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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