HomeMy WebLinkAbout2011 FOLDERHOODS ALARMS SPRINKLER SYSTEMS R?CM3103 1;1 AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
L1 /d 33
File Number. 3 SL Address: o?36 O )`A, JA,4. A GAJ
Bakersfield, CA 933
Date Received: /0 - /Z- I/
Business Name: may/ /.< T"vy
SYSTEM: BUILDING SQUARE FEET: IMSPECTION 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
G-- Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
I
Date Time
Signature
BILLING & PERMIT STATEMENT m BAKERSFIELD FIRE DEPARTMENT
Prevention Servicec
PERMIT # o RZreu ! r b^2
ANI.IIq." Bakersfield, CA 93301
oi,.,.,o• . FaY F,F,1 -R57 -7171
All permits must be 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
SITE INF •• MATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
PROJECTNAME ADDRESS PHONE #
180 /tank 82
Additional Tank ATI
PROJECTADDRESS /
QJ Ck Lk CITY B F.SFIF.L.p STATE CAC
ZIP CODE
R INFORMATION
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE
Sim ES :k t o t
CONTRACTOR COMPANY NAME FAX #
3a(o-gg3`{ cvv rv tEnmA-L
878 /site
ADDRESS
rJi.Q t-k3 R OIK -5 C .
CITY -
6 1 {C-%S i i= L
ZIP CODE 3 6GJ
All permits must be 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) /F el Mont Ce SB989
NOTE: $96 /hr for each type of teS per site even if
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 1 84
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 #
Jz!!R!
W-
P, . -r.
P /Rd
ABTA/ T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
a10t 1-t S' ?,E-F—T .
Bakerstield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS FUEL MON ERTIFICA
SITE INFORMATION
FACILITY NAME & PHONE # OF CONTACTCMtTA PERSON
o - a
ADDRESS
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
TANK TESTING COMPANY
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
I NV N t
MAILING ADDRESS
5LQ' -13 3 oo\cS GT. - 13AcK RSF 1 L-O . C °13308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
MASON) -1 OS-0 - Bco 1 S09 6Sv
DATE & TIME TEST 0 BE CONDUCTED ICC # TEST METHOD
5ac-Q k a 3. - OT c0Q
APPLICANT SIGNATU DATE
n
l c&— / LoLl /
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APRRVED BY
f
DATE
ej
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
c - - 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,
LALL_LIST AND /OR AST SYSTEMS SHALL BE,,
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT:
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: A. ,t.,,q, e
JOB DESCRIPTION: OCCUPANCY TYPE: 3
OWNER: k4p C PERMIT NO. Z1,&2=a3ZCONTRACTOR: ,. PHONE # 6Tvd lr_
FD 1743