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2140 BRUNDAGE LANE FMC 2013
HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1'3— i©c96Oy`p File Number: a 33 55 G Address: `e— Lv-,J Bakersfield, CA 933 Date Received: /- z'7- — /, Business Name: = --. ..,. G . e S SYSTEM: BUILDING SQUARE FE F INSPECTION LOG 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 CV* Other. fGLI C— Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: CZ I. a. 3. 4. Date Time Signature BILLING & PERMIT STATEMENT PI RMIT NO.: aww- . BAKERSFIELD FIRE DEPT. 13 R S F r IL D Prevention Services PARS 1600 Truxtun Ave Ste 401ABfY1 1. Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 ge,. ® I _ i e /I /— 90- 7162/3222 4109 DATE CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 AUTHORIZED SIGNATURE FOR 5-.„ F. inaw.aoars. o wa 4l a rF EVJ rL 0 5 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWN STARTING DATE COMPLEU19tATE i vo S PROJECT NAME C ADDRESS Q - 2 I 1: O O.` LA -10 r PROJECT ADDRESS I r\ U CITY STATE ZIP CODE CONTRACTOR CONTRACTOR NAME CA LICENSE NO. J DES c t-t a O SO INFORMATION TYPEOF LICENSE. EXPIRATION DATE P,4 0136110 PHONE NO. 9 2 !8 7 CONTRACTOR COMPANY NAME I C FAXNO. 592.-o(oa. ADDRESS I CITY ZIP CODE Allpermits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. 121 PEWJIT TYPE FEE CALCULATION • DUE Alarms - New & Modifications - (Minimum Charge) $280.00 ONLY B4 98 Over 10,000 Sq. Ft Sq. Ft x.028 Permit flee 84 98 Spriniders - New & Modifications - (Minimum Charge) 280.00 84 98 Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit fee 84 98 Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] 84 98 Commercial Hoods — New & Modifications 470.00 84 98 Additional Hoods 58.00 84 98 Spray Booths - New & Modifications 470.00 84 98 Aboveground Storage Tanks (lnstallatioNlnsp. -im Time) 180.00 82 Additional Tanks 96.00 82 Aboveground Storage Tanks (Removaffinspection) 109.00 i 82 Underground Storage Tanks (Installation./Inspection) 878.00 (per tank) 82 Underground Storage Tanks (Modification) 878.00 (persite) 82 Underground Storage Tanks (Minor Modification) 167.00 82 Underground Storage Tanks (RemovaQ 573.00 (per tank) 84 Oilwell (Installation) 96.00 84 pir Mandated Leak Detection (Testing) / Fuel onit. rt/SB989. Note: $96.00 for each type of test /persite ( )hedu/ed I- N,..- n....... u- i. ..e...s.- ....wncros+cvaxamnv'.. — M:'%watrsrv... 9E 90fj ersite,L 1 G% ,O n m'ncv 82 RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 ge,. ® I _ i e /I /— 90- 7162/3222 4109 DATE CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 AUTHORIZED SIGNATURE FOR 5-.„ F. inaw.aoars. o wa 4l a rF EVJ rL 0 5 BILLING & PERMIT STATEMENT F RMIT NO.: 5FrS D PIRAR r BAKERSFEELD FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer) SITE INFORMATION LOCATIONOF PROJECT PROPERTY OWN STARTING DATE COMPLEtgkTbATE NAM i 1 os5 PROJECT NAME ADDRESS O - cON a - -L,' —ic r PROJECT ADDRESS U CITY 1 I STATE ifs` ZIP CODE CONTRACTOR NAME CALICENSE NO. J IArm o O SO INFORMATION TYPE OF LICENSE. EXPIRATION DATE f v A NA 5o icy PHONE NO. q 2 -8 7. CONTRACTOR COMPANYNAME tC N-7 vis) FAX NO. 59 2, -ocoa If ADDRESS 5U - CITY ZIP CODE G All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. Alarms - New & Modifications - (Minimum Charge) $280.00 , 98 Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit fee 8 98 Sprinklers - New & Modifications - (Minimum Charge) 280.00 84 98 Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit fee 84 98 Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] 84 98 Commercial Hoods - New & Modifications 470.00 84 98 Additional Hoods 58.00 84 98 Spray Booths - New & Modifications 470.00 84 98 Aboveground Storage Tanks (Installation/Insp.-l" Time) 180.00 82 Additional Tanks 96.00 82 Aboveground Storage Tanks (RemovaUlnspection) 109.00 82 Underground Storage Tanks (InstallatlonJlnspection) 878.00 (per tank) 82 Underground Storage Tanks (Modification) 878.00 (per site) 82 Underground Storage Tanks (Minor Modification) 167.00 82 Underground Storage Tanks (RemovA 573.00 (per tank) 84 Oilwell (Installation) 96.00 84 Mandated Leak Detection (Testing) / Fuel onit. rt/SB989. Note: $96.00 for each type of test / per site ( edu/ed at the same time) 98'89-(per , j , n 82 Tents 96.00 (per tend 84 Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour) 96.00 + (5 hrs. min. standby fee Anspection)- $576..00 84 After hours inspection fee 121.00 84 RE- INSPECTION(S)1FOLLOW -UP INSPECTION(S) 96.00 (per hour) 84 . Portable LPG (Propane): NO. OF CAGES? _ 96.00 84 Explosive Storage 266.00 64 Copying & File Research (File Research Fee $50.00 per hr) 250 per page B4 Miscellaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer) PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services alol -k S"GREET Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING SB-989 SECONDARY CdNTAINMENT TANK TIGHTNESS FUEL MO ORING CERTIFICA N FACILITY V l NAME & PHONE 8 OF CONTACT PERSON O UNDERGROUND STORAGE TANKS± OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? 13 YES El, NO TANKS VOLUME APPLICATION qrt iaa TO PERFORM ELD /LINE TESTING/ Aafl f SB989 SECONDARY CONTAINMENT f TESTINGITANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per TANK TESTING;,COMPANY TESTING COMPANY r IJV RoN E - separate type test accordingly.) MAILING ADDRESS jt --13 13i oo`c GT• ` F3PcK R.SFtE.t -D C °13308 NAME & PHONE.-* OF TESTER OR SPECIAL INSPECTOR PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services alol -k S"GREET Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ENHANCED LEAK DETECTION LINE TESTING SB-989 SECONDARY CdNTAINMENT TANK TIGHTNESS FUEL MO ORING CERTIFICA N FD2095 (Rev 03/08) FACILITY V l NAME & PHONE 8 OF CONTACT PERSON O r ADDRESS a ` (—I U OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? 13 YES El, NO TANKS VOLUME CONTENTS V 1 TANK TESTING;,COMPANY TESTING COMPANY r IJV RoN E - NAME & PHONE S OF CONTACT PERSON q2X310 "1 MAILING ADDRESS jt --13 13i oo`c GT• ` F3PcK R.SFtE.t -D C °13308 NAME & PHONE.-* OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # 09 eso DATE & TIME TEST ID BE CONDUCTED ICC # TEST METHOD APPLICANT TURE PACCaI DATE 21 l 3 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) P y BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work 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 TANK TESTING,t UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR-TO OPERATION OF ANY SYSTEM, r ALLUST-AND/OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL),_ _ REMARKS: BUILDING ADDRESS: / ', ,^v 4-ri. JOB DESCRIPTION: C. OCCUPANCY TYPE: OWNER: PERMIT NO. 4 . CONTRACTOR: , c PHONE # 39Z -$"b$ FD 1743