HomeMy WebLinkAbout2012 FOLDERHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHNTH
Permit No. Permit No. Permit No. Permit No.
AST UST
Permit No. Permit No.
is cayoos.A
File Number: Address: .2Wgn L,,J
Date Received: l/- —/ z
Bakersfield, CA 933
Business Name:
SYSTEM: BUILDINGBUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spra` V Finish Symem
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other. P;7 "-IC-- -f .
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: i1p,
2.
3.
4.
Date Timp
Z&O'Z'
Signature
Signature
BILLING &. PERMIT STATEMENT pe BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # ffrr 2101 H StreetaRS
Bakersfield, CA 93301
Phones 6611-176-1979 • Fax - 661-R52-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
O Underground Storage Tank (Removal) TR
INFORMATIONSITE
LOCATION OF PROJECT PROPERTYOWNER
Mike's Food & Liquor Same
STARTING DATE COMPLETION DATE NAME
PROJECTNAME ADDRESS PHONE #
PROJECT ADDRESS
2300 Panama Ln. crr, g kK !T2.S I El. D STATE CA P CODE
CONTRACTOR
bRMATI
16N7
CONTRACTOR NAME CA LICENSE # Advanced Compliance 971
TYPE OFLICENSE EXPIRATION DATE1C61D403/31/2014
PHONE #
661- 706 -4321
CONTRACTOR COMPANY NAME FAX #
Advanced Compliance 661- 589 -932.9
ADDRESS
96 /hr + (5 hrs min standby fee/insp) =$576
5 hrs min stand ins = 605
ZIP CODE
3704 Littlefalls Ct. 7Bakersfield 93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
O Underground Storage Tank (Removal) TR 573/tank 84
N Mandated teak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
96/hr (2 hrs minimum) =$192 I i - 7 - I a
I I'vMonitorcert. &Line Test `' in _
2
p Oil well (Installation, Inspection, or re- Inspection) X 96 /hr 82
O Tent # 96 /tent 84
After -hours Inspection fee 121/hr (2 hrs minlmum) =$242
Pyrotechnic (i permit per event, plus an Inspection fee of
96 /hr during business hours) PY
OTE: After hours Pymtechnic event Ins coon is G 121/hr
96 /hr + (5 hrs min standby fee/insp) =$576
5 hrs min stand ins = 605
84
Re- Inspection /Follow -up Inspection 96 /hr 84
Portable LPG (Propane): * of Cages? _ 96/hr 84
Explosive Storage 266 84
C3 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
Miscellaneous j 84
BILLING• & PERMIT- STATEMENT
PERMIT # nm#
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnno• $t41 _Z7r%_4Q7Q a Rav AAA _I2S7_7171
3704 Littlefalls Ct. Bakersfield 93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ' ONLY
DUE ACCT NO
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 R
Minor Sprinkler Modlfication ( <10 heads) $96 (inspection only) 84
Commercial Hood (NeW & Modification) $470
Additional hood $58
Spray Booth (New & Modification) $470
98
Pboveground Storage Tank (1 Inspection per Installation) AST $180 /tank 82
Additional Tank ATI $96/tank 82
Aboveground Storage Tank (Removal, Mod,or Inspecifn) ATR $109 /tank 82
13 Underground Storage Tank (Installation/Inspection) NX $878 /tank 82
Underground Storage Tank (Modification) MOD $878 /site 82
Underground Storage Tank (Minor Modification) MIrM $167 /site 82
Underground Storage Tank (Removal) TR $573 /tank 84
R Mandated Leak Detection (test) /Fuel Mont Cert/SB989 $96/hr (2 hrs minimum) =$192 11' T - I 82
NOTE: $96 /hr for each type of test/per site even If Monitor cert. &Line Testi * 1 1 ID
scheduled at the same time TT 38
011 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 (i permit per event, plus an Inspection fee of $96/hr + (5 hrs min standby fee/Insp) =$576 84
96/hr during business hours) PY
NOTE: After hours rotechnic event lns ctlon is 121/hr 5 hrs min stand in = 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) $0.25 /page 84
Miscellaneous 84
Feznn n1, eaMn•
INFORMATIONSITE
STARTING DATE COMPLETION DATE NAME
PRO3ECTNAME AADDRESS PPHONE S
PROJECTADDRESS ZFlL,A srATE CA ZIP CODE
CONTRACTOR .
PHONE S
CONTRACTOR COMPANY NAME FFAX S
ADDRess aa" ZZIPCODE
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
I SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ENHANCED LEAK DETECTION
TANK TIGHTNESS TEST
41 ;.
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
X LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING
X TO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing
SITE INFORMATION
FACILITY Mike's Food & Liquor NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2300 Panama Ln. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
1 87 UL
2 91 UL
3 Diesel
TANK•TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661 -706 -4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661 -706 -4321 CERTIFICATION #: A25212
DATE & TIME TEST TO BE CONDUCTED 11/15/2012@09:00 ICc #: 8032698
SIGNATURE OF APPLICANT - DATE 111512012
APPROVED BY DATE
FD 2095 (Rev. 09/05)
BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request Phone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
C u- PERMIT NO. /- /D DOe?
PRIMARY PIPE
co z'u PHONE # 7DCo - ej6$Z/
SECONDARY PIPS
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
I MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
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) if a y
BUILDING ADDRESS:
JOB DESCRIPTION: wt C, a, Cam•, • ;,'p , OCCUPANCY TYPE:
OWNER: -, Ie,<< t-n C u- PERMIT NO. /- /D DOe?
CONTRACTOR: , C -Q co z'u PHONE # 7DCo - ej6$Z/
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
I MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
PRIOR TO OPERATION OF ANY SYSTEM,.
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT.(FINAL) if a y
BUILDING ADDRESS:
JOB DESCRIPTION: wt C, a, Cam•, • ;,'p , OCCUPANCY TYPE:
OWNER: -, Ie,<< t-n C u- PERMIT NO. /- /D DOe?
CONTRACTOR: , C -Q co z'u PHONE # 7DCo - ej6$Z/
FD 1743