HomeMy WebLinkAboutUST-PERMIT COVERSHEET 2/23/2012r
HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOoTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
Z -a77
File Number:
Date Received:
C=?, -1 36 C,
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Address: C;Z31 7 s
Bakersfield, CA 933
Business Name: Re-
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:.
Fire Marm System Calculation Bldg. Sq. Ft:
Fire Sprinkler System
Spray Finish System `O.` C
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
GJ/ Other: y
Comments:
I.
2.
3.
4.
USPECTION L ®G
Date Time
21-2lj/tZ 61-I 05Ta Soy
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Signature
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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,
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: Q31-2 Z57
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: PERMIT NO. --/ SO 7
CONTRACTOR: Ae& Q5 t PHONE # ee-_
FD 1743
ll'!UAL NU & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
R 3 F Prevention Services
PERMIT # FIR6 2101 H Streetd!pAR rM'r
Bakersfield, CA 93301
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Please make checks payable to CITY OF BAKERSFIELD. Thank yoga.
0 Alarm - New & Modification (minimum charge)
INFORMATION
LOCATION OF PROJECT
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7T
o / j114 4 1,,•
STARTING DATE COMPLETION DATE
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PROJECT NAME ADDRESS PHONE #
PROJECT ADDRESS
cm g.4K C-R SFI ELD STATE CA ZIP CODE
CONT CTOR NAME
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CONTRACTOR INFORMATION
CA LICENSE #
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TYPE OF LICENSE EXPI T] N DATE
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PHONE #
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CONTRACTOR COMPANY dAME FAX #
0 .028 x sq ft
C'I - 1_ 9 ?3.3
ADDRESS CIT1^ 7 7.IP ODE
Please make checks payable to CITY OF BAKERSFIELD. Thank yoga.
0 Alarm - New & Modification (minimum charge) 280
0 Over 10,000 sq ft 0 .028 x sq ft
0 Sprinkler - New & Modification (minimum charge) 280
0 Over 10,000 sq ft 0 .028 x sq ft
0 Sprinkler - Minor Modification ( <10 heads) 96 (inspection only) 84
0 Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 hood
0 Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
0 Spray Booth (New & Modification) 470
98
Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82
0 Additional Tank ATI 96 /tank 82
0 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82
0 Underground Storage Tank (Installation /Inspection) NI 878 /tank 82
0 Underground Storage Tank (Modification) MOD 878 /site 82
0 Underground Storage Tank (Minor Modification) MTM 167 /site 82
0 Underground Storage Tank (Removal) TR 573 /tank 84
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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 '`f
1. - 43 ° (Z K 2 27`17 I'
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82
Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82
Tent # 96 /tent 84
0 After -hours inspection fee 121 /hr (2 hrs minimum) = $242
0 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
0 Re- inspection /Follow -up Inspection 96 /hr 84
0 Portable LPG (Propane): # of Cages? _ 96 /hr B4
0 Explosive Storage 266 84
0 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
0 Miscellaneous 84
8 Prevention ServicesPERMIT # °` FIRE 2101 H Streetd! paR sMJI'r
I;; Bakersfield, CA 93301
Phone: 661- 326 -3979 • FaY• F1;1-R1;7 -7171
SITE INFORMATION
derground Storage Tank (Minor Modification) MTM
LOCATION OF PROJECT it • !
r"a ...) n PROPERTY 0 / tl
82
STARTING DATE COMPLETION DATE NAME
84
PROJECT NAME ADDRESS PHONE A
82
PROJECT
96 /hr
J•' CITY g KE1ZS lEI_D STATE CA 21P CODE
e •
84
CONTRACTOR NAME
f-- CA LICENSE # r LICTYPEOFENSE EXPI TI N DATE PHONE #
CONTRACTOR COMPANY NAME
96 /hr + (5 hrs min standby fee /insp) _ $576
5 hrs min standby fee ins = 605
FAX #
Re- inspection /Follow -up Inspection
ADDRESS Cm's 7.IPfODE ,
Portable LPG (Propane): # of Cages? 96 /hr
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derground Storage Tank (Minor Modification) MTM 167 /site 82
Storage Tank (Removal) TR 573 /tank 84rUnderground
ndated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot.
TE: $96 /hr for each type of test/per site /per UST system
en if scheduled at the same time
96 /hr (2 hrs minimum) = $192 `f
z 7` 7
S .Tru ?. CQIJ •1 3
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