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Home My WebLink AboutSB-989 FOLDER 3/5/2012HOODS ALARMS Permit No. Permit No. 3ao 5 File Number: _ Date Received: SPRINKLER SYSTEMS SPRAY c`1 C-) UH SYSTEM: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray minor modification removal Aboveground Storage Tank Underground Storage Tank Underground Storage Tank Underground Storage Tank Other. a 5 Comments: AST UST Permit No. Permit No. Permit No. Permit No. lS1ri- '7- aA-- w o Address: Bakersfield, CA 933 Business Name: BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: A INSPECTION LOG Date Time otgnature 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 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 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: 45w5w JOB DESCRIPTION: f OCCUPANCY TYPE: OWNER: PERMIT NO. CONTRACTOR: PHONE # FD 1743 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 r LA L 7 REMOVALLIST Agjg; DESCRIPTION lk tEMARKS: BUILDING ADDRESS: JOB DESCRIPTION: OWNER: r CONTRACTOR: i AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIOIMS"&NOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND %OR AST SYSTEMS SHALL BE iINSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.' FIRE DEPARTMENT (FINAL) iv iv OCCUPANCY TYPE: 9 t PERMIT NO. PHONE # a FD 1743 ER BILLING & PERMIT STATEMENT lloftr'' BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # FIRE o"210t S -t ET a Bakersfield, CA 93301 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. IAlarm - New & Modification (minimum charge) RICH - ENVIRONMENTAL SERVICE STATION SERVICES L1C. #809850 5643 BROOKS CT.. BAKERSFIELD, CA 93308 -3708 661) 3922 -86687 PORDE OF 280 Q2 nnr r A oc 4 F IMP CHASE JP Morgan Chase Bank, N.A. sFBakersfield, CA 93308 U AU HORIZED SIGNA REFCGr /`J %I = P II100 3a 2 ill' 1: 3 2 2 2 7 6 2 71: 308 3 SO 400 ?iin 1 SITE INF • LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME C-) k PROJECT NAME C ADORES PHONE # PROJECT ADDRESS Mandated Leak Detection (test) /Fuel Mont Ce B98 NOTE: $96 /hr for each type of test/per site ev cheduled at the same time TT 96 /hr (2 hrs minimu =$192 crr >AICERSFIELD STATE CA ZIP Oil well (Installation, Inspection, or re- inspection) X CONTRACTOR INFORMATION 82 CONTRACTOR NAME Sim CA LICENSES TYPE OF LICENSE EXPIRATION DATE PHONE V-5 : t o t t 8 CONTRACTOR COMPANY NAME FAX S tvv /v Enr - ADDRESS C_+. CITY C {_ S FI C ` ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. IAlarm - New & Modification (minimum charge) RICH - ENVIRONMENTAL SERVICE STATION SERVICES L1C. #809850 5643 BROOKS CT.. BAKERSFIELD, CA 93308 -3708 661) 3922 -86687 PORDE OF 280 Q2 nnr r A oc 4 F IMP CHASE JP Morgan Chase Bank, N.A. sFBakersfield, CA 93308 U AU HORIZED SIGNA REFCGr /`J %I = P II100 3a 2 ill' 1: 3 2 2 2 7 6 2 71: 308 3 SO 400 ?iin r _ Underground Storage Tank (Modification) MOD $878 /site ' " ` " X32 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Ce B98 NOTE: $96 /hr for each type of test/per site ev cheduled at the same time TT 96 /hr (2 hrs minimu =$192 82 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 m')m1 to-, nerna% 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 AErX3 ! InD FIRE ARTM T- BAKERSFIELD FIRE DEPARTMENT Prevention Services 621o t k-k S -.E-ET Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 LINE TESTING FUEL MONITORING CERTIFICATION e56989 SECONDARY FACILITY \ / (/ n , „ c / n ^ I NAME & PQ- O ACT PERSQhL ADDRESS OWNER NAME 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 PERSON MAILING ADDRESS 5LgL13 GT. - F3P K RSFIEt -D C °i33o£3 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # v -1 8(o S9 S09 eso DATE & TIME TEST O BE CONDUCTED ICC # TEST METHOD 5a 1 oLl3 - OT (mC0Q APPLICANT SIGNA E _ . DATE f C THIS APPLICATION BECOMES A PERMIT WH N APPROVED APPP,QVED BY I DATE FD2095 (Rev 03/08) BILUNG4%, PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # FiRe axot \ SAF_ETwRiBakersfield, CA 93301 Dhn.,o• AA1 _119 -1070 - cam..• AA1 1'71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. i Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION OF PROIEcT 1X00 PROPERTY OWNE M STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE # 7,t\_, PRO]E TADDRESS CfIY F>i KFiRS IFC_D STATE C zIPCODE 280 CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # SiP YnES : L 0 t g CONTRACTOR COMPANY NAME FAX # 84 y ADDRESS 5n k3 69__ S C*. CITY $ A- K_CRS n E L-0 ZIP CODE G 3 308 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. i 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 teak Detection (test) /Fuel Mont Ce B9 NOTE: $96 /hr for each type of test/per site n scheduled at the same time TT 96 /hr (2 hrs minimu =$192 82 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 QA PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services alol E-t S -mev—T Bakerstield, CA 93301 Phone: 661-326-3979 . Fax: 661 - 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING TANK TIGHTNESS FUEL MONITORING CERTIFICATION B -989 SECONDARY CONTAINMENT SITE INFORMATION FACILITY UNDERGROUND STORAGE TANKS ADDRESS J +ac2cv.vnrl- s.+.., t. xSF1701iliWAi' r:d.%LalFJ10Sd10.3.1I4JfSCU•F. L.+filJi:' :u"4t &tlSSa..YrYtiy; - APPLICATION weer TO PERFORM ELD /LINE TESTING/ I T SB989 SECONDARY CONTAINMENT IS PIPING GOING TO BE TESTED? YES NO TESTING/TANK TIGHTNESS TEST AND VOLUME FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per 5 separate type test accordingly.) PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services alol E-t S -mev—T Bakerstield, CA 93301 Phone: 661-326-3979 . Fax: 661 - 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING TANK TIGHTNESS FUEL MONITORING CERTIFICATION B -989 SECONDARY CONTAINMENT SITE INFORMATION FACILITY NAME &PHONE # Of C NTACT PE N 3- ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 2 2 5 TANK TESTING COMPANY TESTING COMPANY , A NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS 51n -13 3 ook.S cT. - F3A KE R.SF Ec_D C °13308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR 1 - 8co CERTIFICATION # S09 esoDATE & TIME TEST VO BE CONDUCTED ICC # T TEST METHOD I c 1 APPLICANT SIGNATU DATE 1/ n IS APPLICATION BECOMES A PERMIT WHEN APPROVED APPR BY DATE o2 Z- FD2095 (Rev 03/08)