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Home My WebLink About5609 STINE Road_UST MINOR_CHVRON 7.27.10lem ❑ IE ❑ HOODS ALARMS SPRNKL ER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. /v i 24S File Number: / Address: Co Og si.w-2 '2d - Bakersfield, CA 933 Date Received: 7 -.27— /d Business Name: g2j&,e ,� d-es ftj SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other: Comments: Building Sq. Feet: ILI Calculation Bldg. Sq. Ft: I. 2. 3. 4. Date Time TSfl iN S n-� � Signature Signature ions CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B E R S P I D: 1501 TRUXTUN AVENUE, 1 ST FLR FIRE BAKERSFIELD, CA 93313 AR T Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000232 Date 8/13/10 Property.Address . . . . . . 5609 STINE RD ATN (11 Digits): 499- 020- 03 -00 -1 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . Application valuation . . . . 0 Owner Contractor CHAO LOUNG-R & MELISSA Y. OWNER 5609 STINE RD SAKERSFIELD ..CA 93313 „ -----^------- ----- -------------- ----- ----- ------------ - - - - -- -------- - - - - -- Permit cUNDGRND STR TANK MINOR MODIFY' Additional desc . Phone Access Code 1024975 Permit Fee 83.50 Plan Check Fee 93.50 Issue Date . . 8/13/10 Valuation 0' Expiration Date 2/09%11 -- -= ^-------- -- -------------------- - -----------------------l------ - -------- 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 167.00 167.0.0 .00 .00 s - , CALL FOR INSPECTION DECLARATIONS Permit is issued in accordance with all applicable. (661) 326 -3979 Federal, State and Local Ordinances. The permittee has properly signed and, dated the reverse side of this form. This Permit expires after 180 days of inactivity. Please state the Permit Number, the Job address, and I have reviewed the above application, and find it to the Type of Inspection. Requests for inspections be.correct/complete. should be made at least 48 hours in advance. 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 one 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: 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 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 ($100,000) IN ADDITION TO COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.) Lenders Name Lenders Address I certify that I have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state laws relating to building construction and hereby authorize representatives of the city to enter the above mentioned property for inspection purposes. Signature of Applicant or Agent I I Date UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Permit # ` TYPE OF APPLICATION: frHFCK nNF nNl Y) 4 pits 4Rrm BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 1st Floor Bakersfield, CA 93301 Phone: 661- 326 -3979 a Fax: 661 - 852 -2171 Page 1 of 1 0--- NEW TANK INSTALL/NEW FACILITY -0 - NEW TANK INSTALL/EXISTING FACILITY AlL MODIFICATION OF FACILITY AR_ MINOR MODIFICATION OF FACILITY STARTING DATE/ - - - -- - -- - - PROPOSED- COMPLETIONDAIE •,ste': - :'� "':.'s•:;sz° :` .�'%:,�`•':^cy .:r.`.. `.'= — �tXr�uc•f,:e: r- - :4t�+5,'s 9" •'i, �`:o :r: FACILITY NAME E�QSIING FACILITY PERMIT; #.: j `,r: , FACILITY ADDRESS`„ o �% ^ QTY ZIP CODE��, j TYPE OF BUSINESS I � # TANK OWNER 1-0 PHONE 2-07 v IC-WA 7� ADDRESS QTY ZIP CODE �,33� ...r' -' _ •3 •`OONTRACTOR: .(w.. .z.c,,_.'�':.s.': - ..b.sq..:�Y: GA,LICENSE__.iC' , ;'.. - IGC #•:;' t. 1 • a i:' ;;r,: �i. :�• • ADDRESS_ .y ": :t, ;;Y:�,�'' ` •C[I11�` '; ° ZIP CODE' .0 33 PH NE: ': •..� µft,' 8AK RSFIEI D,`CITY'BLJSIPIES$ °' NSE $* :si'. �..• ;YYORKMAN, COM ;c 4 ' ? ,e.. `t;' •Y,''i: INSURER', •;' •�'r'v;ni %' <'. 4''0:7' xy .:O• '.� _ �/ �.t;�. BRIEFLY DESCRIBE THE WORK TO BE DONE: WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE S OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? O YES O NO O •YES O NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION '•TANTC'B•;� LUME: "'.