HomeMy WebLinkAbout2500 WIBLE ROAD FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAYY BOO H
Permit No. Permit No. Permit No. Permit No.
AST
Permit No.
UST
Permit No.
3- /&OM 33
File Number: Address: -R-1.
Bakersfield, CA 933
Date Received: 7-5--/3
Business Name: aee` ; 5
SYSTEM: r BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System Building Sq. Feet:
Fire Alarm System Calculation Bldg. Sq. Ft:
If
Fire Sprinkler System a.
spray Harsh Svs em 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other. C--
Date Time
Signature
Signature
Comments: ?C6: R"'Mmey /-'raso/V
T,a % r 5.12 2M 290: 0 p/,-r
VA * 8 368'8'0 c1/ 9//.$.
VM % ?t 214/8' '91r!f
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPT.
B $ 3 F
I
D Prevention Services
FIRE
PERMIT NO.: ARrr r 1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel • fRRll R2R -5979 a Fax- (5511 R52 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
Aiarms - New & Modifications - (Minimum Charge)
INFORMATIONSITE
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE
Sq. Ft. x.028 = Permit fee
COMPLETION TE NAME ^
PROJECT NAME
U oin
ADDRE `' PHONE NO.
PROJECT ADDRESS CITY STATE ZIP CODE
CONTRACTOR INFORMATION
Sq. Ft. x.028 = Permit f
CONTRACTOR NAME j CALICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO.
S lc tt 13001S SO t a40gNA 30 .201 3q2
CONTRACTOR COMPANY NAME FAX NO.
C 'P V Q
ADDRESS '
6U -
CITY ZlPwue
B3 U
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
Aiarms - New & Modifications - (Minimum Charge) 280.00
98
0 Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit fee 84
98
Spdnlders - New & Modifications - (Minimum Charge) 280.00 84
98
Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit f 84
98
Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspecti Only]
of
84
98
Commercial Hoods — New & Modifications
98
Additional Hoods JP70.0
84
98
Spray Booths - New & Modifications
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850°
5643, BROOKS CT : '
BAKEFSFIELD, ° CA. 93308 3208
661) 392 -8687 - ;
PAYTOTBE
ORDEROF
l /il/ ol/ n , i e ..0 17
JP Morgan Chase Bank, N.A.
5'
Bakersfield, CA 93308 F- c.
AUTHORIZED 510 A URE 9qa `'
1 -ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)
Portable LPG (Propane): NO. OF CAGES? _ 96.00 84
Explosive Storage 266.00 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
1 -ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)
0cnjJ
BILUNG & PERMIT STATEMENT BAKERSFIELD FIRE DEPT.
I' fUFIREP I D Prevention Services
1600 Truxtun Ave Ste 401
PERMIT NO.: Sr s
Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
HE E
Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 •
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE
Sq. Ft. x.028 = Permit fee
COMPLETION U4TE NAME
PROJECT NAME c ' tU
ADDRE ` 1 _ PHONE NO.
PROJECT ADDRESS
Qynd
CITY STATTE(•_ ZIPCODE
CONTRACTOR
CONTRACTOR NAME CA LICENSE N0. J cS ctt O SO
INFORMATION
TYPE OF LICENSE. EXPIRATION DATE
f c AN I 30.201
PHONE NO.
92-81Q8i
CONTRACTOR COMPANYNAME
t
FAX Nn.
pO
ADDRESS
5u
CJTY ZIPwue
9 Fa
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
HE E
Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 •
98
Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee 8
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 (Installationlinsp. -t" Time) 180.00 82
Additional Tanks 96.W 82
Aboveground Storage Tanks (RemovaAnspection) 109.00 82
Underground Storage Tanks (InstallationJlnspection) 878.00 (per tank) 82
Underground Storage Tanks (Modification) 878.00 (persite) 82
Underground Storage Tanks (Minor Modification) 167.00 82
Underground Storage Tanks (Removal) 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
Mandated Leak Detection (Testing Fuel Monit.0 S6989.
Note: $96.00 for each type of test1pe heduled
at the same d'me)
9 8@fper6ite) 9 n 82
Tents 96.00 (per tent) 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /inspection)-$576..00 84
After hours inspection fee 121.00 84
RE-INSPECTION(S) /FOLLOW -UP INSPECTION(S) 96.00 (per hour) ea
Portable LPG (Propane): NO. OF CAGES? _ 96.00 84
Explosive Storage 266.00 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
FD 2021 (Rev. 06107)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
Individual tests and will be charged per
separate type test accordingly.)
PERMIT #
0 - 4 AtNAF IJD
FIRM
ARr/ r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q10( K STREET
Bakerstleld, CA 93301
Phone: 661-326-3979 • Fax: 661 - 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTI SB-989 SECONDARY CONTAINMENT
TANK TIGHTNESS FUEL MONITORING CERTIFICATIO
ITE INFORMATIO
FACILITY NAME & PHONES OF CONTACT PERSON
ADDRESS N ViY
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
2
3
TANK`TESTINQ
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
MAILING ADDRESS
5M<E+RSF 1'E.L:t) x CA 93308
NAME & PHONE # OF R R SPECIAL NSP R
aja- ' I
CERTIFICATION #
o U
DATE & TIME TEST TO BE CONDUCTED I = L L
I'CC # TEST METHOD
APPLICANT GNA E --
MO (,6ccarn
DATEDAATE
I - Loq
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPRO D BY
e
DATE
FD2095 (Rev 03/08)
t
i
BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD
Post this Card at the Job Site and DO NOT Rerhove 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 _
C_.
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVRUPGRADE
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_DEP_ARTMEN.T- (FINAL)___
REMARKS:
BUILDING ADDRESS: p
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: v1/L.Lirk -QT PERMIT NO. — 1er6Q0 332--
CONTRACTOR: PHONE # 2- &v%
FD 1743