HomeMy WebLinkAbout2600 WHITE LANE FMC 2011HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
CCU
File Number. 3c(57 77
Date Received: ? — 5 —
Address:
Bakersfield, CA 933
Business Name:
SYSTEM: I I BUILDING SQUARE FEET:
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
M-- Other.
Comments:
vr l C—
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 14
57— 1.
2.
3.
4.
INSPECTION LOG
Date Time
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.)
P/B/
ABTA, Jr
PERMIT #
ENHANCED LEAK DETECTION
TANK TIGHTNESS I FUEL MONITORING CERTIFICATI
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q%oc -k sTREET
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
SB -989 SECONDARY CONTAINMENT
FD2095 (Rev 03/08)
SITE.IN .: VITON ':. ;
FACILITY AME & PHONE # OF CONTACT PERSON
ADDRESS
OWNER NAME
MN
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
i un %I
2 Pr
3
TANK TESTING COMPANY .=
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
F3 LA CbZ
MAILING ADDRESS
CA °1330£
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
MA-10N D - 8(099
CERTIFICATION #
8o9 SSv
DATE & TIME TEST 0 BE CONDUCTED ICC #
Sale 1 oZl3 - OT
TEST METHOD
i lco 1
APPLICANT SIq#ATbq1E
111
DATE /)
a
I
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095 (Rev 03/08)
BILLING & PERMIT STATEMENT lili' "' BAKERSFIELD FIRE DEPARTMENT
Prevention Service-
PERMIT # VI FIRE a10t }\ %TMV -T
0 PARrm r Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661- 852 -2171
SITE INFORMATION
Additional hood
LOCATION OF PROJECT PROPERTY OWNER WOV
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS PHONE #
PROJECT ADDRESS ary Pi K >R,S (Fi D STATE G ZIP CODE
R INFORMATION
180 /tank
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE* Span t 0 t k S
CONTRACTOR COMPANY NAME FAX #
3ac -8 3ytvv rv EM+F}L
ADDRESS
5&43 gQ -0ov—s c+.
CITY ZIP CODE 3 gV
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
D 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
Minor Sprinkler Modification ( <10 heads) $96 (inspection only) 84
Commercial Hood (New & Modification) $470
Additional hood 58
Spray Booth (New & Modification) 470
98
D 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 Leak Detection (test Fuel Mon ert/SB989
NOTE: $96 /hr for each type of tes per site even if
scheduled at the same time TT
96 /hr (2 hrs minimu =$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
D 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
D 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 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
L.r m Ffff)MIrA WEm
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)
FD 1743