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HomeMy WebLinkAbout1700 MT VERNON AVENUEHOODS ALARMS SPRINKLER SYSTEMS "ON) "f" AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 6z0 File Number. Address: i 26C 't,t`c , --\ k4- r50 Bakersfield, CA 933 Date Received: Business Name: ., 'tiVl c G`C- SYSTEM: BUILDING SQUARE FEET: 6I PECTION L ®G New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank a Other. t "l C— Building Sq. Feet: l Calculation Bldg. Sq. Ft: -4t< 1. a. 3. 4. Date Time Comments: Fes• S // Z Vie A 2909- l CXP ; t 01 &ls Signature Signature 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 PERMIT NO. 1-166 PRIMARY PIPE c C- PHONE # SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE REMARKS: 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) BUILDING ADDRESS: 120 v i , e JOB DESCRIPTION: T-- vK C_. OCCUPANCY TYPE: OWNER: PERMIT NO. 1-166 CONTRACTOR: c C- PHONE # FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/UNE TESTING/ SS989 SECONDARY CONTAINMENT TESTINGITANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please now that these are sepm to IndWidual bases and win be charged per separate type blest accordingly.) PERMIT 0 ENHANCED LEAK DMEC M O TANK 7D6FiT11ESS fPIR RAKERSFIELD FIRE DEPARTMENT Prevention Services Qlot K 5,mF -ET . Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 -852 -2171 Page 1 of 1 muss (Rev 03/M RICH ENVIRONMENTAL SERVICE STATION SERVICES 90-716213222 LIC.#809850 - 3814 5643 BROOKS CT. BAKERSFIELD, CA 93308.3708 DATE /6)(51111 661) 392-8687 11 40-0 UHA5E: JP Morgan Chase Bank NA, Bakgrsfiald, CA FOR f'v)pnAl'+-'r A A4-- V-" It.qr 4 ay&a 031B & 14111 1:32227 16 271: 3013350 11.0071Im e RIZM SIGNATURAUT140' 676, UNDERGROUND STORAGE TANKS BAKERSFIELD FIRE DEPARTMENT Prevention Services am( irk STREET APPLICATION v/RL N Bakerstield, CA 93301ARTNATOPERFORMELD /LINE TESTING / . Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171 SB989 SECONDARY CONTAINMENT Page i of iTESTING/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 # ENHANCED LEAK DETECTION LINE IESTING SB -989 SECONDARY CONTAINMENT 1:1 TANK TIGHTNESS EL MONITORING CERTIFICA ON SITE INFORMATION `' 3 FACILITY NAME & PHONE # OF CONTACT PERSON ADDRESS OWNER NAME Y)n got OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TESTING COMPANY NAME &PHONE # OF CONTACT PERSONrev `Rp N E L MAILING ADDRESS 51a -13 13i.00 cS GT. - F3PtKE+RSF E. -O C °1330£ NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR O _ CERTIFICATION # JU1809CJ DATE & TIME TEST 0 BE CONDUCTED ICC # TEST METHOD OT J APPLICANT SIGNATURE DATE U T IS APPLICATION BECOMES A PERMIT WH N APPROVED AP ED BY DATE FD2095 (Rev 03/08) Jf SILLaNG PERMIT STATEMENT 1102holr& BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # + FIRE o'"21 1 ST ETdAR1jT Bakersfield, CA 93301 ran permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK_ RICH ENVIRONMENTAL SERVICE STATION SERVICES 90- 7162/3222 3 814LIC4809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 DATE 661) 392 -8687 CHASE JP Morgan Chase Bank, N.A. Bakersfield, CAA 9^3308 - p1 /^ //j' ( i FOR 4 2 -! I CO1 ,, V Y L • l J l l O A 11' 038L411' :32227L627: 308 3 50 1.100 7111 OJ F AUTHORIZED SIGNATURE F IQ'I- x riw fc. vvt- .c.vv7i7 F rOA. 001-07L'L1/1 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME VQACn a, PROJECT NAME M ADDRE PHONE PROJE& ADDRESS 82 21 cny STATE aA ZIP CODE CONTRACTOR INFORMATION Underground Storage Tank (Removal) TR CONTRACTOR NAME SPYri CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Mandated Leak Detection (test) /Fuel M "Ce 6989 NOTE: $96 /hr for each type of test/pen if at the same time TT 96 /hr (2 hrs minimu =$192 0 l l SqgQCONTRACTORCOMPANYNAMEFAX # k tvvt ry r Enrrq - I ` 3ac0- 8Q3 -1ADDRESS 5La k3 13 Zoo s c