HomeMy WebLinkAbout2001 OAK STREET FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST
Permit No. Permit No. Permit No. Permit No. Permit No.
UST
Permit No.
3 oaoo3(
File Number: 3167 Address: ,766 ,1 6A(< 5
Bakersfield, CA 933
Date Received:
Business Name: ---:s
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Sissy FWsh System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
removal Underground Storage Tank
Signature
Comments: 01 7- OVM74,// Avc/'o - v;suP/ ! /2Q. o "c Norw,,,¢x T/Li 13QucG «
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BAKERSFIELD CITY FIRE DEPARTMENT - INSPECTION RECORD
Inspection Request Phone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
J - — TANK - TESTING___
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIORTO= OPERATION OF ANY SYSTEM,
All UST AND /ORAST-_SYSTEMS-SHALLBE
INSTALL,-COMPLETE-ANDACCEPTED BY.,
MISC. ACTIVITY THE- BAKERSFIELD -CITY FIREDEPARTMENT:
REMARKS:
BUILDING ADDRESS: p0 / Q<< l .
JOB DESCRIPTION: -r I OCCUPANCY TYPE:
OWNER: S . uJ,/ ( Z- PERMIT NO. .3- /6 3 l (7
CONTRACTOR: A 4.+.c - rtJC PHONE # 766--
FD 1743
i L
NDE GROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ENHANCED LEAK DETECTION LINE TESTING
B S R SF I D
jriRs jr
A&rN T
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., lst Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
SB -989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION Cathodic Protection Testing
SITE INFORMATION
FACILITY Jim Burke Ford NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2001 Oak St. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
1 87 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661- 706 -4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661- 706 -4321 CERTIFICATION #: A25212
DATE & TIME TEST TO BE CONDUCTED Icc #: 8032698
SIGNATURE OF APPLICANT ` DATE 6126/2013
APPROVED BY DATE
FD 2095 (Rev. 09/05)
r
ti.
r' 4;
BILLING & PERMIT STATEMENT
r PAMIT ARTAI
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
D1•nnn• Oft _194 -1070 . F =v• C,f1 _RS9 -9171
SITE INFORMATION
LOCATION OF PROJECT
Jim Burke Ford
PROPERTY OWNER
Same
STARTING DATE COMPLETION DATE NAME
PROTECT NAME ADDRESS PHONE #
PROJECT ADDRESS
2001 Oak Street crrY getK ER S! 1 (_A STATE CA ZIP CODE
CONTRACTOR INFORMATION
CONTRACTOR NAME Advanced Compliance 971259 C61 D40 3/31/2014 PHONE 661- 706 -4321
CONTRACTOR COMPANY NAME
Advanced Compliance
FAX #
661- 589 - 932.9
ADDRESS
3704 Littlefalls Ct.
CITY
Bakersfield
ZIP CODE
93312
All
21
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PERMITTYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
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
Minor Sprinkler Modification ( <10 heads) 96 (Inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood S8
Spray Booth (New & Modification) 470
98
Nmveground 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 (Installatior/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
11 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
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 ins ctlon Is @ 1211hr
96 /hr + (5 hrs min standby fee /insp) =$576
5 hrs min stand fee Ins a 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
LM2021 may "hol
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BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F L D
Prevention Services Division
2101 H StreetFIRE
T Bakersfield, CA 93301
Underground Storage Tank Program Phone: 661 - 326 -3979
FIRE
Fax: 661-852-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address:
There were NO violations observed during this inspection.
Date:
Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement may be initiated for any violations noted, and for those not corrected in a
timely manner. This report does not represent that there are no other violations at this facility. A
re-inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION OF DATE FOR
VIOLATION CORRECTION
Inspectors
Signature: Received by:
Phone: Print Name:
Date: Date:
CERTIFICATION OF RETURN TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to.establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8448
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy
UNIFIED PROGRAM INSPECTION CHECKLIST
Underground Storage Tank Program
rARL D it
T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-21979
Fax: 661- 852 -2171
NOTICE TO COMPLY/ SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address:
There were NO violations observed during this inspection.
Date:
Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
The violations indicated in this inspection report must be corrected within 30. days, unless
otherwise noted.
Formal enforcement may be initiated for any violations noted; and for those not.corrected in a
timely manner. This report does not represent that there are no other violations at this facility.- A
re-inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item REQUIREMENT FOR CORRECTION OF DATE FORVIOLATIONVIOLATIONCORRECTION
Inspectors
Si nature: Received by:
Phone: Print Name:
Date: Date:
CERTIFICATION OF RETURN TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to. establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #6446 -
White — Business Copy Yellow — Business Copy to be sent in after Return- to- Compliance Pink —. Prevention Services Copy
BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST A E' R s F , 1 D Prevention Services Division
FIRE --
2101 H Street
ARTM T Bakersfield, CA 93301
Underground Storage Tank Program Phone: 661 - 326 -3979
Fax: 661-852-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS
MINOR VIOLATIONS
Owner/Operator:
Facility:
Address:
There were NO violations observed during this inspection.
Notice to Comply: Minor Violations were found during this inspection as noted in the following
Summary of Violations.
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement may be initiated for any violations noted, and for those not corrected in a
timely manner. This report does not represent that there are no other violations at this facility. A
re-inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item VIOLATION REQUIREMENT FOR CORRECTION OF
VIOLATION
DATE FOR
CORRECTION
Inspectors
Signature: Received by:
Phone: Print Name:
Date: Date:
CERTIFICATION OF RETURN TO COMPLIANCE
I certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to establish that
the violations have been corrected.
Signature:
Title:
Print Name:
Date:
KPS #8446
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy