HomeMy WebLinkAbout2301 H STREET SB-989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
62 -i60CO -,-V-j
File Number. 9-' -S7 3 Address: ( + S k -
Bakersfield, CA 933
Date Received:
Business Name:
F INSPECTION LOGSYSTEM: F BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire Alarm System Calculation Bldg. Sq. Ft: 1. to
Fire Sprinkler System 2.
Spray Finish System 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor Signature
modification Underground Storage Tank
removal Underground Storage Tank
Signature
GV Other. zs , - 9 $' 5
Comments:
v #*1DFti0
4' N_11C'ESi +
COMPLIANCE WITH CONFIDENCE"
December 12, 2012
CITY OF BAKERSFIELD
Attn: David Weirather
Office of Environmental Services
Fire Department /UST Program
2101 H Street
Bakersfield, CA 93301
To Whom It May Concern:
Enclosed for your approval, please find Application to
Perform SB -989 testing and Billing and Permit Statements, along
with our check in the amount of $192.00.
Please fax the approved Applications and permit fee
receipts to our office at 661- 587 -9758.
Should you have any questions, please feel free to contact
me at 631 -3870.
Thank you for your attention herein.
Enclosures
Yours truly,
CONFIDENCE UST SERVICES, INC.
Karli Karns, Dispatch Coordinator
16250 Meacham Road • Bakersfield, CA 93314
661) 631 -3870 or (800) 339 -9930
FAX (661) 587 -9758
B-ILLI W `&ORtAMIT STATEMENT BAKERSFIELD, FIRE DEPARTMENT
Prevention; Services' PERMIT # I 2101 H StreetANFNIr
Bakersfield, CA 93301
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modlflcatlon (minimum charge) $280
TREASURY, ACCT'N61
Over 10,000 sq ft 0 .028 x sq ft
im s. ".awb
SITE. INFORMATION
280
LOCAI`16N&W&I-
Z-30
0 .028 x sq ft
PROPERTY OW
cS
Sprinkler - Minor Modification (<10 heads). 96 (Inspectlon only)
STARTING D TE Ji
470
58 hood
eN-9ATe—,,T11,AC NAME
Commercial Hood - Minor Modification (add/move nozzle)
l2 1 CA AO0 R
Spray Booth (New & Modification) 470
0 m AvMsAxbnq
180/tank
PROJECT NAME
S,02Lrk i-ac, CAY ok
96/tank
ADDRESS
82
PHONE
ftac4t-
109/tank 82
14
Underground Storage Tank (Installation/Inspection) NI 878/tank
PROJECTADIDRESS L)
2M
82
Icm o, 3AsaA STATE "(N ZIP CODE
Underground Storage Tank (Minor Modification) MTM 167/site 82
b2\ L% 5cA9
573/tank
CONTRACTOR- INFORMATION
Mandated LIST 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
0
MZE
96/hr
TYPE OF LICENSE 60-11RURTiO—N DAT PHONE'S "'
Tent # 96/tent
A
84
5 f:
SO
1 10 66 231-
CONTRACTOR COMPANY NAME
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
FAX #
I() O_eJ' r\.0C C 441.0-ps
Re-inspection/Follow-up Inspection 96/hr
clobl)51 -I
ADDRESS
W09 RIP
96/hr. 84
ZIP CODE
MQaa)A(AM T,
84
Copying & File Research (File Research fee $50/hr). 0.25/page
9 58
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modlflcatlon (minimum charge) $280
TREASURY, ACCT'N61
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 (Inspectlon only)
Commercial Hood (New & UL 300 Upgrade Modiflcation)
Additional Hood
470
58 hood
Commercial Hood - Minor Modification (add/move nozzle) 96 (inspection only) 84
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,or Inspect'n) 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
f Mandated LIST 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 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 I I I - 84-
1'
s t:
PAY TO THEORDER'OF City
FN pg r C a•° ,..
M. wa_ .r)
E;jUST $ ERVICES,
dMEACHAM RD. ti
z'- STOCKDALE/CALI
BAKERSFIELD CA 9' PISFIELD CA 93314 : 04172/3222,-- 661)631 3870
T
10804 { '
IIA
1 d
12/11 /2012
Y
if Bakersfield 3-192.00
One Hundred Ninety Two and 00 /100 DOLLARS 8
6 City of Bakersfield
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4? MEfV1C?
x
Permit
a
1150 L013 0L' 1:32227L72LX 009534L48987n (,
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CONFIDENCE UST SERVICES, INC.
City of Bakersfield 12/11/2012
Sparkling Image Car Wash (SB -989, 12/18/12)
10804
192.00
Citibank Checking Permit 192.00
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
t "v 4 PERMIT NO. /p?-/ 7
PRIMARY PIPE
PHONE # ca3 /—JT7<3
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK —OFF
TANK TESTING s
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIORT0= 0P_ERATION OF -ANY SYSTEM,
ALL -UST -AND /OR AST SYSTEMS.SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY,
MISC. ACTIVITY THE.BAKERSFIELD CITY FIRE DEPARTMENT.,
FIRE- DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: Qa=
JOB DESCRIPTION: a- OCCUPANCY TYPE:
OWNER: S . w ( t "v 4 PERMIT NO. /p?-/ 7
CONTRACTOR: PHONE # ca3 /—JT7<3
FD 1743
UNDERGROUND STORAGE TANKS
APPLICATION
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BAKERSFIELD FIRE DEPARTNED4T
1600TI'l-D'01111 Ave., &.(itezto I. F§RE
011PARrOsivr Belkersfield, CA 9 3 ,3o.j.
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
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