HomeMy WebLinkAboutUST FMC 2-6-13l HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
77
File Number: Address: -S 7 0 C7 &J 1py tr
Bakersfield, CA 933
Date Received: 02 - G — / 3
Business Name:
SYSTEM: L BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
❑
❑
Commercial Hood System
❑
❑
Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
Spray f=inish System
❑
❑
Aboveground Storage Tank
❑
❑
Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑ ❑ Other.
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
a.
0
4.
Date Time
Signature
Signature
Comments: D5 L - Sip sum P &czx RE2/2ceo/ 7* c-- s 2"I F DZ "v i- 15 f% RD 3
v/L # A 75-Z 1 Z EAP. 3I -71,13
BILLING- & PERMIT STATEMENT
PERMIT # FIRE
AR rU
BAKERS FIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone- 661 -776 -3479 . Faxe 661 -952- 2171 --
SITE •
LOCATION OF PROJECT
AVO's Shell
•
PROPERTY OWNER
Same
STARTING DATE COMPLMON DATE
NAME
PROJECT NAME
ADDRESS
PHONE #
PROIECrADDRESS 5700 Auburn St.
cry g.4K.ERSFIEL_D STATE CA
ZIP CODE
• •
CONTRACTOR NAME CA LICENSE d
Advanced Compliance 971259
• •
TYPE OF LICENSE EXPIRATION DATE
C61 D40 3/31/2014
PHONE
661- 706 -4321
CONTRACTOR COMPANY NAME
Advanced Compliance
FAX #
661- 589 -9329
,
ADDRESS
3704 Littlefalls Ct.
CfTY
Bakersfield
ZIP CODE
93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
C1 PEwu r'rYPE FEE CALCULATION i,o,rA[-
DUE
❑ Alarm - New & Modification (minimum charge) $280
ONLY
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
❑
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
84
❑
Commercial Hood (NeW & Modification)
$470
Cl
Additional hood
$58
❑
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
82
❑
Underground Storage Tank (Removal) TR
$573/tank
84
lE
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even If
scheduled at the same time TT
$96/hr (2 hrs minimum) =$192
$2
❑
Oil well (Installation, Inspection, or re- Inspection) X
$96 /hr
82
❑
Tent #
$96 /bent
84
❑
After -hours Inspection fee
$121/hr (2 hrs minlmum) =.$242
❑
Pyrotechnic (1 permit per event, plus an Inspection fee of
$96/hr during business hours) PY
OTE: After hours Pyrotechnic event ins coon Is 121 /hr
$96 /hr + (5 hrs min standby fee/Insp) =$576
5 hrs min standb y fee fns = 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 1"
r
'�
..
..
'I
.+
T
`1'
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS TEST
P I D
jiirs
ART/I � T
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., lst Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY AVO's Shell
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 5700 Auburn St. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK#
VOLUME
CONTENTS
1
87 UL
2
87 UL
3
91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661- 706 -4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661- 706 -4321
CERTIFICATION #: A25212
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8032698
SIGNATURE OF APPLICANT A ♦
DATE 2/612013
C) M"www"Myn
APPROVED BY DATE _L
FD 2095 (Rev. 09/05)
r
i
a
r
�l
BILLING & PERMIT STATEMENT 13AKERSFIELD FIRE DEPARTMENT
---� Prevention Services
FPERMITI 1 2101 H Street
*ARr __ Bakersfield, CA 93301
Phnne- 661- 326 -3979 • Fay- 661 -R52 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
I
Li I
unucrylvuuu alyraytl 1d11K kMW1tWVd1) IK
INFORMATION SITE
LOCATION OF PROJECT
PROPERTY OWNER
AVO's Shell
Same
STARTING DATE COMPLETION DATE
NAME
PROJECT NAME
ADDRESS
PHONE #
PROJECT ADDRESS
5700 Auburn St.
�. 1 �A V eRSf:l C STATE (��
ZIP CODE
CONTRACTOR INFORMATION
$96 /tent
CONTRACTOR NAME CA LICENSE #
Advanced Compliance 971259
TYPE OF LICENSE EXPIRATION DATE
C61 /D40 3/31/2014
PHONE #
661- 706 -4321
CONTRACTOR cOMPANY NAME
FAX #
Advanced Compliance
661- 589 -9329
ADDRESS
CITY i
ZIP CODE
13704 Littlefalls Ct.
Bakersfield
93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
I
Li I
unucrylvuuu alyraytl 1d11K kMW1tWVd1) IK
4i3 /3 /EarIK
04
N
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
$96/hr (2 hrs minimum) =$192.
$2
❑
Oil well (Installation, Inspection, or re- Inspectlon) 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
O-M: After hours Pyrotechnic event Inspection Is Cgs 121 /hr
$96 /hr + (5 hrs min standby fee /insp) =$576
5 hrs min standby fee fns = 605
84
❑
Re- Inspectlon /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
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
e_�
PERMIT NO. 13-16(9600 7
PRIMARY PIPE
�,v�.�Jce aw`iC PHONE # 7 -, c�jZ
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR-10-OPERATION -.OF- ANY SYSTEM,
ALL USTAND%OR_AST SYSTEMS SHALL BE t
INSTALL,.COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE -BAKERSFIELD_CITY.FIRE DEPARTMENT.
__FIRE- DEPARTM ENT- (FINAL )"
REMARKS:
BUILDING ADDRESS:
- U O i
JOB DESCRIPTION:
r v-1 L
OCCUPANCY TYPE:
OWNER: Non,
e_�
PERMIT NO. 13-16(9600 7
CONTRACTOR:
�,v�.�Jce aw`iC PHONE # 7 -, c�jZ
FD 1743