HomeMy WebLinkAbout2013 FOLDERHOODS ALARMS SPRINKLER SYSTEMS SPRAY o c nor H AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: '3&'()Cf(10
Date Received: (5-a6 - 3
minor
modification Underground Storage Tank
removal Underground Storage Tank
❑ Other. �
s ,
Address:
Bakersfield, CA 933
Business Name: A poo 2 9:Fj,6rt f
SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: D (
a.
3.
4.
Date Time
Signature
SYSTEM:
New
Mod.
❑
❑
Commercial Hood System
❑
❑
Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
"i"wa y FWsh
❑
❑
Aboveground Storage Tank
❑
❑
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
❑ Other. �
s ,
Address:
Bakersfield, CA 933
Business Name: A poo 2 9:Fj,6rt f
SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: D (
a.
3.
4.
Date Time
Signature
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
F TANK TESTING _ -- _.
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERATION OF ANY SYSTEM,,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY I THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: 57`
JOB DESCRIPTION: my C_
OCCUPANCY TYPE:
OWNER: — 5—t—C)v
PERMIT NO. 1,3 -1 /5
CONTRACTOR: grc-b, PHONE #372 —
FD 1743
BILLING & PERMIT STATEMENT
PERMIT NO.:
BAKERSFIELD FIRE DEPT.
8 E R S F I 1L D Prevention Services
4 FARE
AlPrr r 1600 Truxtun Ave Ste 401
Atulu Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
SITE INFORMATION
LOCATION OF PR CT
PROPERTY OWNER
STARTING DATE 1 COMPLETION DATE
NAME
PROJECT NAME
DRE �.
PHONE NO.
PROJECT ADDRESS 2� C)
CITY STATE
ZIP CODE
CONTRACTOR
CONTRACTOR NAME CA LICENSE NO.
J tt O 50
INFORMATION
TYPE OF LICENSE. EXPIRATION DATE
f vgN�l 3C, ,2Of
PHONE NO.
4 2 —'� i
CONTRACTOR COMPANY NAME
1GU
FAX Nn. p
80
ADDRESS � �
CITY
ZlPwut
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■
❑ Alarms - New & Modifications - (Minimum Charge) $280.00 • ■
• ■
•
•
98
❑
Over 10,000 Sq. Ft.
Sq. Ft. x.028 = Permit fee
■
■
84
98
❑
Sprinklers - New & Modifications - (Minimum Charge)
$280.00
■
■
84
98
❑
Over 10,000 Sq. FE
Sq. Ft. x.028 = Permit fee
■
•
84
98
❑
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
p
Spray Booths - New & Modifications
$470.00
■
■
84
98
❑
Aboveground Storage Tanks (lnstalladoNinsp. -1" Time)
$180.00
■
82
❑
Additional Tanks
$96.00
N
82
❑
Aboveground Storage Tanks (Removadinspection)
$109.00
82
❑
Underground Storage Tanks ( Installation. /Inspection)
$878.00 (per tank)
■
82
❑ -, .,
Underground Storage Tanks (Modification)
$878.00 (per site)
■
82
•
Underground Storage Tanks (Minor Modification)
$167.00
■
82
•
Underground Storage Tanks (Removal)
$573.00 (per tank)
■
84
•
Oilwell (Installation)
$ 96.00
84
Mandated Leak Detection (Testing) / Fue Monit.Ce S8989.f
Note: $96.00 for each type of test1 per site ( n if uled
at the same time)
tie (per & iteL % 9 ,� n
■
■
82
❑
Tents
$ 96.00 (per tent)
■
84
❑
Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour)
$ 96.00 + (5 hrs. min. standby fee linspection)�76..00
84
❑
After hours inspection fee
$121.00
;
84
❑
RE4NSPECTION(S) / 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 (Fie Research Fee $50.00 per hr)
250 per page
;
84
❑
Miscellaneous
B4
FD 2021 (Rev. 06107)
1- ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
f
BILLING & PERMIT STATEMENT
LP ERMIT NO.:
09 At� 8 R Sf 1 D
FIRE
ARTY r
BAKERSFIELD FIRE DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (6611 326 -3979 • Fax: ('66111852-2171
SITE INFORMATION
- rvY J 7U 4uu rII-
Underground Stour g an I o "
nra "t
01Iwell (Installation) $ 96.00 oil
LOCATION OF PR CT
J—
oSTARTING
PROPERTY OWNER Cjj
DATE COMPLETION DATE
NAME
PROJECT NAME 1— �.
