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Home My WebLink AboutSB-989 Folder 11-22-160 0 .j Z 0 IMMMM L) LU a. U) Z MOMMOR a 0 W w LL LU OC Z D In v W IM- 0 E IMMMM rl \n �CD C co C cm m 0 Z 0. 6 All Z w Low a � CO) 0 0 z cy.) (Y) 4) 4) UL co "a S E & 0) CL CO A-INI. W .0 Cl) E W ME Z F- Cl) Cl) 6 z N +4 E W Z CL E Cl) C Cl) .19 c 6 Z Ns E W E IM. E 0 0 a. 0 0 cn 6 Z ME 0 0 0 4) MOMMI 0: a LL 0 SM. 0 0 .j Z 0 IMMMM L) LU a. U) Z MOMMOR a 0 W w LL LU OC Z D In v W IM- 0 E IMMMM rl \n �CD C co C cm m cr CO) 4) 4) UL co "a & 0) A-INI. .0 ME m L) E C id C .19 c co E W E IM. 0 0 0 0 0 c ME 0 0 SM. E 05 U- SM. 0 SM. 0 SM. 0 E 0 CL > 0 a a 4) "a a CD 10 c U-- U.. co o F-1 ❑ F-1 ❑ ❑ F-I 0 L- 4--t 'ffi 0 co C: 0 L70- = > 0 E CD z 0 E a) L- El A I V BAKERSFIELD FIRE DEPARTMENT B S, R S F 4, Prevention Services FIRZ 2101 H Street Bakersfield, CA 93301 Dhnno• ti�i _27�_ ZC7C s C�v• ��i _4� �_ )y 71 SITE 11N FORMATION LOCATION OF PROJECT Jaco #2233/ D &G Liquor, 2732 Brundage Lane, Bakersfield, CA 93304 PROPERTY OWNER Jaco Hill STARTING DATE COMPLETION DATE 11/22/2016 9:00 am NAME Omero Garcia PROJECT NAME Jaco #2233/ D &G Liquor, 2732 Brundage Lane, Bakersfield, CA 93304 ADDRESS PO Box 82515 PHONE # 661 - 393-7000 PROJECT ADDRESS Jaco #2233/ D &G Liquor, 2732 Brundage Lane, Bakersfield, CA 93304 • •• INFORMATION CONTRACTOR NAME CA LICENSE # 804904 /� CITY �Ai1: -��S�l e�-- -� STATE C/`T TYPE OF LICENSE A, csi s oao EXPIRATION DATE 103/31/2017 ZIP CODE 93380 PHONE # 661 - 631 -3870 CONTRACTOR COMPANY NAME Confidence UST Services FAX # 661 -587 -9758 ADDRESS 16250 Meacham Road CITY Bakersfield, CA 93314 ZIP CODE Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you. 933 iI PERMIT TYPE FEE CALCULATION TOTAL DUE ❑ Alarm - New & Modification (minimum charge) FA $ 288 • ONLY AccT No ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Alarm - Minor Modification (Add 1 device /Relocation of 2 devices) $ 98 /hr (2 hrs minimum) _ $196 84 ❑ Sprinkler - New & Modification (minimum charge) FIRE $ 288 ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Sprinkler - Minor Modification ( <10 heads) $ 98 /hr (2 hrs minimum) _ $196 84 ❑ Commercial Hood (New & UL 300 Upgrade Modification) FHD Additional Hood $ 241 $ 59 /hood ❑ Commercial Hood - Minor Modification (add /move nozzle) $ 98 /hr (2 hrs minimum) _ $196 84 • Spray Booth (New & Modification) SB $ 241 • Aboveground Storage Tank (1 inspection per installation) AST $ 185 /tank ❑ Additional Tank ATI $ 98 /tank • Aboveground Storage Tank (Removal, Mod, or Inspection) ATR $ 112 /tank • Underground Storage Tank (Installation /Inspection) NI $ 900 /tank • Underground Storage Tank (Modification) MOD $ 900 /site • Underground Storage Tank (Minor Modification) MTM $ 171 /site • Underground Storage Tank (Removal) TR $ 587 /tank Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot. NOTE: $98 /hr for each type of test /per site /per UST system even if scheduled at the same time TT $ 98 /hr (2 hrs minimum) _ $196 ❑ Oil well (Installation, Inspection, or re- inspection) X $ 98 /hr 84 ❑ Tent TENT $ 98 /hr ❑ After -hours inspection fee $ 124/hr 2 hrs minimum = $248 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $98 /hr during business hours) PYRO NOTE: After hours Pyrotechnic event inspection is @ $124 /hr $ 98 /hr + (5 hrs min standby fee /insp) _ $588 5 hrs min standby fee ins = 620 ❑ Re- inspection /Follow -up Inspection $ 98 /hr 84 ❑ Portable LPG (Propane): # of Cages? $ 98 /hr 84 ❑ Explosive Storage $ 241 84 ❑ Copying & File Research (File Research fee $51 /hr) $ 0.02 /page 84 ❑ Miscellaneous Site Plan Review (Carnival & Fairs /Vehicle $ 98 /hr 84 FD2021 (Rev 7/16) APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # �- .B A&E R S f I D flRE BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661 -852 -2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ® SB -989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY Jaco #2233/ D &G Liquor NAME & PHONE # OF CONTACT PERSON Omero Garcia 661- 393 -7000 ADDRESS 2732 Brundage Lane, Bakersfield, CA 93304 OWNER NAME Jaco Hill OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 12' U i TANK TESTING COMPANY TESTING COMPANY Confidence UST Services NAME & PHONE # OF CONTACT PERSON Mel Bolton 661- 631 -3780 MAILING ADDRESS 16250 Meacham