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Home My WebLink AboutUST-PERMIT COVERSHEET 8/8/2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY o 007H AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1IR-160 3 <63 File Number: 6a91 CIO Date Received: '9? - p5" -- Z Address: Bakersfield, CA 933 Business Name: OCA WSJ O4 K3 SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Fire Marm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank l" Other: -X7 may! C-- Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: L 3. 4. INSPECTION 1.0G Date Time 15 Signature Signature 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 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: ylL, OCCUPANCY TYPE: OWNER: Q,vrp ^3 PERMIT NO. CONTRACTOR: I Ck- PHONE #;3,26 FD 1743 spl,jIth$e BAKERSFIELD FIRE DEPARTMENT9ILIANa- & PERMIT STATEMENT Prevention Servica.-q FPERMIT # F1JrZ jr Bakersfield, CA 93301 Dk-- All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification (minimum charge) RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC.#809850 5643 BROOKS CT. BAKERSFIELD, CA 93308-3708 661)'392 -8687 1 • K h* '% A' 'I PAY TO THE ORDER OF 280 ft 90-7162/3222 4002 DATE 9. AY c DOLLARS F- CHASE IMP JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 FOR C 118.0011,002"m II:3222716 271: 30133504007,16 Underground Storage Tank (Minor Modification) MTM 771777'77 SITE INFORMATION LOCATION OF PROJECT VU PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE # PROJE& ADDRESS cm STATE CA ZIP CODE CONTRAtTOR INFORMATION CONTRACTOR NAME CA LICENSE # arvm V-5 -RzC_Vk- PICP0 TYPE OF LICENSE EXPIRATION DATE T-y4c) A IAA7- 30 PHONE 3a (D HOQ CONTRACTOR COMPANY NAME FAX # ; 3Q(o -Eq--3 C4 ADDRESS 5(n q-3 CITY - BAY UP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification (minimum charge) RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC.#809850 5643 BROOKS CT. BAKERSFIELD, CA 93308-3708 661)'392 -8687 1 • K h* '% A' 'I PAY TO THE ORDER OF 280 ft 90-7162/3222 4002 DATE 9. AY c DOLLARS F- CHASE IMP JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 FOR C 118.0011,002"m II:3222716 271: 30133504007,16 Underground Storage Tank (Minor Modification) MTM 771777'77 167/site 82 Underground Storage Tank (Removal),,—.., TR 573/tank 84 MontMandatedLeakDetection (test)/FufM NOTE: $96/hr for each type of tes ven if scheduled at the same time TT 96/hr (2 hrs minimu 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 /insp)=$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 FD2n21 (RL-j04/0A) 71 BILLING`& PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT S F 1. 1 D Prevention Services PERMIT # FRE r RX0I St E Bakersfield, CA 93301 Dhnnn• rA1 a Fax• A61 171 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 INFORMATION LOCATION OF PROJECT yC w PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME %,/ n • ' O1 ADDRESS PHONE # PROJEt rADDRE55 CITY F i K FRS I iI D STATE C CODE INFORMATION CONTRACTOR NAME CA LICENSE # ap" E5 :C_ TYPE OF LICENSE I EXPIRATION DATE o t PHONE # CONTRACTOR COMPANY NAME 4vv N M EnmPr k FAX # Saco ADDS CIn ZIP CODE p 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 84 Spray Booth (New & Modification) 470 84 98 Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 84 82 Additional Tank ATI 96 /tank 84 82 Aboveground Storage Tank (Removal, Mod,or Inspect n) ATR 109 /tank 84 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) /Fu Mont rt/SB989 NOTE: $96 /hr for each type of tes ven if scheduled at the same time TT 96 /hr (2 hr's 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 Pvrotechnic event ins ion 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 FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # B E R 9 F I US& rrr r BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10( 1-t 5-meE7 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 MONITORING RTIFICATION ITE INFORMATION FACILITY V NAME & PHONE A CONT11T PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 1 Was S9 TANK.TESTING COMPANY TESTING COMPANY Iry `Rs N - i- NAME & PHONE At OF CONTACT PERSON a to - -1 CQ MAILING ADDRESS Jla -13 %Loo.S CGT. - PrK RSF I E C-O C °13308 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR v -16 Q - 8Co 9 CERTIFICATION # 8C)q S'SC) DATE & TIME TEST to BE CONDUCTED ICC # na(-P- 1 L)T TEST METHOD 1 mc.mk1 APPLICANT SIGNA RE V wo( njq DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY Q,V, . DATE FD2095 (Rev 03/08)