CITY 31k k<_;7 ( L ZIP CODE G a 30 ran permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK_ RICH ENVIRONMENTAL SERVICE STATION SERVICES 90- 7162/3222 3 814LIC4809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 DATE 661) 392 -8687 CHASE JP Morgan Chase Bank, N.A. Bakersfield, CAA 9^3308 - p1 /^ //j' ( i FOR 4 2 -! I CO1 ,, V Y L • l J l l O A 11' 038L411' :32227L627: 308 3 50 1.100 7111 OJ F AUTHORIZED SIGNATURE F IQ'I- x E 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 scheduled Mandated Leak Detection (test) /Fuel M "Ce 6989 NOTE: $96 /hr for each type of test/pen if at the same time TT 96 /hr (2 hrs minimu =$192 g2 0 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 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 im,)m1 /D—, nAmm E BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servican PERMIT # I 'x101 At %ARE ET Bakersfield, CA 93301 I ii wl Niglio mun De refflewear stamped, and approved PRIOR TO BEGINNING WORK. 0 SITE INFORMAr.ION Fe; I. . .... r. i t A WI + t All- i AR I3 MEN-, Wiffirw VI ±WWKUW' 0.028 x sq ft XW— M Sprinkler - New & Modffkat(on (minimum charge) 280 0 alm rOR 0.028 x sq ft CONTRA( INFORMATION Minor Sprinkler Modiflcation ( <10 heads) 96 (inspection only) 84 Commercial Hood (New & Modfl4catlon) 470 r Additional hood 56 I ii wl Niglio mun De refflewear stamped, and approved PRIOR TO BEGINNING WORK. 0 Alarm - New & Modification (minimum charge) 280 p Over 10,000 sq R 0.028 x sq ft 0 Sprinkler - New & Modffkat(on (minimum charge) 280 0 Over 10,000 sq ft 0.028 x sq ft 0 Minor Sprinkler Modiflcation ( <10 heads) 96 (inspection only) 84 Commercial Hood (New & Modfl4catlon) 470 Additional hood 56 0 Spray Booth (New & Modification) 470 98 round Storage Tank 1 inspection per Installation) AST 180/tank 820AdditionalTankATI96/tank 109/tank 878/tank 878/site 167 /stbe 573/tank 82OAbovegroundStorageTank (Removal, Mod,or Inspet'n) A 820UndergroundStorageTank (Instailatlon/inspectlon) NI 82UndergroundStorageTim* (Modifation) Mop 82UndergroundStorageTank (Minor Modiflcaton) 82 Underground Storage Tank (Removap 84 Mandated teak Detection (test)/ VC 8989 NOTE¢ $96/hr for each type of test/pe if scheduled at the some time TT 96/hr (2 hrs minim =$192 ' 96/hr 96Aent 121/hr (2 hrs minimum).$242 96/hr + (5 hrs min standby ffeepnsp) =$576 82 p Oil well (Installation, Inspection, or re- irspecion) X 82OTent 840After -hours won fee 0 ink (1 permit per event, plus an inspection fee of96/hr during business hours) ry 84 0 Re- inspemWftbw -up Inspection $96/hr 840PortableLPG (Propane): # of Cages? $96/hr 840EqkgwStorage $266 840Copying & Flt Research(Rle Research fee $$50 /hr) $0.25/page 0 Mkmianarnec BILLING & PERMIT STATEMENT goftpN'' BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # FIRE ax01 StR ET Bakersfield, CA 93301 1411 PCUMIX5 must De 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 lVllc. UV1'.7L0'.77/7 •Tax: 001'8 L-Ll/1 SITE • LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME Spray Booth (New & Modification) PROJECTNAME ADD U PHONE S PROJECT ADDRESS CITY gAK ERS j= (E l_D STATE C'4 ZIP CODE CONTRACTOR NAME Sim CA LICENSE 3 TYPE OF LICENSE EXPIRATION DATE PHONE # 82 CONTRACTOR COMPANY NAME 96 /tank tvv iv . ELI r} FAX # 3a -8Q3 y1cL' ADDRESS JCa 3 132 oo S Cam . aTY B Ar y D ZIP CODE G 3308 1411 PCUMIX5 must De 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 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 Mandated Leak Detection (test) /Fuel M nt Ce 8989 96 /hr (2 hrs minimu =$192 82NOTE: $96 /hr for each type of test/per ier a even if scheduled at the same time TT 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 + (5 hrs min standby fee /insp) =$576 8496 /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 Miscellaneous 84