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Home My WebLink About5634 STINE Road_UST MINOR MOD 6.11.10inn <1 Commercial Flood System Building Sq. Feet: ❑ MOODS ALARMS SPRNKL R S STEMS SPRAY BOOTH - AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. /D- /dbaDi�/ File Number: /OA Ufa Date Received: jig. // -- /a Address: 563a/ s—,ef;•p • Bakersfield, CA 933 , Business Name: K SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Flood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish System 3. ❑ ❑ Aboveground Storage Tank 4. ❑ Underground Storage Tank mind modificatio Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other: Comments: iwsPecTIors Low Date Time Signature Signature i. 1,11 42 i IE BILLING & PERMIT STATEMENT Ill;'14161 BAKERSFIELD FIRE -DEPARTMENT B Ai H It s F i 1L D Prevention Services PERMIT # FIRE 2101 H Street O ARTN r Bakersfield, CA 93301 Dhnnc• �.fi _�7F._�Q7Q � Fax• fifil _RS7_71 71 All permits roust 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) SITE INFORMATION LOCATION OF PRO3ECT • , PROPERTY OWNE r STAR G TE COMPLETION DATE NAME PROJECT NAME p �J _ '1 �J — ! it' l7 ADDRESS / 9 D PHONE # • 3 Z PROJECT ADDRESS /1 cm P��K ERAS) =1 EI�D STATE aA ZIP CODE CONTRACTOR INFORMATION ❑ Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR CONTRACro AME�M ( CA LICENSE # 7TX W LICENSE EXPIRATION DATE PHONE # CONTRACTOR COMPANY NAME FAX* $878 /tank ADDRESS 401 IU PCLW"&— Cm ZIP CODE 'TO -z o All permits roust 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 Cert/SB989 NOTE: $96 /hr for each type of test/per site even if 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 /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 (File Research fee $50 /hr) $0.25 /page 84 ❑ Miscellaneous 84 F02021 (Rev 04/10) i' TLM PETRO LABOR FORCE., INC. June 11, 2010 Subject: Agent Authorization Letter To Whom It May Concern: Page I of 2 This letter authorize Wayne Watkin's of Fiedler Grbup, as an agent. of TLM'Petro LaborForce, Inc. (C9L13# 76.1755) to Submit/Obtain.PermitsBusiness License as needed for: 76 PV Zero Installation Jobs for Circle.K Stores in'Sodhern California (see attached list) If you have any questions please feel free to give me a call. Thank You, Trinidad Martinez . President 310.639.2227 office 213.761.2087 Cell 909 N Alameda Street 0 Compton, CA 90220 * Ph. (310) 639 -2227 • Fat. (310) 639 -2229 1� 9,7 MEMBER Southern California Site# Street TLM PETRO LABOR FORCE, INC, City State zip Page 2 of 2 872 13261 Perris Blvd. Moreno Valley CA 92553 1775 24051 JFK Road Moreno Valley CA 92553 5221 8609 GarVey Avenue Rosemead CA 9.1770 5230 1'6408 Orange Paramount CA 90723 1984 795 Shadow 2!q qt Road Vista CA 92083 2970 704 Main Street Ramona CA 92065 5095 4360 Genesse Avenue San Diego CA 92117 8545 1161 East Valley Parkway Escondido CA 92025' 8688, 10520 Camino Ruiz San Diego CA 92126 1270 5634 Stine Road Bakersfield CA 9.3313 8605 5600 Auburn St. Bakersfield CA 93306 8606 1030 Oak St. Bakersfield CA 93304 1045 11408 Ventura Ave. Ojai CA 93023 5238 765 W. Harvard Santa Paula CA 193060 909 N Alameda Street 9 Compton, CA 90220 • Ph. (310) 639 -2227 • Faz. (310) 639 -2229 MEMBER STATE OF CALIFORNIA A, Aga rr I i�� .