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Home My WebLink About6601 MING Avenue_UST 2011IIIIIIIIIIIIIIIII'll 67 � - � � �.. - ... • .. ._ ,, w. e L SYSTEMS a AST :. UST, - - HOODS ALARMS Permit No: _ P ®emit No. Permit :No.} No. Permit No: Permit No.' :. _ P ®unit Filer Number: .�/ Id CA. 9.33 `Bakersfie , i ve a =? —! e :Rec , •Dat .�' Name�J :. - � s. .. 'Business. _ �..,` . ,....•,. -.., :. :. G' , ,, ... [- INSPECTIbIV LOG MtY. •. ' BU ILDING S4UARE FEET. TEM: :.: _ 'New � -:�.Mo a: �m Date`-Ti �F ee t Buil in� S — , �. "commercial :,Hpod SY s tem� , , - ,- .< - cation Bid Sq:, f t Calcu 9� stem :Fire A Y- jS •s • - m e in le r . - t F ' " "re r - .t �s - f. I _ ra' e T a nk<< t0 a 'S - `o v e ro 9 .Ab •�`� 9 - 4-r. .. s v3 - k : 4` `d S to r a e a n ou � nde r r . 9. J - :'S na to 'r �G r I - min �o �a� 4 'Ta k : .'U u n a St r e 'n n e �r'o 9` �ifcation. � `a , � _ , :mod , {IIF _.. •.2 : . - ra e a n t o S - 0 un d k "' ��a n d e r r 9 ice mo -n "re' =S i 'atu n 9 I" p ^p Other:; ". Comments: IIIIIIIIIIIIIIIIIIII 68 i IE CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES R s P 1 1 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 4 R TRI T Office Phone: (661) 326 -3979 Application Number . . . . . 11- 10000152 Date 5/02/11 Property Address 6601 MING AVE ATN (11 Digits): 380 - 010- 19 -00 -0 Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor YOUNG LIVING TRUST OWNER 844 N TILDEN RD VISALIA CA 93291 ---------------------------------------------------------------------------- Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . Phone Access Code 1093053 Permit Fee . . . . 96.00 Plan Check Fee 96.00 Issue Date . . . . ,5/02/11 Valuation .. . . . 0 Expiration Date 10/29/11 ---------------------------=------------------------------------------------ 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 after 180 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. 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 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 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 I Date BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request P4tone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF ( _ _ TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: Qe, JOB DESCRIPTION: S - OCCUPANCY TYPE: OWNER: PERMIT NO. / -/ / Z. CONTRACTOR: !� Q. PHONE 7! 8'd6 -6,36-Z- FD 1743 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 # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS BAKERSFIELD FIRE DEPARTMENT �/'� Prevention Services B H R S F I n' 2101 H. Street FIRE Bakersfield, CA 93301 ARTM T Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 ❑ LINE TESTING ❑ FUEL MONITORING CERTIFICATION B -989 SECONDARY CONTAINMENT _';••.•:, °::Lr'.'.r, .. I •. '.;:h-d.'.:l .<' . :•�. �� I E F OR MA.TI N , �.. .: yin ,:;:r....o;:::- :.,.;.�:c:..:- .....,y.'•;,.. . ir'�e-il_.,.,I.;iC.: ,:r.,.._a- .__.._.-- ,:.. -... :.<.w_:�- •:,,,_ -:� r.: . r� - : :.::.:,_ - -_- - - - FACIL o�n ADDRESS' NAME, A PmnNr. .it -n F: rnrdTAr-T DFD1ZnN _ OWNER WNEl fn OPERATOR VftEj PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES ❑ NO TANK # VOLUME CONTENTS a w Z 000 1 - - - - .,.., .u'r.;: ...'1 1'-H `,TANK'' "TESTING COMPANY „, r' 1+ ':. •�, ., b.,•c,r:r.r :...I nllb •: P.Ie li dii'r I!5 TEST NG C PANY oe NAME & PHONE # OF CO TACT PERSON MAILING ADDRESS , e Pr a N E & PH NE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # DATE &TIME rrTEST T BE CONDUCTED ( S 3 ,� ^� 0( ICc.# 1 � TEST METH?,D JiL dk& APP IC�TGNATUIRE ,DATE H 4�ACATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE - FD2095 (Rev 03/08) L State Of Califomia k %j,-'coNTRACTORS STATE LICENSE BOARD ' Consumer ACTIVE LICENSE Affairs � 300345 CORP WAYNE PERRY INC F Ck"a�o o.) A C21 C 1 O' B C61040 HAZ C34 4 r moo,. 