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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 « i.14CW 7 -C$7a-- l CC 90-12-&9o— 6W 8"%3/x,7 VR # A 2s'2./ 2 G L/j3j3 V&t-To 2 3oz 690 1012 %3 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 s. r'..' ':, 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