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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