HomeMy WebLinkAboutMinor Mod Folder 4-26-16HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
l 2-
File Number: _ 6
Date Received: V- _4z %%
Address: - 5700
Bakersfield, CA 933
Business Name: ;� // > '�` °�' f Q Z0 Z2Z
SYSTEM: BUILDING SQUARE FEET:
New Mod.
❑
❑
Commercial Hood System
❑
❑
Fire Alarm System
❑
❑
Fire Sprinkler System
❑
❑
Spray Finish System
❑
❑
Aboveground Storage Tank
❑
❑
Underground Storage Tank
mi;;)
modifi
Underground Storage Tank
removal
Underground Storage Tank
❑ ❑ Other:
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
INSPECTION LOG-]
Date
1. L9 S T
2.
3.
4.
Signature
Signature
BILLING PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
s R s F I"' D Prevention Services
PERMIT # FIRE 2101 H Street
Bakersfield, CA 93301 -
LOCATION OF PROJECT PROPERTY OWNER
5100 Gasoline Alley Drive Bill Wright Toyota
STARTING DATE COMPLETION DATE NAME
04/05/2016 4/5/16
PROJECT NAME ADDRESS
Bill Wright Toyota
5100 Gasoline Alley Drive
PHONE #
(661) 398 -8697
PROJECT ADDRESS Clfl
5100 Gasoline Alley Drive
C g�C �� 5� (� L� STATE A
ZIP CODE
93313
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # TYPE
Frank Landa 804904
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
II
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING
- New & Modification (minimum charge) $280
•
71 0Alarm
❑
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
❑
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 in 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 TANK
PERMIT APPLICATION
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Permit # /��_�
TYPE OF /APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY
�i_r_r^v �nC rnii v\ I—I MnnTCTr`A -rT!" m r1C GA(—T1 TTV
❑ NEW TANK INSTALL /EXISTING FACILITY
F.771 MTNr1R MC)nTFTr'ATTnN OF FACTI TTY
STARTING DATE/
04/05/2016
F4/5/16 POSED COMPLETION DATE
FACILITY NAME
Bill Wright Toyota
EXISTING FACILITY PERMIT #
FACILITY ADDRESS
5100 Gasoline Alley Drive
CITY
Bakersfield
ZIP CODE
193313
TYPE OF BUSINESS
Auto Dealership
APN #
TANK OWNER
Bill Wright Toyota
PHONE #
(661) 398 -8697
ADDRESS
5100 Gasoline Alley Drive
CITY
Bakersfield
ZIP CODE
93313
CONTRACTOR
Confidence UST Services Inc.
CA LICENSE #
1 804904
ICC # -
8180171 -U1
ADDRESS
16250 Meacham Road
CITY
Bakersfield
ZIP CODE
93314
PHONE #
661- 631 -3870 1
BAKERSFIELD CITY BUSINESS LICENSE #
32864
WORKMANS COMP #
1 1308371
INSURER
SCIF
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Install Bravo Conv -82000 Series Conversation Frame (see attached photo in blue box)
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL
TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL? SPILL
YES NO
PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM_
DIESEL
OTHER
1
10000
X
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
Frank Landa
ICC#
8180171 -U1
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED -'
4-1125-116
APPROVED BY
�f_"z4<x\�9
Fn -5 nAr, (Rav nRinA)
CONVmB2000 SERIES DISPENSER CONVERSION FRAMES
® on ■ .
WI N a .��t;e�, sa
List
495
658
GA- CONVB2K
O tlon that adds Galvanized coat and E owder coat
$ 140
Dispenser Brand and Model Number
are Required for Every Order.
Use Order Form. Below,
Part Number Description
MO -400
1-1/2" Offset, 1 -1/2" NPT Male x 1 -1/2" NPT Female
MO -401
List
1" Offset, 1 -1/2" NPT Male x 1 -1 /2" NPT Female
MO -402
$ 46
11
2" Offset, 1 -1/2" NPT Male x 1 -1/2" NPT Female
MO -403
46
3" Offset, 1 -1/2" NPT Male x 1 -1/2" NPT Female
46
51
* NOTE: Offset Information provided in Bravo Systems Blueprints are deemed accurate but
must be verified to be compatible with Existing and New Dispense b
rs y the Insta lling Contra ctor
It is the responsibility of the End User to verify that the correct Offsets are being ordered.
oft,