HomeMy WebLinkAbout2012 989 FOLDERHOODS ALARMS SPRINKLER SYSTEMS SPRAY COU) UH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
1 -/ Glow ,;f6
File Number: Soo SC=,- Address: —23 p b -S AKJ k-- ,s,. L-y- .
Bakersfield, CA 933
Date Received: L z. — 5 —
Business Name: -i,, G 'S E-Cb o cA U S
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Marrm System
Fire Sprinkler System
i"'way P'6 114SC' T
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
a.
3.
U
Date Time
Other. L le .-e S 8- 79- g
Comments: d% S C oNG/y C . f-z %mil sib 9 S 7 tQs22iu
Signature
Signature
BILLING &PERMIT STATEMENT "
zirEm
k'' BAKERSFIELD FIRE DEPARTMENT
Prevention Servicec
PERMIT # 02
Bakersfield, CA 93301
IIVIIG. VV1- JGV -J7/7 rac. UVI-004-G1 /1
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
Over 10,000 sq ft 0 .028 x sq ft
PROJECT NAME ADORES ONE #
PRO]E& ADDRESS
PAfe-ERSFIE(_D STATE CA CODEYALCTIY
CONTRACTOR INFORMATION
Over 10,000 sq ft 0 .028 x sq ft
CONTRACTOR NAME apdm CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # E5
96 (inspection only)
Irrnl 0 l l
84
CONTRACTOR COMPANY NAME FAX #
Commercial Hood (New & Modification) 470
ADDRESS
f Lk3 IJ O S t Q q
Y
1 /T C (EC ` ZIP CODE C--3308
An permits must de 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
boveground 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 Mont Ce SB989
NOTE: $96 /hr for each type of to a $ite -
heduled at the same time
96 /hr (2 hrs minimu =$192 82
Oil well (Installation, Inspection, o e- inspection) X r 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
I',
ill9dl y w' BAKERSFIELD FIRE DEPARTMENT
I Prevention Services
PERMIT # Pi rE
Prevention
St>
Servi
r Bakersfield, CA 93301
DL•nno I
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
I Alarm - New & Modification (minimum charge) 1$280
RICH 'ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
661) 392 -8687
pAY TO THE
ORDER OF
CHASE U
JP Morgan Chase Bank, N.A.
Bakersfield, CA 93308
FOR
Prcdejq._C Llyw
11.00383311• 1:32227L6274
90- 7162/3222
DATE
3833
l
krsi
w
s.w ir
tf
F
AUTHORIZED SIGNATURE Fc4Zpo,W o
308 3 50 400 7111
Underground Storage Tank (Modification) MOD
INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
82
PROJECT NAME
rI
ADDRES ^- , HONE #
PRO]Et:rADDRESS a
84
Mandated Leak Detection (test) /Fuel Mont Ce SB989 \
NOTE: $96 /hr for each type of to t/ e Bite e
scheduled at the same time TT
CITY SATE CAI" ZIP CODE
82
CONTRACTOR INFORMATION
Oil well (Installation, Inspection, o e- inspection) jx V&/hr
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # Sim V-5 : o t t 8
CONTRACTOR COMPANY NAME FAX #
t tvvt iv Enrt} Saco -8q3 L(
ADDRESS
5La L-k3 1 R.no s c .
CITY
KCrLS l E L `
ZIP CODE 3 o
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
I Alarm - New & Modification (minimum charge) 1$280
RICH 'ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
661) 392 -8687
pAY TO THE
ORDER OF
CHASE U
JP Morgan Chase Bank, N.A.
Bakersfield, CA 93308
FOR
Prcdejq._C Llyw
11.00383311• 1:32227L6274
90- 7162/3222
DATE
3833
l
krsi
w
s.w ir
tf
F
AUTHORIZED SIGNATURE Fc4Zpo,W o
308 3 50 400 7111
Underground Storage Tank (Modification) MOD
rt....." "t.Y_r. .k.. r T'k.:2' =uu:$' _f•. _"
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 Mont Ce SB989 \
NOTE: $96 /hr for each type of to t/ e Bite e
scheduled at the same time TT
96 /hr (2 hrs minimu =$192 82
0 Oil well (Installation, Inspection, o e- inspection) jx V&/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
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. i
r
ENHANCED LEAK DETECTION L9' L11Te1JVT!!uTA1CCC TCCT Fl1F_I
BAKERSFIELD FIRE DEPT.
ANrl-k- Prevention Servicesirm
ARTN' r 900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
g
Page 1 of 1
SB-989 SECONDARY CONTAINMENT T TING
MONITORING CERTIFICATION
SITE INFQRMATION
FACILITY NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS
OWNERS NAME
OPERATORS NAME PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED PIPING TIS
TANK # VOLUME CONTENTS
TANKJT STING COMPANY
NAME OF TESTING COMPANY -.
i 1(c n U`rCSYi
AM PHONE NUMBER OF CONTACT PERSON
C
MAILING ADDRESS
c 9 dgQ
NAME & PHONE NU R OF TESTER R SPECIAL INSPECTOR CERTIFICATION #:
DATE & TIME TEST TOIBE OONDUCTED ICC #: TEST METHOD
SIGNATURE OF APPLICANT C DATE v
APPROVED B _ DATE 12 —1
FD 2095 (Rev. 09/05)
UNDERGROUND STORAGE TANKS
APPLICATION b
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
OMPT
PERMIT NO. ,,,((( \
ENHANCED LEAK DETECTION LINE TESTING
izs ?- i FUEL MONITORING
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
3
Page 1 of 1
TION
MESB-989 SECONDARY CONTAIN NT T TING
TANK TIGHTNESS TEST PERF
SITE INFORMATION
FACILITY NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS
OWNERS NAME
OPERATORS NAME PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED Is PI ING GOING TESTED?
TANK # VOLUME CONTENII
TANK;TESTING COMPANY
NAME OF TESTING COMPANY `R c n vti r rsn
AM PHONE NUMBER OF CONTACT PERSON
MAILING ADDRESS
NAME &PHONE NU R OF TESTER R SPECIAL INSPECTOR CERTIFICATION #:
o J
DATE & TIME TEST TO BE CONDUCTED ICC #:
cam
TEST METHOD
SIGNATURE OF APPLICANT C DATEC)
APPROVED BY DATE / . /-/
n nnnc TDe.. nnlnr%
7'Q"=M
yl
N^3:' --y. .: - „'$?t - •. w .. ...5 .. - 's. ,. ...y. o n' rfi1)1
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
ERR11 3Q9_RRR7
CHASE
JP Morgan Chase Bank, N.A.
Bakersfield CA 92308
90- 7182/3222 3834
DATE /!
O
X
y4 fFYF
ytl
T
t P..Aur Ts . . !i •!(e . R ErIHk' ;Y U .. a' !M"eenr,(nu+ .. ... s 'n '... xa?• ::fiw, ' RIL W' 4 5 I.. EaT= • a.0 yir: +.: `Y'c• a' `:s..
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
i 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:
JOB DESCRIPTION: g;p a -- OCCUPANCY TYPE:
OWNER: t=ag PERMIT NO. / —/
CONTRACTOR: PHONE # 6 —?946Z
FD 1743