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HomeMy WebLinkAboutFMC FORMS 10-5-18CORRECTION DATE CUSTOMER: INSPECTOR: White - Customer /Original Corr ect the v' lations noted above by: fk-./ OCC LOAD NO. OF FLOORS BAKERSFIELD FIRE DEPARTMENT FIRE PREVENTION INSPECTION OCC TYPE (Please Print Name Legibly, Title) Prevention Services Wet /Dry Sprinkler System (Signature) r REQUIREMENTS 2101 H Street CHECKED BELOW No1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC Bakersfield, CA 93301 N.E.C. COMBUSTIBLE WASTE / DRY Phone: 661- 326 -3979 a Fax: 661- 852 -2171 VEGETATION Provide non - combustible containers with tight fitting lids for the storage of combustible waste and FD 2022 (Rev. 10!20171 DATE /0 � l° FEE FACILITY ADDRESS ,,.._ C""' � r � � �P FACILITY NAME p COMBUSTIBLE STORAGE CITY, STATE, ZIP ' ) j J BUSINESS OWNER'S NAME AND ADDRESS MANS Glf'S tr NAME I�f P 40 _Gy''` top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 906.9) EXTINGUISHERS 5 CITY T TE, ZIP , PH NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS, CORRECTION DATE CUSTOMER: INSPECTOR: White - Customer /Original Corr ect the v' lations noted above by: fk-./ OCC LOAD NO. OF FLOORS OCC USE 4 >$R r,4 t> LAl RISER DMA IV A .' OCC TYPE (Please Print Name Legibly, Title) SE BL SQlFCO� H H n Type of Alarm System CONSTRUCTION TYPE RI 111 4]�T 0 - 4 N ����¢ � `�". � ❑YES � NO Wet /Dry Sprinkler System (Signature) r REQUIREMENTS CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC N.E.C. COMBUSTIBLE WASTE / DRY 304, 1.1 ) VEGETATION Provide non - combustible containers with tight fitting lids for the storage of combustible waste and FD 2022 (Rev. 10!20171 2 rubbish pending its safe disposal. (CFC 304.3.2) Note: applies to containers over 40 gallons. combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC COMBUSTIBLE STORAGE 3 Relocate 605.3) Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the 4 top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 906.9) EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) _________ _________ portable fire (CFC extinguisher to be immediately accessible for use In (area) _______ ______ ---------- - - - - -- TABLE 906.3) Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or 6 after each use, by a person having a valid license or certificate. (CFC 906.2) Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height over each required exit SIGNS 7 (door /window) to fire escape. (CFC 1011) Provide and maintain appropriate numbers on a contrasting background and visible from the street to 8 indicate the correct address of the building. (CFC 505.1) 9 __ ------- - - - - -' Repair all (cracks /holes /openings) in plaster in (location) --------------------------------------- to its original fire resistive condition (CFC 703.1) FIRE DOORS/ Plastering shall return the surface FIRE SEPARATIONS Remove /repair (item & location) _ ----------------------------- _ be designed to close by gravity, or by the action of a mechanical device, or by an 10 Self- closing doors shall smoke and heat sensitive device. Self- closing doors shall have no attachments capable of approved preventing the operation of the closing device. (CFC 703.2) 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1031.1) EXITS 12 Provide a contrasting colored and permanently installed electric light or ear re fired exit ttasve (location) ------------------------------ and /or other obstructions from fire escape Landings and stairways stair shafts. (Fire STORAGE 13 Remove all storage escapes /stair shafts are to be maintained free from obstructions at all times.) (CFC 1003.6) Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved ELECTRICAL APPLIANCES 14 electrical outlets where needed. (CFC 605.5) multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC 15 Remove 605.4) 16 17 Recreational fires or open burning. CFC 307.1 Violations of Section (CFC 5608.1) & 8.44.040 (B.M.C.). OUTDOOR BURNING FIREWORKS 18 OTHER CORRECTION DATE CUSTOMER: INSPECTOR: White - Customer /Original Corr ect the v' lations noted above by: fk-./ LEGEND: C.F.C. CALIFORNIA FIRE CODE (Please Print Name Legibly, Title) C.B.C. CALIFORNIA BUILDING CODE (Signature) r B.M.C. BAKERSFIELD MUNICIPAL CODE NO.' N.F.P.A. NATIONAL FIRE PROTECTION N.E.C. ASSOCIATION NATIONAL ELECTRIC CODE Yellow - Station Copy Pink - Prevention Services FD 2022 (Rev. 10!20171 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection FACILITY NAME �y CAS -5'r ADDRESS FACILITY CONTACT A(14ZAJ Consent to Inspect Name/Title Jll' Le ?