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Home My WebLink About5609 STINE Road_UST MINOR_CHEVRON 3.1.10Permit No. Permit No. File Number: loo *q$? DA46 Received: _New *Mod. M. 11, Commercial Hood .System ❑ El Rie, Ala 0: M' t m ❑ 0 Firesprinkier System minor modification removal apm F, Aboveground Storage 'Tank Underground $to r6 ad Tin k Uniddrgr-o' Un'd Storage Tank Underground Storage Tank ❑ ❑ Other, Comments: ;iz; 11111,1: MAR"T, 11 1 Permit No. Address: Business Name: Permit No. .'•.)-e ;2c-4.. Bakemfield, CA 933 Ym �Sz Permit No. Permit No. BUILDING 8OU'AR.-P. M—EM M I Building S, q,. F-Obt,.. i Calculation Bid ". '%q, Ft Z 41. M, R-A U af-I I L01 Z 1, 1M e- u Sidhitr , !F __ . . - ----------- -- I ------------- 17 i�iWiiai 1E 18, File Number: loo *q$? DA46 Received: _New *Mod. M. 11, Commercial Hood .System ❑ El Rie, Ala 0: M' t m ❑ 0 Firesprinkier System minor modification removal apm F, Aboveground Storage 'Tank Underground $to r6 ad Tin k Uniddrgr-o' Un'd Storage Tank Underground Storage Tank ❑ ❑ Other, Comments: ;iz; 11111,1: MAR"T, 11 1 Permit No. Address: Business Name: Permit No. .'•.)-e ;2c-4.. Bakemfield, CA 933 Ym �Sz Permit No. Permit No. BUILDING 8OU'AR.-P. M—EM M I Building S, q,. F-Obt,.. i Calculation Bid ". '%q, Ft Z 41. M, R-A U af-I I L01 Z 1, 1M e- u Sidhitr , !F __ . . - ----------- -- I ------------- i�iWiiai 18, UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT 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 # I I BAKERSFIELD FIRE DEPARTMENT Prevention Services $ 1501Truxtun Avenue 1st Floor /1e/ Bakersfield, CA 93301 ARTI/ f Phone: 661 - 326 -3979 o Fax: 661 - 852 -2171 Page 1 oft • ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT • TANK TIGHTNESS UEL MONITORING CERTIFI 11191, RMATION' FACILITY NAME PHONE # OF CONTACT PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS TANKTESTINGCOf!IPANY °`; TESTING COMPANY -�-� , n AME & PHONE '# OF CONTACT PERSON a C10a MAILING ADDRESS NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # DATE & TIME TEST TO BE CONDUCTED ICC # 4 TEST METHOD APPL SIGNATURE Inc.,, DATE —r -- f t_ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT B ' B R S P D Prevention Services PERMIT # FIRE 1501 Truxtun Avenue, 11t Floor ARTY T Bakersfield, CA 93301 Dhnnc• �f.�_�7�_ZQ70 � �av• ��1_52�7_'fi71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION OF PRO]ECT rC�r r PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME l _� ADDRESS C.'^ n PHONE PROJECT ADDRESS C)� i YpO�_ CITY g ^ ICERS�I El_D STATE CA ZIP LADES J CONTRACTOR INFORMATION CONTRACTOR NAME Q CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # CONTRACTOR COMPANY NAME �t� ' � � FAX # ADDRESS ^� CITY ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 82 ❑ ❑ Over 10,000 sq ft $0 .028 x sq ft 82 • Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR ❑ Sprinkler - New & Modification (minimum charge) $280 • Underground Storage Tank (Installation /Inspection) NI $878 /tank ❑ Over 10,000 sq ft $0 .028 x sq ft , Underground Storage Tank (Modification) MOD $878 /site ❑ Minor Sprinkler Modification ( <10 heads) $96 (inspection only). $167 /site 84 82 ❑ Commercial Hood (New &'Modification) $470 84 ❑ Additional hood $58 82 • Oil well (Installation, Inspection; or re- inspection) X ❑ Spray Booth (New & Modification) $470 • Tent # ❑ 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 1tank 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 (Rem TR $573 /tank 84 Mandated Leak Detection (t ) /Fuel Mont rt/SB989 NOTE: $96 /hr for each type even if scheduled at the same time TT $96 /hr (2 hr's minimu —$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 (Fie Research fee $50 /hr) $0.25 /page 84 11 Miscellaneous 84 CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT ► PREVENTION SERVICES E R S P I D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, CA 93313 PART M T Office Phone: (661) 326 -3979 Application Number . . . . . 10- 10000077 Date 3/09/10 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 K & MELISSA Y OWNER 5609 STINE RD BAKERSFIELD CA 93313 ---------------------------------------------------------------------------- Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 984104 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date 3/09/10 valuation . . . . 0 Expiration Date 9/05/10 ----------------=----------------------------------------------------------- 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 (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. IF 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. correcdcomplete. 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[- `.. .` a. T77;�Phone 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). ' - L 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 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 AND ($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 constriction and hereby authorize representatives of the city to enter the above mentioned - property for inspection purposes. Signature of Applicant or Agent " = �.-- - "Date BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work InSDection Reauest Phone No. (661) 326 -3979 AST R Al I DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK Tpttrimr_ 1 MODIFICATIONS MINOR/ MAJOR ST RFAQVAI DESCRIPTION DATE SIGNATURE m 0--- RIOR_T-O_OPERATION OF ANY SYSTEM; ALL UST_AND10R AST- SYSTEMS SHALL BE INSTALLE_D,_COMPLETE AND ACCEPTED BY THE -BAKERSFIELD CITY FIRE DEPARTMENT: FD 1743 JOB DESCRIPTION 1W C-, OCCUPANCY TYPE OWNER CA-aUp-6pij PERMIT NO. 10-106066 -7-7 CONTRACTOR / , G PHONE # 3-76- W41 FD 1743 ''n !�i11�'� "`l1�� . � �.