HomeMy WebLinkAboutFMC FOLDER 7/30/2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOTC AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 5'3?Q t Address: /!FF5
Bakersfield, CA 933
Date Received: '2 —3. i Z
Business Name: C(tiQ-l" &NJ
SYSTEM: BUILDING SQUARE FEET: E INSPECTION L ®G
New Mod.
Commercial Hood System
Five Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Ull Other: rYl C_
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
Signature
Comments: ylrfL iiESFI s0; // 13t a ra,' %c- z,,yczl N /2 s72.r-t`
v/c
BILLING & PERMIT STATEMENT
PERMIT #
UI0 4e'
13 ISF '
t.. Flli<E `
ANYB T
BAKERSFIELD FIRE DEPARTMENT
Prevention Service--c
RX01 \ sXMV_T
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS PHONE #
PROJE&ADDRESS
CITY g/1lER S IELD STATE C ZIP CODE
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # Spam ES :G
TYPE OF LICENSE EXPIRATION DATE
o 'k
PHONE #
S
CONTRACTOR COMPANY NAME
A l {UV\ N M CA `q(-
FAX#
3a(.0
ADDRESS / CITY Q
i.. & kcce-S r( F_ LIT) ZIP CODE C 3 W6
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280 •
0 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 ont Cert/ 8989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
96 /hr (2 hrs minimu =$192 82
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 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 .NI` ' { itu4 BAKERSFiELD FIRE DEPARTMENT
E R S F 1. D Prevention Servicec
PERMIT # tl Fine RX01 StM1;r_TBRTAFr
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661- 852 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) $280
1 Over 10,000 sq ft
j...4:. Y'F-.
IM1 1
Underground Storage Tank (Minor Modification) MTM $167 /site
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
PROJECT NAME 0 ADDRESS PHONE #
PROJECT ADDRESS
QTY STATE CiA ZIP CODE
C014TRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE
t LAO AAAZ 501 t t
PHONE #
CONTRACTOR COMPANY NAME FAX #
ADDRESS CITI ZIP CODE 3• B
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) $280
1 Over 10,000 sq ft
j...4:. Y'F-.
IM1 1
Underground Storage Tank (Minor Modification) MTM $167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
Mandated Leak Detection (test) /Fuel ont Cert/ 8989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
96 /hr (2 hrs minimu =$192 82
p 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 (Fite Research fee $50 /hr) 0.25 /page 84
Miscellaneous 84
FD?n71 (Rey 04/081.
L
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 #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
FACILITY ..
ADDRESS I ^ ^ ^
OWNER NAME
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
s I oZlot t-i STREET
Bakerstield, CA 93301JAZIN'lFrITNALF Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171
T Page 1 of 1
TESRid6 SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERI TTIO
SITEINFORMATION '
NAME & PHONE # OF CONTACT PERSON ` /
tea
lei
OPERATOR NAME U PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK VOLUME CONTENTS
Ly k muw
20
3
TANK;TESTING COMPANY
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
C MAILING ADDRESS
5law3 13i ook.S C_T. — P,I 1<E+RSFIEC -D C 93308NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
DATE & TIME TEST to BE CONDUCTED ICC # TEST METHOD
3 - L)T t cm 1APPLICANTIGNARE _ DATE
at
r
3 b2
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095 (Rev 03/08)
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
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL .
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
I I I - i
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: V-W C_ OCCUPANCY TYPE:
OWNER: PERMIT NO.
CONTRACTOR: , PHONE #
FD 1743