HomeMy WebLinkAbout1600 VALHALLA DRIVEHOODS ALARMS SPRINKLER SYSTEMS SpRQY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
i3 -10M gi 'y
File Number: c2 Address:
Bakersfield, CA 933
Date Received: — z — /3
Business Name:
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Far sh sys4em
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal rid Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
a.
3.
4.
Date Time
Signature
Signature
iro
3ILLING & PERMIT STATEiNENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # JRry r 1501 Tnuxtun Avenue, 1st FLR
Bakersfield, CA 93301
LOCATION OFPROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAM
PROJECT NAME (' ( ADDRESS `! ONE #
PROJECT ADDRESS _ `
1 I CITY CICFiTZSr-IFiL-D STATE CAC GDDE
CN \
CONTRACTOR INFORMATION
CONTRACTOR CA LICENSE # TYPE^OF LICENSE EXPIRATION DATE PHONE # ?
O ? 1 S ia(o I
CONTRACTOR COMPANY NAME FAX* ,
0 (o
ADDRESS ZIP CODE4So21Wfir' Z
All permits must be reviewed, stamped, and approved PRIOR TO BE INNING WORK. •
Alarm - New & Modification (minimum charge) 280
Over 10,000 sq ft 0.028 x sq it
Sprinkler - New & Modification (minimum charge) 280
Over 10,000 sq ft 0 .028 x sq R
Minor Sprinkler Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 58
Spray Booth (New & Modification) 470
98
kboveground Storage Tank (1 inspection per installation) AST 180/tank 82
Additional Tank ATI 96 /tank - 82
Aboveground Storage Tank (Removal, Mod,or Inspect'n) AT 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 Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96/hr for each type of test/per site even If
cheduled at the same time TT
96 /hr (2 hrs minimum) =$192 132
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
OTE: After hours Pyrotechnic event Inspection is 121 hr
96 /hr + (5 hrs min standby fee/insp)= $576
5 hrs min standby f 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
I
3IL.L.ING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # V.Fzq 1501 Truxtun Avenue, 1 FLRrrr
Bakersfield, CA 93301
All permits must be reviewed, stamped, and approved PRIOR TO BEC;INNING WORK.
7.540 k.
mi -sibN B_ 10 Panama rRoad '
Ww,
MMULM
SE.SS IV.S t,Rit -s Bakersfield, CA 93307. p
r S{ -; I
Underground Storage Tank (Removal) TR
r 9521 W FRITZ LANE
OF PROJECT
84
BAKERSFIELD CA 93307.
661) 833-9501 r 90.4279/1222
PROPERTY OWNER
511 /2013 s
STARTING DATE COMPLETION DATE
96 /hr
NAME
82
PAY TO THE - CI of Bakersfield, r ' tY 573:00
z.• ORDER OF:` 1
t U
121/hr (2 hrs minimum) =$242
PROJECT NAME
0.`C
s
ADDRESS
G d
HONE tt
U-
PROJECT ADDRESS
City of Bakersfield'
QTY 8,AKERS IEL_D STATE CA zlPCODE
P O Box 2052 £ r
96 /hr
CONTRACTOR INFORMATION
sf
j
266
CONTRACTOR PAME
4
CA LICENSE 4
1 ?7 Ll 43
Copying & File Research (File Research fee $50 /hr)
TYPE OF LICENSE EXPIRATION DATE PHONE 3
a(o i 333-?5--c i
CONTRACTOR COMPANY NAME FAX* ,
6q
ADDRESS, 1 rZ
ZIP CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEC;INNING WORK.
111007S400 •1:122242791,: 002- ._.0.023B411'
7.540 k.
mi -sibN B_ 10 Panama rRoad '
SE.SS IV.S t,Rit -s Bakersfield, CA 93307. p
r S{ -; I
Underground Storage Tank (Removal) TR
r 9521 W FRITZ LANE
84
BAKERSFIELD CA 93307.
