HomeMy WebLinkAboutUST-PERMIT COVERSHEET 11/14/2011HOODS ALARMS SPRINKLER SYSTEMS
Permit No. Permit No. Permit No. Permit No.
File Number: a243GCo
Date Received: //- /y i/
SYSTEM:
New Mod.
minor
modification
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
AST UST
Permit No. Permit No.
d0TOC Y
Address: X317 Si
Bakersfield, CA 933
Business Name: C, e'1"Cl 'j
BUILDING SQUARE FEE F I6 PECTION BOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
M/ Other. /< z-
9.
2.
3.
4.
Date Time
Signature
Comments: Socrl2. is %atir-z) "l/ C D
Signature
UNDERGROUND STORAGE TANKS
APPLICATION
1'0 f)FRF0l'1 %1 -I'I:SI-TNG/
Sl3(),')9 SI-CONJIDARY CON1-AINNII-A1
BAKERSFIELD FIRE DEPARTMENT
Prevention Senfices
1.6()0'1'l'LlXtLln Ave., Suite 40.1.
FIRE Bakersfield, CA 9330:1.
DEPARrmsmr Phone: 661-326-3979 o 1--ax: 6G L 852 21.71.
Parc I of I
0 1:,NJHAN(TDLlAKl)l UNI" 11;1SIING
SITE INFORMATION
1: AC, 11. 1 1Y NANI M flII P 1: # 01: CON I'A r P1: 1150N
Dov-M-ouxy C"Lvmn.
A
MOILP
s \Var\ .... .... . .....
OPHU,101, NAM[: llldwblll* 10 01)1:[(Ari- i.,
n1 TANKS 1'0 IiF 1 1* [1-1): IS PIPING TO BF '1*1:f;11-1)> NO
TANK V0 1 L) M 1: CONTENTS
TANI(TESTING COMPANY
P ol: (:01111'A(:l
Tl:!;l ING COMPANY a.
A0l)lkP;S
01 1: F, pj.j()r,jj: of OR
s ITS1 1.11711101)
0All: N 'lir'll: -ICS' '10 M: C0111011clirl)
I-Lsh\ 0 r DAIF
7V" THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
DA 11:
A
BILLING & PERMIT STATEMENT o!1;1j:ii1III;I!iu° BAKERSFIELD FIRE DEPARTMENT
B A S F Prevention Services
PERMIT # 2101 H Street
I'Ill!1lfllilll!I!IU4 Bakersfield, CA 93301
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
INFORMATION
Sprinkler - New & Modification (minimum charge)
L TION OF PROJECT PNPERTY OWNER
Over 10,000 sq ft 0 .028 x sq ft
S . n tYl
STARTING DATE
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
NAME
k 2s 1
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only)
k
84
PROJECT NAME
o wRAMw
Spray Booth (New & Modification) 470
ADDRESS
98
PHONE
PROJECT ADDRESS
180 /tank 82
CITY gAICETZSFIELD STATE CA ZIP CODE
330
82
INFORMAI
109 /tank 82
CONTRACTOR NAME
Underground Storage Tank (Installation /Inspection) NI
CA LICENSE # TYPE OF L ENSE EXPIRATION DATE PHONE #
Underground Storage Tank (Modification) MOD 878 /site 82
Underground Storage Tank (Minor Modification) MTM
1- u
CONTRACTOR C MPANY NAME
82
Underground Storage Tank (Removal) TR 573 /tank
FAX #
1
Qi
X 2
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
96 /hr (2 hrs minimum) _ $192
C
ADDRESS
IQua
96 /hr
CITY
k.Y S 6 A. C6
ZIP CODE
q53\4
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
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
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 (Removal) TR 573 /tank 84
Qi
X 2
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
even if scheduled at the same time
96 /hr (2 hrs minimum) _ $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
V #
f' "ti
N 0
Y,
COMPLIANCE WITH CONFIDENCE"
November 10, 2011
CITY OF BAKERSFIELD
Attn: David Weirather
Office of Environmental Services
Fire Department /UST Program
2101 H Street
Bakersfield, CA 93301
To Whom It May Concern:
Enclosed for your approval, please find Application to
Perform Fuel Monitoring Certification and Billing and Permit
Statement, along with our check in the amount of $384.00
192.00 /site system).
Please fax the approved Applications and permit fee
receipts to our office at 661- 587 -9758.
Should you have any questions, please feel free to contact
me at 631 -3870.
Thank you for your attention herein.
Enclosures
Yours truly,
CONFIDENCE UST SERVICES, INC.
Karli Karns, Dispatch Coordinator
16250 Meacham Road • Bakersfield, CA 93314
661) 631 -3870 or (800) 339 -9930
FAX (661) 587 -9758
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
CONTRACTOR: C`a d c PHONE # 3 -
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;
BALL 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: / " 5
JOB DESCRIPTION: r X 2 OCCUPANCY TYPE:
OWNER: . PERMIT NO. 11-166604Q,
CONTRACTOR: C`a d c PHONE # 3 -
FD 1743