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Home My WebLink About6201 LAKE MING Avenue_UST 6.17.10HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: Date Received: Address: Bakersfield, CA 933 Business Name: C;-,e j r0 z os SYSTEM: HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: Date Received: Address: Bakersfield, CA 933 Business Name: C;-,e j r0 z Comments: 1. 2. 3. 4. INSPECTION LOG Date Time Signature Signature INVINW 10 A SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ al- Other: yYI G Comments: 1. 2. 3. 4. INSPECTION LOG Date Time Signature Signature INVINW 10 A UNDERGROUND STORAGE TANKS BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501Truxtun Avenue 1st Floor APPLICATION wNBt Bakersfield, CA 93301 TO PERFORM ELD /LINE TESTING / i Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171 SB989 SECONDARY CONTAINMENT Page 1 of 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 ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS FUEL MONITORING CERTIFI FACILITY NAME & PHONE # OF CONTACT PERSON ADDRESS �LJ Ml A&- - 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; NAME & PHONE - � # OF CONTACT PERSON 50 (0_e o� MAILING ADDRESS ^ ^ r S' • \� CC g33 NAME & NE # OF TESIXR OR SPECIAL INSPECTOR CERTIFICATION # "8 69S SQ Ian DATE & TIME T6ST TO BE CONDUCTED ICC # TEST METHOD Lylc-oyn APPLICANT SIGNATURE DATE I THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP VED BY "�. DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT PERMIT NO.: B:AKERSFIELD FIRE DEPT. R S F t D Prevention Services W11 F/RE t JI 1600 Trtixtun Ave Ste 401 ARTM T Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 SITE INFORMATION LOCATION OF PROJECT Y PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME LJ r 1 ADDRESS PHONE NO. PROJECT ADDRESS O CITY STATE ZIPCODE • •' CONTRACTOR NAME CA LICENSE NO. Jl�m :S 1�- �c� $d� sC� •• • TYPE OF LICENSE. EXPIRATION DATE ra4cv 'qNA PHONE NO. CONTRACTOR COMPANY NAME FAX NO. 3'92, -OCo LI ADDRESS - CITY ^ ZIP CODE 0 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ 2 PERMIT TYPE FEE CALCULATION TOTAL DUE 11 Alarms - New & Modifications - (Minimum Charge) $280.00 ■ • ONLY TREASURY 84 • ❑ Over 10,000 Sq. Ft Sq. Ft x.028 = Permit fee : 98 ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 17 Over 10,000 Sq. Ft. Sq. Ft, x.028 = Permit fee 84 98 13 Minor Sprinkler Modifications (< 10 heads) $ 96.00 [inspection Only] ■ ■ 84 98 ❑ Commercial Hoods — New & Modifications $ 470.00 ■ 84 98 ❑ Additional Hoods $ 58.00 ■ ■ 84 98 ,❑ Spray Booths - New & Modifications $470.00 ■ • 84 98 ❑ Aboveground Storage Tanks (InstallaiYonllnsp. -t" Time) $180.00 ; 82 ❑ Additional Tanks $ 96.00 ; 82 ❑ Aboveground Storage Tanks (RemovaUlnspection) $109.00 : 82 ❑ Underground Storage Tanks (InstalladonAnspection) $878.00 (per tank) ■ 82 .❑ Underground Storage Tanks (Modification) $878.0"persite) ■ 82 ' ❑ Underground Storage Tanks (Minor Modification) $167.00 ■ 82 ❑ Underground Storage Tanks (Removal) $573.00 (per tank) ■ 84 ❑ Oilwell (Installation) $ 96.00 84 J� Mandated Leak Detection (Testing) / uel Monit.Ce SB989. Note: $96.00 for each type of test /per ev edu/ed at the same time) `9 ; ■ ■ 82 ❑ Tents $ 96.00 (per teno 84 ❑ Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $ 96.004 (5 hrs. min. standby fee /Inspection) =$576.00 ; 84 ❑ After hours inspection fee $121.00 ; 84 ❑ RE- INSPECTIONS) /FOLLOW -UP INSPECTION(S) $ 96.00 (per hour) ■ 84 ❑ Portable LPG (Propane):. NO. OF CAGES? _ $ 96.00 ■ 84 ❑ Explosive Storage $266.00 ■ 84 ❑ Copying & File Research (File Research Fee $50.00 per hr) 250 per page ; 84 ❑ Miscellaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove "0 Duration of Work InsDection Reauest Phone No. (661) 326 -3979 PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF DA P ^._R TO O PERATION_OF ANY SYSTEM', _RIO _ _ ALL_UST_AND /OR AST SYSTEMS SHALL BE` INSTALLED,_ COMPLETE AND ACCEPTED BY THE BAKERSFIELD -CITY( FIRE DEPARTMENT., BUILDING I z ke _ JOB DESCRIPTION Cl. OCCUPANCY TYPE OWNER PERMIT NO. /O-- CONTRACTOR c� • ✓ Cam. PHONE # 2— FD 1743 CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES B R S P I D 1501 TRUXTUN AVENUE, 1ST FLR FIRE BAKERSFIELD, .CA 93313 ARM r Office Phone: (661) 326 -3979 Application Number' 10- 10000186' Date 6/23/10 Property Address 6201 LAKE MING RD ATN (11 Digits): 386- 020- 13 -00 -7 Application type description. FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor --------------- --- - ----- ------------------ - - - - -- PARK TAI YOUNG & JAI SUK OWNER 6201 LAKE MING RD BAKERSFIELD CA 93306 ------------------------=---------------------------------------------------- Permit . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code 1012368 Permit Fee 96.00 Plan Check Fee 96.00 Issue Date 6/23/10 valuation 0 Expiration Date 12/20/10 ---------------------------------------------------------------------------- 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 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 after180 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 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 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 � _ � "� =k��- _�� ;: �.f�.fr . ��,_ `_p �, ��._ �WWT' 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 constncction and hereby authorize representatives of the city to enter the above mentioned - property for inspection purposes. Signature of Applicant or Agent F X- ' ; -1 Date