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Home My WebLink About8325 BRIMHALL Road (2)NP o, GOODS ALARMS SPG3N KL ER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. �i- /oe000� File Number: 67� Address: Bakersfield, CA 933 Date Received: 1-13-11, Business Name: ��";",r,d„i;,. �. '�A�. � 1A�1� =. l •• SYSTEM: BUILDING SQUARE FEET: INSPECTION �. ®G New Mod. ❑ O ❑ ❑ O ❑ ❑ ❑ OF"' ❑ ❑ ❑ minor modification removal Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank Underground Storage Tank Underground Storage Tank O ❑ Other: Comments: Building Sq. Feet: f- Calculation Bldg. Sq. Ft: �y 1. a. 3. 4. Date Time Signature Signature CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT PREVENTION SERVICES E R S F I n 1501 TRUXTUN AVENUE, 1sT FLR FIRE BAKERSFIELD, CA 93313 ARrNAWr Office Phone: (661) 326 -3979 Application Number . . . . . 11- 10000018 Date 1/18/11 Property Address . . . . . . 8325 BRIMHALL RD ATN (11 Digits): - - - - Application type description FIRE DEPT Subdivision Name . . . . . . Property Use . . . . . . . . Application valuation . . . . 0 Owner Contractor -------- ---------- - - - - -- --- - - - - - -- OWNER ---------------------------------------------------------------------------- Permit . . . . . . ABVGRND STR TANK (1 INSP /INST) Additional desc . Phone Access Code 1067255 Permit Fee 90.00 P1an,Check Fee 90.00 Issue Date 1/18/11 Valuation . . . . 0 Expiration Date 7/17/11 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 90.00 90.00 .00 .00 Plan Check Total 90.00 90.00 .00 .00 Grand Total 180.00 180.00 .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 Agen 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 I 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 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 Date BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone 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 OPER_ATION__OF _Y AN_SYS,\ TEM ALL -UST AND /_OR_AST.SYSTEMS SHALL_BE� dNSTALL,_COMPLETE AND = ACCEPTED BY, THE _ BAKERSFIELD _CITY_FIRE_DEPARTMENT., r7-FIRE-DEPARTMENT (FINAL)_ _ BUILDING ADDRESS: ;,g ,..I &,,,c ,2cr • JOB DESCRIPTION: A s "' a c C OCCUPANCY TYPE: OWNER: C' of -rv►r 034. PERMITNO. 11-10660617 CONTRACTOR: PHONE FD 1743 DRMA L FD2I32I rRov LOCATION OF PROJECT Brimhall Rd., Bldg. 600, Bakersfield, CA 93312 i Uw"CK Crown Pointe Investmenv/0•= . -8325 STARTING DATE COMPLETION DATE 1/13 1121 - Ashok Parmar, M.D. PROJECT NAME Central California Pain Management _ _ _ ADDRESS 8325 BrimhaN Rd,Bldq- gd0 PtitSLIE- (661) 912 -0867 PFtO3E£T ADDRESS CITY SAP' 6R,5FIE L..� srnTe CA z1;P ccloe Minor Sprinkler Modification ( <10 heads) $96 (inspection only) Commercial Flood (Mew & Modiflcation) $470 8325 Brimhall Rd., Bldg. 600 93312 C] •, Vi cn� Yaar rrtft NAMF CA LICENSE t3ATE PN4NE # 98 Lance Randolph . 481999, (861) 327 -1438 Aboveground Storage Tank (1 inspection per installation) A5T 180 /tank QX 01,55-.22- 1 13 -i } CONTRACTOR COMPANY NAME FAX �! 7773308- lee & Smith Contractors (661) 327-8865 Additional Tank ATI $96 /tank ADDRESS 3325 Landco Dr, ZIP CODE 93308 . Aril permits lust be reviewed, stamped, and approved I IOR To 1i ErttdNjr4G WORK. ° FD2I32I rRov 0 . Alarm - New & Modification (minimum charge)$z8ta Over 10,000 sq ft $0 .0211 x sq ft 0 0 Sprinkler - New & Modification (minimum charge) $280 Over 10,000 sq ft $0.028 x sq ft 0 Ci Minor Sprinkler Modification ( <10 heads) $96 (inspection only) Commercial Flood (Mew & Modiflcation) $470 ► _ C] Additional hood $58 p Spray Booth: (New & Modification) $470 . 