09/30/2012 • www. cslb. ca.gov t51LL1Nt3 ik 1'CKM1 1 ,1 H 1 CI PERMIT # All .. J■ i••••�v • i• a H R 9 F I p Prevention Services FIRE 2101 H Street ARIA/ T Bakersfield, CA 93301 Phnna- A,61 -3 ?6 -3979 • Fax: 661- 852 -2171 All permits mast be reviewed, .stamped, and approved PRIOR TO BEGINNING WORK. J • • ❑ Alarm - New & Modification (minimum charge) $280 • • • SITE INFORMATION LOCATION OF PROJECT `/ _ 'V/Jr �U 1' f��. - w IVA7f STARTING DAIT, COM L ON DATE DS PROPERTY OWNER �O ^ \ NAME 4 ro ^ PROJE E V J' ^01 vC AgDRESS_�� y� ` tmXgW PHONE # - PROJE ADDRESS ^ _ ` /� � ^��S�I E�p STATE CA C ZIP CCU �O/y CONTRACTOR CONT OR NAME CA LICENSE # INFORMATION TYPE OF LICENSE EXPIRATION DATE i PHONE # _ � CON RA R COMPANY eME pac C `, ` F l ADDRESS( -^ Cm boef� PACK- - ZIP CODE �� $96 (inspection only) All permits mast be reviewed, .stamped, and approved PRIOR TO BEGINNING WORK. J • • ❑ 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 1i 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 /Inspect) ATR $109 /tank 82 • Underground Storage Tank•(Ihstallation /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/ 989 TT NOTE: $96 /hr for ea type of test/per site even scheduled at he same time $96 /hr (2 hrs minimum) =$192 �.J ' ` 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 FD2021 (Rev 05/10) B' H R'9 F I D Prevention Services PERMIT # FIRE 2101 H Street - .4l ARTM T Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661 - 852 -2171 FD2021 (Rev 05/10) SITE INFORMATION LOCATION OF PROJECT 0 }J� }� \( j� STARTING DATfp, �� 1 k COM L ON DATE )S ( PROPERTY OWNER ( W\ NAME ro- PROJE E f �� A (S Oj �� Poe PHONE # ��D PROJECT ADDRo `^ ^ , � CITY 'gWW��Af/ E"��FI ELL STATE CA ZIP C[ O/y • • R CONTP,AC,TOR NAME J CA LICENSE # INFORMATION TYPE OF LICENSE EXPIRATION DATE 1 PHONE # CON RA RCOMPME�'1 `v f,� ^��3�� ADDRESS^ �' n, CITY bo� PACK- ZIP CODE ,- 1`FJ^ All permits must be- reviewed, stamped, and approved PRIOR TO BEGINNING WORK. J • • ❑ 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 /Inspect) 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 O Underground Storage Tank (Removal) TR $573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cent/ 989 TT NOTE: $96 /hr for ea.type of test/per site even scheduled at he same time`. $96 /hr (2 hrs minimum)-$192 Aq . 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. FD2021 (Rev 05/10) .. . +:� ., ' a' �• , -o WAYNE PERRY INCORPORATED 0-93998 ,.,..VElNX0R:.ID VENDOR NAME I PAYMENT NUMBER CHECK DATE \ ) r BAKERSFI BAKERSFIELD FIRE DEPARTMENT 115698 4/27/2011 VOUCHER NUMBER INVOICE NUMBER INV. DATE rINVOICE AMOUNT AMOUNT PAID JOB # /DESC. NET AMOUNT 1200981 ,93998CK 4/27/2011 I $192.00 $192.00 1112}4 i $192.00 f � 4 � $192.00 I $192.00 $192.00 NOT NEGOTIABLE - NOT A CHECK - NOT NEGOTIABLE - NOT A CHECK - NOT NEGOTIABLE >iO3kO V ION - B19VUO08N ION - AO:JHD V ION ---- D7-l0VIiO9_-lN ION ----)I0`34D V ION NOS VEGO'J�IABLE, '.."NOT A CHECK - NOT `NE6QTIABLE - NOT A CHECk--, NOT NEGOTIABLE >01-ION ION -- 3.1 UYliO!D3N �ION - >103HO V,-ION -'318VI_LO!D3N ION -,NO3HO V ION NOT NEGOTIABLE -- NOT A CHECK ---- NOT NEGOTIARLE",'- -NOT -A CHECK - NOT NEGOTIABLE -:,;L �3,10VI1003N :'I0V= )A0D,H3,V-.'iQR' ".371SVII003N ION NODHO,-V ION" NOT NEGOTIABLE NOT A CHECK NOT NEGOTIABLE 'NOT A CHECK/- NOT NEGOTIABLE iO HO VION - 818VIIOD�N ION - >10�'HO V ION - `7119VII09DN ION(- NODRD V ION NOTE NEGOTIABLE -NOT A-\CHECK. - NOT NEGOTIABLE - NOT A CHECK NOT NEGOTIABLE >i3O�110 V 1ON 319VU00EIN ION NO3HO V ION - 3113VII093N ION 'A03110 V -'LON NOT NEGOTIABLE NOT A CHECK - NOT NEGOTIABLE NOT A CHECKr= NOT NEGOTIABLE N 07,3 H 0 V ION - 318VIiO03N ION.- NO3HO V ION - 319VII003N ION - >103HO V ION ,Q) , �VOT NEGOTIABLE -,NOWT: A CHECK - NOT NEGOTIABLE -'NOT A CHECK - NOT NEGOTIABLE