HomeMy WebLinkAboutAST 2/8/2011HOODS ALARMS SPRNKL ER SYSTEMS AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 3/95 Address:
Bakersfield, CA 933
Date Received: a -- Sr— ! l
Business Name: 6'b• -e HCS4.••l '
SYSTEM: BUILDING SQUARE FEET: j WSPECTM L ®G
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
W/
1",
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 'I -
2.
3.
4.
Date Time
Signature
Signature
BILLING & PERMIT STATEMENT
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 11' Floor
Bakersfield, CA 93301
Phnna - • Fay-
SITE
f,F,1 -R57 -7171
ECYI
0
permits must De revlewea, stamped, ana approved PRIOR TO BIECvIIW1M1hMGv WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
INFORMATION
LOCATIO FPRO]
f)e '3r 8P&
PROPERT nwuPR
19
NAMESTARTINGDATECOMPLETIONDATE
PROJECT FjME _ ^ / (
A A
IJ
C
ADDRESS '
9
P ONE # `
PROJECT ADDRESS
3 S 7- Xq_6 Fte /d cA CITY grCK.FRS IF LD STATE CrC ZIP cc0
348
CONTRACTOR INFORMATION
CONT"" np NAME
O 1e
CA1I ENSE # TYPE OF LICE PINSEEXTION DA; E
8 Z
Ip`
PHONgb !)'1! -*t
FAX #
6 341-e195
CONTRACTOR COMPANY NAME
1014 rocs ,vc
ADDRESS
s3 r 0 R (J
Cf p(A./7 /
C
J'r, e 9 F d Q,
ZIP coq,,',,,
ECYI
0
permits must De revlewea, stamped, ana approved PRIOR TO BIECvIIW1M1hMGv WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
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
Minor Sprinkler Modification <10 headsp ( ) 96 (inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 58
Spray Booth (New & Modification) 470
98
boveground 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 Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
cheduled at the same time TT
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
7'"'_"'Rey 04/08)
Ci , ty of Aar er5field
F !) Ptl Type: Of , Drawer: i
101I ! Receipt no. '087.)
lop Agoint
W004;
NJILDIPC PERMITS
1.K7
g 4,34 $1 S@. N
IN.
jr v: 14, 13: 20
I),OL Tl' P- I P(PLk.W'! M
t-qlw5r !;ijAY " NE,10
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: a ti
JOB DESCRIPTION: i f 0-b%r OCCUPANCY TYPE:
OWNER: • ;Q PERMIT NO.
CONTRACTOR: e PHONE #
t3g6
7 -6 Q
FD 1743