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Home My WebLink AboutUST MINOR 11-30-12HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number. D 33 q 3 Address: 0A key 57—, Bakersfield, CA 933 Date Received: Business Name: f=ee g 7-.4 Z- 5 SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spvay Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank min modification nderground Storage Tank removal Underground Storage Tank ❑ ❑ Other. Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: -521r, 1. 2. 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 / SC-C • .'OE DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE ;MODIFICATIONS MINOR / MAJOR / SC-C • .'OE p"i2 f OWNER: F,,' gTQ PERMIT NO. CONTRACTOR: kr, C— PHONE # 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 THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: 6; B /< jr, JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: F,,' gTQ PERMIT NO. CONTRACTOR: kr, C— PHONE # FD 1743 BILLING & PERMIT STATEMENT PERMIT NO.: B B R S F I D ZSPINE ARrm r BAKERSFEELD FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 or All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ • 0- 13 PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) SITE INFORMATION TOTAL TREASURY DUE ACCT ■ 84 • ■ 98 LOCATION OF PROJECT PROPERTY OWNER STARTING DATE d /COMPLETION DATE _ J PROJECT NAME NAME �o ADDRESS PHONPaJ r \ �� $280.00 PROTECT ADDRESS �1 CfTY (1 1 STATE � A ZIP COD CONTRACTOR INFORMATION Sq. Ft. x .028 = Permit fee CONTRACTOR NAME CA LICENSE NO. `} P�,M s-cs -R kc rt o So TYPE OF LICENSE. EXPIRATION DATE r O a Hq o ,� PHONE NO. g 2 -8 7 CONTRACTOR COMPANY NAME FAX NO. ADDRESS 5LV Cq ,-, CITY ZIP CODE or All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ■ • 0- 13 PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) FEE CALCULATION $280.00 TOTAL TREASURY DUE ACCT ■ 84 • ■ 98 ❑ Over 10,000 Sq. Ft Sq. Ft, x;028 = Permit fee 98 ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 11 Over 10,000 Sq. Ft. 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 • Spray Booths - New & Modifications $470.00 ■ • 84 98 • Aboveground Storage Tanks (Installadon/Insp. -1' Time) $180.00 ■ 82 ❑ Additional Tanks $ 96.00 ; 82 ❑ Aboveground Storage Tanks (RemovaUlnspection) $109.00 ; 82 • Underground Storage Tanks (InstallaflonAnspection) $878.00 (per tank) ■ 82 • Underground Storage Tanks (Modifl $878.00 (per site) ■ 82 ANr Underground Storage Tanks inor Modlfication) $167.00 • 82 • Underground Storage Tanks (Removal) $573.00 (per tank) ■ 84 • Oilwell (Installation) $ 96.00 ; 84 • Mandated Leak Detection (Testing) / Fuel Monit.Cert/SB989. Note. $96.00 for each type of test /per site (even if scheduled at the same time) $'99-86-(pefs' 9 n - ; ■ ■ 82 ❑ Tents $ 96.00 (per tent) ' 84 ❑ Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $ 96.00 + (5 hrs. min. standby fee /inspection)- 76..00 84 ❑ After hours inspection flee $121.00 ; 84 • RE- INSPECTIONS) /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 ; 84 • Miscellaneous 1 84 SITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) FD 2021 (Rev. 06/07) r BILLING & PERMIT STATEMENT PERMIT NO.: B H S F I - D FIRE iff A fir rm r BAKERSFIELD FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.' fM11 32A -3979 • Fax' 1`6611 A.92 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEG INNING WORK ON THAT