-EAJOICL NSPECTION DATE INSPECTION TIME 'HONE NO. NO OF EMPLOYEES ") T — G 0S 3USINESS ID NUMBER Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ompiance OPERATION V =Violation; 1,11 Minor CE RS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (OCR: 2729.1) 3210043 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) i �T VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) VERIFICATION OF QUANTITIES (CCR: 2729.4) VERIFICATION OF LOCATION (CCR: 2729.2) 1010004 1010006 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 11' VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 1020002 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) [SITE DIAGRAM ADEQUATE & ON HAND (OCR: 2729.2) 1010010 3030007 3030032 1010005 ANY HAZARDOUS WASTE ON SITE? Q'YES ❑ NO Sianature ofRecei t Explain: i.��� 6 f�'=u� O� e� 7ti '"���"�' J'`�ce.. -� 1 :firs��1 Inspector: POST INSPECAION INSTRiC ONS: • Correct the violation(s) noted above by • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Station Copy Pink — Prevention Services Sign a r%�_ I ations have been corrected as noted) Date FD2155 (Rev 9/2017) 1-1' BILLING & PERMIT STATEMENT BAKERSFIEL D FIRE DEPARTMENT f Prevention Services P'Eli M T #' J�x�� 2101 H Street arrr r Bakersfield, CA 93301 DhiNnA• F,F,1- iF,- 17 3 a F ;iy- 6(;1 -RS9 -2 71. LOCATION of PROJECT SA098 - 3221 S. H Street PROPERTY O acific Bell Telephone Co. dba AT &T California STARTING DATE COMPLEHON DATE NAME 10/5/2018 10/5/2018 Allen Renuk PROJECr NAME SA098 ADDRESS PHONE 1918 M Street (661) 327 -6903 PROJECrADDREss 3221 S. H Street, Bakersfield, CA Icrry - klCe1ZS:Fl l -L-D STATE CA "'C"' 93301 -4635 111TRACT11-M'Environmental Services, Inc. CA 'T99698 TYPE of UCEN E ExPIRATEON DATE PHONE # 714 567 -6418 a, b, c10 asbhaz 2/29/2020 ( ) CONTRACrOR COMPANY NAME Tait Environmental. Services, Inc. FAx0 (714) 978 -2615 ADDRESS 701 N. Parkcenter Drive I clrr Santa Ana ZIP fCODE 92705 Please make checks payable to CITY OF BAKE. BETEL . NO CASH Please. Thank you. 0 0 Alarm - New & Modification (minimum charge) FA $ 288 4 0 Over 10,000 sq ft $ 0.028 x sq ft 11 Alarm - Minor Modification (Add 1 device /Relocation of 2 devices) $ 98 /hr (2 hrs minimum) _ $196 84 0 I Sprinkler - New & Modification (minimum charge) FIRE $ 288 o Over 10,000 sq ft $ 0.428 x sq ft 0 Sprinkler - Minor Modification ( <10 heads) $ 98 /hr (2 hrs minimum) = $196 84 0 Commercial Hood (New & UL 300 Upgrade Modification) EHD Additional Hood $ 241 $ 53 /hood 0 Commercial Hood - Minor Modification (add /move nozzle) $ 98 /hr (2 hrs minimum) = $195 84 • Spray Booth (New & Modification) SO $ 241 • Aboveground Storage Tank (1 inspection per installation) AST $ 185 1tank 0 Additional Tank ATE $ 98 /tank 0 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 $ x.71 /site • Underground Storage Tank (Removal) TR $ 587 /tank 0 Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE $98 /hr for each type of test/per site /per UST system ven if scheduled at the same time TT $ 98 /hr (2 hrs minimum) = $196 i ! 0 Oil well (Installation, Inspection, or re- inspection) X $ 98 /hr 84 0 Tent TENT 98 /hr 0 After -hours inspection fee 124/hr 2 hrs minimum . = 248 0 Pyrotechnic (i permit per event, plus an inspection fee of $ 8 /hr during business hours) PYRO! NOTE: After fours Pyrotechnic event inspection Is @ $124/hr $ 98 /hr + (5 hrs min standby fee /insp) = $58 5 hrs ruin standby fe ins = t620 0 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 t KeV Ji 1b i UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. n --will BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 .-S ENHANCED LEAK DETECTION GS LINE TESTING @5 SB -989 SECONDARY CONTAINMENT TESTING /a7C TAMIL TI!^_LJTAICCC TCCT n nrnrnnnn ri ir_ nnnniiTnoinir /�C DTI CI! ATI/lAl ru zuyo kmev. uyluo) NAME & PHONE NUMBER OF CONTACT PERSON Allen Renuk (661) 327 -6903 FACILITY Pacific Bell Telephone Co. dba AT &T California ADDRESS 1918 M Street, Bakersfield, CA 93301 -4635 OWNERS NAME Pacific Bell Telephone Co. dba AT &T California OPERATORS NAME AT &T PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? es YES s NO TANK# VOLUME CONTENTS SA004UO01 20,149 Gallons Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Tait Environmental Services, INC. NAME & PHONE NUMBER OF CONTACT PERSON Carlos Cardenas (714) 567 -6418 MAILING ADDRESS 701 N. Parkcenter Dr., Santa Ana, CA 92705 NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR Adolfo Aguilar CERTIFICATION #: Incon TS -STS 173253702 DATE & TIME TEST TO BE CONDUCTED 10/4/2018 @ 9:00am ICC #: 5238610 TEST METHOD SIGNATURE OF APPLICANT. THIS APPLICATION DATE 9/5/2018 L WHEN APPROVED BECOMES A PE IT APPROVED BY DATE ru zuyo kmev. uyluo)