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Home My WebLink About5321 STOCKDALE Hwy_UST SB989_7.22.10SYSTEMS SPRAYBOOTH AST UST _- VOODS ALARMS SPRINKLER Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. /D- �odoo2Z File Number: Date Received: SYSTEM: New Mod. ❑ ❑ Commercial Hood System i i ❑ Fire Alarm System Address: 3a Soc,! <oGo,C-e_ 4e-4-Jy Bakersfield, CA 933 Business Name: S ; v c_ k ��,�� , BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. • Fire Sprinkler System 2. • Spray Finish System t , `' I 1 5 3. • Aboveground Storage Tank IV N . ?' � 4. ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank elf, c� removal Underground Storage Tank 1� ❑ CY Other: S23 - Comments: INSPECTION LOG Date Time aignature Signature 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 DATE PRIMARY PIPE SECONDARY PIPE I ---::A SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF DESCRIPTION DATE SIGNATURE DESCRIPTION I DATE I SIGNATURE TIONS MINOR/ MAJOR DESCRIPTION 1 DATE I SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM,' ALL UST AND /OR ASi SYSTEMS SHALL RE- INSTALLED, COMPLETE AND ACCEPTED BY , THE BAKERSFIELD CITY FIRE DEPARTMENT. FD 1743 { City of Bakersfield *,-* C1IMMKER RECENT #r : Qp #6,: SCARPILL.Qr� Type: QC Drawer: 1 Date, 9113/10 01 ?erript no: 21546 Besiri,tyiron A�7 Quantity Auaunt EP BUILDI'I16 PER14ITS 1.00 SiX.00 re-nder detail Ci;SC!4 3023. 5392.00 Total 'tendered 513F:.00 "fatal paysent $192.03 Trans date: 5113110 Time: 14 :13:17 6iELP CONTROL FHE PET PUPPULff,10N PLEASE Ss AY' iii KEUTE..R CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B R S F 11 1501 TRUXTUN AVENUE, 1sT FLR FIRE R BAKERSFIELD, CA 93313 ARTNATT Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000229 Date 8/13/10 Property Address . . . . . . 5321 STOCKDALE HWY ATN (11 Digits): •.194- 450- 01 -00 -8 Application type description FIRE DEPT . Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor CHAU MUNN C & FONG A OWNER 5321 STOCKDALE HW BAKERSFIELD CA 93309 ( 6) 832 -9928 ---------------------------------------------------------------------------- Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code 1024934 Permit Fee 96.00 Plan Check Fee 96.00 Issue Date . . . . 8/13/10 Valuation . . . . 0 Expiration Date 2/09/11 ---------------------------------------------------------------:------------ 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 afterl 80 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 Aged. 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 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 EMLOVER 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 ATTORNEV'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 Date SITE INFORMATION NAME & PHONE NUMBER OF CONTACT PERSO FACILITY C� f UNDERGROUND STORAGE TANKS OWNERS NAME OPERATORS NAME BAKERSFIELD FIRE DEPT. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # Prevention Services : za8a„• x; R:,_. rtb.; aa.: Jx:::. riaF f. czFraarrlS�r;^, xf. Stfit•: r2.' 8+ rsadJSx :.;,r.'Wiz'.+rav'.xic+7..