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HomeMy WebLinkAbout1701 PACHECO ROAD MINOR MOD 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. Z.a/W File Number: -7 Address: /7p / -PAc- e. c iLs 7Z . Bakersfield, CA 933 Date Received: Z'3? - s'- i Z Business Name: -7 SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG New Mod. mirror modification removal Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank hderground Storage Tank Underground Storage Tank 13 Other. Building Sq. Feet: Calculation Bldg. Sq. Ft: 0 0: 1. 2. 3. 4. Date Time c Sig-nature Signature 6w I o tc c Sig-nature Signature 6w I ZA LLING & PERMIT STATEMENT ;Wiil!!iiiia;l, I PERMIT # 11 P Re r-IrAR1Y BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street ll fll Bakersfield, CA 93301 SITE •1: •% LOCATION OF PROJECT - — ( I PROPERTY OWNER 1 iTARTING DATE COMPLETION DATE NAME 3ROJECT NAME JFL m0N%To211aK cERT%ricA-rlory ADDRESS 1-iok PRC14EC'o Rb PHONE # DROJECT ADDRESS 10% ?t CHECO R6 p7Y F7rCK FiT S I Fi LA STATE C ZIP CODE g33o y CONTRACTOR INFORMATION ONTRACTOR NAME CA LICENSE # T T E i TYPE OF LICENSE IRATION DATE b D-yo 11 z EXP - o- I PHONE # I- 5b8 - I-44 ONTRACTOR COMPANY NAME Q SSIZ INC- FAX # 66k -58e -2.186 kDDRESS O 20 5EW) LE - CITY BAKERSFiF ZIP CODE i33o8 Please make checks payable to CITY OF BAKERSFIELD. Thank you. PERMIT TYPE FEE CALCULATION TOTAL Alarm - New & Modification (minimum charge) $280 , ONLY TREASURY; 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 Cl Commercial Hood (New & UL 300 Upgrade Modlfication) Additional Hood 235 58 hood Commercial Hood -Minor Modification (add/ move, nozzle) 96 (inspection only) 84 Spray Booth (New & Modification) 235 98 Aboveground 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 Underground Storage Tank (Modification) MOD 878 /site 82 00' 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 fns = 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 R PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Permit # BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfleld, CA 93301 FIiRS Phone: 661 - 326 -3979 • Fax: 661 -852 -2171NFNAVI . Page 1 of 1 TYPE OF APPLICATION: 13 NEW TANK INSTALL/NEW FACILITY O NEW TANK INSTALL/EXISTING FACILITY CHECK ONE ONLY 0 MODIFICATION OF FACILITY [' MINOR MODIFICATION OF FACILITY STARTING DATE/ PROPOSEp COMPLETION DATE FACILITY NAME EXISTING:FACILI7Y; PERMIT:?1: '' `' " "`" '" FACILITY ADDRESS CITY ZIP CODE 1101 PA-CHECO iZD 13AVERSF EL -D 330-4 TYPE OF BUSINESS L. APN # GASOLINE DI SPEtJSI N< 'FRCl -cy TANK OWNER -4-1 PHONE # 66 i - 1'5 O ADDRESS 1 -TO 1 PACK ECa iZl aTYf3AKERSF'IELD zIPS330R BRIEFLY DESCRIBE THE WORK TO BE DONE: E -i= L ' C'E2- r%T7tCA 1 i ©N AP-rF2 AT, r0l-N TAi2t_ WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILET YES NO YES • NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION Tank Testing Company NAME OF TESTING COMPANY C.7 SS R i i,1 C . RHONE NUMBER I / 1 15S8 - ^ p( -4 -j MAIISNG ADDRESS b O 663© ROSED>a LE. Hwy #* $ NAME OF TESTER i D E L Cr RjZ I L LO IcC Jra2 02 8 oZ THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMITAND 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 ' ICCtf iDEL CA2Q1L_L© 5a5 -4 a8c;t THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE yt.: , v