HomeMy WebLinkAboutUST MINOR 11-26-12HOODS
ALARMS
SPRINKLER SYSTEMS
SPRAY BOOTH
Permit No.
Permit No.
Permit No.
Permit No.
File Number: / 7a44
Date Received:
❑ ❑ Other.
Comments:
AST
Permit No.
UST
Permit No.
Address: --1116 % 1—^j XT-v13 40-�
Bakersfield, CA 933
Business Name: �, k�S c e � Y6s'r-ci
BUILDING SQUARE FEE F INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
Signature
SYSTEM:
New Mod.
❑ ❑
Commercial Hood System
❑ ❑
Fire Alarm System
❑ ❑
Fire Sprinkler System
❑ ❑
Spvay f=inish System
❑ ❑
Aboveground Storage Tank
❑ ❑
Underground Storage Tank
mino
modification
nderground Storage Tank
removal
Underground Storage Tank
❑ ❑ Other.
Comments:
AST
Permit No.
UST
Permit No.
Address: --1116 % 1—^j XT-v13 40-�
Bakersfield, CA 933
Business Name: �, k�S c e � Y6s'r-ci
BUILDING SQUARE FEE F INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
Signature
BILLING &PERMIT STATEMENT b BAKERSFIELD FIRE DEPARTMENT
..
• A?K a a s N its�p n Prevention Services
PERMIT # �1 PIRG `z:� 2101 H Street
OQPAR rAramr
Bakersfield, CA 93301
cct _ cam.,. 1Cc1
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. NUAMM
EY EQUIPMENT, INC
BAKERSFIELD, CA 93308
(661) 327 -4628
'11/26 /2012 1352 —
UNION BANK rs s
FRESNO, CA 1220 DATE CHECK NUMBER
Underground Storage Tank (Minor Modification) MTM
$167 /site 1 i-'21. -% Z VY c�+ 2 IIX 1
1 (0 7
" 82
•
SITE
INFORMATION
84
LOCATION OF PROJECT
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
$ 96 /hr (2 hrs minimum) = $192
PROPERTY OWNER
82
4WJ T v' vn )I1v 1V
Oil well (Installation, Inspection, or re- inspection) X
V i
s($�
82
STARTING DATE
COMPLETION DATE
Tent #
NAME
84
I.Z— i J - iZ
❑
After -hours inspection fee
I 12,
,
PROJECT NAME
❑
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
ADDRESS
PHONE #
❑
Re- inspection /Follow -up Inspection
$ 96 /hr
84
PROJECT ADDRESS
❑
Portable LPG (Propane): # of Cages? _
CITY gAi,_E- 2SFIFiLD STATE CA
ZIP CODE
�1G� Tf•+k� �•.
li"JsrJL
❑
Explosive Storage
$266
1
84
CONTRACTOR
INFORMATION
$0.25 /page
84
CONTRACTOR NAME
❑
CA LICENSE #
TYPE OF LICENSE
EXPIRATION DATE
PHONE #
m
n
?.11�
k
u IH
,.Z7- i3ti
CONTRACTOR COMPA NAME
FAX f
l:i} - Ail •
- -
7-S ' L;t 2
ADDRESS
CITY
ZIP CODE
'57-UU (f
U' A,,j
{
ZA -I/ -, �g"IV
37.J G
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. NUAMM
EY EQUIPMENT, INC
BAKERSFIELD, CA 93308
(661) 327 -4628
'11/26 /2012 1352 —
UNION BANK rs s
FRESNO, CA 1220 DATE CHECK NUMBER
Underground Storage Tank (Minor Modification) MTM
$167 /site 1 i-'21. -% Z VY c�+ 2 IIX 1
1 (0 7
" 82
•
Underground Storage Tank (Removal) TR
$573 /tank
84
•
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
$ 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
BILLING & PERMIT STATEMENT
PERMIT #
3 V D
ilR6
O' PAR1M"r
v�
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phnnp- 661 -376 -3979 • Fax: 661 -R52 -2171
All
121
❑
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
SITE INFORMATION
❑
LOCATION OF PROJECT
PROPERTY OWNER
41 u 1 T ,j
CI, 1 6 1 ye rs
STARTING DATE COMPLETION DATE