661) 833-9501 r 90.4279/1222 e
a
844326A/HAZ 7= . 511 /2013 s
0 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82
PAY TO THE - CI of Bakersfield, r ' tY 573:00
z.• ORDER OF:` 1
After -hours inspection fee 121/hr (2 hrs minimum) =$242
Five Hundred Seventy Three and 00/ 100•"««««««««««««««.:«««.«««*««««.««:«««««««««««««: « « « « « «.. « « « « « « «,«« « « ««. « « « « « « «« s
96 /hr + (5 hrs min standby fee /insp) =$576
5 hrs min standby Pee Ins = 605
DOLLARS
Re- Inspection /Follow -up Inspection 96 /hr
City of Bakersfield'
84
P O Box 2052 £ r
96 /hr
Bakersfield; CA 93303 -2057 - sf
j
266 84
Copying & File Research (File Research fee $50 /hr)
s
fc
os`
Jp
MEMO
84
111007S400 •1:122242791,: 002- ._.0.023B411'
Underground Storage Tank (Removal) TR 573 /tank 84
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
96 /hr (2 hrs minimum) =$192 82
0 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 (i 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 Pee 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
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
FOR REMOVAL OF AN UNDERGROUND STORAGE TANK
IPermit No:
THIS APPLICATION LL COME A PERMIT WHEN APPROVED
FD 2062 (Rev, 02 /05)
BAKERSFIELD FIRE DEPT.
Prevention Services
B E R 8 P I S n g00 Truxtun Ave., Ste. 210
4AFRINKM T Bakersfield, CA 93301
TANKOWNER/OP ATOR
Tel: (661)326 -3979
APN
Fax: (661) 852 -2171
C e S \ n, Q,
Paqe 1 of 1
THIS APPLICATION LL COME A PERMIT WHEN APPROVED
FD 2062 (Rev, 02 /05)
SITE INFORMATION
SITE I DDRESS
d
ZIP CODE
FACILITY NAME
Y 4 f
C SKSTREET
j
TANKOWNER/OP ATOR PHONE Ne 3 APN
MAILING ADDRESSb C e S \ n, Q, ZIP CODE 733&1
CONTRACTOR INFORMATION
COMPANY
LO PHONE NO. LI
ADDRESS
INSURANCECARRIER
PRELIMINARY ASSESSMENT
WORKMENS COMP NO
INFORMATION
COMPANY PHONE NO. LICENSE NO.
ADDRESS CITY ZIP CODE
INSURANCECARRIER WORKMENS COMP NO.
TANK CLEANING INFORMATION
COMPANY PHONE NO.
46 - a
LICENSE NO.
3 "+1 az
ADDRESS `
T
I ZIP CODF=
INSURANCECARRIER cJ
WASTE TRANSPORTER IDENTIFICATION NUMBER
WORKMENS COMP No.
FACILITY IDENTIFICATION NUMBER NAME OF RINSATE DISPOSAL FACILITY
ADDRESS CITY ZIP CODE
TANK TRANSPORTER INFORMATION
COMPANY PHONE NO. I X10 Zis
ADDRESS — w
CITY ZIP COD
TANK DESTINATION
TANK I RMATION
CHEMICAL DATES CHEMICAL
TANK NO. AGE VOLUME STORED STORED PREVIOUSLY STORED
O OOD i
For Official Use Only
APPLICATION DATE FACILITY No. No. OF TANKS FEE $
THEAPPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLYWITH THEATTACHED CONDITIONS OF THIS PERMITAND ANY OTHER STATE
LOCAL AND FEDERAL REGULATIONS.
THIS FORM HAS BEEN COMPLETED UNDER PENALTYOFPERJURY, AND TO THE BESTOFMY KNOWLEDGE IS TRUEAND CORRECT.
APPLICANT NAME (PRINT) APPLICANT SIGNATURE OV
THIS APPLICATION LL COME A PERMIT WHEN APPROVED
FD 2062 (Rev, 02 /05)