HomeMy WebLinkAboutUST-PERMIT COVERSHEET 2/8/2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST
Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: a15 561 Address:
Date Received: .2 -_c6-- ( Z
Business Name:
0K -15 ( TA. rJ A. V-% /s,
Bakersfield, CA 933
G v-M
Cl" Other: f
Comments:
1.
2.
3.
4.
UST
Permit No.
is 00000 i
6R9SPEC8VOR9 BOG
Date Time
Signature
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:
Fore alarm System Calculation Bldg. qS Ft:
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Cl" Other: f
Comments:
1.
2.
3.
4.
UST
Permit No.
is 00000 i
6R9SPEC8VOR9 BOG
Date Time
Signature
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention ServicesPERMIT # q F/RE
s 2101 H StreetD' aR sir
Bakersfield, CA 93301
Dl'-, GG1_^1•]C_In-7n _ C_. GL1 ovn n1'71
LOCH ON OF P OJECT PROPERTY 0 NER
UO ftt6 W01STARTINGDATECOMPLETIONDATENAME
PROJECT L4AME ADDRESS PHONE #
96 /hr 82
PROJECT ADDRESS
GLh CITY S IFLY% STATE CA ZIP CODE
93 3 4
MISSIONBANh 1 10 Panama Road
CABakersfield 93307
CONTRA R NAME CA LICENSE # TYP OF ENSE EXPIRA ON DATE PHONE #
t
3 SCONTRACTORCOMPANYNAME
90 4279/1222
f
FAX #
ADDRESS CITY ZIP CODE-
Poease make checks payable to CITY OF BAKERSFIELD. Thank vou.
Underground Storage Tank (Removal) TR
I Alarm - New & Modification (minimum champ)
82
84
even
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
if scheduled at the same time
96 /hr (2 hrs minimum) _ $192
i Z Gk # 14,5 S I $ . f 1'P
n nnCT7 111'1TT' f
96 /hr 82
6531
96 /tent
MISSIONBANh 1 10 Panama Road
CABakersfield 93307
SESSIONS
121 /hr (2 hrs minimum) = $242
t9521W ,F,RIIZ LANE , BAKERSFIELD; CA .933071 `, a.;' , 1661)'-833 9501'
96 /hr + (5 hrs min standby fee /insp) _ $576
5 hrs min standby fee fns = $605
90 4279/1222
f
326 AZ
Re- inspection /Follow -up Inspection 96 /hr 84
Portable LPG (Propane): # of Cages? _ 96 /hr 84
PAY TO THE
Explosive Storage 266 84
ORDER OF
Copying & File Research (File Research fee $50 /hr) 0.25 /page
OL
I
L,4RSeiD
I
Underground Storage Tank (Removal) TR 573 /tank
82
84
even
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
if scheduled at the same time
96 /hr (2 hrs minimum) _ $192
i Z Gk # 14,5 S I $ . f 1'P
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 fns = $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 li i n1. BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # Iee 2101 H StreetJAI
RSM r
Bakersfield, CA 93301
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
Alarm - New & Modification (minimum charge)
SITE INFORMATION
LOCH ON OFPrJECT PROPERTY 0 NER
Over 10,000 sq ft
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS PHONE #
Sprinkler - New & Modification (minimum charge) 280
PROJECT ADDRESS
V CITY >AIt/ ER SFI ELI% STATE CA ZIP CODE
933A
Over 10,000 sq ft
CONTRACTOR INFORMATION
CONTRA R NAME CA LICENSE # TYP OF ENSE EXPIRA ON DATE PHONE #
84
CONTRACTOR COMPANY NAME FAX #
ADDRESS N CITY ZIP CODE
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
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
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
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 UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
ven if scheduled at the same time
96 /hr (2 hrs minimum) _ $192
Z Li$31 1
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
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
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:
JOB DESCRIPTION: r- C OCCUPANCY TYPE:
OWNER: o, PERMIT NO.
CONTRACTOR:x S PHONE #
FD 1743