98 Aboveground Storage Tank (1 inspection per installation) A5T 180 /tank QX 01,55-.22- 1 13 -i } $180 82 Q Additional Tank ATI $96 /tank 82 Cl Aboveground Storage Tank (Removal, Mod,or Inspect'n) AYR $109 /tank 82 Q Underground Storage Tank (Installation /Inspection) . NI $878 /tank 82 it Underground Storage Tank (Modification) MOD $878 /site 82 0 - Underground Storage Tank (Minor Modification). Mw $167 /site 82 Cl Underground Storage Tank (Removal) TR $573 /tank 0 Mandated Leak Detection (test) /Fuel Mont Cert/SB98.9 $96 /hr (2 hrs minimum) =$192 MUTE: $96/hr for each type of test/per site even if. P cheduled at the same time TT gZ p Oil well (installation, Inspection, or re- inspection) X $961hr 82 Tent # $46 /tent 84 G7 After -hours inspection fee $1211hr (2 hrs minimum)?2$242 C7 Pyrotechnic (I permit per event, plus an inspection fee of $96 /hr + -(5 hrs min standby fee /insp) =$576 $96 /hr during business hours) icy MUTE: After hours Pyrotechnic event inspection is C I4/hrs hrs min standby lee ins j =$605 84 to Re-inspection/Follow-up Inspection $36 /hr 84 C7 Portable LPG (Propane): # of Cages? $96 1hr $4 i 0 Explosive Storage $266 84 13 Copying & File Research (File Research fee $56/hr) $0,25 /page 84/ FD2I32I rRov ,r f ilog, t - ' 7. l 1 . r BILLING & PERMIT STATEMENT x:911,0' BAKERSFULD (FIRE DEPARTMENT ---- Prevention Services PERMIT # pfRe 2101 H Strdet ARld1 a$_y°rc Bakersfield, CA 9$j01 C -.,... GC I_St All piarmits Ir>r>aust be revie* wed, stamped, and approved PRIOR. TO BEGINNING WORK. ❑ 1Aaarm - New &Modification (minimum charge) ❑ Over 10,000 sq ft 11 Sprinkler - New & Modification (minimum charge) ❑ Over 10,000 sq ft Ei Minor Sprinkler Modification ( <10 heads) ❑ Commercial Hood (New & Modification) El Additional hood El Spray Booth (New & Modification) Aboveground Storage Tank (1 inspection per inst:,allatio ❑ Additional Tank • Aboveground Storage Tank (Removal, Mod,or Inspect' • Underground Storage Tank (InstallationJinspectiOn) ❑ Underground Storage Tank (Modification) ❑ • Underground Storage Tank (Minor Modification)• El Underground Storage Tank (Removal) D Mandated Leak Detection (test) /Fuel Mont WVSB989 NOTE: $96/hr for each type of tesVper site even if. $280 $0.028 x sq ft $280 $0.028 x sq ft $96 (inspection only) $470 $58 $470 . 615322 1- 13_11' pVA$180 $96 /tank NE 1 $878 /tank $1 $96 /hr (2 hrs minimum) =$192 • RMATION LOCATION OF PROJECT PROPERTY OWNER 8325 Brimhall Rd., Bldg. 600, Bakersfield, CA 93312 Crown Pointe Investments, Inc. STARTING DATE COMPLETION DATE NAME 1/13 1/21 —�� Ashok Parmar, M.D. PROJECTNAME ADDRESS PHONE ? Central California Pain Management 8325 Brimhall Rd., Bldq. 600 (661) 912 -0867 PA ADDRESS 8325 8325 Brimhall Rd., Bldg. 600 � y P>Af 6iP—SFlEL_D STATE aA 2IPCODe 93312 • •• INFORMATION 0 CnNTRArrnR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE Lance Randolph 481999. B 10/31/1.1 (661) 327 -1436 FAX # 7 CONTRACTOR COMPANY NAIVE Wallace & Smith Contractors (661).327-8865 ZIP CODE ADDRESS CITY 3325 Landco Dr, Bakersfield. CA 93308 All piarmits Ir>r>aust be revie* wed, stamped, and approved PRIOR. TO BEGINNING WORK. ❑ 1Aaarm - New &Modification (minimum charge) ❑ Over 10,000 sq ft 11 Sprinkler - New & Modification (minimum charge) ❑ Over 10,000 sq ft Ei Minor Sprinkler Modification ( <10 heads) ❑ Commercial Hood (New & Modification) El Additional hood El Spray Booth (New & Modification) Aboveground Storage Tank (1 inspection per inst:,allatio ❑ Additional Tank • Aboveground Storage Tank (Removal, Mod,or Inspect' • Underground Storage Tank (InstallationJinspectiOn) ❑ Underground Storage Tank (Modification) ❑ • Underground Storage Tank (Minor Modification)• El Underground Storage Tank (Removal) D Mandated Leak Detection (test) /Fuel Mont WVSB989 NOTE: $96/hr for each type of tesVper site even if. $280 $0.028 x sq ft $280 $0.028 x sq ft $96 (inspection only) $470 $58 $470 . 615322 1- 13_11' pVA$180 $96 /tank NE 1 $878 /tank $1 $96 /hr (2 hrs minimum) =$192 84 98 82 82 82 82 82 844 82 82 84 84 84 $4 84 84 84 FD2021 (Rev 041101 cheduled at the same time + + ❑ Oil well (Installation, Inspection, or re- inspection) X $96 /hr 0 Tent # $96 /tent Ei After -hours inspection fee $121 /hr (2 hrs m1n1murrl) =$242 0 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 star}dby fee /insp) =$576 5 hrs min standby fee /insp) =3605 _ ❑ Re- inspection/Follow -up Inspection $961hr ❑ Portable LPG (Propane): # of Cages? ` $96 /hr ❑ Explosive Storage $266 ❑ Copying & File Research (File Research fee $56/hr), $0.25 /page ❑ Miscellaneous i 84 98 82 82 82 82 82 844 82 82 84 84 84 $4 84 84 84 FD2021 (Rev 041101 AQ ovilk