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333 i!54�ot 15�e75 RECD D APR 13 2011 <br /> / CITY OF LODI <br /> FiRE DEPARTMENT <br /> FIRE CODE OPERATIONAL PERMIT /APPLICATION <br /> Application is hereby made for permits)required by the 2010 edition of the Callfornia Fire Code.A permit constitutes permission to <br /> maintain,store,use or handle materials,or.to conduct processes that produce conditions hazardous to life or property,or to install such <br /> equipment used In connection with ouch activities.such pArmisslon shall not be construed as authority to violate,cancoi or set aside <br /> any of the provisions of the fine Code.Such permit shall not take the p1800 of any liconse required by law, <br /> Please,Complete th4 followingInformation attach an re uired Ions or documents and romp ermit fee(s). <br /> Business Name: 814 i A (scant:Name: m" - ,44,tW :I <br /> Business Address !Cil F✓1 m 4 t r `62 <br /> Email address: �' �L l <br /> t3usinass Ph# f� �. , Business Ph# <br /> APN# <br /> Describerlbu Type of Owner Ph# <br /> " <br /> Business: u vJ i�1 " <br /> permits)johock all that a 1 this list is for the most commonpermits;see CFC Chapter 1 for com fete list <br /> Permit Description-see California Piro Coda for REQUIRED Permit Dotal Is BP# <br /> Type permits <br /> ermits <br /> 105&� Aerosol l per t For hazardous rnaterlals,fiar&nablercornbuatible liquids,compressed gases,LPG,up to <br /> 706.0,4 <br /> 5 products may bo described below. <br /> Camlveds&Faln <br /> 105.0.6Cglnbu a uat-pmdudnoOpera ons More than 5 products shall be submitted separately, <br /> 1058.8 Compressed Gabeb per Tabk)105,6.8 Solid (pounds) <br /> 105610 Cryogenluflu i 0T—a 10 AID Produot Name ContalnerS12o Llauld (gallons) <br /> moae.l Cutting 8 Weldlog Gas cueta four Total Amount <br /> 106.8.7: pry Manlrg p is <br /> to5�e13 Exhibits&Trade Wws <br /> 110 105.6,14 ExploeiyestFlfewo <br /> ft <br /> 105.8,16 Flamnabla 8 COmbuetit>te LIglllds; Or131 <br /> information Ro uired <br /> 5.6,20 Holardm Materials per Table 10 6 20:Addabnel <br /> lo(amollon Nulmd <br /> 105.8.22 !i Ah-pl6d sknigg(;lop V"Alrequbed for IriaW psrrrlt) <br /> 105.8.29 W Work operations <br /> 106.8,24 Ind Ovens <br /> 105.626 Lumberyards&woadwOWNPlants <br /> 106.e.27 LP'9a8 <br /> Fora permits Inc u a he fo oW ng ntlonnation: <br /> 106.8.29 Wo�um •Deacriptlon of the type cf business and ueea to bo conducted on this property <br /> g10A20Mlsoellaneous C=buftle Stam9e •3 Sets of Plans Including:ppenilamss&Carae 91to plan whim sooess roadways shown(scale,1"'$0'ret cxnmanded) <br /> •Legond Including North IndicatorPiacos Assembly •olsiance6 to buildings,building openinos.property lines,between plies,contalnets or <br /> rot9ehnlc 8 pedal ENeeba material tanks shown Lo�cation(s):Identify all rrlat6rlalls end show all locations In storage and use <br /> R BrstArl equlpmtslt Be specific,cabinets?carts?Fixed installations?etc. <br /> &motor�uel dfs anal adlltles For INTERIOR Storage and use—show on FLOOR plan(to 60316) <br /> 106,9.98 Repairgaragm R n8 For EXTERIOR ston;ga and use—show on SITE pian(to scale) <br /> Sptaylnp ordipping •hazardous Material If permit appilc ation Is for the u80 of a hazardous materlal,coplee <br /> 10_9.8.41 of all MSDS sheets may be required,contact the Building Department <br /> 105442 a ofWap Ila and Iii byproda^ts •Fire Protection(proposed or provided);extIngulshing ayatAms,on-site <br /> me rens ettuu�,ras,leap and canopies hydrants,water supplies,itra alarm and detection systems,eta. <br /> 105.13,43 Temporaly -Secondary Containment when required (diking)por CFC Chap 27 or 34 <br /> Waste han ng •NFPA 704 placardlnp shown on plan,per area,(guideline available) <br /> 105.8.48 ."No Smoking Flammable Liquids"signs shown where requirod <br /> 105.6.4 W p uda Knox Box location,when ra7plrod <br /> t o6.6.a7.1 production Wilties and/or Live audleness <br /> tOB.7.7,s Undetgrotindstorage Tank Removal <br /> r <br /> Fir oa�e '`r user 1 s 11 <br /> Recpivod by: (date) JR; rmlt Fee,$95 each Pai `/i N <br /> Renewal?JY) Approvs�) <br /> FOIs# by: <br /> '' <br /> Pa of t <br /> Lodi Imre Department • ��.�^ ""• <br /> Tru iTia �C1HA `)KIT 1Tn - !}InwI kITr TQPT—Roc—aM7—T (e,7 :QT TTra7 rota ibn <br />