HomeMy WebLinkAbout1501 TRUXTUN AVENUEHOODS ALARMS SPRINKLER SYSTEMS GG°=FIAW F 007H- AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 160 cf7 S 7 Address: '/ i i ,J 444 -
Bakersfield, CA 933
Date Received: 'Z- 15 1
Business Name:
SYSTEM: BUILDING SQUARE FEET: ONSPECTION L ®G
New Nod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Fipia} !'Am 3h'Syss1'.a:`:
Aboveground Storage Tank
Underground Storage Tank
mi
modification Underground Storage Tank
removal Underground Storage Tank
other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
a.
3.
4.
Date Time
Signature
Signature
p
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK o `mod Prevention Services
H E Y A P n 2101 H St. Bakersfield, CA 93301
ilRD Phone: 661- 326 -3979 • Fax: 661 -852 -2171
PERMIT APPLICATION 4ARTAF I
TO CONSTRUCT - INSTALL NEWTANK (NEW FACILITY) NEW Page 1 of 1
TANK INSTALL (EXISTING FACILITY)/MOD -MINOR MOD
IPermit # 1
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY
irrucrnv ^DAM nvi V \AnnICIY`eT1nAf nr GerD ITV Y 6AINCIR MC1r1wirATION OF FACILITY
STARTING DATE/ 12/30/201 1 PRoPosED cOMPLETTON DATE 12/202011
FACILITY NAME Bakersfield Police Dept. EXISTING FACILIIY PER1ar #
FACILITYADDRESS 1501 Truxtun Ave. CITY Bakersfield 21P CODE
TYPE OF BUSINESS Police Dept. APN #
TANK OWNER Bakersfield Police Dept. PHONE #
ADDRESS 1501 Truxtun Ave. CITY Bakersfield ZIP CODE
CONTRACTOR Ca Valley Equipment G LICENSE # 9217M AHAZ Icc # 520136 -U1
ADDRESS 3500 Gilmore Ave. CITY Bakersfiekl ZIP CODE 93308
PHONE # 661 - 327-9341 110BAKERSFIELD CITY BUSINESSLICENSE #
00054089
woRIWANs comp # 80- 4852009 INSURER ICW
BRIEFLY DESCRIBE THE WORKTO BE DONE Replace 87 UL vapor Spill bucket lake for lake.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL?
YES NO
SPILL PREVENTION CONTROL ANDCOUNTERMEASURES PLAN ON FILE?
YES NO
THUS SECTUOW US FOR MOTOR FUEL STORAGE TANKS
TANK # VOLUME UNLEADED REGULAR PFU34RDA DIESEL AVIATION
THIS SECTION IS FOR WON -MOTOR FUEL STORAGE TANKS
TANKS # VOLUME UNLEADED REGULAR PREMIUM DIESEL AVIATION
FOR OFFICIAL USE ONLY
APPLICATION DATE FACILRY # OF TANKS FEES S
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT ANDANY 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.
APPROVED BY APPLICANT NAME (PRINT) Bruce W. Hinsley APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2086(Rev 06/07)