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HomeMy WebLinkAboutUST-PERMIT COVERSHEET 3/27/2012HOODS ALARMS SPRINKLER SYSTEMS Op ° ° V BOOTHOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 3 35 7 Address: 360s-- -;enSe. S= Bakersfield, CA 933 Date Received: 3 Business Name: (,. Ck SYSTEM: BUILDING SQUARE FEET: INSPECTION L ®G New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank I_cV Other Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: 3 a. 3. 4. Date Time Signature iC 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 PIPS SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: p S JOB DESCRIPTION: . =GLA L ... _ OCCUPANC TYPE: OWNER: PERMIT NO. Q-- CONTRACTOR: ' PHONE # © FD 1743 SIL NG & PERMIT STATEMENT PERMIT # FIRE wRrr r BAKERSFIELD FIRE Prevention Servicec Bakersfield, CA 93301 nL, ---. GG1 _'2)r.-ZQ7Q a Fax' DEPARTMENT F;61 -R52 -2171 All permits must be reviewed, stamped, and approved PRIOR Alarm - New & Modification (minimum charge) $280 Over 10,000 sq ft 0.028 x sq ft LOCATION OF PROJECT PROPERTY OWNER 280 STARTING DATE COMPLETION DATE NAME PROJECT NAME 0.028 x sq ft l %( J1tl b ADDRES PHONE# Minor Sprinkler Modification (<10 heads) ls` J` 84 PROJELTADDRESS CUM Commercial Hood (New & Modification) Qry pj/KI S IE(_D STATE C.4 zIPCODE Additional hood 58 CONTRACTOR NAME 454M CA LICENSE #' TYPE OF LICENSE um r-,ur) A"Az-L EXPIRATION DATE 4 1. 301 l t. PHONE # CONTRACTOR COMPANY NAME 98 boveground Storage Tank (1 inspection per installation) AST FAX # 3ac"-8Q3y ADDRESS ' 56q-3 CITYY B kCCqS (LT) Q ^ rT F-E ZIP CODE .• All permits must be reviewed, stamped, and approved PRIOR 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 Spray Booth (New & Modification) 470 98 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 Mandated Leak Detection (test) /Fuel ont Cert/5B989 NOTE: $96 /hr for each type of test) per s if ocheduled at the same time TT 96 /hr (2 hrs minimu =$192 4 3 82 Oil well (Installation, Inspection, or re- inspection) X X96 /hr 82 Tent # 96 /tent 8`t 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 Portable LPG (Propane): # of Cages? _ 96 /hr Explosive Storage 266 W84 Copying & File Research (File Research fee $50 /hr) 0.25 /page Miscellaneous 1 LDX171 (Rpy 04/nR) j "7JI AIW BAKERSFIELD FIRE DEPARTMENT 3ILLNG &PERMIT STATEMENT • prevention Services PERMIT # Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661-852-2171 All permits must be reviewed, stamped, and approved PRILOR I U tsty11M1M11MU VvuKl%• Alarm - New & Modification (minimum charge) 1$280 0 Over 10,000 sq ft I $0.028 x sq ft LOCATION OF PROJECT C JCOMPLETION PROPERTY OWNER STARTING DATE DATE NAME oop PROJECT NAME -F`' 7C ADORES PHONE # l O PROJEtTADDRESS Qry'FjA1'C 15i'P S11 6L—D STATE CA JP CODE- CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # CONTRACTOR NAME o tSPamt CONTRACTOR COMPANY NAME FAX # C lac CODE CJADDRESSTBA, Y—CI ME C-1) ` S3 2 o(S C MAW All permits must be reviewed, stamped, and approved PRILOR I U tsty11M1M11MU VvuKl%• Alarm - New & Modification (minimum charge) 1$280 0 Over 10,000 sq ft I $0.028 x sq ft RICH ENVIRONMENTAL SERVICE STATIONSERV..ICES 90 7162/3222 3918 LIC4809850 5643BROOKSr.CT. BAKERSFIELD _CA,93308 3708 DATE v 392 8687 pAY TOTHE OF l g ORDER 414 C lac Wy CHASE JP Morgan Chase Bank; N Bakersfield; CA 93308' A2 AUTHORIZED, SIGNATFORV 7: 71I' 0039:Lgu 32 2.2 T L 308 3 50400 a'ass yala. . o -.: _ a ,.;.. W: k." 5r"i..d ..c .0 ' 4i 3.'`t,...e.`;'G{F x .':r:.y'?:•fi °'`T4'.7. G' Underground Storage Tank (Removal) TR $573 /tank Mandated Leak Detection (test) /Fuel ont Cert/SB989 96 /hr (2 hrs minimu =$192 82 NOTE: $96 /hr for each type of test/per s if jCheduledatthesametimeTT Oil well (Installation, Inspection, or re- inspection) X X96 /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 + (5 hrs min standby fee /insp) 576 84 96 /hr during business hours) PY NOTE: After hours Pyrotechnic event inspection is @ 121 /hr 5 hrs min standby fee ins = 605 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 $50 /hr) 0.25 /page 84 84 Miscellaneous w UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # rRA D T BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10 t l-t S-mv-- ET Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661 - 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION r- -UNETESTING---- ___._. —_ ,. F J 58-989 SECONDARY CONTAINMENT TANK TIGHTNESS ! F CA - UEL MONITORING CERTIFI N- v SITE INFORMATION --- FACILITY Q"i n NAME & PH E, r O NCT PERSON _ 77 47 ADDRESS vTIK•— .'ia +a. ad+' .4a41 `..:f .... n^.na'.sELi 3rGi8: Z.'FLY m*w"t.«?iw':7Yri E'«., 4- TESTING COMPANY t,3v XlRjoiJ NE v$`. dis,'..'1C35sS v..1... , "'3:'iY .4 I.A .r .G _ _ _p__ NAME A PHONE # OF CONT CT PER50 Saco-BACQ MAILING ADDRESS 1330£ NAME & PHONE # OF TESTER OR SPECIA`LL INSPECTOR _ C7 (D CERTIFICATION # 0 o DATE & TIME TEST 0 BE CONDUCTED ICC # oau i a\3 - OT TEST METHOD l J APPLICANT SIGNATURE/ Ct DATE IS APPLICATION BECOMES A PERMIT WHEN APPROVED APP BY DATE FD2095 (Rev 03/08) r. UNDERGROUND STORAGE TANKS r...._..a rra:.,_= marcs ^s s;.,t:;r.:;.R•;n-x:.. Ecs:s,:.•Ka:t;,s:> APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # R w ENHANCED LEAK DETECTION ' r— s*'TTR`T'Nr TANK TIGHTNESS )FUEL MONITORING BAKERSFIELD FIRE DEPARTMENT Prevention Services Q2 O L l-E S'GREET Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 fp SB -989 SECONDARY CONTAINMENT FD2095 (Rev 03/08) SITE INFORMATI FACILITY NAME & PHON # OF CON ACT PERSON J ADDRESS O OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY NAME & PHONE # OF CONTACT PERSON 8-4 CQ MAILING ADDRESS SIaI -13 r3c{ookS C T• - F3N\<E. F l'E.c -K) t CA °13308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR 8(D99 CERTIFICATION # S09 6so DATE & TIME TEST O BE CONDUCTED ICC it T TEST METHOD 1 vcok1 APPLICANT SIGNATURE DATE IS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVEDAPPROVED BY DATE FD2095 (Rev 03/08)