NAME
IS-10- I?-
F 2
$280
r-
PROJECT NAME
ADDRESS
PHONE #
PEA F.* , r
v +„ n C
20 3
PROJECT ADDRESS 13
'•1101 -Tr--0-.,
�., gf� K E12 sal l✓ L D STATE CA
ZIP CODE
X133
A-.rc A0 €
•
0 9
• .• INFORMATION
84
CONTRACTOR NAME CA LICENSE #
TYPE OF LICENSE EXPIRATION DATE
PHONE #
blo - A- A 21133
1 A 1A 3Q- 14
27- 34
CONTRACTOR COMPA NAME
FAX #
CA - All -
2.S 2,T7- 9
ADDRESS
CITY
ZIP CODE
JSUJ CO, I Ad Or AV EA-JC
A-11, e's f, ar I
3 J to
All
121
❑
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
'
TREASURY
ACCT NO
❑
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
•
Sprinkler - Minor Modification ( <10 heads)
$ 96 (inspection only)
84
❑
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
$470
58 hood
•
Commercial Hood - Minor Modification add /move nozzle
( )
$ 96 (inspection only)
84
•
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
$167 /site 11-71 - -1Z C1(, I�j$a 1101
(0-7
82
•
Underground Storage Tank (Removal) TR
$573 /tank
84
•
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
$ 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
1
—7.21
('Rpv W;/l 1
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Permit #
TYPE OF APPLICATION:
(CHECK ONE ONLY)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
/Ills Phone: 661 - 326 -3979 • Fax: 661- 852 -2171
ARf11 f
Page 1 of 1
❑ NEW TANK INSTALL/NEW FACILITY
❑ MODIFICATION OF FACILITY
❑ NEW TANK INSTALL/EXISTING FACILITY
MINOR MODIFICATION OF FACILITY
STARTING DATE/ t
�2 o !2
PROPOSED COMPLETION DATE
i2�12/12
FA NAME
C,
EXISTING FACILITY PERMIT #
FACILITY'ADDRESS
D1 + Fl
CITY
ZIP CODE
o
TYPE OF BUSINESS
C i
APN #
TANK OWN R F
�, �
PHONE #
Zo3 - 537
ADDRESS
So 1 T x+-.. A-v
CITY
d
ZIP CODE
o
CONTRACTOR LICENSE #
C - A-1 2
ICC #
ADDRESS
3T-U0 (y I M 44 JE A.14
CITY t
Pr ors f7 IF Id
ZIP CODE
515 -0 v
PHONE
2. %' `t I
BAKERSFIELD CITY BUSINESS LICENSE #
(3 t)(3 S 089
WORKMANS COMP #
WS T'00 -6 W '6400-
INSURER
Ins. W. J w
BRIEFLY DESCRIBE THE WORK TO BE DONE:
In 1 far PeAE+ a u, 4� j V I
5 i
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
TARE THEY FOR MOTOR FUEL?
YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
I5 o0
1r uua
uu
iT' (quo
Tank Testing Company
NAME OP TESTING COMPANY
Chi - i
PHONE NUMBER
32 - y
MAILING ADDRESS
3S'0 0 (Ott 4iopif 4,j4FAJ rS CA• q33 OV
NAME OF TESTER
If i
ICC#
309
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 PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
iz
APFQVED Y
FD2086(Rev 08/09)
5+-
if I
is
PATENTS
PENDING
Permanently solve the problem !
FEATURES:
• No excavation needed
• No disconnecting pipe
• Minimize station down time
• Lowest overall cost
• For flat or round walls
• Low profile: less than 2"
• Angle Adjustability: 0 - 20°
• Alternate models: 20 - 45°
• Tank -Spec FRP material
• No metal or rubber parts
• Warranted for fuel submersion
• 30 Year Corrosion Warranty
• Only True FRP Retrofit Fitting
• PERMANENTLY replaces all
types of flexible entry boots.
IMAGES COURTESY OF BRAVO INSTALLERS
no more
repairs.
