HomeMy WebLinkAbout2317 L STREET FMC 2012 (2)HOODS ALARMS SPRINKLER SYSTEMS S 3(U -)' H AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
66W 1"&
N
File Number: a? 3 G Co Address: 3 17 G .
fkersfleld, CA 933
Date Received:
Business Name: CJ,
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
splay Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
W/ ether. C.
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
Signature
Comments: 1u02-/h 15 12.,j $ ? C.e-D $ U D c- r3/1y 66:2
Rip /ZC r,/ -t- Rcrc rte/ 716- -Qp e 1WX
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
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERATION 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)
BUILDING ADDRESS: 31 4 1 5T'
JOB DESCRIPTION: '7.`t C.— OCCUPANCY TYPE:
OWNER: PERMIT NO.
CONTRACTOR: PHONE # 431 3qr' 20
Gn i 7A'l
D 1
l
BILLING & PIERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
All t Prevention Services
PERMIT # 11 PIRG
ANTN r 2101 H Street
Bakersfield, CA 93301
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
Alarm - New & Modification (minimum charge) $280
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 (inspection only) 84
Commercial Hood (New & UL 300'Upgrade Modification) $470
Additional Hood 58 hood
Commercial Hood - Minor Modification (add /move nozzle) Is 96 (inspection only) 84
Spray Booth (New & Modification)
SITE INFORMATION
TION OF PROJECT
Cke Nnr h, 2. '1 L
PROPERTY OWNER
yr v
STAr'"fNG DA COMPCETMINIT tTE -n me NAME
aS a u,w1 u
JECiNAME ADDRESS PHONE #
It L 1 - 3 21
PRO]ECTADDRESS
a 1 L_ S+xv-+ CITY B/kK ER SCI ELD STATE CA ZIP CODE
301
CONTRACTOR INFORMATION
878 /tank
CO Cr)R'NAME CA LICE SE S TYPE OF LICENSE EXPIRATION DA{ PHONE#
0 0 3 -
CONTRACTOR COMPANV NAME FAX #
1 1511 - 1
ADDRESS E Y ZIP CODE
573 /tank
C
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
Alarm - New & Modification (minimum charge) $280
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 (inspection only) 84
Commercial Hood (New & UL 300'Upgrade Modification) $470
Additional Hood 58 hood
Commercial Hood - Minor Modification (add /move nozzle) Is 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
Mandated UST 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 Q 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 84
BAKERSFIELD FIRE DEPARTMENTBILLING & PERMIT STATEMENT
NSF fknn Prevention Services
PERMIT # ' "'' FiRS Ill 2101 H StreetdjAR1wT
Bakersfield, CA 93301unl!:ilir I:. nb.
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
631r
PAY TO THE''
ORDER OF.. %
MEMO
City Of Bakersfield
Permit
10791
a cmenN, lu:a >
RVICES, gAKERSFIELD ,STOCKDALE/CALIFORNhAOFFICE j
M RD BAKERSFIELD CA.93309 y
A 93314 ` : 90 717ti3z2z .x.11/30/2012
3670 {
rr************ r **ti*#**r**i ***`* *r* *** **++ ***tr DOLLARS L'I
nn / Ann ************ *f * * * * * ****F+A+k*** _
onio791119 1 :322271724I:
U Underground Storage Tank (Minor Modification) MTM $167 /site 82
Underground Storage Tank (Removal) TR 573 /tank
SITE INFORMATION
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test /per site /per UST system
ven if scheduled at the same time
1 CATION OF PROJECT
Llkn C; tir Nov ,, 2 'I L -
PROPERTY OWNER
ICb3z .E.t-k n
Oil well (Installation, Inspection, or re- inspection) X 96 /hr
STAUiNG DAT
0 S I I Z'
82
C91•IPtETtON DATE Tj e_i&
LYN-
NAME
rr all
96 /tent
PRRJECT NAME
a n yin kp_ rl cwy- --
After -hours inspection fee
ADDRESS
1 G CIt ,Z ve .
PHONE #
4 t I 3 2 SKQ'
PROJECT ADDRESS
1 L
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
CITY U ,Afe_l5RS IELD STATE CA ZIP CODE
Re- inspection /Follow -up Inspection
CONTRACTOR INFORmAT16N
84
CONWCTOR NAME CA -LICENSE #
010
TYPE OF LICENSE EXPIRATION DATE
0
PHONE #
1 3 —
CONTRACTOR COMPANY NAME
Explosive Storage 266
FAX #
84
Copying & File Research (File Research fee $50 /hr) 0.25 /page
ADDRESS
N P4
crry ZIP CODE
3c,
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
631r
PAY TO THE''
ORDER OF.. %
MEMO
City Of Bakersfield
Permit
10791
a cmenN, lu:a >
RVICES, gAKERSFIELD ,STOCKDALE/CALIFORNhAOFFICE j
M RD BAKERSFIELD CA.93309 y
A 93314 ` : 90 717ti3z2z .x.11/30/2012
3670 {
rr************ r **ti*#**r**i ***`* *r* *** **++ ***tr DOLLARS L'I
nn / Ann ************ *f * * * * * ****F+A+k*** _
onio791119 1 :322271724I:
U Underground Storage Tank (Minor Modification) MTM $167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test /per site /per UST system
ven 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 84
I
UNDERGROUND STORAGE TANKS
APPLICAUGN
1-0 PEPYOMM ELDJUNE 'TESTING/
58959 SKONDARY COVIAMMEAll'
AND
1:0H,
Wy
B/• KERSFIELD FIRE IDEPARTMEN-F
Prel/0,114:ioll services
16001*11-D-fillil Ave., Sijji:e,,.to,j.
Bal<Cl-sfidd, CA 93301•
P110110: 601-326-3979a raY: 661--852-217).
1,;Ifji1 I or I
hl UN) (ANGVP LEAN 14"Iff.-TION ; 11-91111 SECONDARY GONTAtelf4r.
MONITORIN(-, CERTIVICATION
IT17 INFORMATION
rAC . .. .1 ....... ... 11,117 NANI.' 11, 1-111) HE 0 (11• C014.1-M-F PUR"opi •
if*-,/"\Il -(;':'IZ-.".'—>'F((-;:(..).".), CA
OWNER WWO
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orflfalaff UfUll: . . ....
i' OF TANKS TO W TESTCO: V; PH11016 GOIN(i TO 01; C. I YI:
TANX .1 VOLUME CONTI'NTS
I .. ...... ........
TANK TUS'UNG COMPANY
1 01• C0NTAC*1'V1!ft';err
INSPECIDIt cijwril:lCA'riom a
10: a j TPS 1* 1.11:,rl101)
AM— 4A k.- k Q5 k — Lkl—
THIS APPLICATION BECOMES A PERIAXT WHEN APPROVED
Z -7 -/Z
V07011!; (Rqv
FIDF
O.
11VlCES ?
COMPLIANCE WITH CONFIDENCE"
November 30, 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 Fuel Monitor Certification 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