` PLEADED R�ULAR' y` %:5 ny; PREMIUM:;' -'" : 'DIESEL`:",:'S• " :'' pT}TgL•% �,.y, :+1... .i�V.• :5...,.Y y, Ze 'J i•L� •. .�NI••r a.�;,<~ - „<.rs• ..'t,. fia ,-g,:• '?c.. °. fit;, . ^F ' '.5 • ' �1'.' i'Si ':f.:n! •4:e V Ni::e• •''h �.5'Jit. — .t e Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MML946 ADDRESS 36�r3 o� L7' NAME OF TESTER ICCS 7LS_Z�Av o - r` 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. NAME OF TESTER ICC6 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY en � 4.it;! t.. " :•R:SC �1. �•. T •�� ` =10D !.� /c• Wit:. �:,�`> FD2086 (Rev 08/09) BILLING & PERMIT STATEMENT PERMIT NO.: rr a rrr r RSYMLD. FIRE DEPT. Prevention Services . 1600 Truxtun Ave Ste 401 Bakerafleld CA 93301 Tel_- (RRI) 326 -3979 • Fa1C (6611852 -2171 All.pennits must be reviewed, stamped, and approved PRIORTO•BEGINNING WOR KON T .HAT PROJECT: o • • 0 Alamis - New & Modifications - (Minimum Charge) $280.00 • ■ M98 0 Over 10,OW Sq. FL Sq. FL x.028= Permit fee ■ ■ SITE INFORMATION 98 E3 Spdnlders - New & Modifications - (Hrilmum Charge) - $280.00 LOCATION OF PROJECT 84 98 ' PROPERTY OWNER 401,1,67 G. o STARTING DATE OOMPLETION DATE 84 NME O PROJECT NAME G � � ^!/ %�I✓ � -, GG. ADDRESS � T% PHONE 14M 7J PROJECT ADDRESS $ 470.00 ■ CRY STATE ZIP CODE Additional Hoods CONTRACTOR ■ ■ •• • 98. 0 CONTRACTOR NAME ' If�rn E.S � �c ti CA LICENSE NO. O SO ■ ■ TYPE OF LICENSE. r o EXPIRATION DATE NA •o is PHONE N0. �? 2 -8 'i CONTRACTOR COMPANY .JV $180.00 ■' •. 82 FAX N0. z -ocoa, ADDRESS SCa� -ice $ 96.00 ; CITY 0 ZIP CODE .93a� . All.pennits must be reviewed, stamped, and approved PRIORTO•BEGINNING WOR KON T .HAT PROJECT: o • • 0 Alamis - New & Modifications - (Minimum Charge) $280.00 • ■ M98 0 Over 10,OW Sq. FL Sq. FL x.028= Permit fee ■ ■ 84 98 E3 Spdnlders - New & Modifications - (Hrilmum Charge) - $280.00 ■ ■ 84 98 ' O Over 10,000 Sq. Fit Sq. Ft: x.028 = Permit•fee 84 98 O Minor Sprinkler Modifications (< 10 heads) $ 96.00 [Inspection Only] 84 98 0 Commerdai Hoods — New & Modifications $ 470.00 ■ 84 98 0 Additional Hoods $ 58.00 ■ ■ 98. 0 Spray Booths - New & Modifications $470.00 ■ ■ 98 O Aboveground Storage Tanks (Installal"Insp: t" Time) $180.00 ■' •. 82 0 Additional Tanks $ 96.00 ; 82 _ 0 Aboveground Storage Tanks (Retwvallropecflon) $109.00 : 82 0 Unde round Storage Tanks (Insb aftUnspbelon) $878.00 (per tank) r 82 0 Underground Storage Tanks (Modiflcaflon)" $878.00 (peri;fte)• : 82 41L Underground Storage Tanks (Minor Modiflcadon) $187.00 ,� 82 O Underground Storage Tanks (Removal) $573.00 (per tank) ■ 84 0 Oilwell (Irlstallatlon) $ 96.00 ; 84• O � Mandated Leak Detection (Testlng) /Fuel MoniLCeNSB989. Notes $ 96- Wforeach "of test /perslte (even fischeduled at the same dme) $'98:6@•{per sll�h ■ ■ ■ 82 • rents $ 95.00 (per 10174 ■ 84 • 2yroteChnlc - (Per event, Plus Imp. Fee 0 $96 per hour) $ 96.00 + (5 hrs. min. owwby tee Anwection)e$576..00 84 0 After hours Inspection fee $121.00 ■ 84 0 RC--INSPECnON(S) /FOLLOW -UP /NSPEC71ON(S) $ 96.00 (per hour) ■ 84 0 Portable LPG (Propane): NO. OF CAGES? _ $ 96.00- ■ 84 0 Explosive Storage $266.00 ■ 84 0 Copying & Fie Research (File Research Fee $50.00 per hr) 256 per page ; 84 0 Miscellaneous T 84 FD 2021 (Rev. OBIC1n I.ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer) Cityy��of Bakersfield m CUSUR RECEIPT fey Oper: SCARRILLO'. -_ -Type: OC -Drawer: ..I . Date:. 8/13/10 81 Receipt no:. 21541, ; Description Quantity Aanunt •2810 1808 @232 ' BP BUILDING PERMITS 1.80 E167.88. i Tender detail t CK CHECK -• 2121 3167.08 . Total tendered '#167.88 . Total pay®ent (167.00 Trans date: 8/13/18 Jim, 14-.12:28 HELP CONTROL THE PET , POPLUTION PLEASE SPAY: •.OR NEUTER . -