The URL can be used to link to this page

Home My WebLink AboutMinor Mod Job Card (2)UNDERGROUND STORAGE TANK AMbiatw'Ll ' PERMIT APPLICATION TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY)/NEW TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD lPermit # i4 _zej0"e9'_0_ TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/ EXISTING FACILITY CHECK ONE ONLY) I MODIFICATION OF FACILITY Pi-, MINOR MODIFICATION OF FACILITY STARTING DATE / PROPOSED COMPLETION DATE 2-18-2016 '3-30-2016 FACILITY NAME EXISTING 'FACILITY PERMIT .#,, Wholesale Fuels Inc. 15.;021-03393 FACILITY ADDRESS CITY ZIP CODE 2200 E. Brundage Bakersfield 93307 TYPE OF BUSINESS APN # GDF TANK OWNER PHONE # Wholesale Fuels Inc. 661-393-7000 ADDRESS CITY ZIP CODE 2200 E. Brundage Bakersfield 93307 CONTRACTOR CA LICENSE # ICC a ew Cheney) 8129033 970529, Ja Company Copany (M fth ADDRESS CITY ZIP COD PQ1.,,Box82515 '933,8 Bakersfield 0 [ PHONE BAk EPSFIELD CITY BUSINESS LICENSE,# WORKMANS COMP # IN'SURER-1. Tank Testing Company NAME OF TESTING COMPANY Confidence UST Services MAILING ADDRESS PHONE NUMBER 661-631-3870 NAME OF TESTER ICC# Bryan Self 1 8022804 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 ICC# Bryan Self 1 8022804 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY FD2086 (Rev 08/09) *?C;Ad 11 UNDERGROUND STORAGE TANK PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY)/NEW TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD Permit # I ffll�` TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY (CHECK ONE ONLY N MODIFICATION OF FACILITY ❑ MINOR MODIFICATION OF FACILITY STARTING DATE/ PROPOSED COMPLETION DATE 2-18-2016 3-30-2010 FACILITY NAME EXISTING FACILITY, PERMIT Wholesale Fuels Inc. FACILITY ADDRESS —7BTkersfield ZIP CODE 2200 E. Brundage I 93307 TYPE OF BUSINESS APN # GDF TANK OWNER PHONE # Wholesale Fuels Inc. 661-393-7000 ADDRESS CITY ZIP CODE 2200 E. Brundage Bakersfield 93307 CONTRACTOR CA> LICENSE # I�Cc Jaco Oil 'Company (Matthew Cheney) .970529 8129033 ADDRESS CITY ZIP CODE -PO Box 82515 Bakersfield 93380; PHONE # BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP INSURER 661-868-9484 WC3486600 American Zurich Ins, Co. BRIEFLY SCRIBE THE WORK TO BE DONE: Tank Testing Company NAME OF TESTING COMPANY Confidence UST Services MAILING ADDRESS PHONE NUMBER 661-631-3870 NAME OF TESTER ICC# Bryan Self 1 8022804 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 ICC# Bryan Self 8022804 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY FD2086 (Rev 08/09) ILLING & PERMIT STATEMENT or BAKERSFIELD FIRE DEPARTMENT 8 E R s F l IM D Prevention Services PERMIT # FIRE r 2101 H Street 0- �, Bakersfield, CA 93301 Dhnrn ^. a C-,... GGi OC'1 '11 -7-1 T71 _"i TNT Ati- ❑ Alarm - New & Modification (minimum charge). $280 ❑ 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) $235 Additional Hood 58 hood ❑ Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84 • Spray Booth (New & Modification) $235 98 LOCATION OF PROJECT Aboveground Storage Tank (1 inspection per installation) AST SITE INFORMATION vv �� PST e PROPERTY OWN R �- 82 ❑ Additional Tank ATI $ 96 /tank 82 STARTING DATE 4 COM ETION DATE NAME '_;z ❑ Underground Storage Tank (Installation /Inspection) NI $878 /tank PROJECT NAME 'f ZZ6 Underground Storage Tank (Modification) MOD ADDRESS J� i2 PHON # PROJECT ADDRESS Underground Storage Tank (Minor Modification) MTM CITY _FIA I< ET 2.S � I E i _-D STATE CA ZIP C0 82 ❑ Underground Storage Tank (Removal) TR CONTRACTOR INFORMATION 84 CONTRACTOR NAME �'e 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 CA LICENSE # TYPE OF LICENSE EXPIRATION DATE f{z L PHONE #, Oil well (Installation, Inspection, or re- inspection) X $ 96 /hr 82 _ Tent # CONTRACTOR COMA NAME �r 84 ❑ FAX # CO 1Pi Q�� ❑ 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 ADDRESS 3 /G" ( 9094 84 C �ke 'ems ZIP CODE q �3 a T71 _"i TNT Ati- ❑ Alarm - New & Modification (minimum charge). $280 ❑ 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) $235 Additional Hood 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 ❑ 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 Site Plan Review $ 96 /hr 84 CUST0,1ER COPY CITY OF BAKERSF10 T 1600 TRUXTUN AVENUE 1.600 TumUN AVENUE BAKERSFIELD, CA 9330151. city Of Bakersfie'ld, CUSTOMER RECEIPT BAKEELDt CA o,330151 RSFI 02,17./2016 FOR rEGA- TYpe,, OC Date', 2117116 01 0217i*2016 f4D,' 100000:0003727628 TID: 056 6.,W3 Receipt no: X4701 CREDIT CARD Year NUmber 2016 10000098 Amount MC SALE 2200 E BRUNDAGE L9 A BAKERS FIELD, CA 93307 CARD # BP BUILDIN6 PERMITS MC SALE INVOICE 0004 2200 E BRUJ,rGAGE LIT A BAXERSFIELD, CA. 93307 RMIT S IG PE' $167.00 SE: 0004 Tender detail $192.00 Batch #: 000441 CC tREOIT CARD j3821 Total tendered $167.00 A1) oval Code 033 21: Total payment $167-00 fty Pieftd, Sir e� 1I92.00 $167.00 Mode: e Trans date: 2117116 Tire: 9:53:30 Tax Amount; HAPPY NEW YEAR! Total Payment SALE AMOUNT $167,00 CUST0,1ER COPY CUST, OM ER COPY CIT� o'F BAKERSFIELD TR, 1.600 TumUN AVENUE City of bakel af" Id BAKEELDt CA o,330151 RSFI vi c"ISTHER RECEIPT Tripe: QC 011111 0217i*2016 Oiler: EORTEGR no 2/17/16 01 RetsiPt 64702 'TJ 6 MID: 000000�0372762121 Dj 05 Date: CREDIT CARD Year Number 2016 100000H MC SALE 2200 E BRUJ,rGAGE LIT A BAXERSFIELD, CA. 93307 RMIT S IG PE' CARD # 50 BUILap $192.00 0003 0003 Tender detall CC CREDIT CARD 1470 1I92.00 00044- i 01478 i Totai tendered provai code,, S1,.Jlp'fd Total Payment aity mdtod, Trans date- 2,117/16 9:53. Mode: 0,11�ie x,0, 0 0 HAppy IIEW YEAR! Tax AmOUnt' SALE AMOUNT ,ti9lo-o I CUST, OM ER COPY PREPARED 2/17/16, 9:22:47 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 16-10000098 2200 E BRUNDAGE LN A FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 83.50 UNDGRND STR TANK MINOR MODIFY 83.50 TOTAL DUE 167.00 Please present this receipt to the cashier with full payment.