W,
S989
RETROFIT
J
D
12D
B PAV0 WWW.SBRAVO.COM Ce'rtijied
d=. made -sENC PR13BLEMSOLVED 800 -AT -BRAVO in USA 1C�mcniUurinessEnugrcise MEMBER
FITTING MODELS FOR 0 -200 DEGREE ADJUSTABILITY
ROUND AND FLAT WALLS
Model Number
Wall type
Pipe type and size
Angle
Adjustabilfty
O.D.
Length
Adhesive
Included
List
F- 05- Retrofit -S
Flat/Round
1/2" Conduit / RobRoy
0 - 20° deg.
5 "o
2"
1
$ 165
F- 07- Retrofit -S
Flat/Round
3/4" Conduit / RobRoy
0 - 20° deg.
5 "o
2"
1
165
F- 10- Retrofit -S
Flat/Round
1" Conduit / RobRoy
0 - 20° deg.
5 "0
1 2"
1
165
F- 20- Retrofit -S
Flat/Round
2" Fiberglass
0 - 20° deg.
7 "o
2"
2
215
F- 30- Retrofit -S
Flat/Round
3" Fiberglass
0 - 20° deg.
7 "o
2"
2
215
F- 40- Retrofit -S
Flat/Round
4" Fiberglass
0 - 200 deg.
8 "o
2"
2
215
F- 20- Retrofit -S -LCX
Flat/Round
2 "Ameron LCX
0 - 20° deg.
I 7 "o
2"
1 2
1 215
F- 30- Retrofit -S -LCX
Flat/Round
3" Ameron LCX
0 - 20° deg.
7 "0
1 2"
2
1 215
F- 40- Retrofit -S -LCX
Flat/Round
4" Ameron LCX
0 - 20° deg.
8 "o
1 2"
2
1 215
FITTING MODELS FOR 20-45° DEGREE ADJUSTABILITY
FLAT WALLS ONLY
Model Number
Wall type
Pipe type and size
Angle
Adjustability
O.D.
Length
Adhesive
Included
List
F -05- Retrofit - 2045 -S*
Flat
12" Conduit / RobRoy
20 - 45° deg.
7 "o
2"
3
$ 275
F -07- Retrofit - 2045 -S*
Flat
3/4" Conduit / RobRoy
20 - 45° deg.
7 "o
2"
3
275
F- 10- Retrofit- 2045 -S*
Flat
1" Conduit / RobRoy
20 - 45° deg.
7 "o
2"
3
1 275
F- 20- Retrofit- 2045 -S*
Flat
2" Fiberglass
20 - 450 deg.
7 "o
2"
4
325
F- 30- Retrofit- 2045 -S*
Flat
3" Fiberglass
20 - 45° deg.
8 "o
2"
5
375
F- 40- Retrofit- 2045 -S*
Flat
4" Fiberglass
20 - 450 deg.
9 "o
2 -1/2"
5
475
F- 20- Retrofit- 2045 -S -LCX*
Flat
2" Fiberglass
20 - 45° deg.
8 "o
2"
4
325
F- 30- Retrofit- 2045 -S -LCX*
Flat
3" Fiberglass
20 - 450 deg.
9 "0
2"
1 5
1 375
F- 40- Retrofit- 2045 -S -LCX*
Flat
4" Fiberglass
20 - 45° deg.
11 "o
2 -1/2"
1 5
1 475
FITTING MODELS FOR 20-450 DEGREE ADJUSTABILITY
ROUND WALLS ONLY
Model Number
Wall type
Pipe type and size
Angle
Adjustability
O.D.
Length
Adhesive
Included
List
F -05- Retrofit - 2045 -S -RND*
Round
12" Conduit / RobRoy
20 - 45° deg.
7 "o
2"
3
$ 315
F- 07- Retrofit- 2045 -S -RND*
Round
314" Conduit/ RobRoy
20 - 45° deg.
7 "o
2"
3
315
F -10- Retrofit- 2045 -S -RND*
Round
1" Conduit / RobRoy
20 - 450 deg.
7 "o
2"
1 3
315
F- 20- Retrofit- 2045 -S -RND*
Round
2" Fiberglass
20 - 450 deg.
