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Home My WebLink About5401 STOCKDALE Hwy_UST MINOR MOD 8.5.10lien IE HOODS -ALARMS SPRNKLE R SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: IC16-579 Date Received: g'— 6-- lQ Address: :C46 t S cc�cC �-e A"!! 1 Bakersfield, CA 933 Business Name: 6" SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ minoFmo d ifi I ca t removal Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System. Aboveground Storage'Tank Underground Storage Tank Underground Storage Tank Underground Storage Tank ❑ ❑ Other: Building Sq. Feet: Calculation Bldg. Sq. Ft: 5;Lr 9. 2. 3. 4. INSPECTION LOG Date Time signature Signature -levii 06 1, IE r BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 1501 Truxtun Avenue, 1t Floor PERMIT APPLICATION Bakersfield, CA 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW I -- �tI Phone: 661- 326 -3979 • Fax: 661 - 852 -2171, AF# TANK INSTALL (E)ISTING FACILITY) /MOD -MINOR MOD wt_A Page i of i iPermit # i 9 TYPE OF APPLICATION: O NEW TANK INSTALL/NEW FACILITY O NEW TANK INSTALL/EXISTING FACILITY (CHECK ONE ONLY) ❑ MODIFICATTON OF FACILITY X MINOR MODIFICATION OF FACILITY STARTING DATE/ - - - - - - - - - - PROPOSED` COMPLETION FACILITY NAM EKLS?ING'FACIlITYPERMTT # , FACILITY QTY ZIP C F ^ TYPE OF BUSINESS APN # TANK OWNER PHONE # r ADDRESS CITY ZIP COQf , ti 0 . CONTRACTOR.' >' :ash �'is� .; � : '•,u•T..:r� =+° •+3� :-.'swi.'ti `�+..,.. ^•� .CAY �'c: I - 1 a 3` r, ?>,'` J n °'rig: `.•qo (:,:. ^�� - ^� - =.: _ . {" •'�t , :pis, ::1•� r,., •:'w`•..•'' ;r:.�'`k, {�. r�`:f': +'Fi ZIP COD . : 3 A• ,PHONE. #. ERSkZELOCTTfBU51NESS E;:;'':.r`,.Y�(aRKMANSCOMP rr :_'•:••a' INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE: WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED 70' E THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES 0 NO 13 YES 0 No THIS SECTION IS FOR STORAGE TANK IDENTIFICATION • •V�IlME:': J"r:, {�`�tNILEADt=D- •f�BULAit>• "a'`':,';ARl1!III!!t %�. ':;�t- �'��`DIE�1:`::�' ''OTHER, . .s. .:S.S, .'n :' .r'r- ;�✓• :.r:., rh.'4,. •. .fin t: _ _ w:. .Y 'k 7 .3A •vY• exit ~Sn� •:tr `K.0 - . x l.: R •rl:r' .•N: rr� .. r• ijd• ". ,, ::." ....1,.� �.'.. . ), ?'mot'. i Tank Testing Company NAME OF TESTING COMPANY le; Ch rwXmmaj" PHONE NUMBER ' B CG- kAILV40 ADDRESS NAME OF TESTER ICC# • `! ,r lv� 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 PER7URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICCO THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY,-, - :; f;�:7v: ��.rs, .' ama :a;:,�it.�i::�rrti:t; °:: :'::'. _ � "J:: •`rkr�W :. f,'CT•�.� DAT�APPROVED% ;. c:••,• ..;g. _ +,t.y:•.• ::: .. ,. - ED. ` — _ :.."u:•X`:!: bra •l. 3' �d •. i• 'Y.• FD2086 (Rev 08/09) CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R S F I n 1.501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 1 R rM T Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000249 Date 8/17/10 Property Address . . . . . . 5401 STOCKDAtE HWY ATN (11 Digits): 194 - 031- 03 -00 -9 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor ---- ------ -- ------ - CHAU FONG K - - --- ------------------------ OWNER 13702 TABLE ROCK AV BAKERSFIELD CA 93314 ( 66) 301 -6617 ---------------------------------------------------------------------------- Permit . . . . UNDGRND STR TANK MINOR MODIFY Additional desc . Phone Access Code 1025733 Permit Fee . . . . 83.50 Plan Check Fee 83.50 Issue Date . . . . 8/17/10 Valuation . . . . 0 Expiration Date . . 