HomeMy WebLinkAbout3001 SILECT AVENUE FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHH AST UST
Permit No. Permit No.
File Number:-
Date Received:
Permit No. Permit No. Permit No. Permit No.
Address:
Bakersfield, CA 933 '
11 --
Business Name: {-4EA tv V t S (J -
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:
Fire Alarm System Calculation Bldg. Sq. Ft: 1.
Fire Sprinkler System 2.
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
ia,, Other. C'
M
4.
INSPECTION LOG
Date Time
271/3 6
Signature
Signature
Comments: 7ec i C2 s
v12-9 4 24 9! T.j 422)-, AS
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
CONTRACTOR: PHONE #
PRIMARY PIPE
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 SHALLBE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE "BAKERSFIELD CITY FIRE DEPARTMENT.
lfIRE DEPARTMENT (FINAL) Z
REMARKS:
BUILDING ADDRESS: 3nn E Cam- ~
JOB DESCRIPTION: OCCUPANCY TYPE: S .
OWNER: ( cog .EL PERMIT NO. / - Z
CONTRACTOR: PHONE #
FD 1743
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # FIRE 2101 H StreetOEPARTMBNr
Bakersfield, CA 93301
Dknnc•• GG1_']7G_7 7 - C- GG1_ or- ']_7171
a
WELLS FARGO BANK
BSSR,INC. 17857
6630 ROSEDALE HWY. #B
BAKERSFIELD, CA 93308 16724/1220 (7)
661) 588-2777 2/14/2013
PAY TO
ORDER OF BAKERSFIELD CITY FIRE DEPTORDER
One Hundred Ninety-Two and 00/ 100`""`.•""•"'"«"""""""`"'.:"`*"".."'"*".'.•.•....*..•*""* •*"••... *•"*"."". ***..•• "•""• *. DOLLARS....
BAKERSFIELD CITY FIRE DEP
wEO..
MEMO .,o•B TM Ht, ' — - "+
r'
II'01785711' 1:1 2 2000 24 71:037L2S39.L,SII'.''
8 SECURITY FEATURES INCLUDED. DETAILS ON BACK. U
Underground Storage Tank (Minor Modification) MTM
INFORMATION.
LOCATIONO PROJECT P TY ERDOG1i ( -e L
Underground Storage Tank (Removal) TR
STARTING DATE COMPLETION DATE NAME
PROJECD40a -j' cJ
ADDRESS P(
0o
PROJECT ADDRESS
1 Cm STATE (
ZIP CODE
CONTRACTOR INFORMATION
CO R CA LICENSE #
l
TYf QF, SNSE PIRATI DATE
11J \L.U
P p EE'#
J
82
irJT
CONTRACTOR COMPANY NAME FAX #
ADDRESS
LP ^ f , -J C ZIP
a
WELLS FARGO BANK
BSSR,INC. 17857
6630 ROSEDALE HWY. #B
BAKERSFIELD, CA 93308 16724/1220 (7)
661) 588-2777 2/14/2013
PAY TO
ORDER OF BAKERSFIELD CITY FIRE DEPTORDER
One Hundred Ninety-Two and 00/ 100`""`.•""•"'"«"""""""`"'.:"`*"".."'"*".'.•.•....*..•*""* •*"••... *•"*"."". ***..•• "•""• *. DOLLARS....
BAKERSFIELD CITY FIRE DEP
wEO..
MEMO .,o•B TM Ht, ' — - "+
r'
II'01785711' 1:1 2 2000 24 71:037L2S39.L,SII'.''
8 SECURITY FEATURES INCLUDED. DETAILS ON BACK. U
Underground Storage Tank (Minor Modification) MTM 167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE:
96 /hr (2 hrs minimum) _ $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
Pyrotechnic (1 permit -per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE:
96 /hr + (5 hrs min standby fee /insp) _ $576 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 84
BILLING & PERMIT STATEMENT
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
I/ A B L N S V I U I. U Prevention Services
FIRE 2101 H Street06PARrMENr
Bakersfield, CA 93301
Phnnn• A.A1 _'47F,_'7Q7Q . Fax• r'A1 _AS7_7171
F_ El PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
SITE INFORMATION
LOCATION PROJECT P TY O ER f
STARTING DATE COMPLETION DATE NAME
PROJ
7T
0 .028 x sq ft
ADDRESS
O
PRO]ECiADORESS my gr4K ERSFl ELD STATE CA ZIP CODE
CONTRACTOR INFORMATION
CALICENSE #
I
TYPIiOF Ij,BVSE PIRATI DATE
U
P_
CToR COMPANY NAME FAx #
ADDRr) C'_D `
C ZIP
F_ El PERMIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
ACCT NO
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
Sprinkler — Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
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,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 UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE:
96 /hr (2 hrs minimum) _ $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
Pyrotechnic (1 permit per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE:
96 /hr + (5 hrs min standby fee /insp) _ $576 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
11 Miscellaneous 84
FD2021 (Ray 05/11)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIEICATIOV,
i+Iease nose tnat tneae are separate
individual tests and will be charged per
wenwrm4a_ Qvne PF!a4 aorenrdinnler_
PERMIT #
B B R 8 P I L n
jrISS f
ARTM r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
Page IofI
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS $0UEL MONITORING CERTIFICATION
FD2095(Rev 03/08)
SITE INFORMATION
FACIL NR E & PHONE # OF COPo ACT PE
c jinx cwr woecd 2)\UrUbi
ADDRESS
l
OWNER ,N E
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
n
Lcz00
TANK TESTING COMPANY
TESTING C P Y r t M Nt tF fIACI Ft ON
MA[L[ G ADDRESS
NAME ONE # OF TFST ECIA NSPECTO
C.( C
CER IFICATIO #
a-t? iDATE &—hAE TEST TO BE CONDUCTED
t co
TEST METHOD
APPL C T SIGN TURE D TE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
VED BY DATE
FD2095(Rev 03/08)