7 "o
2"
4
365
F -30- Retrofit - 2045 -S -RND*
Round
3" Fiberglass
20 - 45° deg.
8 "o
2"
5
395
F- 40- Retrofit- 2045 -S -RND*
Round
4" Fiberglass
20 - 450 deg.
9 "o
2 -1/2"
5
525
F- 20- Retrofit 2045 -S- LCX -RND*
Round
2" Fiberglass
20 - 45° deg.
8 "o
2"
4
365
F- 30- Retrofit 2045 -S4-CX RND*
Round
3" Fiberglass
20 - 450 deg.
9 "o
2"
5
395
F -40- Retrofit- 2045S-LCX RND*
Round
4" Fiberglass
20 - 450 deg.
11"o
2 -1/2"
5
525
* All 20-45° Degree models include an Offset Plate kit
OFFSET PLATES FOR GREATER WALL CONTACT
Model Number
Description
List
F- 2x7 -OFFSET -S
2" I.D. x 7" O.D. split FRP offset for Flat Walls
$ 80
F- 2x7 -0FFSET -S-RND
2" I.D. x 7" O.D. split FRP offset for Curved Walls
80
F- 5x10-OFFSET -S
5" I.D. x 10" O.D. split FRP offset for Flat Walls
100
F -5x10- 0FFSET -S -RND
5" I.D. x 10" O.D. split FRP offset for Curved Walls
100
ADHESIVE - RETROFIT - EPDXY -KIT 7oz epoxy kit $ 30
rf
-- k--AKK
High -end materials match UST spec UL1316
to ensure longevity and fuel compatibility
l .
0
0
Aaron Straw
Certification Type(s):
Retrofit
made
Company: Cal - Valley Equipment
in USA
State: California
Expires: 10 / 29 / 2014
O D
www.BBRAVO.com
Mario A. Damas
Certification Type(s):
Retrofit
Company: Cal - Valley Equipment
State: California
Expires: 10 / 29 / 2014
made
in USA
M ,gs
www.BBRAVO.com Q � Ik
A.
International Code Council ' International Code Council 1
500 New Jersey Avenue, NW 500 New Jersey Avenue, NW
Washington, DC 20001 Ian Washington, DC 20001 j
The individual named hereon is CERTIFIED In the
R categories shown, having been so certified pursuant to
successful completion of the prescribed written
examinations.
Not valid unless signed by certificate holder.
ICC Certification attests to competent knowledge of codes and
standards.
;J A
COUNCIL:
The Individual named hereon is CERTIFIED In the
categories shown, having been so certified pursuant to
successful completion of the prescribed written
examinations. J
Not valid unless signed by certificate holder.
ICC Certification attests to competent knowledge of codes and
standards.
- 62811 e ADA
loon end Repair- Exp. QW24W 1� J�
EIrl": COMM*
31
. ---- — --_________._____,________
Congratulationsl You have demonstrated a commitment to the code enforcement profession by successfully achieving ICC
certification. Your certification information will be posted on the Certification Website as an Active Certification.
www.iccsaf%M
CERTIFICATION RENEWAL - Certification is valid for a three year period. For Renewal Information see the Bulletin at
wwwiccsafe.oro
AST/UST Certification Renewal - Certification is valid fora two year period.. For Renewal Information see the Bulletin at, �
www.iccsafe.oro
f; NAFED Certification Renewal - NAFED must receive your application for recertification and documentation at least 60
days prior to the expiration date of the current certification. www nofed:ora /certificatioN
Renewal of certifications is the resvonsi6lllty of the certliled Individual. Please make sure you keep track of your
renewal date(s), and advise ICC of any CHANGE OF ADDRESS: MYj9M!lccsaie•oryo
If you have achieved a NAFED certification you must notify NAFED of any change of address. www.nafed.orn
Best wishes for continued success in your career, and thank you for.your interest in the Certification Programs of the
International Code Council.
iJSZ - 6;Lttamm ' nadPAP*- EW0024M2
.. �.__
'to
G•�u _
t
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perforation and F4 �. befio placing in wallet
r�e