HomeMy WebLinkAboutMinor Mod Folder 8-17-16 (2)HOODS 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
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
aA F R S F
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 _•_ Fax 661- 852 -2171
FORMATION
LOCATION OF PROJECT
PROPERTY OWNER
Jaco Hill
STARTING DATE
8/17/16 9:00am
NAME
Omero Garcia Maintenance Manager
PROJECT NAME ADDRESS
PO Box 82515
PHONE#
661 -393 -7000
PROJECT ADDRESS
2732 Brundage Ln, Bakersfield, CA 93304 CITY
CONTRACTOR IN•
CONTRACTOR NAME CA LICENSE #
Austin Sterling 804904
STATE CA
+ •
TYPE OF LICENSE EXPIRATION DATE
A C61 D40 3/31/16
ZIP CODE
93380 -2515
PHONE #
661 - 631 -3870
CONTRACTOR COMPANY NAME
Confidence UST Services Inc.
FAX #
661 -587 -9758
ADDRESS
16250 Meacham Road
CITY
Bakersfield
ZIP CODE
193314
All
❑
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
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
$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
PI
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
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)