HomeMy WebLinkAbout700 SUMNER STREETHOODS ALARMS SPRINKLER SYSTEMS OO THSPRAYBOOTH
Permit No. Permit No. Permit No. Permit No.
File Number: 314 4'7
Date Received: t3-- / — / Z
SYSTEM:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal nderground Storage Tank
Other:
AST UST
Permit No. Permit No.
1,2- iac>oa !"r5
Address:
Bakersfield, CA 933
Business Name: (, 4e c `
BUILDING SQUARE FEET: INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: -?,?c P,6-,X-,A1 I^ T
a.
3.
4.
Date Time
Signature
Signature
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
BACKFI LL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
L%r4-t f- C,,nA t
OWNER: PERMIT NO. —1640d
CONTRACTOR: ,.,j -e .,, e/ r`c PHONE # 9l6 —6L
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: (7 RQ \•.c acs a Pict
BUILDING ADDRESS: C5 Q 5 k
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: PERMIT NO. —1640d
CONTRACTOR: ,.,j -e .,, e/ r`c PHONE # 9l6 —6L
FD 1743
I
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
IPermit #i2-io ofg
0 E R 9 F I A
ABTA/ T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 e Fax: 661 - 852 -2171
Page 1 of 1
THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED
FD2088 (Rev 03/08)
SITE INFORMATION
SITE
QQ I `
ADDRESS
J
ZIP CODE
93305-
FACILITY NAME 9W r-/E 6,eI
CROSS STREET
y I `
TANKOWNER/OPERATOR
UIV c 8,61CROAD
PHONE # T (o - - 5-/6
APN #
MAILING ADDRESS
5 0 J 00
CITY `
LE
ZIP CODE
5
CONTRACTOR INFORMATION
COMPANY
kc7t c.
PHONE #
w2(6- Cl(aj-Qk52-10
LICENSE #
ADDRESS
1-/000 V
CITY
L ZIP CODE 917-49
INSURANCE CARRIER
LERR coMP
WORKMENS COMP #
oo y 2 2`i
PRELIMINARY ASSESSMENT INFORMATION
COMPANY PHONE # LICENSE #
ADDRESS CITY ZIP CODE
INSURANCE CARRIER WORKMENS COMP #
TANK CLEANING INFORMATION
COMPANY ?
UM I
PHONE # (
o2b- -732-(0
LICENSE #
ADDRESS
1A1000
CITY ZIP CODE 9/
INSURANCE CARRIER /
CG
WORKMENS COMP #
OO
WASTE TRANSPORTER 1D # T 2 '153 77V
SAFACILITY
ID # NAM[ R1NST DISPOSAL FACILITY
ADDRESS 2-000 CITY
COM
ZIP CODE
9O22
TANK TRANSPORTER INFORMATION
COMPANY PHONE # LICENSE #
ADDRESS CITY ZIP CODE
TANK DESTINATION
TANK INFORMATION
TANK A AGE VOLUME CHEMICAL STORED DATES STORED CHEMICAL PREVIOUSLY STORED
311
U N 7 CO W)RE O/ L N N ZA
FOR OFFICIAL USE ONLY
APPLICATION DATE FACILITY # OF TANKS FEE S
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.
AP VED BY
Z
APPLICANT NAME (PRINT) APPLICANT SIGNATURE
THIS APPLICATION WILL BECOME A PERMIT WHEN APPROVED
FD2088 (Rev 03/08)