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HomeMy WebLinkAboutUST-PERMIT COVERSHEET 8/31/2011HOODS ALARMS SPRINKLER SYSTEMS S P R „ V LO C, AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 0000 3 3 3 1 011 File Number: Address: 0?3/ 7,L S —r - Bakersfield, CA 933 Date Received: <?7 -3 / - // Business Name: SYSTEM: BUILDING SQUARE FEET: MSPECTPON LOG New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System IFpi'aa F msh System Aboveground Storage Tank Underground Storage Tank minor modification nderground Storage Tank Val Underground Storage Tank Other. Building Sq. Feet: Calculation Bldg. Sq. Ft: ;;r I. a. 3. 4. Date Time Signature Signature Comments- l J V`-efp,a.. -S 1 i /I/ &V /AcT7 VVV FVrL w"' --nx DLWC- L^)'0 -r,4f s SUNSET MECHANICAL & CONSTRUCTION INC City of Bakersfield Fire Department Date Type Reference 8/31/2011 Bill 8/31/2011 Original Amt. Balance Due Discount 334.00 334.00 Check Amount 2105 Payment 334.00 334.00 Wells Fargo 001 334.00 UNDERGROUND STORAGE TANK PERMIT APPLICATION FIRSTOCONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW RrTANKINSTALL (EXISTING FACILITY) /MOD -MINOR MOD w r IPermit # TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY MINOR MODIFICATION OF FACILITY BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1ofI CHECK ONE ONLY) MODIFICATION OF FACILITY STARTING DATE / PROPOSED COMPLETION DATE FACILITY NAME G .Souk EXISTING FACILITY PERMIT # r FACILITY AD RESS I CITY ZIP-CODE, 2 17 i 1 '13:30H TYPE OF BUSINES APN # TANK OWNER PHONE # ADDRESS C CITY le ZI CODE 11 CONTRACO 011.5 7LY- f/ U CA CENSE # Iya, ADDRESS CITY v ZIP CODE 0 PHON - 66061 BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # INSURER / BRIEFLY DESCRIBE THE WORK TO BE DONE: i+ 1. 1 WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER 7 SOIL TYPE EXPECTED AT SITF a y OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? YES NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? A YES NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER ICC# THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS.OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED 'L FD2086 (Rev 08/09) 01y. (IN(i AM, f.-Tld 0,111.11TdId Lid -NII -ONiNcr.) d i Im UWE .4lep supm OGa ®9d 5-'IW!3d Wnlllrg Uit VINwml I 't! wild BILLING & PERMIT STATEMENT PERMIT # @_ _.L _1t 9 P k L_ D FIRE flip, BAKERSFIELD FIRE DEPARTMENT Prevention Services 1501 Truxtun Avenue, 1s FLR Bakersfield, CA 93301 Phone: 661 -326 -3979 • FaY• F,F1 -RS7 -')171 SITE INFORMATION LOCATION OF PROJECT h 4 C_ A e roo STARTING DATE COMPLETION DATEAsAp PROP OWNER NAME PROJECT NAME ADDRESS PHONE i PROJECT ADDRESS I Cm. S gA KEPSF l E l_D STATE CA ZIP CODE CONTRACTOR NAM v Coils, INFORMATION CA LICENSE • TYPE OF LICENSE EXPIRATION DATE PHONE d CONTRACTOR COMPANY NAME ADDRESS - - CITY— — - FAX i ZIP CODE — 1400 permits must be reviewed, stamped, and approved PRUOR T® GiIIEGIR9f ENG WORCt. G • Alarm - New & Modification (minimum charge) $280 e 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) Additional hood 470 58 Spray Booth (New & Modification) boveground Storage Tank (1 inspection per installation) AST 470 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal /Inspection) ATR 109 /tank 82 Underground Storage Tank Installation Ins99 ( / pection) NI 878 /tank 82 Underground Storage Tank (Modification) MOD 878 /site 6 /site o le A 82 Underground Storage Tank (Minor Modification) M 82 Underground Storage Tank (Removal) TR 573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even if scheduled at the same time TT 96 /hr (2 hrs minimum) = $192 84 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 96 /tent - - 82 84Tent After -hours inspection fee 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 121 /hr (2 hrs minimum) =$242 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 11 Miscellaneous 84 UNDERGROUND STORAGE TANK Prevention Services 2101 H Street PERMIT APPLICATION 2AAR Bakersfield, CA 93301 TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD r Page 1 of 1 IPermit # TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY CHECK ONE ONLY MODIFICATION OF FACILITY MINOR MODIFICATION OF FACILITY STARTING DATE/ PROPOSED COMPLETION DATE FACILITY NAME d EXISTING FACILITY PERMIT 1 G /Vora FACILITY ADDRESS / I CITY ZICODE i TYPE OF BUSINES APN # TANK OWNER I f PHONE ADDRESS d CITY ZICIIE 1 i CONTRACrO U CA CENSE # ICC # ADDRESS CITY / 1 ZIP CODE'S O PHON 3 - 4660 BAKERSFIELD CITY BUSINESS LICENSE # o r I WORKMANS COMP # o INSURER i BRIEFLY DESCRIBE THE WORK TO BE DONE: e /U / y el WATER TO FACILITY PROVIDED BY CCJ DEPTH TO GROUNDWATER ^ /J r SOIL TYPE EXPECTED AT SrrF J%i1 OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? YES NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? A YES NO THEE SIECTRON RS FOR ST09UGIE TARN II1DIEH77FIICATII0N TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER ICC THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ON DATE APPROVED 7--5 '- It APPROVE BY FD2066 (Rev 08/09)