HomeMy WebLinkAbout2929 BRUNDAGE LANE FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
3-lD6mn 6
File Number: _57/ & c
Date Received: a— $— / 3
Address:
Business Name:
Bakersfield, CA 933
U
SYSTEM: BUILDING SQUARE FEET:
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
a-' C
Comments:
Building Sq. Feet: ar,
INSPECTION LOG
Date Time
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
v -mil c—)<, PERMIT NO. 3 — /_6(26021 p
PRIMARY PIPE
L ;ter PHONE# 5;37/—
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR_TO_OP_ERATION OF-ANY SYSTEM, !
ALL USTAND /OR-AST SYSTEMS SHALL RE
INSTALL, - COMPLETEAND ACCEPT D BY,
MISC. ACTIVITY (THE "BAKERSFIELD.CITY FIRE DEPARTMENT)
F1RE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: Ac3AJ L NJ
JOB DESCRIPTION: :F N,'%. C-- OCCUPANCY TYPE: ,—U
OWNER: K v -mil c—)<, PERMIT NO. 3 — /_6(26021 p
CONTRACTOR: s.,v lam. S L ;ter PHONE# 5;37/—
FD 1743
BILLING, & PERMIT STATEMENT ,.'•,'p ._A, BAKERSFIELD FIRE DEPARTMENT
F
Prevention Services
PERMIT # FIRE 2101 H Street
A r~ r Bakersfield, CA 93301
Phone: 661- 326 -3979 . Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280
Over 10,000 sq ft $0 .028 x sq ft
Sprinkler - New & Modification (minimum charge) $280
es::• s1.: r.._._._ ._._ :;. i:.:<. a,. - . ;_ aia' 1st ;..w'T'"'x:'.°a3*;., _ f,.:. :.;? »° ... .. _.._.:_';::_: .::'fi;'i::ai*s::'.r'. .,..z::._.y_. ="
TANK SPECIALISTS OF CALIFORNIA
GENERAL ACCOUNT
560 BIRCH ST BLDG. 3
LAKE ELSINORE, CA 92530 -2726
951) 245 -2800 LIC. #745065 A,B -HAZ
to the
2pen
1387
16- 24/1220 8468
ma/
2832726935
Date J
Wells Fargo Bak NA y
f
CaAfomla
weWargax=
FOR- •44/111 ? -- 6,1ZLU, .
119000000 L 38 711' 1:122000 2 Le 7': 28 3 2 7 2'6 Sl1'
zx'. 1: +T' S' '.. k.' 5:- rii..•'.- i°71Ler- ^ei..u.'"'- :T-.'°r'. y;.'F"' :.x: ',"K'. .. -. - °- - "'m'°'. sr"_.n_: _" - ._ .. -. ';1ti;. r -3,' _...z Y,r 47''szfi'; °.:_;","'__ -mom.
Mandated Leak Detection (test) /Fuel Mont Cert/S13989 TT $96 /hr (2 hrs minimum) =$192 82
NOTE: $96 /hr for ea type of test/per site even if scheduled at Z uL•
he same time
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
SITE INFORMATION
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
LOCATION OF PROJECT
84
PROPERTY OWNER
E14
96 /hr 84
Portable LPG (Propane): # of Cages? _
f
STARTING DATE -
J J
COMPLETION DATE
1c1) -1 -r3
NAME r - pe`eiS
PROJECT NAME %
4- 6 ;5k-E /c.,c S evh
84
ADDRESS
r i e L/t<i+1E
PHONE #
6,1— - 00
PROJECT ADDRESS
84
Miscellaneous 1 84
FD2021 (Rev 05 /10)
CITY g kK ET2S I>(_D STATE CA ZIP CODE
CONTRACTOR INFORMATION
CONTRACTOR NAME
T 4 .Svtc 04 a'C-
CA LICENSE #
7s'Ok -
TYPE OF LICENSE EXPIRATION DATE PHONE #
FAX # -
S % 7
CONTRACTO COjPANYjJ,4CE ! `.
