HomeMy WebLinkAbout1701 BRUNDAGE LANE LINE TESTING 2013HOODS - ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
3- io o3
File Number.
Date Received: / - // - 3
minor
modification Underground Storage Tank
removal Underground Storage Tank
Address: 1-70 l tr-y,y Cc. , --
Bakersfield, CA 933
Business Name: -P 1.1es
BUILDING SQUARE FEET: r INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft: D.
2.
3.
4.
GK 'Other /Albs er9:00A.-
Comments:
01%01 ma'sal v
Signature
SYSTEM:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Address: 1-70 l tr-y,y Cc. , --
Bakersfield, CA 933
Business Name: -P 1.1es
BUILDING SQUARE FEET: r INSPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft: D.
2.
3.
4.
GK 'Other /Albs er9:00A.-
Comments:
01%01 ma'sal v
Signature
BIKING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # FIRE 2101 H Street
r Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280 ,
SITE INFORMATION
Over 10,000 sq ft
LOCATION OF PROJECT
146 l3RuNDA&£ L.N. SAS :fg.fT-164,6,C4 9210 -1
PROPERTY OWNER
by WEST c0,9sr Pl2a6vc,7s 4,4C.
STARTING DATE COMPLETION DATE NAME
QP UE-Sr CORMT iPR60ucr4 44.0
PROJECT NAME
aP .4RC-6 -'l 9,o
ADDRESS
a3 So C. aa3 Rd. S1. PHONE #
aiv) S8.3L
PROJECT ADDRESS
i -7o) Rytj "46 j-a. A 4 /ti-L3 FYCL& CA 9330•/
CITY STATECARS&M CA
ZIP CODE 90810
0 .028 x sq ft
CONTRACTOR INFORMATION
CONTRACTOR NAME
JE rlba TEst /Aj
CA LICENSE #
866381
TYPE OF LICENSE EXPIRATION DATE
b>cNEAaL- 9 is —aq -x613
PHONE #
6mll (091- ab,v
CONTRACTOR COMPANY NAME VC,W Upb C)
T
6 ^ /GC /
1i+
s
FAX r4 /q) 65/ - ?0.?/
ADDRESS P. d Bex a /4
I
T qCITYCHv4AVtS/A , L r'1 ZIP CODE I/p
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
Minor Sprinkler Modification <10 headsp ( ) 96 (inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 58
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 /Inspect) 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 Leak Detection (test) /Fuel Mont Cert/SB989 TT
NOTE: $96 /hr for ea type of test/per site even if scheduled at
he same time
96 /hr (2 hrs minimum) =$192
9a
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
FD2021(Rev 05/10)
J BIL LING & PERMIT STATEMENT
PERMIT #
0
H I
Ir/R
ARTM ! IF
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) 280
Over 10,000 sq ft 1$0 .028 x sq ft
I Sprinkler - New & Modification (minimum charge) $280
VERDUGO TESTING CO., INC.
LIC. 866381
P.O. BOX 211958 PH. 619- 691 -0600
CHULA VISTA, CA 91921
DATE - /y- /
7599
16- 49.1220
PAY
THE d ic' -) r (r "" / rP c Q j!h/!7
ORDER OF
N HG`+/D.r D /IIN6% r D DOLLARS
FOR
UnionBank
Payable at any Union Bank branch Including
400 California Street San Francisco, CA 94104
800) 138-4486 unionbank.com
II.00 ?59911• 1: L 2 200014961: L ?300L194211
NP
Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT
NOTE: $96 /hr for ea type of test/per site even if scheduled at
the same time
SITE INFORMATION
9a
LOCATION OF PROJECT
4a/ (3R(lNDAGc Lev. SAXERr;MiEca C4 CW07i
PROPERTY OWNER
bP wEsr coAsr PRo6vc,7S <<.C.
STARTING DATE COMPLETION DATE NAME
8P UESr cofaST iPRoOvcrs 4.L-O
PROJECT NAME
13P ,4RCd 4-196o
ADDRESS
s-0 C. aa3 Rz. S1. PHONE #
C3i0) 8v - S83L
PROJECT ADDRESS
i o) rBRuN 66 i-N Al<asFi tt, CA 9532V
CITY STATECAkSdAl CA ZIP CODE 90810
84
CONTRACTOR INFORMATION
121 /hr (2 hrs minimum) =$242
CONTRACTOR NAME
VE'ZOUbo 76.s7/AlG
CA LICENSE #
St7&J
TYPE OF LICENSE EXPIRATION DATE
6 N_AAL- /o- 29 -2613
PHONE #
i(C ObOd
CONTRACTOR COMPANY NAME VFP-LI vb o J"Tiud 67 • Nc,.
FAX #
61q) (as/- 409/
ADDRESS P. d nI"\ a// ct5 8 rCH, 044 vtT r^ I CA ZIP CODE I /%j
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
1 Alarm - New & Modification (minimum charge) 280
Over 10,000 sq ft 1$0 .028 x sq ft
I Sprinkler - New & Modification (minimum charge) $280
VERDUGO TESTING CO., INC.
LIC. 866381
P.O. BOX 211958 PH. 619- 691 -0600
CHULA VISTA, CA 91921
DATE - /y- /
7599
16- 49.1220
PAY
THE d ic' -) r (r "" / rP c Q j!h/!7
ORDER OF
N HG`+/D.r D /IIN6% r D DOLLARS
FOR
UnionBank
Payable at any Union Bank branch Including
400 California Street San Francisco, CA 94104
800) 138-4486 unionbank.com
II.00 ?59911• 1: L 2 200014961: L ?300L194211
NP
FD2021 (Rev 05/10)
Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT
NOTE: $96 /hr for ea type of test/per site even if scheduled at
the same time
96 /hr (2 hrs minimum) =$192
9a
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
FD2021 (Rev 05/10)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
11 ENHANCED LEAK DETECTION
IE (TANK TIGHTNESS
RrN
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661- 852 -2171
Page 1 of 1
C7 LINE TESTING
FUEL MONITORING CERTIFICATION
SB -989 SECONDARY CONTAINMENT
FD2095 (Rev 03/08)
SITE INFORMATION
FACILITY &
r OCO .
I
l D1` 'frl'_ 7l0
NAME' PHONE # OF CONTACT PERSON /
O 847 - 8.3-21VR.p vasrE7r (3 s
ADDRESS 1701 AQwDq *,E 1W A",esjc/rL.D, CA 933141
OWNER NAME
IwCyr COAST X0 .I)VGa
OPERATOR NAME
af/0 ORC'O / %
PERMIT TOOOPERATE
OaI - OGO q1 ?
OF TANKS TO BE TESTED: .9 IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
0,000 UNLEAaC-n 6 QS oL /NC-
Z, 0, 000 UNL6 0&[) ASOLINR
3 0, 000 UAILEA0(0 AJd4/tJC
0, 000 NLE 40E0 gSOuNE
TANK TESTING COMPANY
TESTING COMPANY
EP-Duw Tft N& CD• hoc.
NAME & PHONE # OF CONTACT PERSON
AATOfJ /0 :f VF-ADviia
MAILING ADDRESS I
P.O. 9 d A d / / qSF" Off"A V1 ITA , GA I/ q al
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
NTotj . VET RDE &a (61q j (091— 060p
CERTIFICATION #_ 1 i
DATE & TIME TEST TO BE CONDUCTED ICC # 52y 93 $3 TEST METHODiEtlf3 LUs I1 T rE
APPLICANT SIGNATURE DATE
0—A'v
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED Zt)
DATE
FD2095 (Rev 03/08)