 532878 This license is the property of the Registrar of Contractors, is not transferable, and shall be returned to the Registrar upon demand when a $ S 1I E36-16-36 suspended, revoked, or invalidated for any reason. It becomes void if not renewed. Pursuant to the provisions 9f Chapter 9 of Division 3 of the Business and Professions Code and the Rules and Regulations of the Contractors State - License Board,.-the Registrar e following classification(s): r = .ry xF. �z� `� 'rS ,y, ar Y..:`' s* �' a �r y `... - y'~'''•x°" 'F�.,,�.w �t- �4"'�'-'„% ' .s- STATE AND CONSUMER SERVICES AGENCY DEPARTMENT OF CONSUMER AFFAIRS WITNESS my hand and sealed this 21 ST day of iut4E 1988. Registrar of Contractors nTture of Licensee / P Signature of perso w .qualified on behalf of � jrcensee 13L -24 (Rev. 11 -83) -1 A n f_' nil Monitoring System Certification LIST Monitoring Site Plan Site Address: Date map was drawn: Instructions,,— If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of fhe following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or oener secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. Monitoring System Certification Page 4 of 4 I2/07 1 2/21/07 "POST CONSPICUOUSLY" t ° "NON- TRANSFERABLE" O. D 0 ® 0 D BAKE A Q `fA6PORdlBp Sl" Business name .:: REDWINE - MANLEY TESTING SERVICE Location address .: 3810 AMBERWOOD LN IFO Lic Nbr /Class ..: 10 00014296 SERVICE OR MANUFACTURING MISCELLANEOU Issue date ....: 6/01/09 Expiration date .: 6/30/10 REDWINE - MANLEY TESTING SERVICE Owner /Officer PO BOX 1567 TURNER, R DENISE PRES BAKERSFIELD CA 93302 -0000 TURNER, DUGAN VP BUSINESS TAX CERTIFICATE IS HEREBY GRANTED. LICENSEE IS TO COMPLY WITH ALL LAWS AND ORDINANCES. ISSUANCE OF THIS LICENSE DOES NOT CONSTITUTE AUTHORIZATION TO CONDUCT BUSINESS IF LICENSEE HAS NOT COMPLIED WITH ALLAPPLICABLE LAWS AND ORDINANCES. THIS LICENSE IS ISSUED WITHOUT VERIFICATION THAT THE LICENSEE IS SUBJECTTO OR EXEMPT FROM LICENSING BY THE STATE OF CALIFORNIA. State Of California ��. CONTRACTORS STATE LICENSE BOARD ACTIVE LICENSE Connmcr om Afra¢s 532378 EMa; CORP REDWINE - MANLEY TESTING SERVICES INC cuFwoKn:s; A H AZ - Wpm '.0 -D.I° 06/30//2010 t S REDWINE TESTING SERVICES, INC • State Licensed Tank Testers ` Registered Environmental Assessor State of California License No. A- 532878HAZ REA -01811 P.O. BOX 1567 BAKERSFIELD, CA 93302 PH (661) 834 -6993 Operations Manager Fax (661) 836 -3177 J. Dugan Turner Eq