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HomeMy WebLinkAbout2524 OSWELL STREET SB-989, FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. Permit No. Permit No. AST Permit No. UST Permit No. File Number: S(-77& -7 Address: oZ ; ',{ Q5 Uj e-- C S c Bakersfield, CA 933 Date Received: Business Name: 1AA SYSTEM: BUILDING SQUARE FEET: r 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 Building Sq. Feet: Calculation Bldg. Sq. Ft: G"" Other. S 8 ` S-7 D<' CMG Comments: 1. 2. 3. 4. Date Time Signature Signature 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 L-1 PERMIT NO. / - /a (n O ©Q 32 PRIMARY PIPE A- PHONE #,37.;? -fit , G -7 SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF IF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR j MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST ANDJOR AST. SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT.(FINAL) REMARKS: BUILDING ADDRESS: Q S L,i e C L ST, JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: -04 L-1 PERMIT NO. / - /a (n O ©Q 32 CONTRACTOR: A- PHONE #,37.;? -fit , G -7 FD 1743 BILLING & PERMIT STATEMENT PERMIT NO.: M!Fi D FIRE Asim r BAKERSFIELD FIRE DEPT. Prevention Services 16001ruxtun 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 LOCATION OF PROJECT PROPERTYOWNER - STARTING DATE COMPLETION DATE NAME n -1 PROJECT NAME nftic ADDRESS _ t f r , ` PHONE NO. PROJECT ADDRESS Jam^ U \i CITY (,/` STATE lJN ZIPCOD CONTRACTOR • • CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATEj,, cS c t-t O SO PHONE NO. CONTRACTOR COMPANYNAME 1C 'P V FAX NO. 899- 0iool- ADDRESS 6U CITY LPCODE C, All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ' Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 • 98 Over 10,000 Sq. Ft. Sq. R. x .028 = Permit fee 64 98 Sprinklers - New & Modifications - (Minimum Charge) 280.00 84 98 Over 10,000 Sq. Ft. Sq. Ft x.028 = Permit fee 98 13 Minor Sprinlder 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 (InstallaUdn/Insp: 1" Time) 180.00 B2 Additional Tanks 96.00 82 Aboveground Storage Tanks (RemovaNnspection) 109.00 82 Underground Storage Tanks (InstallationAnspection) 878.00 (per tank) 82 Underground Storage Tanks (Modification) 878.00 (persite) 82 Underground Storage Tanks (Minor Modification) 167.00 82 Underground Storage Tanks (RemovM 573.00 (per tank) 84 Oilwell (Installation) 96.00 84 Mandated Leak Detection (Testing) / F Onit.Cert/SB98 . Note: $96.00 for each type of test1per site (even dale at the same time) 96 89-(persif 1 C% ,CS n 82 Tents 96.00 (per tend 84 OtechniC - (Per event, Plus Insp. Fee ®$96 per hour) 96.00 + (5 hrs. min. standby fee nrlspection)= $576..00 84 After hours inspection fee 121.00 84 RE4NSPEC77ON(S) /FOLL0W- UP/NSPEC77ON(S) 96.00 (per hour) 84 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. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) H R S F 1631a. D Prevention ServicesJuwRE r 1600 Truxtun Ave Ste 401 PERMIT NO.: Bakersfield CA 93301AftpTel.: 1`6611 326 -3979 • Fax: (661) 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME n 1 \i PROJECT NAME to Over 10,000 Sq. Ft. ADDRESS Sod OS P PHONE NO. PROTECT ADDRESS Uv l_.M CnY ,/1 STATE ZIP COD CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE NO. TYPEOFLICENSE. EXPIRATION DATEJlm>r; c p SO f 0 4NA o icy PHONE NO. 3q 2 CONTRACTOR COMPANY NAME C 'Evv FAX NO. 59Z —oc100L if ADDRESS CITY L ZIPCODE 9:63 i