HomeMy WebLinkAboutUST-PERMIT COVER SHEET 9/1/2011HOODS ALARMS SPRINKLER SYSTEMS
Permit No. Permit No. Permit No. Permit No.
AST UST
Permit No. Permit No.
File Number: Address: 3 q4-- S `
Date Received: - - //
Bakersfield, CA 933
Business Name: '1iVL I;
PHSPECTION LOGSYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire alarm System Calculation Bldg. Sq. Ft: I 7
Fire Sprinkler System a
3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor
modification Underground Storage Tank Signature
removal Underground Storage Tank
Signature -
Q,,—'Other
Comments: F,'11 v -aye &C/Q -,
z; /E /3o-Ih 14 11& ,f- 36 9
BILLING & PERMIT STATEMENT
PERMIT #
LHA`tFPROeV 3y h Sri U T l
STARTING DATE Ti1kg
PROJECT NAME
PROJECT ADDRESS n 1 ' f ^ '^ / S(N 51ivnnAl RV_1_U 1 'A Q1 lA
un8Qiilu° BAKERSFIELD FIRE DEPARTMENT
rI A; : 1: Il ti P i_ .,.- I) prevention Services
FIRE
TD',eARTM 1600 TrUxLun Avenue, Suite 401
Bakersfield, CA 93301
Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171
CON}
1TTREACTOR
NAME
n
CA I.ICEN1SF. 0
CONTRACTOR IiCOMPANY
CWI- 1i(O)CC `(,.)T YViCij 11C.
ADDRESS
PROPERTY OWNER
NAME
ADDRESS PHONE Ir
crrY •f7',AI,'_.&R,SFIEL) STATE CA zip CODE
IYP /r: OF LICENSE EXPIRATION DATE PHONE
1e.
11 IUS-
CITY
Alarm - New & Modification (minimum charge) $280
p 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 heads) $96 (inspection only)
Commercial Hood (New & Modification) — — $470
Additional hood 58
470Spray [tooth (New & Modification)
Aboveground Storage Tank (Installation /One Inspection)
Additional Tank
180
96
109
878 /tank
tAbovegrou nd Storage Tank (Removal /Inspection)
rground Storage Tank (Installation /Inspection)
Underground Storage Tank (Modification)
Underground Storage Tank (Minor Modification)
878 /site
167
Underground Storage Tank (Removal) 573 /tank —^
129
Oil well (Installation)
Mandated Leak Detection (test) /Fuel Mont Cert /SB989
NOTE: $96 for each type of test /per site even if
scheduled at the same time
96
96 /site
i Tent 96/tent
a__ - -- After -hours inspection fee - _ - -__- 121
Pyrotechnic (per event, plus inspection fee of $96 /hr) 96 -I- (5 hrs min standby fee /insp) =$576
Re- inspection /Follow -up Inspection - - -- -- - -^ - --
Portable LPG (Propane): # of Cages?
Explosive Storage - -- - - - -- ----- --- - --- --
Copying & File Research (File Research fee $34 /hr)
Miscellaneous
96 /hr -- -- -- _-
96
266 -------- - - - - -- - ----- - - - - --
0.25 /page
1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer)
FAX A
ZIP CODE
FD2021(Rev 06/07)
84
98
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84
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84
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84
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FD2021(Rev 06/07)
City of Ba ',ersfield
Kok Ct.i5TO icR RECEIPT #*
L e 'UMFMP4 Type! OC Drawer: 1
9 /1,,111 B1 receipt no: 'c`3d7
ion I ,Jantity Asovnt
p BUILDING PERMITS
1. m $384.ze
ia,idgr detail
i, CVECK 11,358 X384.
Tol -. tendered $384. IN
yaycent $384.00
i;ONTROL THE PET POPULATION
VLMSE sm, AND NE'di'ER
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM GI-b /LINE TESTING/
SB9S9 SECONDARY CONTAINNll -N1'
I'F:I- ING /1'ANI: l- IGI-I.I -NESS 11_S'I- ANI>
FUEI. MONITORING C1=RTIFICATION
TW1111- a
BAKERSFIELD FIRE DEPARTMENT
f __._.._.....__. Prevention Services
u 6r'' 11 R.1 P 1.11 .,1. 1) 1.600 TI•LIY.tUII Ave., Suite 01.
ME Bakersfield, CA 9330:1. DEPA mPlwl6'i19P Phone: 661-326 -3979 o Fax: 661. -852- 7.1.71.
