HomeMy WebLinkAboutFIRE ALARM FORM 7/23/2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHTel AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
Z -(6w0 3g8
File Number: 1'15 7--Z-3 Address:
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Date Received: 7— -Z3 — / Z
Bakerseld, CA 933
Business Name: < . ,d,c C , C
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
a-
Z
minor
modification
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
Other:
Comments:
Building Sq. Feet: /0966 0
Calculation Bldg. Sq. Ft: 9.
a.
3.
4.
Data Tim a
Signature
Signature
BILLING & PERMIT STATEMENT
PERMIT #
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Fine ,, d'rrr# r
dih.... .ill.. I gluul,ilijpl;l.d.. '
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phnna• 661 -376 -3979 • Fax@ 661 -R57 -2171
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INFORMATION
LOCATION OF PROJECT
C 3501
PROP %TY OWNER
STARTING DATE COMPLETION DATE NAME
P ECi NAME _ //)
EtyV-
ADDRESS
13341
PHONE #
PROJECT ADDRESS Cm gf IG6R5 IEl_A STATE CA ZIP CODE
INFORMATION
CqNTrRACTOR NAME CA LICENSE #
U,s S I cJ C• o 0
TYPE OF LICENSE EXPIRATION ATE
3 !
PHONE #
3I WTI1
CONTRACTOR COMPANY NA E FAXIP' se, ^ d
AD RESS r Ate
CITY \ ZP CODE
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
Pi PERMIT TYPE FEE CALCULATION TOTAL
DUE
111. Alarm - New & Modification (minimum charge) $280
ACCT NO
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
235
58 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
Spray Booth (New & Modification) 235
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 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
13 Miscellaneous 84
F02021 (Ray Q7/12)
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BILLING & PERMIT STATEMENT "1,1" ® BAKERSFIELD FIRE DEPARTMENTIIIYlllnlllllltllil,l,'
Prevention ServicesB :, 1
PERMIT # d+40ARSMO r 2101 H Street
1, lillnl11 , Bakersfield CA 93301l,llllbi,lpllllll.
djRtt;;l•* 011% . . C.ti1-11r.-1070 _ cam..• 441- QC1 -1171
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
El 1 Alarm - New & Modification (minimum charge) 1$280
1 Over 10,000 sq ft 1 $0 .028 x sq ft
WISE SECURITY SYSTEMS, INC. 1011
2301 FRUITVALE AVENUE, #6
BAKERSFIELD, CA 93308 9o•a5oaitzzz
01
881 - 395 -0249 -
DATE L
PAY
THE
ORDER OF AK S til_ I E t,QTty1E I $ so.
War A."JoaED E'W'S -y S oL` -rRS 1 0 DOLLARS a ; bek.
W
II1
VALLEY REPUBLIC BANK
8000
aliolomla
033 9
110
Bekanllaltl, CA a990Y
881•371•20011
vallaynpubliobank.0om
FOR Pften WEI'•,m.) SExi MMS Qy KEf15G?a_n (I6•ri t ,. _
11100 i0 1111" 1: 12 2 24 SO44i.:00000 10 10 S 2 211'
Z Sac
ul lual yl vuiiu a1.ul aye i a1 iK trunur rtuomcauon) M I M
INFORMATIO IN
LOCATION OF PRO]" PROPEVY OWNER
V
573 /tank
STARTING DATE COMPLETION DATE NAME - 7
P ECTNAME
90t ADDRESS PHONE C
4KE9 2EELQ gtfia.1111102 OF 1VA,:5
82
PROJECT ADDRESS
CRY gAIC6R- S ll5L_D STATE CA ZIP CODE
CONTRACTOR INFORMATION
Tent #
CO TRACTOR NAME CA LICENSE TYPE OF LICENSE EXPIRATION PATE PHONE #
After -hours inspection fee
CONTRACTOR COMPANY NAAE FAX #
j . SC
ADDRESS
01 7 CITY \ ZIP CODE
6 lii
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
El 1 Alarm - New & Modification (minimum charge) 1$280
1 Over 10,000 sq ft 1 $0 .028 x sq ft
WISE SECURITY SYSTEMS, INC. 1011
2301 FRUITVALE AVENUE, #6
BAKERSFIELD, CA 93308 9o•a5oaitzzz
01
881 - 395 -0249 -
DATE L
PAY
THE
ORDER OF AK S til_ I E t,QTty1E I $ so.
War A."JoaED E'W'S -y S oL` -rRS 1 0 DOLLARS a ; bek.
W
II1
VALLEY REPUBLIC BANK
8000
aliolomla
033 9
110
Bekanllaltl, CA a990Y
881•371•20011
vallaynpubliobank.0om
FOR Pften WEI'•,m.) SExi MMS Qy KEf15G?a_n (I6•ri t ,. _
11100 i0 1111" 1: 12 2 24 SO44i.:00000 10 10 S 2 211'
Z Sac
ul lual yl vuiiu a1.ul aye i a1 iK trunur rtuomcauon) M I M sib//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 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
70 Miscellaneous 84 .
FD2021 (Roy 07/121