HomeMy WebLinkAbout5100 GASOLINE ALLEY_UST MINOR MOD 1.21.11GOODS ALARMS SpG° NKLER SYSTEMS SPRAY :GOTH __AST -- - - - -UST - - - --
Permit No. Permit No. -- - - -- - Permit No. Permit No. Permit No. Permit No.
File Number: 3ZCa5' Address: Sao 0 e- s4Cu•.3 e
Bakersfield, CA 933
Date Received: 1 —a2 .
Business Name: 0a t/ �.S.G.7'" dc� 0�•4
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
❑ ❑ Commercial Hood System Building Sq. Feet: AK
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 07 1
❑ ❑ Fire Sprinkler System 2
❑ ❑ Spray (finish System 3
❑ ❑ Aboveground Storage Tank 4
❑ Underground Storage Tank
mind
modification nderground Storage Tank
removal Underground Storage Tank
❑ Other:
Comments: --
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Signature
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46
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
B A 8 P 1 o Prevention Services
PERMIT # 1501 Truxtun Avenue, 1st Floor
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING-WORK-
Pi PERMIT TYPE FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) $280
' ONLY
TREASURY
ACCT NO
❑
Over 10,000 sq ft
$0 .028 x sq ft
SITE
INFORMATION
❑
Sprinkler - New & Modification (minimum charge)
$280
LOCATION _ _ - JE _ .W -
�
PROPERTY OWN
/
- - -- - - -
$0 .028 x sq ft
a
STARTING DATE
COMPLETION DATE
84
PROJECT NAME
Commercial Hood (New & Modification)
$470
ADDRESS
PHONE #
PROJECT ADDRESS
x /40 �- a 'he �
❑
^
CITY Fj�' K_El;�- SFIE(_'� STATE CA
ZIP CODE
CONTRACTOR
INFORMATION
•
Spray Booth (New & Modification)
CONTRACTOR NAME
CA LICENSE #
iht 2171
TYPE OF LICENSE
Z
EXPIRATION DATE
PHONE #
661-32-747V
CONTRACTOR COMPANY NAME
Cw
$180 /tank
82
FAX #
661-325--
- VILI I e
Additional Tank ATI
$96 /tank
S 2
ADDRESS 3s'-'ac)
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR
CTIY ,n
ag wj
D/a
ZIP CODE
33 o
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING-WORK-
Pi PERMIT TYPE FEE CALCULATION TOTAL
DUE
❑ Alarm - New & Modification (minimum charge) $280
' ONLY
TREASURY
ACCT NO
❑
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
•
boveground 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
82
1,
Underground Storage Tank (Minor Modification) MTM
167 /site' 6365 oaf /y
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
cheduled 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
CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
B E R S P I D 1501 TRUXTUN AVENUE, 1 ST FLR
FIRE BAKERSFIELD, CA 93313
ARTM T Office Phone: (661) 326 -3979
Application Number . . . . . 11- 10000032 Date 1/25/11
Property Address . . . . . . 5100 GASOLINE ALLEY DR
ATN (11 Digits): 372 - 010- 52 -00 -6
Application type description FIRE. DEPT
Subdivision Name . . . .
Property Use . . . . . . . .
Application valuation . . . 0
Owner Contractor
---------- -------- - - - - -- ------------------ - - - - --
DOWNS BWT LLC OWNER
5100 GASOLINE ALLEY DR
BAKERSFIELD CA 93313,
Permit . . . . . UNDGRND STR TANK MINOR MODIFY
Additional desc .
Phone Access Code 1069038
Permit Fee 83.50 Plan Check Fee 83.50
Issue Date . . . . 1/25/11 Valuation 0
Expiration Date .7/24/11,
'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
s.
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 Agent[ 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, ani'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 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
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK Prevention Services
a S& 8 P Ida n 2101 H St. Bakersfield, CA 93301
PERMIT APPLICATION - f� r Phone: 661 - 326 -3979 • Fax: 661 -852 -2171
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY)/NEW Page T of 1 -
TANK INSTALL (EXISTING FACILITY)/MOD -MINOR MOD
IPermit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALUNEW FACILITY ❑ NEW TANK INSTALUEXISTING. FACILITY
(CHECK ONE ONLY( F1 NInnIFIrATInN nG FARII ITY Y MINOR MOhIFICATION OF FACILITY
STARTING DATE / 2/1 /20 1 1
PROPOSED COMPLETION DATE 2/2/2011 1
FACILITY NAME BIII Wright Toyota
EXISTING FACILITY PERMIT #
FACILITY ADDRESS 5100 Gasoline Alley Dr.
CRY Bakersfield
ZIP CODE
TYPE OF BUSINESS Car dealership
APN #
TANK OWNER BIII Wright Toyota
PHONE #
ADDRESS 5100 Gasoline Alley Dr.
CRY Bakersfield
ZIP CODE
-CONTRACTOR Cal- Valley Equipment _, ,.: <:.. ;_ . ,:
CA LICENSE• # 921733 A HAZ
ICC #520136 U1,:.,
ADDliess.3500, Gilmore Rve. .' -. -
cm Bakersfield
ZIP, co6E 93308'
PHONE #6161- 327 -934'1 *'::'' °" ": _,..
-10
BAKERSFIELD =CRY BUSINESS LICENSE #" ,' z
00054089 .
WORKMANSCOMP#d;04di52009 °' , ,. '•
INSURERStatd;FUhd . '.
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace 87 UL fill and Vapor spill,buckets like for like.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL?
❑ YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO
THOS SECTOON OS; FOR MOTOR FUEL STORAGE TANKS
TANK #.'
VOLUME _ "
UNLEADED - '
REGULAR .. .;.
PREMIUM _ . ; .-
DIESEL` °_
AVIATION .
THIS SECTION
IS FOR NOR( -MOTOR FUEL STORAGE
TANKS
TANKS#
VOLUME
UNLEADED
REGULAR .=
PREMIUM ," .
DIESEL .i
AVIATION '
FOR OFFICIAL USE ONLY
APPLICATION DATE
FACILITY #
# 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 PERJURY, AND TO THE BEST OF MY
KNOWLEDGE IS TRUE AND CORRECT.
APFROVED BY
APPLICANT NAME (PRINT) Bruce W. HinSley
APPLICANT SIGNATURE
THIS APPLICATION BECOMES Al PERMIT WHEN APPROVED
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