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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 7_ Y 4? MEfV1C? x Permit a 1150 L013 0L' 1:32227L72LX 009534L48987n (, a 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 I'D PERIT)IMN-1 ELD/UNE 'I'ESTING/ 419',39 5FC0NDA1N%Y CONHA1N 11.-N -1- TI "— PING /PANIC 1')C l i'I'NI:;S I'B ANDT full. N1()N)*1'()P\1NG CIDRTIFWATION BAKERSFIELD FIRE DEPARTNED4T 1600TI'l-D'01111 Ave., &.(itezto I. F§RE 011PARrOsivr Belkersfield, CA 9 3 ,3o.j. N)0110: 661-326-39790 Fiz: 661--852-21.7). Nwn I fir IU n- FiNI IANI-1:0 IYAN 011-1-1:CTION fitl-W11) f;IXXIPI0AUV C(INTAIPINF.AiTDIANK SIT17 INFORMAnON MAN(: P, VIII)III: P M: C.01NI'l-ACT ntl u u A'), CA Hrr4t wo-!.Ih - IS PIPING 610W.; TO I'll- TF•TED? No TANK V VOLUME CO NTl- N:i's TANK TESTING COMPANY TE!;Tlgt.; f.-pril-may NA •11: K PIII)Wli 0 01: CWITACT 111MC,01-1 rrntttaG .wants!; my. W TFS71.1t DR!1.PFfIA) 116PECIOR awriVICA'nom o rank . 4 1 ko X53 5-163 IT.ST'1-11--n lot) m4li: % low '117.51 11) 11): IM: it j-,)-m/a oJ- S015 21q u , DATE' THIS APPLICATION BECOMES A PERMIT WHEN APPROVED IWITAPPR VD7,016 (R'w 116,101) 6-00 %op