Page I of I
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Cl TANK I'1 f1'NI:SS FI II:I_ MONI ['ORIN(; fl ?It'r11=1C.A'IION
SITE INFORMATION
Nnwl: 8 Mom: a or coww..T PFRSON
AnoRES!; $ 3qkh
OWNLR NAME
OPFRAT012 NANI: 111:1011•' TO 011FRA'rr. C
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TANK# VOLUME CONTENTS I
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TANK TESTING COMPANY
NAME P 1 1ONI
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MAILING ADMIRE S5 '•, \ _
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AP11WANI SI6,0ATI110:
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED -_ - - -- - ^_
nnn:
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1 :112015 (P-w n4;r7)
BILLING & PERMIT STATEMENT
IPERMIT # I
II All S
FIRE
FA 'T
rff4i
r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 TruXtUn Avenue, SUiLe 401
Bakersfield, CA 93301
Phone: 661-326-3979 * Fax: 661-852-2171
I'TE I ORMATZNF
II
jAf6TON
01 PRO11CT
6im'.-
I)ROPERTY OWNER
SI'ARTING DA_f[ GQM414 LLAW-HA H=- TA kE NAME
ADDRESS PHONEPROJECTNAME
A6JA
CITY sTA-rr C.A ZIP CODEPROJECTADDRESS
CONTRACTC)k'ir4F()R'M ATION''1,
CONTRACTOR NAME CA LICENSE # TYPE: OF LICENSE EXPIRATION DATE PHONE ff
CONI'RACIOR COMPANY NAME FAX ff
C.1) I k AC 1'1C; C. Q.y v I ce 11 c. w JS
ADDRESS C1'ry ZIP CODE
I 8 -- C
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alamn - New & Modification (minimum charge) $280 84 •
98
Over 10,000 sq ft 0 .028 x sq ft 84.--.—
98
Sprinkler- - New & Modification (niininlUrn charge) 280 84
98
Over 10,000 sq ft 0 .028 x sq fL 84.___
98
Minor Spi-inklei- Modification (<10 heads) 96 (inspection only) 84
98
Commercial Hood (New & Modification) 470 84
98
Additional hood 58 8-4
98
470SprayBooth (New & Modification)
98
Aboveground Storage Tank (Installation/One Inspection) 82180
Additional Tank 96 82
Aboveground Storage Tank (Removal/Inspection) 109 82
82UndergroundStorageTanI < (Installation /Inspection) 878/tank
Underground Storage Tank (Modification) 878/site a 82
Underground Storage Tank (Minoi, Modification) 167 82
Underground Storage Tank (Removal) 573/tank 84
Cl I Oil well (Installation) 96 84
Mandated Leak Detection (LesL)/Fuel Mont Cei-L/SB989 96/site e 82
NOTE: $96 for each type of test /per site even if
scheduled at the same time
D Tent 96/tent 84
LI After -hours inspection fee 121
0 Pyrotechnic (pet- event, plus inspection fee of$96/hr) 96 + (5 hrs min standby fee /ins 84
Re-inspection/Follow-up inspection 96 /hr M 84
Portable LPG (Propane): .//ofCages? 96 84
I Explosive Storage 266 84
Copying & File Research (File Research fee $34 /hr)
Miscellaneous
1;0.25/page 84
n 84
FD2021 (Rev 06/07)
1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer)
BAKERSFIELD FIRE DEPARTMENTUNDERGROUNDSTORAGETANKSPreventionServices
ji TI-UXl:Un Ave., Suil e 4011600
APPLICATION FIRE Bakersfield, CA 93301
DEPARrmsxr Phone: 661-326-3979 o Fax: ()0.1-8Li2-217i. 1'0 PEl\FOM• FLD/l-lNr--1'1--Sl-lNG/
B9, -(7,(- - TA T139Sl- )NDAINlYCON - INrvil::N Paw! I of I
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I-] IANK ll(lll*iN!1-5!:;
SITE INFORMATION
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TANK V v 0 1- 1.) M E CONTENTS
TANKTFSTING COMPANY
V, 111101,11; 11 01: (:(,)NTA(:l
TIiSTIrJG COMPANY t.
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MAILING AODRU.'S
MAMI. P, 1110tq1 nf: rSllk (k!WECIAL INSPUA0
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THIS APPLICATION BECOMES A P ERMIT WH EN APPROVED
OA I li
APPR(,VH) 14•
1:1)209S (pt•v (Wilri.7)
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
P,RI.ORTO OPERATION-OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BYj
MISC. ACTIVITY THE - BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT_(FINAL)
REMARKS:
BUILDING ADDRESS: Q c{ ---
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: PERMIT NO. — Q66 3CONTRACTOR: C PHONE # --
FD 1743