The URL can be used to link to this page

Home My WebLink About726 UNION Avenue_UST 4.12.10HOODS Permit No. 1"9 File Number: DAte Reteivied: New Mod. ❑ ❑ ALARMS Permit No. 160 1417' a _Z_ —.C/- / 2- - / () COMMO%rdlil Hood System ❑ Ffift* -. AltM: Bens ❑ ❑ Fite Sprurwer sysiem O Aboveground Storage Tan ❑ UndergroluridStorAge Tan"k 000 modification Unde"irgtound.Storage Tank removal Underground: Storage, Tank 1:3 '13 Other: Permit No. Address: Business Name: Permit No. ze, -!Sc .- o ca rsfield, CA 933.-.-.-- BUILDING. SdjUAR , FE FEET: Building .Sq. b 'F 1 4. et, Calculation .Bldg.Sq. Ft � r S /tck (?r-D%ra-4'f\ 00+ V,0 ecx C.,q -ko mb(\,k�f- 2, ':,-ewisor 3 0 need 4o be 46 AST Permit No. 1, '2. 3. UST Permit No. mm� 11111111111211-19=0 T I guja ure Comments: C. 20 _1E a� / �. /% f �� CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES rAR D 1501 TRUXTUN AVENUE, 1sT FLR BAKERSFIELD, CA 93313 T Office Phone: (661) 326 -3979 Application Number . . . . Property Address . . . . . . ATN (11 Digits): Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . Owner ------------------------ RAFIQ MOHAMED A 726 S UNION AV BAKERSFIELD CA 93307 10- 10000120 Date 4/14/10 726 S UNION AVE 169- 131- 04 -00 -7 FIRE DEPT 0 Contractor ------------------ - - - - -- OWNER -- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Permit . . . . . . MANDATED LEAK DETECT TEST Additional desc . . Phone Access Code 993543 Permit Fee .. . . 96.00 Plan Check Fee 96.00 Issue Date . . . . 4/14/10 Valuation . . . . 0 Expiration Date . . 10 /11 /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 (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 after180 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 -_ -_` ° ". `. -.a: v " -1- ° -° - 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 _. _ 4 =: _, _ ° - R�`r �"r, "= ' F 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 1 certify that I have read this application and state that the information contained herein is coriect. 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 - ` -- - - -- -- - - - ' - - - - -- -' = ° =- - -x - - - - - -- - -<" R..`�°�.: °= •� Date City of B64rsticlii Ur Tiate: 4/14/10 R {eceip# r "o: 42 Ues&jPti��n � ��guu ntity..: c'1 .. 1 &0i31ci BUILDING P INI ?,3 PERk TS k:EIle 1w11.3. Bir DI,E IEFYIFI; g"r7is,'00 eA1.3 -07 HELP �lN7kOL JHE PET .POPULATION ALEA:3E ` -Av,0? tIFu -iER BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Reauest Phone No. (661) 326 -3979 DESCRIPTION BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF DESCRIPTION TANK TFATINC; I I MODIFICATIONS MINOR/ MAJOR LIST RglinVAI DESCRIPTION DATE SIGNATURE DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALLED, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. Cc S JOB DESCRIPTION OCCUPANCY TYPE OWNER G. cJc 6t 7 PERMIT NO. CONTRACTOR PHONE # Aa7— 3 / FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS TEST LINE TESTING H A' E R ;SF I E L D Flits D ARTM1� T X TO PERFORM FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. Prevention Services 1501 Truxtun Ave., 1St Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT TESTING ❑ Cathodic Protection Testing FD 2095 (Rev. 09/05) SITE INFORMATION' FACILITY Lucky 7 #3 NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 726 S Union Ave. Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK# VOLUME CONTENTS 1 87 UL 2 91 UL 3 Diesel 4 Diesel ,;,,, ,,, . ,, ,,, •; -, , , ,. , ,, TANK TESTING NAME OF TESTING COMPANY Cal - Valley Equipment Bruce W. Hinsley 661- 327 -9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661- 327 -9341 CERTIFICATION #: 548333761 DATE & TIME TEST TO BE CONDUCTED 4/21/2010 at 09:00 Icc #: 5270921 -UT SIGNATURE OF APPLICANT ✓ DATE 4/12/2010 APPLI C . TiIO BECOMES, PERMIT WHEN APP O, D, APPROVED BY DATE FD 2095 (Rev. 09/05) BILLING & PERMIT STATEMENT 13AKEKSFIF-LO FIKE DEPAKTMENT B E R S F I D Prevention Services PERMIT # ' - FIRE 1501 Truxtun Avenue, 1s` Floor W; ARrm r Bakersfield, CA 93301 Phnna - a FaYC F,F,1 -R57 -7171 All permits must 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 ❑ 1 Additional hood 1$58 • Spray Booth (New & Modification) SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER Lu-c 3 $180 /tank STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS/ PHONE # PROJECT ADDRESS CITY gAKERSF1E(_D STATE !✓'� ZIP CODE Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR CONTRACTOR INFORMATION 82 CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # 82 2/ 33 4 HWz CC /- -127-q.7y CONTRACTOR COMPANY NAME FAX # a u ' CC/ - 325�ZS2 ADDq CITY ZIP CODE Soo !� v . a,,vlf ,' 330 All permits must 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 ❑ 1 Additional hood 1$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 X 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 FD2021(Rev 04/08)