2/13/11 ---------------------------------------------------------------------------- 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 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 Agerif 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 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 I I Date BILLING& PERMIT STATEMENT PERMIT NO.: WA �rRa RSFIELD. FIRE DEPT. Prevention Services 1600 Tnuxtun Ave Ste 401 Baker AM CA 93301 TP-1 - (RRiI 42E3 -3979 ■ Fam (681) 852 -2171 All.p-ermits mustbe reviewa4 slumped, and approved• PRIOR -TOBEGINNING 401: KON THATPROJECT. o Alarms -New & Modifioatkms - (Minimum Charge) $280.00 . ■ 84 SITE INFORMATION o Over 10,001 Sq. Ft S4 Ft x.029 Permit fee �.. ►► �. »� ��r• . 6 _mss! _' +.� ' �; Sp*Wers - New & Modlfkt tons - (MlMmum Charge) . - . 84 98 O Over 10,000 Sq. Ft ft Ft x.028 w Awmit.fee ■ 84 t;ONTRACTOR INFORMATION $ 9LOD [Inspection OnW - i Y4 1:7A I . 98 • Commercial Hoods — New & Modifications $ 470.00 r a l lI ■ii f. !72,1' _ ❑ Additional Hoods All.p-ermits mustbe reviewa4 slumped, and approved• PRIOR -TOBEGINNING 401: KON THATPROJECT. o Alarms -New & Modifioatkms - (Minimum Charge) $280.00 . ■ 84 98 o Over 10,001 Sq. Ft S4 Ft x.029 Permit fee 84 O Sp*Wers - New & Modlfkt tons - (MlMmum Charge) $280.00 ■ ■ 84 98 O Over 10,000 Sq. Ft ft Ft x.028 w Awmit.fee ■ 84 • Minor Sprinkler Modifioatione (< 10 heads) $ 9LOD [Inspection OnW f 84 98 • Commercial Hoods — New & Modifications $ 470.00 ; ■ 84 98 ❑ Additional Hoods .$ 5800 . ■ ■ 84 88. O Spray Booths - New & Modifications $470.00 ■ 84 ❑ Aboyeground Storage Tanks ( /nstarat/onllnsp:l' Time) $180.00 ' 82 ❑ Additional Tanks $ 96.00 ; 82 _ • Aboveground StoMr Tanks (Repovarinsimoon) $109.00 : 82 • Underground Storage Tanks (InstaraEbnAnspection) $878.00 (per (ank) ■ 82 • Underground Storage Tanks (Modiflcation)* $08.00 (perL;fte) '82 JIL Underground Storage Tanks (Minor Modscalon) $187.00 2 a 135 81 i +1 i n ' 82 • Underground Storage Tanks (Removal) $573.00 (per (888th) ■ 84 • 011weU (installation) 1$V&00*w41h0-' $.96.00 84 0 Mandated Leak Detection (Testing) / Fuel Monit.Cert/SB989. Note: $98£00 foreach type of AWIpersite (even !l sMadded at the same Una). ■ ■ 82 • Tents $ 96.00 (per ten!) • 84 • Fhflotechnic - (Per event, Plus Insp. Fee 0 $96 per hour) $ 96-00 + (5 tm min. standby tee A wpoodm).%W6.00 ; 84 ❑ After hours Inspection fee $121.00 ■ 84 • RE INSPECT/ON(S) /FOLL OW -UP INSPECTION(S) $ 9600 (per hour) ■ 84 O • Portable LPG (Propane): NO. OF CAGES? _ $9&00. 84 ❑ Eviosive Storage $266.00 • 84 ❑ Copying & File Research (FUe Research Fee $50.00 per hr) 250 per page : 84 O Miscellaneous 84 FD 2021(Rw. 06107) 1- ORIGINAL: WHITE (to Treasury). f- YELLOW (to.File). 1 -PINK (to customer) :i .. { <s �: :,`.,••;s:, :: ::: t: ^�;:., ,i {'t .•�lE.'�r�'� ,yak: .. I '.•y ••i •'rv:�4 :' •!.' cr•'' h' �` �:".•' x'. �:. �•��r'•'9. °t4�J^�:5(fY! "�'�'':5 .. lCit..'Of: '�) er.•e�•iYlalir'ORIf-° a .7ype:::OC awer• :1:';` =..�•. ax Hate. Mile t; :Receipt Uescri ptine oluantit �' ilrtDuni: ?: :;';;' .8p' .•BUI.IDII fender',ietail ; °;r.s;J, . ,� . •. ,: ; _ ^.'.:' CK'.UtR• y- ,r.:�',.:..: }3,5`.:::x; �1b7::'�- iwt`;• ..; fo�a•1 •'tender�tl %'J'.�: ,;;,.r ;•... ��,. ,:. ' s?:: - ' .7Utal:'paYnent �,..,s:.`': -•,; '�'ib7 .B►d '� •• Tran��d' a# e:';, 91. 1' S/' 1� .';•.��``:Tioe: "- ��15:`15:89'- '`• •. • Lp:- t�NTklk TFIE' PVT.'- OP�A:F1TIt�!' • • - - . • • PLfA�� -, CRY . OR 1�lITER� � �•.: � �'` - .. J ;