HomeMy WebLinkAbout2900 UNION AVENUE FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
3- / f /
File Number: (031 d Address: o? S6 C) (,•y d ,d-rt
Bakersfield, CA 933
Date Received: / —al i
Business Name: 2;v, ;o v ic9,.o /Q X Ac a
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
Fire Alarm System
Fire Sprinkler System
Spray Finish Systern
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Ul Other. awl C-
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
0 //11i3 i, -VE-7L5
Signature
Signature
Comments: I&A : 1411? m -7:2 y6A
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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
C7 PERMIT NO. 3- 146C0017
PRIMARY PIPE
zv O J --- ; Coe PHONE # .sWC/ G$
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
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)
REMARKS:
BUILDING ADDRESS: v d
JOB DESCRIPTION: C_. OCCUPANCY TYPE: 10
OWNER: C7 PERMIT NO. 3- 146C0017
CONTRACTOR: y /Aeo zv O J --- ; Coe PHONE # .sWC/ G$
FD 1743
BILLING& PE"IT .05TTATIEMENT: BAKERSFIELD FIREVEPARTMENT
Preventionl's, 'Cilss, rV1
ERNrT 2101 H StreetE" Bakersfield, : CX93,301
0, ,66-!852-2171
@lawMe • rafto
Ihofte::661- 32 2979; FaX:' 1
LOCATION Ofkoxcr, PROPERTY
ST IDA COAKETM rTE NAKE. S
hl NAME' ADDRESS mme
AV1 cm 6-LD swrE, CA zw cWE
KTRkCrOit
m4TRA&bR
N*1 CA LICENSE 'ti
0101--1 L4 _1
INFORMATION
Type oF umse
13
I CrOR.GOMfAN1':NAr1E. FAX s:
cr1y__ ZIP CODE
All p Irmits MiW, be. reviewed, stamped, and appmved PRIOR TO, SEGINNINGWORK.
FEE CALCULAPON OTAL.
buf,:
O
PERMJT,., E
Alarm - New &Modification (minimum charge) $280
O Over-10.A00 sq k $0 .028 xsqft
0 Spriffider - NewW& Moddicatioti(minimum -&6rge) 280
O Over 10,000.sq.ft. 0 .028 x sq,ft
O Minor SprinklerMWMmt[on (.<10:hea,ds) 96: (inspection only)
C3 Cbmme.rcial Hood (New &Mddiflcation) 470
Additional hood 58
0 way Booth.(Newt M
I
odification)
AbdVeground. 5toragia Tank (1 lnspktion=pir Installation) AST
476
0 190/t36k.
C3 Additional Tank ATI 96/tank
0 Aboveground Storage Tank.(ReMoval, Modor inspectn), ATR 109/tank
O UndergroundStorage Tank (Installation/Inspection M . 878 /tank
0
P
Underground Storage Tank--(MddIfIcaWn)
Undergroundl.Stbrage'Tank (Minor,Modification)
MOD
MTA
078/site
167/sIte-
O pnderg"round•Stor Tank, TR 573/tari
Mandated Leak. DeWction.(te§t)/FueI -Mont CortMB989.
NOTq- $96/hr for each.type of test/per site even -If
scheduleid'at:the_ same Mme., . TT
6/hr (Z hrs miinl0nurn)=$192
oil Well (Installation, Inspection; or reHnspection). X 96/hr,
a, Tent 4$96/tent
E3
After-hours inspection fee
Fjrrotechnlc (I permitper event, plus ah Inspection fee of
96 /hr during business hours) py-
NOTE: After hours ;Pyrotechnic event Inspection, is @ $121/hr
121/hr (2.'hrs minimum)-$242 .