DRE _ l
PHONE NO.
PROJECT ADDRESS 20 V
CITY STATE /I
/111`
ZJP CODE
CONTRACTOR INFORMATION
Pyrotechnic - (Per event, Plus Insp. Fee ® $96 per hour)
CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE EXPIRATION DATE
J �rrYl>ES "R
PHONE NO.
-8
30.201
9 2 7
CONTRACTOR COMPANY NAME
CA-1 V_-N
FAX NO. p
- O O
ADDRESS
CrrY
ZlPwue 9 33 ci
AU permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
❑ 1 Alarms - New & Modifications - (Minimum Charge)
❑ I Over 10,000 Sq. Ft,
- New & Modifications - (Minimum Charge)
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC.ft809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
(661).392 -8687
P AYTO7HE = _
ORDER OF
=h CHASE
JP Morgan Chase Bank, N.A.
Bakersfield, CA 93308
FOR
119004160116 ': 3 2 2 2? i, r_ a �r-
$280.00
■ 98
Sq. Ft. x".028 = Permit fee ■ 84
■ 98
$280.00 ■ 84
■ 98
'SMIL-7
❑
❑
- rvY J 7U 4uu rII-
Underground Stour g an I o "
nra "t
01Iwell (Installation) $ 96.00 oil
Mandated Leak Detection (Testing) / Fue nit.Ce SB989.
Note. $96.00 for each type of test 1 per site (4,0n if bled
at the same time)
${J896{�ersite� J 9 ,O n
-
■
■
■
■
82
❑
Tents
$ 96.00 (per tent)
■
84
❑
Pyrotechnic - (Per event, Plus Insp. Fee ® $96 per hour)
$ 96.00 + (5 hrs. min. standby fee Anspection)=$576_00
84
❑
After hours inspection fee
$121.00
:
84
❑
RE4NSPECTION(S) /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
❑
Miscellaneous
84
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06107)
UNDERGROUND STORAGE TANKS
nr�vms+es�a- .m,+rmao:::.H.,� : �aa+y ;•vNxe+ze�,:sL..
g,. rear
APPLICATION ARtrr
TO PERFORM ELD /UNE TESTING /
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
indWuai tests and will be charged per
separate type test accordingly.)
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
a101 t-t S'MF- .T
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LI ❑ SB-989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS g FUEL MONITORING CER FICATION
FD2095 (Rev 03/08)
FACILITY „
w
NAME & PHONE it OF CONTACT PERSON
ADDRESS
-
an
OWNER NAME
OPERATOR NAME
PERMIT TO OPERATE A
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK
VOLUME
CONTENTS
2
TANK TESTINQ COMPANY
TESTING COMPANY 'Q,,�,�
NAME & PHONE # OF CONTACT PERSON
MAILING ADDRESS
�y 3 �C{00%S GT. - F3/tKEaRSF lEc-D . C� °13308
NAME A PHONE a QF TESTER OR SPECIAL INSP OR
U
CERTIFICATION ? �� c)
DATE & TIME TEST TO 8E NDU G
l
ICC ?
TEST METHOD
(2C& APPLICANT SIGNA RE
- ;/ ��, il
DATE
(-�,IS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVE
r
DATE
FD2095 (Rev 03/08)
1
e I -