HomeMy WebLinkAbout2525 WHITE LANE 9-11-12HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH
Permit No. Permit No. Permit No. Permit No.
File Number: /d y !S-4 sc Address:
Date Received: Cg — /._
Business Name:
Bakersfield, CA 933
C-o
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
minor
modification
removal
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
1 2.
3.
G,
i 4.
Underground Storage Tank
Underground Storage Tank Q
Underground Storage Tank .Q*V9' J ,tvL ° tl
Other. s g
Comments:
AST UST
Permit No. Permit No.
62 /dow gr3
INSPECTION LOG
signature
Signature
BILLING & PERMIT STATEMENT ili I'' " "'j''jj:i'`° BAKERSFIELD FIRE DEPARTMENT
Prevention ServicesBNII' E R S F III ®iIL D
PERMIT # I''' FRB F_ PERMIT 2101 H Street1jpAR1M T
Iill•.. i. I I,. Bakersfield, CA 93301lilljl0 IIIjIIIIPU.
Please make checks payable t® CITY OF BAKERSFIELD. Thank you.
1, ti FZVI ty » v
LOCATION OF PROJECT
2+J0 Pw u rnc Lam_ -- _
PROPERTY OWNER
c c o ll-M _
STARTING DATE COMPLETION DATE NAME
L
PROJECT NAME
drill C
ADDRESS
V X 2r1 —
PHONE #
l¢ i q-- ,--7600
PROJECT ADDRESS
OG 1'la k' i 331 CITY ICER S I El_D STATE CA ZIP CODE
q3
R INFORMATION
661) 631 3870
CON CTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE
as e10 - U
PHONE #
3'1 U
CONTRACTOR ANY NAME FAX #
ADDRESS Dn
I
F N yLko. 1 IJ CC C
CITY
L
ZIP CODE
T531
Please make checks payable t® CITY OF BAKERSFIELD. Thank you.
1, ti F ZVI ty » v11
66NFIDENCE, UST SERVICES, INC CITIBANK N
BAKERSFIELD STOCKDALFJCALIFORNIA OFFICE ;
Underground Storage Tank (Modification) MOD 878 /site
16250 MEACHAM RD '` x BAKERSFIELD, CA 93309`
Underground Storage Tank (Minor Modification) MTM
BAICEFISFIEL`D CA 93314 so 7172/3222
82
I
661) 631 3870 9/11/2012
84
Mandated UST Testing: Fuel Mont Cert/S8989 /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) = $192 82
Oil well (Installation, Inspection, or re- inspection) X 96 /hr
PAY TO THE 359.00
Tent #
ORDER OF` t f Bakersfie
84
r*+.«++++«*+«+«.«++««+««««+«++« w+: ir*++«++«+ + « *ir«+ « « « ++« « + * « «++++ « « + + « « « «± DOLLARSeHtdreLF1$)I N'inP and 00!100 L1
121 /hr (2 hrs minimum) = $242
City of Bakersfield
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
WP
MEMO
84
Permits
1180 1070F.0 i:32227L72411: 009534L48913?"'
Underground Storage Tank (Modification) MOD 878 /site 82
Underground Storage Tank (Minor Modification) MTM 167 /siter1 -'J Z °)'Z Cr' ! _ 011 82
Underground Storage Tank (Removal) TR 573 /tank 84
Mandated UST Testing: Fuel Mont Cert/S8989 /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
CONFIDENCE UST SERVICES, INC.
City of Bakersfield 9/11/2012
Jaco #351 Howard's (Replace DSL SB, 9/12/12)
White Lane Chevron (SB -989, 9/18/12)
Citibank Checking Permits
10706
167.00
192.00
359.00
UNDERGROUND STORAGE TANKS
APPLICATJON
TO P[-Rff.)R\tH FLI)JUNE TESTING/
513919 SECONDARY CDKITAINIvil-wr
Thy;
FUE-• MONITORING CERTIFICATION
11FIN'l "I
BAKERSHELD FIRE DEPARTKEfff
Ave., Suite Qj.
Bakersfield, CA 9330.1.
661-"2fi-3979 0 V.17: 66J.-852-20I. Phone
CI rNi IANII:I) IYAK DV'I't.:f:TI0I`l I'D
Cl
SY.Tl-.- INFORMAT10N
I-IAI-11: V, 1-1101-11: 01: IACI
G, (ul
CA2525 .vJ Lcv-Lc
Owfilift flrlr4t
Pfooj—,j
111:81-111-1-0 Q111:1WIT 11
siv-
01; TANK,, Ifl: TVSTUD: I!; PIPIIVC (aOIN(:; -1-0 I.D
TANK -1 V 0 1. 1.1 M I" com I: NYs
TANIC TESTING COMPANY
A •I[: . 11110(.11! 11 OF
TES; I;:(; CORPARV llmv
walur, p6aDnF5!
ECIAI. lW';I'FC7f* c rw TFS71:1, OR :
moo
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PATE.
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THIS APPLICATION •EODIVIES A P E. R lVi I T illf H.EN APPROVED
nPPtloel;D u,•
wo'l:
m1w; (tt'!V 06,1411)
BILLING SIC PtRMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
7 , _ Prevention Services
PERMIT # FIRE 2101 H StreetdR>Ir r
ll;lyjigp l; ^. Bakersfield, CA 93301
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
INFORMATION
Sprinkler - New & Modification (minimum charge)
LOCATION OF PROJECT PROPERTY OWNER
e3rt hi
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only)
r cv 15-1b r
470
58 hood
STARTIryG DATE ee"PttTY01P uAl E 'TIME
Commercial Hood - Minor Modification (add /move nozzle)
NAME
84
cm
Spray Booth (New & Modification) 470
GabL Ly
98
PROJECT NAME
180 /tank
ADDRESS PHONE #
96 /tank 82
01i'v N F- Tot 2 -9
PRROJECTADDRESS
Underground Storage Tank (Installation /Inspection) NI 878 /tank
C ImCmJ STATE aA ZIP CODE
q (3 2
878 /site
R- INFORMATION
Underground Storage Tank (Minor Modification) MTM 167 /site
CONTRACTOR'NAME CA LICE SE #
Underground Storage Tank (Removal) TR
TYPE OF LICENSE EXPIRATION DATE PHONE
a 60 6Lk D40 33l l C 3-
CONTRACTOR COMPANY NAME
82
Tent #
FAX #
After -hours inspection fee 121 /hr (2 hrs minimum) = $242
1 5 "I -cn5 8
ADDRESS
RUB
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
CITY
84
ZIP CODE
Re- inspection /Follow -up Inspection
ti
84
Portable LPG (Propane): # of Cages? _
955N
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
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
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
q ? - q_jZ -Z_ GK to 70CP V 3s 14;r
T
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
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,
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: — L,, j ,
JOB DESCRIPTION: SZ - °i OCCUPANCY TYPE:
OWNER: c .tj .•J PERMIT NO.
CONTRACTOR: co Lle P PHONE #
FD 1743