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)