96/hr + 5- h.rs min-sten.dby feetinsp)=$575
5 firs min stwWby insp)=$60
0 Re-Insoectton/Follow-up inspection.. 46/hr
0 . PortabW LPG (Propane):. #-of Cages? 96/hr
13 Explostve.SbDrage
Copying &File Res, rch (File: Researctifee $ 59/hr)
266
0 1$0.25/page
1 Mtscellane-ous . . I
82-
82
82
82
82
92
84
82
82
84
84
84
84
84
84
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BILLING & PERMIT STATEMENT BAKERSFIELD FIRE ®EPAi3TMENT
r_ s x..r . ' _.e Prevention Servkes
ERNrT # +A 2101 H Street
Bakersfield, (ZA 93301
Phone: _1561-326.309'o Fax: 661- 852 -2171
WCATION00PROJECT 3 (, 1N
PROPERTY Y
II•
96/hr (2 hrs minirn6m) =$192
Wr`
M.0_ J O
I
G' OA CONPLE706) DATE jNAME.
Lf13__ '
PROJECt NAMV ADDRESS ~ PHONE o
82
ZSfl {UQ• cin BAKER:S 1ElrD sTATE aA ZIP CDDE
INFORMATION
j After -hours Inspection fee
O { Pyrotechnic (1 permit per event, plus an Inspection fee o' f
i $96 /hr during business hours) PY
iNeiiE: After hours Pyrotechnic aven€ inspec-,ion, is @ $1211tx
CTOR NAME
nAa I.UY oY g'
CA LICENSE TYPE OF Ll nSE 3EXPIRATTDN
C arzd DT
TI Pl10NE 0
CONTRACTOR COMPANY, NAMe FAX d
O Re- Inspection/Follow -up Inspection 96 /hr 84
Ali ";Perr+nits..mu# be.
FYanzen -Hill Co oration Lg mEjj
1100North Y'$reatTalere,CA93274.1939
1971 (559) 6884977
One Hundred Ninety -Two and 00 /100
PAY
TO THE BAKERSFIELD FIRE DEPARTMENT
ORDER 2101 H STREET
OF BAKERSFIELD. CA 93301
TO BEGINNING V
VALLEY BUSINESS BANK
1901
ETldere%
OA83274
www.vd net
90- 4239.1211
DATE
12/18/12
110055200ii' 1:121142394':005110016411'
55200
55200
AMOUNT
192.00
RANZEN -HILL O&RAJ
AUTHORIZED SIGNATURE
i6
d
A
B
Mandated Leak Detecdon ,(test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each.type of test/per site even If
scheduled at'the same time TT
96/hr (2 hrs minirn6m) =$192 82
Oil well (Installation, Inspeedon, or re- Inspection) X 96 /hr 82
Tent # 96 /tent 84
j After -hours Inspection fee
O { Pyrotechnic (1 permit per event, plus an Inspection fee o' f
i $96 /hr during business hours) PY
iNeiiE: After hours Pyrotechnic aven€ inspec-,ion, is @ $1211tx
121 /hr (2 hrs minimum) =$242
9 /hr + (5 hrs min standby fWnsp) =$576
5 rtr5 min stanJblr fie /Irno) =35u5
84
O Re- Inspection/Follow -up Inspection 96 /hr 84
Portable LPG (Propane): # of Cages? _ 96 /hr 84
O Explosive Storage
Copying & File Research (File Research fee $50 /hr)
266
0.25 /page
84
84
Miscellaneous
J
84
i6
d
A
B
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTINGITANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT # I
ENHANCED LEAK DETECTION
TANK TIGHTNESS
A.
9 V I D
AB1M 1
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersileld, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
LINE TESTING SB -989 SECONDARY CONTAINMENT
AFUEL MONITORING CERTIFICATION
M Fs i, INFORMATION= , ; -
FACILITY - NAME & PHONE # OF CONTACT PERSON
Z
ADDRESS
OWNER NAME
rrAA `` Ord
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK O# VOLUME CONTENTS
r e a TANK TESTING COMPANY - s
TESTING COMPANY (/ NAME i PHONE # F CONTACT PERSON
L/ A
MAILING AD
ESSu
Q 1
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFIC IO #
D
DATE i T1 11
EST T E CO UCTED
O
ICC
S3 tk -75-
TEST METHOD
APPLICANT S ATUR / DATE
Iz g JZ
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
per\ APP
ls-al
BY - - -
r
DATE
FD2095 (Rev 03/08)-
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