HomeMy WebLinkAboutMINOR MOD APP (REV) 1.28.19UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Permit # i s — toc-0 ®6_c
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
(rHF('K nNF r)Nl Y) M Mr)r)TFTCATTON OF FACTI TTY M1 MTNOP mor)TFTC'ATTnN of FArTl TTY
STARTING DATE/
11/02/2018 111/02/2017
PROPOSED, COMPLETION DATE
FACILITY NAME
Wholesale Fuels, Inc.
EXISTING FACILITY PERMIT #
FACILITY ADDRESS
2200 East Brundage Lane
CITY
Bakersfield
ZIP CODE
193307
TYPE OF BUSINESS
Fuel Distribution
APN #
TANK OWNER
Wholesale Fuels, Inc.
PHONE #
(661) 327 -4900
ADDRESS
2200 East Brundage Lane
CITY
Bakersfield
ZIP CODE
93307
CONTRACTOR
Confidence UST Services Inc.
CA LICENSE #
804904
ICC #
8174721` -UT
ADDRESS
16250'Meacham Road
CITY
Bakersfield
ZIP "CODE
93314
PHONE #
661 - 631 -3870 1
BAKERSFIELD CITY BUSINESS LICENSE #
32864
WORKMANS COMP #
13 08371
INSURER
S;CIF
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Replace T3, T4, & T6 Fill spill buckets with new Phil -Tite 5 gallon model (MN 85100 -1). Repair and retest T1 L -S Clear line leak detector.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL?
YES rl NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
n YES NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR'
PREMIUM
DIESEL
OTHER
4
20,000
X
X
6
20,000
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
Tim Capehart
ICC#
8414476 -UT
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED.
APPROVED BY
BILLING & PERMIT STATEMENT ;P,
B A'K" E R S F tcW',,4 D
PERMIT #' F; FIRE
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnna• r Fax• F,F,1 - RS7 -71 71
All
./
❑
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
' ' • •
Alarm - New & Modification (minimum charge) $280
SITE INFORMATION
LOCATION OF PROJECT
PROPERTY OWNER
2200 East Brundage Lane, Bakersfield, CA 93307
Wholesale Fuels, Inc.
STARTING DATE COMPLETION DATE
NAME
11/02/2018 11/2/18
Maintenance Manager
PROJECT NAME
ADDRESS
PHONE #
Wholesale Fuels, Inc.
2200 East Brundage Lane
(661) 327 -4900
PROJECT ADDRESS
2200 East Brundage Lane, Bakersfield, CA 93307
CITY F�J-C K �iTZS�I E(,D STATE CA
ZIP CODE
93307
CONTRACTOR
•• •
CONTRACTOR NAME CA LICENSE #
TYPE OF LICENSE EXPIRATION DATE
PHONE #
Tim Capehart 804904
A, C61 -D40, Haz 03/31/2020
(661) 631 -3870
CONTRACTOR COMPANY NAME
FAX #
Confidence UST Services, Inc.
(661) 587 -9758
ADDRESS
CITY
ZIP CODE
16250 Meacham Road
Bakersfield
93314
All
./
❑
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
' ' • •
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)
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 min 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
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