HomeMy WebLinkAbout3620 WILSON ROADHOODS ALARMS SPRINKLER SYSTEMS SPRAY Y ° C°30o0oTH AST USTPermitNo. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: _ '7/ Address:
Date Received: 3- Z _ Bakersfield, CA 933
Business Name: -d(L
Other: , Gc
Comments:
INSPECTION LOG
Date Timim
Signature
SYSTEM: BUILDING SQUARE FEET: New Mod.
Commercial Hood System Building Sq. Feet:
Fire Alarm System Calculation Bldg. Sq. Ft:
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
El Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other: , Gc
Comments:
INSPECTION LOG
Date Timim
Signature
UNDERGROUND STORAGE TANKS
F.
A ar,
APPLICATION
TO PERFORM ELD /LINE TESTING/ ti
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
OF TANKS TO BE TESTED:
Please note that these are separate
TANK #
Individual tests and will be charged per
CONTENTS
separate type test accordingly.)
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q10( Nk S -mev -T
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661 - 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION E TESTING 11 SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS .FUEL MONITORING CERTIFICATION .
FD2095 (Rev 03/08)
ITE INFOR -ATI
FACILITY NAME & PH E # OF CONTACT PERSON
ADDRESS
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
2 1
V5L
TANK TESTING COMPANY
TESTING COMPANY NAME & PHONE iF OF CONTACT PERSON
MAILING ADDRESS
SIaI -! 3 3 ookS GT . - F3AcK RSF 1 E c-D C °133og
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
RSIAA) M&1v `10 - 8(o q
CERTIFICATION #
P-)09 85v
DATE & TIME TEST O BE CONDUCTED ICC #
0aU i a13 - L) T
TEST METHOD
APPLICANT SIGNATURE
1 DATE
3 //-z
Ti s APPLICATION BECOMES A PERMIT WHEN APPROVED
AP OVED BY
t
DATE
3—
FD2095 (Rev 03/08)
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
5 p 1 1. revention Servicpc
PERMIT # FIRE R101 }\ StV_VZ_TAjmrrAFrBakersfield, CA 93301
Phnne :661- 326 -3979 • Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280
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
Additional hood $58
1 Spray Booth (New & Modification) $470
boveground Storage Tank (1 inspection per installation) AST
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER T
1 \
STARTING DATE COMPLETION DATE NAME
Additional Tank ATI
PROJECT NAME ADDRES / „20 PHONE #
PROJE T ADDRESS SO i 1 an g CI _ERS F I E LD STATE C A ZIP CODE
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE #
Sparn V-5
TYPE OF LICENSE IXPIRATION DATE
I o 1, k
PHONE #
Sc [
CONTRACTOR COMPANY NAME
vv lV .1 r+Et L
FAX #
3aco -893 y
ADDRESS
I
JZOCS
CITY
7T C ( F CAD ` UP CODE C 33oe
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280
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
Additional hood $58
1 Spray Booth (New & Modification) $470
boveground 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
5,Mandated Leak Detection (test) /Fuel ont Ce SB989
NOTE: $96 /hr for each type of test/pe ' even if
scheduled at the same time TT
96 /hr (2 hrs minimu =$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
OTE: 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 Iu' BAKERSFIELD FIRE DEPARTMENT
E R l L`8 Prevention Servicpc
PERMIT # tl FIRE a10t
ARfN T Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER T
STARTING DATE COMPLETION DATE NAME 1 ,
PROJECT NAME ADDRES (
670
PHONE*
PRO)E T ADDRESS C +/ Cny g{ ER S( ELT) STATE C ZIP CODE
CONTRACTOR INFORMA
CONTRACTOR NAME CA LICENSE #
TION
TYPE OF LICENSE EXPIRATION DATE PHONE #
CONTRACTOR COMPANY NAME FAX #
L
T.-tiL _wuT
M' .:q iF' yt.. fi r.: ,%.J. 4''Y '..:i "vi.. :..r n i YYi?.:.
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
Mandbted Leak Detection (test) /Fuel ont Ce SB989
NOTE: $96 /hr for each type of test/pe i even if
scheduled at the same time TT
96 /hr (2 hrs minimu =$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
13 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
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
C 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 ;THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS:
JOB DESCRIPTION: FVtk C— OCCUPANCY TYPE:
OWNER: PERMIT NO.
CONTRACTOR: , PHONE #, d
FD 1743