� / O c., z, e Pursuant to Chapter 9 -of Division 3 of the Business and Professions-Code and the Rules and* Regulations of theContractors- State License Board, the Registrar of Contractors does hereby issue this license to: T L M PETRO• LABOR : =FORCE INC to engage in the -busi.riess��or.act� ri xhe..capacikof a contractor ,in thi4cillawi,ngclassif@c- ion(s): A - GENIERAVENGDMMG:CONTB - 'MR B - GEriM",,,,ii DING;OONMCTOR :CO. :ELECTRIGAL HAZ - HAZARDOU$;,01@STANCESIREMOVAL Witness my hand and seal this-day, June 3, 2004 Issued April 16.19W Reissued June Z 2004 This license is the property of the Registrar of Contractors• is not transferrable. and shalt be returned to the Registrar -upon demand when suspended. or invalidated for any reason. It becomes void if not renewed. Stephen m o f C n uctals Reassigned 761755 License Number AU015 W. II00 State OI California , (kj &CONTRACTORS STATE LICENSE BOARD ``�y�� ACTIVE LICENSE ('.unwmcr ,1lfuitx ,, „,,.,,„„,a 761755 CORP T L M PETRO LABOR FORCE INC. � �•�+� A B CIO HM 0'6/30/2012 DATE(MMIDDIYYYY) d� CERTIFICATE OF LIABILITY INSURANCE 4/21/2010 PRODUCER ISU INS . SERV . —BC ENV . BROKERAGE 1037 SUNCAST LANE, SUITE 103 EL DORADO HILLS, CA 95762 (j16) 939-1080 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED TLM PETRO LABOR FORCE 909 N . ALAMEDA COMPTON, CA 90220 INSURERA ENDURANCE AMERICAN SPEC.INS. 141718 INSURER B: SAFECO INSURANCE 24740 INSURER C: INSURER 0: INSURER E. CC)VFRAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE 13EEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER. DOCUMENT WITH RESPECT TO, WHICH THIS CERTIFICATE MAY BE ISSUED OR, MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUMONS AND CONDITIONS OF SUCH t POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIMS. INSIR LTR ADWL INSFID POLICYNUMBER PO ICY FFFEC I T MM(DDIYY ) POLICYEXPIRATION DA7 LIMI S GENERAL LIABILITY EACH OCCURRENCE Y 3 i 000, 000 1 PREMISES (Ea aEoccurence S 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE i_J OCCUR MED EXP (Any one person) $ -5, 000 A X CONT. POLLUTION ECC1.0100.9.112 -00 10/14/0.9 10/14/10 PERSONALEADVINJURY s 3,000,000 -GENERAL AGGREGATE 8 000., 0 O Q OEM!. AGGREGATE LIMIT APPLIES PER. PRODUCT-S•- COMPIOP AGG - _3, s 3,000,000 X .POLICY 1 JECT LOC I ` AUTOI- 10131LE LIABILITY X ANYAUTO COMBINED SINGLE LIMIT. (Ea aeoidono $ 1.1060,000 j + BODILY INJURY (Per person) I I $ I ALLOWNEDAUTOS SCHEDULED AUTOS B X HIRED AUTOS' X NON- OWNEDAUTOS 25-CC- 215884 -3 04/18/10 04/18/11 BODILY INJURY (Paraccidenl) S E I PROPERTY• DAMAGE (Peraccidenl) $ ytPHY DAMAGE INC. ' GARAGE LABILITY AUTO ONLY- ..EAACCIDENT S OTHERTHAN F`ACC AU ONLY;. AGG' $ ANYAUTO ( $ i EXCESSNMBRELIA LIABILITY EACH OCCURRENCE S 2,000,000-1 r X OCCUR ED CLAIMSMAOE AGGR_EGA_TE: -, �_- s, 2,'000, 000 EXS10100"9113 -00' 10/1.4/09 10/14/10 is i $ A DEDUCTIBLE RRETENTION - -T $ I S WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR-PARTNER/MCUTNE OPFICEWMEMRER EXCLVDEO ?' UTH- . �SgYTII RL..... . .......... E L. EACH ACCIDENT I F.L. DISEASE - EA EMPLOYE $ _�._.,_••".•_ ^_- $ MYes.dascribeunder SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT $ I p, fINC. OTHER PROF.LIAB. IN GL ABOVE ECC101.009112• -00 RETR0:10 /14/05 10/1.4/0.9 10/14/10 •$3, 000, 000 OCCURRENCE $3,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/ LOCATIONS J VEHICL E S 1 EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE: AMCS NO. 76360 BP AND SUBSIDIARIES, THEIR EMPLOYEES, OFFICERS, AGENTS, CONTRACTORS, 'UNDERWRITERS AND INSURANCE COMPANIES HAVE BEEN NAMED AS ADDITIONAL INSUREDS. GL INCLUDES CONTRACTUAL LIABILITY. 30 DAY CANCELLATION APPLIES.. WAIVER OF SUBROGATION APPLIES. (BLANKET AUTO ENDORSEMENT ATTACHED) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE OESCRISED POLICIES BE CANCELLED BEFORE 1HC EXPIRAI'IOJ f BP WEST COAST PRODUCTS, LLC DATF THEREOF. THE ISSUING INSURER WILL XOILT}ifNtMO MAQ 0 DRYS VVRITFEN C/O - AMCS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, D4ISC61:,)Z1 KbD)ODCS0769W P.O. BOX 2020 �ncGSOtooE> cBnxao) ODt�laa�aen]¢ 9c8s3ma�nscAGac ,XTD1rD�T}434IK?