HomeMy WebLinkAbout1501 FELIZ DRIVE UST 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST j
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
13 -1ocnOO 75
File Number: Address:
Bakersfield, CA 933
Date Received: 3
Business Name: CGS
SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spvay Finish System
Aboveground Storage Tank
al Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Date Time
fir% (s?'w
411191/3 EVII -r Z?5;-e--
2. 96"e'-Cr-
3.
4.
Signature
Signature
BIUING &PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
e__x__.s_ 1_13 -V Prevention Services
PERMIT # FIRE 2101 H StreetDBPARrMBNf
Bakersfield, CA 93301
M-- cci_97c on -7n _ cam.,• aa1- QC')_7171
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) $470
Additional Hood 58 hood
1 Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
Spray Booth (New & Modification) $470
Aboveground Storage Tank (1 inspection per installation) AST $180 /tank
Additional Tank ATI $ 96 /tank
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109 /tank
Underground Storage Tank (Installation /Inspection) NI $878 /tank
Underground Storage Tank (Modification) MOD $878 /site
1 Underground Storage Tank (Minor Modifiratinn) MTM Itt F7 / =N
98
82
82
82
82
82
R
2/8/2013 1635
DATE CHECK NUMBER f
i
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
C.bl w
PROJECT NAME ADDRESS PHONE#
PROJECT ADDRESS CITY _F,A lI ERSFI ELD STATE CA ZIP CODE
i330,
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
CONTRACTOR COMPAN NAME FAX #
n i 1
ADDRESS CITY ZIP CODE
r i) Q, t ff I J 1 13.
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) $470
Additional Hood 58 hood
1 Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
Spray Booth (New & Modification) $470
Aboveground Storage Tank (1 inspection per installation) AST $180 /tank
Additional Tank ATI $ 96 /tank
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109 /tank
Underground Storage Tank (Installation /Inspection) NI $878 /tank
Underground Storage Tank (Modification) MOD $878 /site
1 Underground Storage Tank (Minor Modifiratinn) MTM Itt F7 / =N
98
82
82
82
82
82
R
2/8/2013 1635
DATE CHECK NUMBER f
i
BILLING & PERMIT STATEMENT ''= BAKERSFIELD FIRE DEPARTMENT
Wjkf a R s K I-E L D Prevention Services
PERMIT # 2101 H StreetDiPARfMiMT
Bakersfield, CA 93301
Phnna- 661 - '12F, -'A979 • Fay- 661 -R52 -2171
All
121
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
IM
TREASURY
ACCT NO
Over 10,000 sq ft 0 .028 x sq ft
SITE INFORMATION
LOCATION OF PROJECT
Sprinkler - New & Modification (minimum charge) 280
PROPERTY OWNER
901 f6(i
Over 10,000 sq ft 0 .028 x sq ft
STARTING DATE COMPLETION DATE
Sprinkler - Minor Modification ( <10 heads)
NAME
84
to"
470
58 hood
PROJECT NAME ADDRESS PHONE #
96 (inspection only)
LE ivi
PROJECT ADDRESS
470
CITY gfkICERSFIELD STATE ' ZIP CODE
u F 0 „a
180 /tank 82
133o
Additional Tank ATI 96 /tank
CONTRACTOR INFORMATION
CONTRACTOR NAME
109 /tank
CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
11 -_V
82
I Cj 7-1
VC
A. 4 o iti 27-
CONTRACTOR COMPAN NAME FAX #
4 Lj,
82
ADDRESS
pAA
84
CITY ZIP CODE
t
96 /hr (2 hrs minimum) _ $192 82
All
121
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
IM
TREASURY
ACCT NO
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
boveground 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
VC 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
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
IPermit #
TYPE OF APPLICATION:
CHECK ONE ONLY)
B gv ee
AR1r f
NEW TANK INSTALL/NEW FACILITY
MODIFICATION OF FACILITY
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
NEW TANK INSTALL/ EXISTING FACILITY
MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED COMPLETION DATE
FACILITY NAME EXISTING FACILITY PERMIT #
FACILITY ADDRESS
o' rrE r
CITY ZIP CODE
3 .7'
TYPE OF BUSINESS
0..
APN #
TANK OWNER
I C, 4;. i
PHONE #
OBI - Q- t - S-bvco
ADDRESS
ts-w — "&
CITY ZIP CODE
q 33 0
CONTRACTOR
V
CA LICENSE #
Z% 73
ICC #
5zc..I1 7-r
ADDRESS
5SOO CO % r6 A. i L, nu E
CITY
I
ZIP CODE
301
PHONE #
o(oI -327 — Cl314 1 I BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP #
W9R 300393yo2
INSURERItA... w "JF 4446 trs'r
BRIEFLY DESCRIBE THE WORK TO BE DONE:
RZj21 1 w i- Z4uaG - 0aJ
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? 10 YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK # VOLUME UNLEADED REGULAR/ PREMIUM DIESEL OTHER
O
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
i -
MAILING ADDRESS
v0 4i or is A.,fE n.+ ( eJ
NAME OF TESTER ICC#
S3a54 fl
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
n _
ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED AP OVE Y
FD2086 (Rev 08/09)
Mohitoring System Certification
UST Monitoring Site Plan
Site Address: 1501 Feliz Drive. Bakersfield. CA.
I ...............
l jZl(ot...........
I .....................
rFICiS . o . . . . . . .
Wof.
ls3.SQ.. I ............. I.....
L:LID . . Li.O. . . .
a.1F1(IDV . .(31iXtY.
794.5 ii`O'• 1613. . . .
SENSu . . . . . . 744.506 og .
Am
3g75e40•_ 109. . . 0
A;zEA. -0 ............
II tcgEn
0 . V4po r .
Fdk . . P•11. . . . . . . . . . .
f94ago °q?,v
S. . I . . . . . . . . Dieie.l . . . V'! 400 eo
Ver4+S
6b
Date map was drawn:
Instructions
If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring
System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following
equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill
containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in-tank liquid level probes (if used
for leak detection). In the space provided, note the date this Site Plan was prepared.
Page 4 of 4
UN -036 - 4/4 www.unidocs.org Rev. 01/17/08