HomeMy WebLinkAbout2525 WHITE LANE 10-22-11HOODS ALQG°3MS SPRINKLER SYSTEMS SPRAY BOOTHOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 06 5 Z'5c-n Address: -2 .;z5 U (_,n--)
Bakersfield, CA 933 _
Date Received:
Business Name:
BUILDING SQUARE FEET: HSPECTM LOGSYSTEM:
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire Alarm System Calculation Bldg. Sq. Ft:
Fire Sprinkler System a.
Spray Finish System 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor Signature
modification Underground Storage Tank
removal Underground Storage Tank
Signature
E/ Other: j = k;l C—
Comments:
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
REMARKS:
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)
BUILDING ADDRESS:
JOB DESCRIPTION: CCU . OCCUPANCY TYPE:
OWNER: H PERMIT NO. —/ QCONTRACTOR: eojc PHONE #
FD 1743
BILLING & PERMIT Sid iEME(V°T111i111! +Itl;i 1p BAKERSFIELD FIRE DEPARTMENT
i_ i. 'i D Prevention Services
PERMIT # '' ,II,,LRB ' 2101 H Street
II ''11.,111liill!iiGl!Illll'' Bakersfield, CA 93301
Phgng-661-326-3229—e-Eax- 661-8524171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
CONFIDENCE UST SERVICES, INC. cmeANK, N.A. 10397
16250 MEACHAM RD.. BAKERSFIELD- STOCKDALE/CALIFORNIA OFFICE
BAKERSFIELD, CA 93314 BAKERSFIELD, CA 93309
661) 631 - 3870 90-7172/3222
10/19/2011
PAY TO THE
ORDER OF City of Bakersfield 192.00
One Hundred Ninety-Two and
DOLLARS E
City of Bakersfield
1.
Permit (Chevron, White Lane)
1110 1039?111 1:32227L7241: 009S341413 913 7u
U
r
LOCATION OF PROJECT
573 /tank
PROPERTY OWNER
84
STARTING DATE C,ODfPLETiIIW gIE i 1dV
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
Oil well (Installation, Inspection, or re- inspection) X
N E
82
82
t
96 /tent
PROJECT NAME
84
ADDRESS PHONE I
PROJECT ADDRESS (
iL Jcl kt" y ccTV g.4K ETZS I ELD STATE CSC ZIP CODE
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 /insp) = $605
CONTRACTOR NAME CA LICENSE #
Ya i 0.n Se y q -. s uAc1(v -1
TYPE OF LICENSE EXPIRATION DATE PHONE #
CONTRA R COMPANY NAME
11 s,'
96 /hr
FAX #
DDR- AESS
i
jtc'.7 t>6 c sn e,ca —.
CITY
k .r a \A. ,,
ZIP Ct33ry
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
CONFIDENCE UST SERVICES, INC. cmeANK, N.A. 10397
16250 MEACHAM RD.. BAKERSFIELD- STOCKDALE/CALIFORNIA OFFICE
BAKERSFIELD, CA 93314 BAKERSFIELD, CA 93309
661) 631 - 3870 90-7172/3222
10/19/2011
PAY TO THE
ORDER OF City of Bakersfield 192.00
One Hundred Ninety-Two and
DOLLARS E
City of Bakersfield
1.
Permit (Chevron, White Lane)
1110 1039?111 1:32227L7241: 009S341413 913 7u
U unaergrouno »:oraye idim iron u mute t—L., , . , ... Y_,,,, -, -_ - ____._ -_
r Underground Storage Tank (Removal) TR 573 /tank 84
13?" 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
Oil well (Installation, Inspection, or re- inspection) X
96 /hr (2 hrs minimum) = 192
i0t . /0 3 j -7
96 /hr
82
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 /insp) = $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
FD2021(Rev OSJ1]]___
BILLING & PERMIT STATEMENT a BAKERSFIELD FIRE DEPARTMENT
e s s e 1, D Prevention Services
PERMIT # FIR6 2101 H StreetRfAFT
i1111I11H GIiIlil184 Bakersfield, CA 93301
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge)
LOCATION OF PROJECT PROPERTY OWNER
STARTIN DATE N E
2
PROJECT NAME ADDRESS PHONE
yr C
PROJECT ADDRESS
CITY gA_'ET2SFIELD STATE ! ZIP CODE
Over 10,000 sq ft
C'TOR IN FO
CONTRACTOR NAME ITA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
84
3 2 3 Rib
CONTRA R COMPANY NAME FAX1 #
ADDRESS CITY ZIP CODE
r c.J
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
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
icy
M 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
1 Miscellaneous 84
N 4. F,
hCES `?
COMPLIANCE WITH CONFIDENCE"
October 19, 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 $192.00.
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
t
UNDERGROUND STORAGE TANKS
APPLICATION
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SI1989 SFCONOARYCOWAINNIFN
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RJE-1. NIONFIORING,
BAKERSFIELD FIRE DEPARTMENT
Prevention Senfices
I; it. its I, 1 1) 1.600 -1-ruxtun Ave., Suite. 401
F§RN i Bakersfield, CA 93301.
DEPARrmsmr Phone: 661-326-3979 m Fax:
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SITE INFORMATION
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
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