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HomeMy WebLinkAboutFMC FOLDER 2-21-12HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1,,2-1c C5C90oe., File Number: 02 /3 S 3 Date Received: - / _ i G Address: 2 / e ,C Wel-J L-/ Bakersfield, CA 933 Business Name:d Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other: R-iIu-,_- Signature SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculati/on Bld . Sq. Ft: 9 Uh CarieW k7 Fire Sprinkler System 3 ;5, 12r "Q" LWeQ61 ,-d Fn C" "L Sp pay Finish System Aboveground Storage Tank 4 Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other: R-iIu-,_- Signature BILLING & PERMIT STATEMENT PERMIT # n sItIs D P/RQ BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 PhnnP: 661 -126 -3979 • Fax: 661 -R52 -2171 SITE INFORMATION permits must One reviewed, stamped, and approved PUUOR TO BEGUNNING WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 LOCATION OF PROJECT g I jZO5t1\ `E yw Y PROPERTY OWNER T4tC2 O STARTING DATE COMPLETION DATEa- - a1 a- •6 -a- NAME Jt EV"rIr`i0 PROJECT NAME M0r rtTOtZ C_EQ_Tk tcA-C l0t-j ADDRESS 2®5'EDALE rlwy PHONE # PROJECT ADDRESS . g 6N ZOSED) IE r-{Wy cm i4K.ET25F1E1_D STATE CA ZIP CODE Q 8 CONTRACTOR INFORMATION Sprinkler - New & Modification (minimum charge) 280 CONTRACTOR NAME ZQ ' CA LICENSE # 1-7 , TYPE OF LICENSE EXPIRATION DATE PHONE # 5LJ' € -7- -f- 61 0 1 H z - t - 661 6 CONTRACTOR COMPANY NAME c-.- FAX # s,a o ADDRESS / 2 ^ / \ ! 'G ,L G 6 -J0 1C VrjE7v. / LC 1 Wq # F CmgA[ CLSJ 1 ` ZIP CODE C` Q) V AOi I permits must One reviewed, stamped, and approved PUUOR TO BEGUNNING WORK. PERMIT TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY ACCT NO i 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 headsP ( ) 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 VMandated 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) = 92 r 0' l— . 17 022- j 82 0 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 j 84 FD2n21 (Ray 05/11) BILLING & PERMIT STATEMENT 4' PINEPERMITOEPARTAFONT BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Dti,,. ccl _'V)r__ '20-7a _ r.. _stS7_71 71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. WELLS FARGO BANK 17022BSSR, INC. - 6630 ROSEDALE HWY. #B BAKERSFIELD, CA 93308 16- 24/1220 (7) 661) 586 -2777 1/30/2012 PAY TO ORDER THE BAKERSFIELD FIRE DEPT. * *192.00 One Hundred Ninety-Two and 00/ 100******************* rsi* s**«************•**********•* s* * * * * * ** : ** « * * * * * * * *se* * ***r•**s DOLLARS BAKERSFIELD FIRE DEPT. pie neo ,ny °t a N MEMO 1110170220 is 1 2 2000 24'7i:0 3 7 1 2 5 39 L S11,'' 12 *J [ SECURITY FEATURES INCLUDED. DETAILS ON BACK. I kd 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 SITE INFORMATION LOCATION OF PROJECT _41 5i rcwy PROPERTY OWNER oft Sur C1- 2'rI "j 0 STARTING DATE COMPLETION DATE IL- 1a1 NAME JIC' 7;rJo PROJECT NAME rA0NIT0 1-?- c €1ZT%tiC*A -C 10 t-3 ADDRESS i6 ui 5DALrF +-'•/ PHONE # PROJECT ADDRESS, rte; ZOScOALE :,- {IiJJy CITY STATE C-A ZIP CODE U CONTRACTOR INFORMATION After -hours inspection fee CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE 1- PHONE # 661 - 5b Sz - 96 /hr + (5 hrs min standby fee /insp) _ $576 5 hrs min standby fee ins = 605 CONTRACTOR COMPANY NAME t3 rZ ('l C. FAX # 661 -5t', ,''a7e0 ADDRESS rnQ °I t- CRY QA s I-bEL ZIP CODE c33 ©i All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. WELLS FARGO BANK 17022BSSR, INC. - 6630 ROSEDALE HWY. #B BAKERSFIELD, CA 93308 16- 24/1220 (7) 661) 586 -2777 1/30/2012 PAY TO ORDER THE BAKERSFIELD FIRE DEPT. * *192.00 One Hundred Ninety-Two and 00/ 100******************* rsi* s**«************•**********•* s* * * * * * ** : ** « * * * * * * * *se* * ***r•**s DOLLARS BAKERSFIELD FIRE DEPT. pie neo ,ny °t a N MEMO 1110170220 is 1 2 2000 24'7i:0 3 7 1 2 5 39 L S11,'' 12 *J [ SECURITY FEATURES INCLUDED. DETAILS ON BACK. I kd 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) _ X92 j ILk . 17 612.2 82 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours inspection fee 1211hr (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 UNDERGROUND STORAGE TANKS APPLICATION I TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/ TANK TIGHTNESS TEST AND (lFUELMONITORINGCERTIFICATION Please note that these are separate individual tests and will be charged separately per test type accordingly). PERMIT NO. FINN ARTAI r ENHANCED LEAK DETECTION LINE TESTING TANK TIGHTNESS TEST FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPT. Prevention Services 1501 Truxtun Avenue 1s' Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 SB -989 SECONDARY CONTAINMENT TESTING FD2095 (Rev. 03/08) SITE INFORMATION FACILITY L /l NAME PHONE NUMBER OF CO TACT PERSON Cr i ILI : r O ADDRESS OWNER NAME 1 V OPERATOR NAME PERMIT TO OPERATE # F NO. OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS O v U pU-7 nq TANK TESTING COMPANY NAME OF TAS ,tLNG COMPA NA & P ONE NUMB OF CONT T PER N MAILING A SS E & PHON NUMBER OF TEST OR SP CIAL INSPECTOR CERTIF ATION # DATE IME TEST TO BE CONDUCTED Q/ 1 ICC # TEST METHOD SIGNATURE APP NT DATE HIS APPLICATI9.N BECOMES A PERMIT WHEN APPROVED APPROVE BY DATE L FD2095 (Rev. 03/08) 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 CONTRACTOR: Ste' 6 "717A,-AL„ PHONE# 6 6• --a ?7 PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY' THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: / JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: „ PERMIT NO. CONTRACTOR: Ste' 6 "717A,-AL„ PHONE# 6 6• --a ?7 FD 1743