€sKr�'NF# I CONWAY, ARIZONA 72033 Dllai+ft$C ATTN: KATT.IE FOSSITT AUTHORIZEDMT k ACORD 25 (2001/08) 1988 4 i , f.. .f CERTHOLDER COPY STATE P.O. BOX 420807, SAN FRANCISCO,CA .94142 -0807 COMPENSATION INSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01 -01 -_9010 GROUP: POLICY NUMBER: 1541150 =9010 CERTIFICATE ID: 6 CERTIFICATE EXPIRES: 01 -01 -2011 01- 01- 2010/01 -01 -2011 CONTRACTORS STATE LICENSE BOARD SC LICENSE NUMBER:CONTR #761765 WORKERS COMPENSATION UNIT INCEPTION DATE:01 -01 -2010 P 0 B6* 26000 DO: SC SACRAMENTO CA 85826 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by "the California Insurance Commissioner to the employer named below for the pollcy period indicated. This• policy is not -subject to cancellation by the Fund except upon 30 day's advance written notice to the isnipioyer. We will also give you 3G days advance notice should this policy be cancelled prior to its- normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage .afforded by fire policy listed herein. Notw(thstending any requirement, term or condition of any contract or athe' document with respect to which th(s certificate of insurance may be Issued or to which it may pertain, the Insurance afforded by the policy described herein is'subject •to all the terms, exclusions, and conditions, of ,such policy. Ck r�. tPR tl)RKI�ZSD REPqRE'S�ENTAT114.fij PRESIDENT ' EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #1800.-- TRINIDAD MARTINEZ, PRES,TRE§ - EXCLUDED. ENDORSEMENT #1800 - EDUARDO MARTINEZ, SEC - EXCLUDED. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01 -01 -1004 IS' ATTACHED TO. AND FORMS A PART OF THIS POLICY. EMPLOYER T L M PETRO LABOR FORCE INC 809 N ALAMEDA ST COMPTON CA 90220 (REV.2 -001 Sc ISBG,CNj PRINTED : 01 -04 -2010 SC Certificate Of Completion Code: Lyma4ozQX3 Win Fuelling Systems This. is -to certify that kriselmo Topete M Petro Labor Force, Inc has -been, certified -in: :VR' Phase I Systems - VR -101 -L Training Date: March 5, 201.0 a.dification # 0510813702 xpiration Date: March 5, 2012 ned.on this - certificate of-completion.has.demonstrated Knowieage of••the•listed• products-,and installation procedures by completing an exam provided by Franklin- Fueling Systems.techl_A& This certification is valid for-two years from theAraining. date. listed.. Certificate Of Completion Code: mX3bPAybSM 'rankfin'Fueling Systems This is-lo.certify that F Hernandez TLIVI Petro Labor Force, Inc has been certified In: Tite EVIR Phase I Systems - VR-1. 0 1 -L Training Date: March 5,:2010 Certification # 8796543702 Expiration Date: March :5,2012 Dr-son Parned.,on-thiscertificate of-completion-.has•.demdnstFate.d Knowledge ofthe litted%piroaucts.-and:instaiiiition procedures by completing an exam provided by Franklin- Fueling* SysternwtadhLAR. This certification isvalid'fbr,tWo years, from the-training -date- listed. Certificate Of' Completion Code: kVGHzd42p4 nklin Fueling Sy.Otems This is-to. certify that Rolando Nunez 'LM Petro Labor Force, Inc. has been. certified "in: EVR Phase I Systems - VR -101 -L Training Date: March 5, 2010 ,.ertif cation # 9890953701 Expiration Date: March 5, 2012 lamed -on •this.,certificate-of- completion. has'demonstrated knowledge. ofthe= listed-products and'installation,procedures.by completing an exam provided by Ranklin Fueling Systems techl-AB. This certification'is.valid for two years from the training date-listed. Certificate O Code: oLzgzyKsSx rankl n Fueling Systems This is to certify that Jesus Ornelas TLM Petro Labor Force, Inc has beenc certified• in:. Fite EVR Phase I Systems - VR -101 -L Training. Date: March 5, 2010 Certification. # 9746753702 Expiration Date: March 5, 2012 rson named on, this. certificate of, completion has: demonstrated knowledge of the listed products and install ,'atibn procedures .by completing an exam provided -by Franklin Fueling Systems-techLAB. This certification is valid for two years from the training date. listed.