PROJECT. ■ RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 - (661)392 -8687, pAYTOTHE C ORDEROF \ c^ t'-M A 1 A n r, � Cl n `� Y1 t l \' a .I f.11 CHASE v JP Morgan Chase Bank, N.A. Bakersfield, CAA 93308 LL FOR C 11 T�Y�/IMJ� -CJ !1.0040 7 iii■ is 3 2 2 2 7 1 6 2 71: ❑ Additional Tanks SITE INFORMATION ■ LOCATION OF PROJECT ` 5 PROPERTY OWNER STARTING DATE /COMPLETION DATE _ o �_ -', — ov O PROJECT NAME NAME �a C ADDRESS �` PHONE2Z Underground Storage Tanks (Installation./Inspection) �� .. PROJECT ADDRESS CITY \ STATE 7IPCOD9 $878.00 (persite) ■ 82 CONTRACTOR NAME CA LICENSE NO. O SO TYPE OF LICENSE. PIRATION DATE I 4 )A)4.4 EX 3o icy PHONE NO. CONTRACTOR COMPANY NAME 1G �U FAX NO. z r O o� ADDRESS 5U W � CITY ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEG INNING WORK ON THAT PROJECT. ■ RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 - (661)392 -8687, pAYTOTHE C ORDEROF \ c^ t'-M A 1 A n r, � Cl n `� Y1 t l \' a .I f.11 CHASE v JP Morgan Chase Bank, N.A. Bakersfield, CAA 93308 LL FOR C 11 T�Y�/IMJ� -CJ !1.0040 7 iii■ is 3 2 2 2 7 1 6 2 71: ❑ Additional Tanks 1$96.W ■ 82 • Aboveground Storage Tanks (RemovaAnspection) $109.00 : 82 • Underground Storage Tanks (Installation./Inspection) $878.00 (per tank) ■ 82 • Underground Storage Tanks (Modifi $878.00 (persite) ■ 82 .4§r Underground Storage Tanks inor Modification) $167.00 ■ 82 ❑ Underground Storage Tanks (Removal) $573.00 (per tank) ■ 84 ❑ Oilwell (Installation) $ 96.00 84 ❑ Mandated Leak Detection (Testing) / Fuel Monit.Cert/SB989. Note: $96.00 for each type of test /per site (even if scheduled at the same time) % 9 C" - : ■ ■ 82 ❑ Tents $ 96.00 (per tent) ' 84 ❑ Pyrotechnic - (Per event, Plus Insp. Fee ® $96 per hour) $ 96.00 + (5 hrs. min. standby fee /Inspection)--$576-00 84 ❑ Aker hours inspection fee $121.00 01 84 ❑ RE- INSPECTION(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 ; 84 ❑ Miscellaneous 84 FD 2021 (Rev. 06107) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) UNDERGROUND STORAGE TANK ' fir ? PERMIT APPLICATION TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD dermit-# ... J BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 1st Floor Bakersfield, CA 93301 *11"ArIffAfF Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY CHECK ONE ONLY ❑ MODIFICATION OF FACILITY E< MINOR MODIFICATION OF FACILITY STARTING DATEJ Q ^ . O O 1M '( f 1 PROPOSED COMPLETION: DATE FACILITY NAME EXISTING FACILITY PERMIT # FACILITY ADDRESS CITY , ZIP DE TYPE OF BUSINESS ]FA APN S TANK OWNER PHONES ADDRESS CITY ZIP CODE CONTRACTOR .' Ut 0.hl A CA S S . ICC S ADDRESS aM ZIRCODE ' PHONES ERSFMW CITY BUSINESS LICENSE # ." ' : WORKMANS COMPS INSURER , BRIEFLY DESCRIBE THE WORK TO BE DONE: A via WATER•TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE It OF.TANKS:TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? i Nl.... .. .. ... 113 YES ❑ NO ❑ YES ❑ NO JTHIS ;SECTION IS FOR STORAGE TANK IDENTIFICATION TANK D VOWME UNLEADED _ REGULAR PREMIUM DIESEL" OTHER, { Tank Testing Company NAME OF TESTING COMPANY ONE NUMBER '.MAILING ADDRESS 1SIOL45 . akff f 1 NAME OF TESTER ICCS UT i s — THE•APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PER3URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICCt L / ,� � � � � J b T 1. ::Nbame's THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ON DATE APPROVED APPROVE BY F02086 (Rev 08/09) ,1