QT / 4 L1
ij
JJ\ (
ter
ADDRESS CITY ZIP CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Alarm - New & Modification (minimum charge) $280
Over 10,000 sq ft $0 .028 x sq ft
Sprinkler - New & Modification (minimum charge) $280
es::• s1.: r.._._._ ._._ :;. i:.:<. a,. - . ;_ aia' 1st ;..w'T'"'x:'.°a3*;., _ f,.:. :.;? »° ... .. _.._.:_';::_: .::'fi;'i::ai*s::'.r'. .,..z::._.y_. ="
TANK SPECIALISTS OF CALIFORNIA
GENERAL ACCOUNT
560 BIRCH ST BLDG. 3
LAKE ELSINORE, CA 92530 -2726
951) 245 -2800 LIC. #745065 A,B -HAZ
to the
2pen
1387
16- 24/1220 8468
ma/
2832726935
Date J
Wells Fargo Bak NA y
f
CaAfomla
weWargax=
FOR- •44/111 ? -- 6,1ZLU, .
119000000 L 38 711' 1:122000 2 Le 7': 28 3 2 7 2'6 Sl1'
zx'. 1: +T' S' '.. k.' 5:- rii..•'.- i°71Ler- ^ei..u.'"'- :T-.'°r'. y;.'F"' :.x: ',"K'. .. -. - °- - "'m'°'. sr"_.n_: _" - ._ .. -. ';1ti;. r -3,' _...z Y,r 47''szfi'; °.:_;","'__ -mom.
Mandated Leak Detection (test) /Fuel Mont Cert/S13989 TT $96 /hr (2 hrs minimum) =$192 82
NOTE: $96 /hr for ea type of test/per site even if scheduled at Z uL•
he same time
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 1 84
FD2021 (Rev 05 /10)
BILLING & PERMIT STATEMENT
PERMIT # wIRM
ARrN T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
G PERMIT TYPE FEE CALCULATION •
DUE
Alarm - New & Modification (minimum charge) $280
USE
ACCT NO
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
o- c/04 5w
STARTING DATE , COMPLETION DATE
r3
NAME
e,s E /rH4E Ct a j % cam
PROJECT NAME &! ADDRE55
r e Ir
PHONE #
I' )- - oO
CYODEPROJECTADDRESS
a _ 3 N cl S 2 67 CITY K ER5 1 > l_D sTATE C ZIP
93 3 07
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE7T -j/ So;•It % 1 7 s'o( X ? 1V
CONTRACTOR COMPANY ME
A,ke ials of CALlFv?r a
PHONE #
5-1 G7G -oCo0
FAX #
S7 7
ADDR2S1 (1 O 1.o41 M 2 #
CITY
c
ZIaC
s:-o
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
G PERMIT TYPE FEE CALCULATION •
DUE
Alarm - New & Modification (minimum charge) $280
USE
ACCT NO
0 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 headsp ( ) 96 (inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 58
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 /Inspect) 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 Mont Cert/SB989 TT
NOTE: $96 /hr for ea type of test/per site even if scheduled at
he same time
96 /hr (2 hrs minimum) =$192
lG
l[
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
N 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
e- inspection /Follow -up Inspection 96 /hr 84
ortable LPG (Propane): # of Cages? 96 /hr 84
xplosive Storage 266 84
opying & File Research (File Research fee $50 /hr) 0.25 /page 84
iscellaneous 84
FD2021 (Rev 05/10)
1
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
B MrINr
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171
Page 1 of 1
LINE TESTING SB -989 SECONDARY CONTAINMENT
A FUEL MONITORING CERTIFICATION
SITE INFORMAfT+ION.
FACILITyj£
AS i - VHtti iA)G
N•
7l t £
N {.){
ii
ERSnN
ADDRESS
Na9 E. ` p Lk A4 e ta ,)E R -&4'd U7
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
4 _ EACH
TANK.TESTING-COMPANY
TESTIN OMPANY
IAvk
N E &PHONE # OF ONTACT gERSON
MAILING ADDRESS
JN ME & PHONE # OF TESTER OR SPECIAL INSPECTOR
b q -
CERTIFICATION
DATE & TIME TEST TO BE CONDUCTED
I - 3 a.+ Io ,00 Prm
ICC #
90 TEST METHOD
APPLICANT SIGN URE
A77 L
DATE
HIS APPLICATION BECOMES A PERMIT WHEN APPROVED
AEP-ROVED BY DATE
FD2095 (Rev 03/08)