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Home My WebLink About2712 CHESTER AVENUEHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOO ` H Permit No. Permit No. Permit No. Permit No. File Number: l60 /?-7 Address: Date Received: G - ,25.-/ Z Business Name: AST UST Permit No. Permit No. 22/2- (--"5: Bakersfield, CA 933 SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank modification minor Underground Storage Tank removal Underground Storage Tank Other: Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft:' 3. 4. WSPECiBOIY BOG Date Time Z ignature Signature So<<, Z ignature Signature UNDERGROUND STORAGE TANK PERMIT APPLICATION FOR REMOVAL OF AN UNDERGROUND STORAGE TANK IPermit #/2 -ip C Z BAKERSFIELD FIRE DEPARTMENT Prevention Services s 2101 H Street Bakersfield; CA 93301 A'.rR'RTffff#1' Phone: 661- 326 -3979 . Fax: 661 - 852 -2171 Page 1 of 1 THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED FD2088 (Rev 03/08) SITE INFORMATION SITE ADDRESS C-(• -CraL e ZIP CODE FACILITY NAME,y, /JQ ry ! . CROSS STREETV , fk , TANKOWNER/OPERATOR , y PHONE # / j/ , APN # MAILING ADDRESS p ` 'lfAld G 1' CITY ZIP CODES /5 /) 7 J w CONTRACTOR INFORMATION COMPANY n n (, /p / _• C2 y1..1 `• PHONE #5 q / ) / LICENSE ADDRESS 2 jO CITY ) J_ /( ZIP C _ d INSURANCE CARRIE ii% S a WORKMENS COMP PRELIMINARY ASSESSMENT INFORMATION COMPANY PHONE # LICENSE # ADDRESS CITY ZIP CODE INSURANCE CARRIER WORKMENS COMP # TANK CLEANING INFORMATION COMPANY PHONE # LICENSE # ADDRESS CITY ZIP CODE INSURANCE CARRIER WORKMENS COMP # WASTE TRANSPORTER ID # FACILITY ID # NAME OF RINSATE DISPOSAL FACILITY ADDRESS CITY ZIP CODE TANK TRANSPORTER INFORMATION COMPANY PHONE # LICENSE # ADDRESS CITY ZIP CODE TANK DESTINATION TANK INFORMATION TANK # VOLUME CHEMICAL STORED DATES STORED CHEMICAL PREVIOUSLY STOREDAGE V C)CO (SP,L n'y, FOR OFFICIAL USE ONLY APPLICATION DATE FACILITY # OF TANKS FEE; THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. gVPfiQVED BY APPLICANT NAME (PRINT) APPLICANT SIGNATURE THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED FD2088 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE R Prevention Services PERMIT # 12_ - Ipp00 2,2 r 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: DEPARTMENT 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMITTYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 INFORMATIONSITE LOCATION OF PRO]ECi Z l 2, Clti2s'r 1Q 3 OWNERPROPERTYO S N t3psp4cc STARTING DATE, COMPLETION DATE NAME PROJECT NAME ADDR( $S iar ' G PHONE PROJECT ADDRESS 2-7 l 2 '' LJLs i'-c J i/Q _ l r iG crrY F°t }C E12 5 (G- LD STATE C 4 ZIP CO 1710 O 1 CONTRACTOR INFORMATION CONTRACTOR NAMF • D r 2(' ( TM IiF L t LICENSE ExPiRATI 'ATE I LJ PH 5_ 641 ' (r / b CONTRA PWN Ock / V'{ vI VSC F S - S - ADDRESS J ! AU 4P- RD Z1PCO E All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMITTYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY TREASURV= 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 X10 headsp ( ) 96 (inspection only) 84 Commercial Hood (New & Modification) 470 Additional hood 58 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 Leak Detection (test) /Fuel Mont Cert/SB989 NOTE: $96 /hr for each type of test/per site even If scheduled 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) P'Y 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 0 Miscellaneous 84 FD2021 (Ray n4/081 3 b 4 N d W BILLING & PERMIT STATEMENT ByAKsERSFIELD /FIBRE DEPARTMENT pD P9 a ention Se ices' PERMIT # 2101 H Street Bakersfield, CA 93301 Phnno• Ff.1_Z)F._Z070 . rw• A t_>ZS7_7 7t All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ' ME 145 N. AMER t 229445 r $573'01[ TWO SIGNATURES REQUIRED s ' SEVENTY -THREE ANDXX / 100 DOi lie Underground Storage Tank (Removal) TR SITE INFORMATION LOCATION OF PROJECT 7 PR OWNER 51 -sok;vi ,) v 1 ; QS STARTING DATE COMPLETON DATE L NAME PROJECT NAME APDRS PHONE "j, n PROJECTADDRESS ^ - 7 l / S f 0L ` iJQ_ l'.I -)C- a crry P.410ER.5F16L.A sraTE Cf4 ZIPbCO E 2f-0 Q` CONTRACTOR INFORMATION coNTRAc-TOR NAME -D r CA LICENSE 7 5Z0 TYPEQP L ENSE EXPIRATION ATE l /d 11 PHONE CONTRACT MPA yN• AME {, [ _ ,.,[ 1, YtJ `-C C V- (Y -""" LIO L FAX S gGuZy ADDRESS ry CITY ZIP CO E; Gay All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ' ME 145 N. AMER t 229445 r $573'01[ TWO SIGNATURES REQUIRED s ' SEVENTY -THREE ANDXX / 100 DOi lie 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 scheduled 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 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 121 /hr (2 hrs minimum) =$242 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 Copying & File Research (File Research fee $50 /hr) 266 0.25 /page 84 84 Miscellaneous 84 C. I A, , 61 LlIon. 0 lkw m 1 wl r • ° ; v : ri • _ e "rr° , '4`,t` ..% f • r r• ) S'Alb'tMn 'Hy,,. 4P a .. 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