All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. Alarms - New & Modifications - (Minimum Charge) 280.00 O`' 98 Cl Over 10,000 Sq. Ft. Sq. Ft, x.028 = Permit fee 8 13 Sprinklers - New & Modifications - (Minimum Charge) 280.00 B4 98 Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee B4 98 11 Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] 84 98 O Commercial Hoods — New & Modifications 470.00 98 a Additional Hoods 58.00 84 98 a Spray Booths - New & Modifications 470.00 84 98 0 Aboveground Storage Tanks (Installadortllnsp.42 Time) 180.00 82 I Additional Tanks 96.00 82 13 Aboveground Storage Tanks (Remova#Inspection) 109.00 82 11 Underground Storage Tanks (Installadon Inspection) 878.00 (pertank) 82 0 Underground Storage Tanks (Modification) 878.00 (persite) 82 a Underground Storage Tanks (Minor Modification) 167.00 82 a Underground Storage Tanks (Removan 573.00 (per tank) 84 a Oilwell (Installation) 96.00 84 Mandated Leak Detection (Testing) / Fu onit.Cert/SB989. Note: $96.00 for each type oftest /persite (even eddied -J fi6 6 fpe>`sitej % 9 , G 82 PAYTOTHE ORDEROF RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 4-60d a 90- 7162/3222 4099 DATE GI DOL-LARS _ i CHASE JP Morgan Chase Bank, N.A. 5 aF Bakersfield, CA 93308fy`([ AUTHORIZED SIGNATURE W LL FOR ILnni_n44u• i_ a 7 Lp, R71: 3083SOL,0071 FEV III L1-VI%jff%^%3C IAN" 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.) JUNK ARIFNI jr Prevention Services Q10( `lt-k S-MeE-7 Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 PERMIT # I I ENHANCED LEAK DETECTION LINE TESTING SB-989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CERTIFICATION RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC.#809850 5643 BROOKS CT. BAKERSFIELD, CA 93308-3708 661) 392-8687 PAYTOTHE ORDER OF OIL CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 FOR 1- a S &q C) U.) eAl z iIz sm mris angiani.nn?iim 90-7162/3222 4098 DATE rK OOLLAR 0"'0' AUTHORIZED SIGNATURE srTe-iNrojtmArzdN FACILITY NAME & PHONE V OF CONTACT PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY NAME & PHONE OF CONTACT PERSON I S :F-S n MAILING ADDRESS 5LQLk --Z <2,-cXA--% C.T. N\<qE* SF k F—L:TZ) CA °1330& NAME & PHONE ,# OF R OR SPECI t. I S 0tPECTR CERTIFICATION # S09 6so DATE & TIME TEST TO BE CONQUCTFQ Icc TEST METHOD 51I APPLICANT SI! yAJE DATE RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC.#809850 5643 BROOKS CT. BAKERSFIELD, CA 93308-3708 661) 392-8687 PAYTOTHE ORDER OF OIL CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 FOR 1- a S &q C) U.) eAl z iIz sm mris angiani.nn?iim 90-7162/3222 4098 DATE rK OOLLAR 0"'0' AUTHORIZED SIGNATURE 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS IrI A r L JF r BAKERSFIELD FIRE DEPARTMENT Prevention Services a10( -t s-m_-F_V Bakerstield, CA 93301 Phone: 661-326-3979 • Fax: 661 - 852 -2171 Page 1 of 1 LINETESTING SB -989 SECODARY CONTAINMENT FUEL MONITORING CERTIFICATION ON FACILITY ; NAME & PHONE # OF CONTACT PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS U l TANK: TESTING_COMPANY . TESTING COMPANY NV \'RUN M. 'CIPt Lg231n NAME & PHONE i# OF CONTACT PERSON 1 MAILING ADDRESS Slay -13 t3C r hcS cT. — ZA \<ERSF %E.c p . CA 9%s-3 . c>8 NAME & PHONES OF TESTER OR SPECIAbIESPECTOR CERTIFICATION # C309 SSv DATE & TIME TEST t0 BE CONOUCTFID I 61 ICC # 0 511Q 1- UT- TEST METHOD APPLICANT SIG DATE Lo,:;,) THIS APPLICATION BECOMES A PERr4 IT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) i