�^ F`R' a le �Rrr r 10 APPLICATION Y B TO PERFORM ELD / LINE TESTING Tel.: (661)326 -3979 I SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852 -2171 (TANK TIGHTNESS TEST AND TO PERFORM NAME &RHONE NUMBER OF TESTER OR SPECIAL INSPECTOR i( najoo 1 b - CERTIFICATION #: FSO9 Z'S O DATE & TIME EST TO BE CONDUCTED - .. FUEL MONITORING CERTIFICATION TEST METHOD h e.o SIGNATURE OF APPLICANT C Page 1 of 1 PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 4B -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST ❑ TO PERFORM FUEL MONITORING C TIFICATION SITE INFORMATION NAME & PHONE NUMBER OF CONTACT PERSO FACILITY C� f ADDRESS C1 K Cal 9,330 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 a le TANK TESTING COMPANY NAME.OF TESTg COMPANY NAME & PHONE NUMBER OF CONTACT P_ERSON,_ t V- 1(ZZ) l -kE-Aj A �- ern �c (Q- L40 MAILING ADDRESS NAME &RHONE NUMBER OF TESTER OR SPECIAL INSPECTOR i( najoo 1 b - CERTIFICATION #: FSO9 Z'S O DATE & TIME EST TO BE CONDUCTED - .. ICC #: 5 ul— TEST METHOD h e.o SIGNATURE OF APPLICANT C DATE -� eq a /. G T1j111�/APPLjCAT10"EQ0MES A PERMIT WHEN APPROVED APPROVED BY G DATE $.� �i3 �/0 FD 2095 (Rev. 09105) BILLING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. B R R S F !&I D Prevention Services Ft *AjlrM 1600 Truxtun Ave Ste 401 T 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. ■ J • • ❑ Alarms - New & Modifications - (Minimum Charge) $280.00 , ■ • 84 • SITE INFORMATION ❑ LOCATION OF PROJECT PROPERTY OWNER ,\ -FV 8 STARTING.DATE COMPLETION DATE NAME PROJECT NAME ADDRESS- ck" PHONE NO PROTECT ADDRESS � � CITY ' / STATE 24 ZIP CODEO n CONTRACTOR INFORMATION ■ CONTRACTOR NAME CA LICENSE NO. PCMIF —SI" kCtA $Oq SO TYPE OF LICENSE. EXPIRATION DATE ( V40 ANA 3o icy PHONE NO. 4'2 -8 (0 g7 CONTRACTOR COMPANY NAME tc P» FAX NO. 3'92, -otoa t ADDRESS �� a CITY /` ZIP CODE 9 F's C) - r All permits must be reviewed. stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ J • • ❑ Alarms - New & Modifications - (Minimum Charge) $280.00 , ■ • 84 • ❑ Over 10,000 Sq. Ft. Sq. FL x.028 = Permit fee 8 ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 . q Over 10,000 Sq. Ft. Sq. Ft. 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 $ 58.00 ■ ■ 84 98 ❑ Spray Booths - New & Modifications $470.00 ■ ■ 84 98 ❑ Aboveground Storage Tanks (Installat odinsp. -i" Time) $180.00 ; 82 ❑ Additional Tanks $ 96.00 ; 82 ❑ Aboveground Storage Tanks (RemovaAnspection) $109.00 . 82 ❑ Underground Storage Tanks (Installation. /Inspection) $878.00 (per tank) ■ 82 O. ,. Underground Storage Tanks (Modification) $878.00'(persite) ■ 82 ❑ Underground Storage Tanks (Minor Modification)- $167.00 ■ 82 • Underground Storage Tanks (Removao $573.00 (per tank) ■ 84 • Oilwell (Installation) $ 96.00 ; 84 Mandated Leak. Detection (Testing) / Fuel Monit.Ce S698 . Note: 96.00 for each $ type of test /per site (even if sch at the same time) f 9 c ,O - ; ■ ■ 82 • Tents $ 96.00 (per tent) ■ 84 • Pyrotechnic - (Per. event, Plus Insp. Fee @ $96 per hour) $ 96.00 + (5 hrs. min. standby fee /inspection)--$576-00 84 ❑ After hours inspection fee $121.00 : 84 • RE- INSPECT/ON(S) /FOLLOW -UP INSPECTION(S) $ 96.00 (per hour) ■ 84 • Portable LPG (Propane): NO. OF CAGES? $ 96.00 ■ 84 • Explosive Storage $266.00 ■ 84 • Copying & File Research (Rie Research Fee $50.00 per hr) 250 per page ; 84 ❑ Miscellaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)