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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)