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Home My WebLink About5401 STOCKDALE Hwy_UST MINOR MOD 2.3.10HOODS ALARMS SPRINKLER SYSTEMS SPRAT BOAT Permit No. Permit No. Permit No. Permit No. i��a� 29 1E File Number: Da- to Reco.ived: New Mod. ❑ 0 Commercial Hood System ❑ ❑ Fire - Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System 0 ❑ Aboveground Storage lank ❑ Underground Storage Tank Minor :e. � modification Underground Ztdrage Tank removal Underground Storage Tank 0 0 Other* comments: Address. 5 p s-,-cx--kc4,a.C-e- 64t)y Bakersfield, CA 9.33 Business Name: 22&G ge I BUILDING SQUARE FEET: Building Sq. Feet.: Calculation q Bid'- Ft! -g, 4. AST Permit No. Permit No. ed-loww N I jm'A'32-7441701,11�1 $ I ure `gno, - 30 1E BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT A 8 R S F Prevention Services PERMIT # FIRE 1501 Truxtun Avenue, 15t Floor ARfu r Bakersfield, CA 93301 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER t L r r 1 CAf) 1 ► � STARTING DATE COMPLETION DATE - ___ � . - - NAME �Yl� PROJECT NAME ( �C� ADDRESS O PHON0 - (,Q C _7 PROJECT ADDRESS 5 O Sj� (, '� ^ n ^ �� 1� �\(.Q� CITY " /1 K ER_SF1 ELD STATE CA DTC ZIP CODE • • INFORMATION ❑ Over 10,000 sq ft CONTRACTOR NAME CA LICENSE # I TYPE OF LICENSE EXPIRATIO DATE PHONE -$ (2-Lek . b a CONTRACTOR COMPANY NAME . FAX -1 L `. n v W-6 ADDRESS �+ , Y CITY C r Fla ZIP CO E !q 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 82 • Underground Storage Tank (Minor Modification) MTM $167 /site 82 ❑ Underground Storage Tank (Removal) TR $573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Ce SB989 NOTE:. $96 /hr for each type of test/per site e 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 1hr 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 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 0 1 DESCRIPTION I DATE I SIGNATURE 1 BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF REMARKS- nz -!2 v5 DESCRIPTION rMODIFICATIONS MINOR/ MAJOR P,RIOR_T_O OPERATION OF ANY SYSTEM; ALL_U.ST AND /OR AST SYSTEMS-SHALL BE INSTALLED;_C0MPLETE AND- ACCEPTED -BY THE BAKERSFIELD-CITY FIRE DEPARTMENT. 6zf6 / Aac JOB DESCRIPTION O CUPANCY TYPE OWNER 7-,*�D �� PERMIT NO. /O— CONTRACTOR PHONE # 3,9Z —q�tSg'7 FD 1743 CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B S R. S F I D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, CA 93313 k.. T Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000048 Date 2/17/10 Property Address . . . . . . 5401 STOCKDALE 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 . . . . MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 979419 Permit Fee . . 96.00 Plan Check Fee 96.00 Issue Date 2/17/10 Valuation . . . . 0 Expiration Date 8/16/10 ----------'------------------------------------------------------------------ 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 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. 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 whb 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 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 pern-iit 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 _ _ F_; x .. , ` _Date TESTING COMPANY fkh MAILING ADDRESS � 1 -� ; NAME & PH E # OF TESTER OR SPECIAL INSPEC70R DATE & TIM T TO BE CONDU NAME & PIiON� E * On �9r1;c CERTIFICATION Icc TACT PERSON U� S 3761 T €STT4COy) APPLICANT SIGNA RE DATE THI APPLICATION BECOMES A PERMIT WHEN' APPROVED APPROVED BY DATE FD2095 (Rev 03/08) BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANKS /ofti Prevention Services 1501Truxtun Avenue 1s* Floor APPLICATION � �� FIRE �Rrr r Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING/ l Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 SB989 SECONDARY CONTAINMENT Page 1 of 1 TESTING/TANK TIGHTNESS TEST AND �` FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # _ ❑ ENHANCED LEAK DETECTION ❑ UNE TESTING] SB -989 SECONDARY CONTAINME ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION SITE INFORMATION £ FACILITY\1 NAME 8t PHOIyE 7f OF CONTACT PEW N, ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE-# # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS TESTING COMPANY fkh MAILING ADDRESS � 1 -� ; NAME & PH E # OF TESTER OR SPECIAL INSPEC70R DATE & TIM T TO BE CONDU NAME & PIiON� E * On �9r1;c CERTIFICATION Icc TACT PERSON U� S 3761 T €STT4COy) APPLICANT SIGNA RE DATE THI APPLICATION BECOMES A PERMIT WHEN' APPROVED APPROVED BY DATE FD2095 (Rev 03/08) IE Cit of Bakersfield RISTTER &CLIPT s1 FerF MStiFORD TYPe.:M .Draws r: Uate =. F!1i /1A U1 Receipt no:: 71566 Description Amount . 1�"� 9JI1.Ut�8 Pd6 PERMITS j (ender detail ;.;,..,. $19.�,Q► ::,,. (:IS Ck'kCK ..:.. 2863 i i intal tendered $192°0 lotaa payrent $192. IN F HELP i(INTROC:.'iHE PET POPULATION I G.LE c SPAY, OR 1� cR - - --