Road, Bakersfield, CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Cameron Mason 661 - 303 -8550 CERTIFICATION # B42599 DATE & TIME TEST TO BE CONDUCTED 11 /22/2016 @ 9:00 ar N ICC # 8174721 TEST METHOD APPLICANT SIGNATURE DATE 10/19/2016 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 12/15) BILLING & PERMIT STATEMENT PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Please make checks payable to CITY or 5AKIt"rLCLU. nu a.AOrr rm.. . T ira..i yo... ❑ Alarm - New & Modification (minimum charge) FA SITE • MATION LO ON OF PROJECT 2732 Brundage Lane, Bakersfield, CA 93304 "C"- 'OWNE0. Jaco Hill SCOPE OF WORK SB989 J NAME Bassam PMEcT NAME Jaco #2233/ D & G Liquors ADDRESS 15000 Olive View, Dr. Unit G PHONER 8052170610 PROJECTADDRf55 2732 Brundage Lane, Bakersfield, CA 93304 EIIT SRK.ER5�1 El.A srATE CA ZIP CODE 91342 CONTRACTOR INFORMATION ❑ Sprinkler - New & Modification (minimum charge) FIRE COMMC 011 NAME 8 IJCENSE # gp4g04 IYPE OF X,`j E E %PI 03/ 1 / Haz,A, C61 -D4 03/31/2020 PHONE 661- 631 -3870 CarRACTOR COMPANY NAME 68 6 1 - 587 -9758 onfid ices ADDRESS 16250 Meacham Road C[IY Bakersfield [rP C00E 14 Please make checks payable to CITY or 5AKIt"rLCLU. nu a.AOrr rm.. . T ira..i yo... ❑ Alarm - New & Modification (minimum charge) FA $ 288 ❑ Over 10,000 sq ft $ 0 .0288 x sq R 84 ❑ Warm - Minor Modification (Add 1 device /Relocation of 2 devices) $ 98 /hr (2 him minimum) = $196 84 ❑ Sprinkler - New & Modification (minimum charge) FIRE $ 288 84 ❑ Over 10,000 sq It $ 0 .028 x sq ft 84 13 Sprinkler - Minor Modification ( <SO heads) $ 98/hr (2 him minimum) _ $196 84 ❑ Commercial Hood (New & UL 300 Upgrade Modification) END Additional Hood $ 241 $ 59 /hood ❑ Commercial Hood - Minor Modification (add /move nozzle) $ 98 1hr (2 him minimum) _ $196 84 ❑ Spray Booth (New & Modification) Sill $ 241 ❑ Aboveground Storage Tank (1 inspection per installation) AST $ 185/tank ❑ Each Additional Tank $ 98/rank • Aboveground Storage Tank (Removal, Mod, or Inspection) ATR $ 112 /tank • Underground Storage Tank (Installation /Inspection) NI Underground Storage Tank (Modification) MOD $ 900/tank • $ 900 /site • Underground Storage Tank (Minor Modification) MTM $ 171 /site ❑ Underground Storage Tank (Removal) Tit $ 587 /tank Id Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $98 /hr for each type of test/per site /per UST system en if scheduled at the same time TT $ 98 /hr (2 him minimum) _ $196 ❑ Oil well (Installation, InspeNon, or re- inspection) X $ 98 /hr 84 • • After -hours inspection fee Pyroi permit per event, plus an Inspection fee of $98 / business hours) PYRO on OTEours rotechnic event ins on Is @ $124 hr 124 hr 2 hM min mum = [Ma $ 98 /hr+ (5 him mi n standby fee /insp) _ $58 5 him min standb fee ins = 620 ❑ Re- inFollow -up Inspection $ 98 /hr 84 ❑ PortaPropane # of Cages? _ $ 98 /hr 84 ❑ Explrage $ 241 84 ❑ Copy Research (File Research fee $ 0.02/page 84 • Miscellaneous Site Plan Review (Carnival & FairsNehicle $ 98 /hr 84 FD2021(R 07 /10) PREPARED 8/16/19., 12:23:45 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM 13PS20L APPLICATION NUMBER: 1.9- 10000486 2732 BRUNDAGE LN FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES 98.00 MANDATED LEAK DETECT TEST 98.00 TOTAL DUE 196.00 Please present this receipt to the cashier with full payment INSPECTION RECORD ��•/ BAventio Se FIRE DEPARTMENT Prevention Services 2101 H Street UST JOB CARD Bakersfield, CA 93301 f� Tel.: (661) 326 -3979 Fax: 1661) 852 -2171 Post this Card at the Job Site and DO NOT Remove for Duration of Work PRIOR TO OCCUPANCY OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INTALLED, COMPLETED, AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE P N 'Z7114 BUILDING ADDRESS' ?.-7%7- N JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: I PERMIT NO.: DESCRIPTION DATE SIGNATURE DESCRIPTION DATE SIGNATURE TANKINSTALL PRIMARY PIPE- 50PSI- HR SECONDARY PE -5P - At ITHQRI7ATIQN FOR FlIrl FINAI STARTUP TESTING TANK TES ING MODIFICATIONS MINOR 1 MAJOR DESCRIPTION DATE SIGMA DESCRIPTION DATE SIGNATURE Z� PRIOR TO OCCUPANCY OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INTALLED, COMPLETED, AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE P N 'Z7114 BUILDING ADDRESS' ?.-7%7- N JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: I PERMIT NO.: CONTRACTOR: U` S FD 2165 (Rev. 3 /2018)