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Home My WebLink AboutUST-PERMIT COVERSHEET 7/19/2011HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTS AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. i -/60 Ag9 File Number. o? g Co Address: -2,30/ L—AJ Date Received: Bakersfield, CA 933 g— Business Name: e yrp SYSTEM: BUILDING SQUARE FEET: ONSPECTI®N L ®G New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Fier sh sjfs em Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other. ;7w L Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: 9, a. 3. 4. Date Time 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 ANK 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: At A JOB DESCRIPTION: W C OCCUPANCY TYPE: OWNER: env- PERMIT NO. CONTRACTOR: -2, 'Vt PHONE # -Q-c FD 1743 t I City Bakersfield E UMER RECEIP( Oppr: T'JANFLGKN Types CC .0) i4er: i Date: P- 105111 M Receipt i +o:' 145 De5cri- ; :IOil aoar,tit Aaount . Bp WILDING PEkyiITS i. Tends, Mail CK CHED 3731 $192:410 TDtal tendered SM.N Total payment. 319c. ; T-i^ans 1 Tim Mj 30.221 HELP C91,-fl ROL THE. PET PMUT PLEAS SPAY AND NEiTEf I 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS rP1RI Rrer r BAKERSFIELD FIRE DEPARTMENT Prevention Services 02101 1-t s-MF ET Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT KFUEL MONITORING CERTIFICATION FD2095 (Rev 03/08) SITE INFORMATION' . FACILITY YO NAME PHONE # OF CONTACT PERSON ADDRESS O \ dlJ OWNER NAME OPERATOR NAME PERMTr TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 2 3Cl 46 -1 3 Ct 9 Xo TANK TESTING .COMPANY TESTING COMPANY NAME & PHONE # OF CONTACT PERSON Sato MAILING ADDRESS 51a 13 3 ootc5 GT. - P A tG RSF 1Et-D C `1330 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR v ` CERTIFICATION # S09 eso DATE & TIME TEST 0 BE CONDUCTED ICC # O&C011 OT TEST METHOD mcoxi APPLICANT SIG URE t1 CC DATE 9 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY 0,m_— DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT (;iE ";^' BAKERSFIELD FIRE DEPARTMENT R R S F . 1; - qL -D Prevention Servicpc PERMIT # i PIR6rf oZ1 t S't ET O AIQ% r Bakersfield, CA 933014N; Phone: 661- 326 -3979 • Fax: 661-852-2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. OFFICE US nNi v J PERMIT TYPE Alarm - New & Modification (minimum charge) FEE CALCULATION. TOTAL- TREASURY, 280 Over 10,000 sq ft 0 .028 x sq ft SITE INFORMATION LOCATION OF PROJECT 280 PROPERTY OWNER Over 10,000 sq ft 0.028 x sq ft Q l STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS PHONE # Additional hood LJEUADDRESS 1 CITY g S IELD STATE C,-4 ZIP CODE Spray Booth (New & Modification) 470 CONTRACTOR INFORMATION 98 CONTRACTOR NAME Stern Aboveground Storage Tank (1 inspection per installation) AST CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE # E5 Additional Tank ATI 0 t 1 aato -8 CONTRACTOR COMPANY NAME Nt It_nrr L 109 /tank FAX # 3ac0 -8`x'3 L{ tvv ry ADDRESS 5iQ Lk3 132L Oa(.S C Underground Storage Tank (Modification) MOD CIfY R- {cCYZs c E L ZIP CODE 33o nO All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. OFFICE US nNi v J PERMIT TYPE Alarm - New & Modification (minimum charge) FEE CALCULATION. TOTAL- TREASURY, 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 Cpmmercial 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 (Re TR 573 /tank 84 Mandated Leak Detection (test Fuel Mont ert/SB989 NOTE: $96 /hr for each type of tes per site even if scheduled 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 84 FD2021 (Rey 04/OR)