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HomeMy WebLinkAboutMinor Mod Folder 8-17-16HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 2916 Date Received: Address: 2=2-72= r � � La4zeE Bakersfield, CA 933 Business Name: uale-.5 Z L L2 �,-� ' 2-2-3? SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank inor modification Underground Storage Tank removal Underground Storage Tank ❑ ❑ Other: Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: eA.EZ L �Z' INSPECTION LOG-] Date T' V -r yki <lu . 1 2. 3. 4. Signa` ure Signature lil `A ar'llt1N i Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 -852 -2171 SITE INFORMATION LOCATION OF PROJECT PROPERTY 2732 Brundage Lane OWNER Jaco Hill STARTING DATE COMPLETION DATE NAME 02/27/16 2/27/16 Omero Garcia, Maintenance Manager PROJECT NAME ADDRESS Jaco #2233/ D & G Liquor P.O. Box PHONE # (661) 393 -7000 PROJECT ADDRESS Cm' 2732 Brundage Lane (822515 T TAI_' ER.,S -FELT% STATE CA ZIP CODE 93380 -2515 CONTRACTOR CONTRACTOR NAME CA LICENSE # TYPE Austin Sterling 804904 • • 1 • OF LICENSE EXPIRATION DATE A, C61 -D40, Haz 03/31/2016 PHONE # (661) 631 -3870 CONTRACTOR COMPANY NAME Confidence UST Services, Inc. FAX # (661) 587 -9758 ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 All 0 ❑ permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. PERMIT TYPE FEE CALCULATION TOTAL Alarm - New & Modification (minimum charge) $280 DUEj • ONLY TREASURYI 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 heads) $ 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 $171 /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 $266 84 ❑ Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 ❑ Miscellaneous 84 FD2021 (Rey 05/11) UNDERGROUND STORAGE TANK 5 Adillkh —A Pod PERMIT APPLICATION Ar P I I> TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW aR TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Permit #��'� BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 e Fax: 661- 852 -2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY /(,Ur_r'V nniG nnn V� I-1 Mnr)TFT('ATTnN nF FArTI TTY n MTNnR mnr)TFTC'ATTnN nF FACTI TTY STARTING DATE/ 02/27/16 PROPOSED COMPLETION DATE 2/27/16 FACILITY NAME Jaco #2233/ D & G Liquor EXISTING FACILITY PERMIT # FACILITY ADDRESS 2732 Brundage Lane CITY Bakersfield ZIP CODE 193304 TYPE OF BUSINESS GDF APN # TANK OWNER Jaco Hill PHONE # (661) 393 -7000 ADDRESS P.O. Box 82515 CITY Bakersfield ZIP CODE 93380 -2515 CONTRACTOR Confidence UST Services Inc. CA LICENSE # 1 804904 ICC # 8339953 -UT ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 PHONE # 661 - 631 -3870 1 BAKERSFIELD CITY BUSINESS LICENSE # 32864 WORKMANS COMP # 1308371 INSURER SCIF BRIEFLY DESCRIBE THE WORK TO BE DONE: Cold -start of Veeder -Root. Replace transducer on 87 product. (Permit for work completed on Feb 27, 2016 follow up per Kris Karns) WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED ][-] ARE THEY FOR MOTOR FUEL? YES NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK# VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER 1 12000 x x 2 12000 x x 3 12000 X Tank Testing Company NAME OF TESTING COMPANY Confidence UST Services Inc. PHONE NUMBER 661 -631 -3870 MAILING ADDRESS 16250 Meacham Road, Bakersfield, CA 93314 NAME OF TESTER ICC# 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 Austin Sterling ICC# 8339953 -UT THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED / APPROVED BY