HomeMy WebLinkAboutMinor Mod 9/28/12 (4 spill buckets)HOODS ALARMS SPRINKLER SYSTEMS AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 5 339 3 Address: Z Z 0 y -.Jc(ANP, -P— L.K1
Bakersfield, CA 933
Date Received: f— I Z
Business Name: '-Q S -, U e ( S
SYSTEM: BUILDING SQUARE FEET: I ONSPECTION L ®G
New Mod.
minor
modificatio
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Fin-fis h GVsverei
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
Other.
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: -5/ S, C r
2.
3.
4.
Date Time
Signature
Signature
OAF
DFti
U
4VjCES o,
COMPLIANCE WITH CONFIDENCE"
September 21, 2012
CITY OF BAKERSFIELD
Attn: David Weirather
Office of Environmental Services
Fire Department /UST Program
2101 H Street
Bakersfield, CA 93301
To Whom It May Concern:
Enclosed for your approval, please find Application to
Perform Minor Modification and Billing and Permit Statements,
along with our check in the amount of $167.00.
Please fax the approved Applications and permit fee
receipts to our office at 661- 587 -9758.
Should you have any questions, please feel free to contact
me at 631 -3870.
Thank you for your attention herein.
Enclosures
Yours truly,
CONFIDENCE UST SERVICES, INC.
Karli Karns, Dispatch Coordinator
16250 Meacham Road • Bakersfield, CA 93314
661) 631 -3870 or (800) 339 -9930
FAX (661) 587 -9758
BILLING & PERMIT STATEMENT ;;;;1•° 13AKERSFIELD FIRE DEPARTMENT
e ^illll`R S P 1 7D Prevention Services
PERMIT # " "` FIRE 2101 H Street
1. Bakersfield, CA 93301X11IIIIIIII,IIIIIIIIIII.. I1 11111 '
Please make checks payable to CITY OF BAKERSFIELD. Thank yoga.
VVCI LU.UVU JU -
CONFIDENCE UST SERVICES, INC.
16250 MEACHAM RD.'
BAKERSFIELD, CA 93314
661) 631 -3870
CITIBANK, N.A.
BAKERSFIELD- STOCKDALE/CALIFORNIA OFFICE
BAKERSFIELD, CA 93309
90.7172/3222
E PAY TO THE $+ +167.00
ORDER OF rsfield
DOLLARS
One Hundred
Si U-SlAyPn and ++++++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++++
L'J
Y
U
City of Bakersfield
y ,
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Permit
II.OL072Lille 1:32227L7241:
009534L48987Ile _
U Mandated UST Testing: Fuel Mont Cert/S139A9. /r'-P, . ^rot. $ 96 /hr (2 hrs minimum) _ $192 82xl
1,ystem
r, d,.a4W -_ 4cr , , 1 , af" Any`
t`
z ; -C* ;, ;`\\ f n , r,r ;5 r # $ 96 /tent 84
v ti SKI u +. --14 ' xr l ' fir,''` $121 /hr (2 hrs minimum) _ $242
w # q ]# z ;; "f t of $ 96 /hr + (5 hrs min standby fee /insp) _ $576 84
py
P4 5 hrs min standby fee ins = $605
R ' %7y s x 1 "? $ 96 /hr 84
jl
ExNi"save brorage $266 84
Copying & File Research (File Research fee $50 /hr) $0.25 /page 84
Miscellaneous 84
I FD2021 (Rev 05111)
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE
il`-
NAME
C Gl - oaiCa. Mu r UknaaCa'
PROJECT NAME
J
ADDRESS PHONE #
Ita V 1)I 3 C3 --700 u
PROJECT ADDRESS
OR
CITY U'%ci.Fi'L..SFiFi 1 -% STATE Ci/ ZIP CODE
Gi33 0. 251
CONTRACTOR NAME
INFORMATION
CA I ifFNCF It TYPE OF LICENSE EXPIRATION DATE PHONE #
L -1d_ CAL, 0 f-1 l 31 •9_
CONTRACTOR COMPANY NAME
vk c rl 'r S\ —
I FAX #
C' 1 5
ZIP CODEADDRESSCITY
rr
Please make checks payable to CITY OF BAKERSFIELD. Thank yoga.
VVCI LU.UVU JU -
CONFIDENCE UST SERVICES, INC.
16250 MEACHAM RD.'
BAKERSFIELD, CA 93314
661) 631 -3870
CITIBANK, N.A.
BAKERSFIELD- STOCKDALE/CALIFORNIA OFFICE
BAKERSFIELD, CA 93309
90.7172/3222
E PAY TO THE $+ +167.00
ORDER OF rsfield
DOLLARS
One Hundred
Si U-SlAyPn and ++++++++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + ++++
L'J
Y
U
City of Bakersfield
y ,
ci U
Permit
II.OL072Lille 1:32227L7241:
009534L48987Ile _
U Mandated UST Testing: Fuel Mont Cert/S139A9. /r'-P, . ^rot. $ 96 /hr (2 hrs minimum) _ $192 82xl
1,ystem
r, d,.a4W -_ 4cr , , 1 , af" Any`
t`
z ; -C* ;, ;`\\ f n , r,r ;5 r # $ 96 /tent 84
v ti SKI u +. --14 ' xr l ' fir,''` $121 /hr (2 hrs minimum) _ $242
w # q ]# z ;; "f t of $ 96 /hr + (5 hrs min standby fee /insp) _ $576 84
py
P4 5 hrs min standby fee ins = $605
R ' %7y s x 1 "? $ 96 /hr 84
jl
ExNi"save brorage $266 84
Copying & File Research (File Research fee $50 /hr) $0.25 /page 84
Miscellaneous 84
I FD2021 (Rev 05111)
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # d AIPE
r 2101 H Street
wli8 r,7,l;llr,. Bakersfield, CA 93301
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
I Alarm - New & Modification (minimum charge) 1$280
Over 10,000 sq ft
IiEJNFORMATION
LOCATION O PROJECT PROPERTY OWNER
h o 1s 2c'O E, g x 0
STARTING DATE COMPLETION DATE NAME
l
PROJECT NAME ADDRESS PHONE #
1 WkA \) 313 -7(k
PROJECT ADDRESS
d 330 cm SAK.ERSFIELD STATE CA ZIP CODE
q - 0 251
470
581hood
CONTRACTOR INFORMATION
CO CTOR NAME CA[ TrFtd'Zr TYPE OF LICENSE EXPIRATION DATE PHONE #
84
70 -7L oA CUA - '1
CONTRACTOR COMPANY NAME I FAX #
1 5 - I - 1 5 b
2IP CODEADDRESSCmQ4 a A 3
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
I Alarm - New & Modification (minimum charge) 1$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
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
581hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
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 UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
96 /hr (2 hrs minimum) _ $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
I F02021 (Rev 05/11)