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