HomeMy WebLinkAboutMaj. Mod. 10-6-20157ile Number:
--tate Received: 712-
SYSTEM: BUILDING SQUARE FEET:
New Mod.
❑
❑
Commercial Hood System
❑
❑
Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
Spray Finish System
❑
❑
Aboveground Storage Tank
❑
<
Underground Storage Tank
min r
modification
Underground Storage Tank
removal
Underground Storage Tank
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
PERMIT #
F'IR6
DAW RTAIFItIT
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 o Fax: 661 - 852 -2171
FORMATION
LOCATIO� OJE
S. 6\ al kkknr
PROPERTY OWNER t
STARTING DATE COMPLETION DATE
NAME
P JECT NAME /
ADDRESS
PHONE #
PROJECT ADDRESS CITY
CONTRACTOR INIF
CQNTRAQ70R.NAME ' CA LICEN E
f
_p t / E5R SFI E _ ' STATE �'
ORMATION
PE CIF kIC E E EXPIRATIO D 7
ZIP CODE
P 0
CONTRACTOR CO &YNAM
ADD S
C
5A A
ZIP CODE
v'
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
J CALCULATION • +
DUE
❑ Alarm - New & Modification (minimum charge) $280
•
ONLY
TREASURY
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
❑
Sprinkler - Minor Modification ( <10 heads)
$ 96 (inspection only)
84
❑
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
$235
58 hood
❑
Commercial Hood - Minor Modification (add /move nozzle)
$ 96 (inspection only)
84
❑
Spray Booth (New & Modification)
$235
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
PC
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 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) _ $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
$235
84'
❑
Copying & File Research (File Research fee $57 /hr)
$0.25 /page
84
❑
Miscellaneous
84
FD2021 (Rey 114)
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK Prevention Services
s 2101 H Street
PERMIT APPLICATION A„ x g I D Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW src Phone: 661-326-3979 Fax: 661 -852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD ;, .4RTM T
Page 1 of 1
zWt -�
Permit � z
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
CHECK ONE ONLY MODIFICATION OF FACILITY ❑ MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED COMPLETION DATE
FACILITY NAME /` EXISTING FACILITY PERMIT #
FACILITY ADDRESS% `- --`-✓1 * 1 .._ R \ R C ZIP CODE
TYPE OF BUSINESS /"°N C n �, _a (\ AA A, ! '� <1/1/i /n _'-I '-kAPN #
TANK OWNER U PH(PNE #
ADDRESS �"' a n f1 f3 CITY ZIP CODE
I WATER TO FACILITY PROVIDED BY
I DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
k \ au
MAILING ADDRESS` j
`�.�
NAME OF TESTER e �`'� I ICC# --� q ` :J .:)
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.
NAME OF TESTER r.(\ \� � �� \ �- ` t) ICC# C5 r ' "—A5
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY
IL
FD2086 (Rev 08/09)
BUILDING ADDRESS: ,,'�� „ �, f�'�lJ�t �^�/ 07
.JOB DESCRIPTION:
OCCUPANCY TYPE:
OWNER: �.!`
PERMIT NO. %
CONTRACTOR:.. PHONE #�°� ��/i`-�'`%b