HomeMy WebLinkAbout3301 WIBLE ROAD MINOR MOD 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
Cj— /C7Q 0 7
File Number: 3-53V Z Address: 3 3 0 ! W L Q (-P hc
Bakersfield, CA 933
Date Received: c-2- 7 — 3
Business Name: -j tz -k-Q-. I ,"j c6 E
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
pray Finish Systern
Aboveground Storage Tank
Underground Storage Tank
minor
modification nderground Storage Tank
Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
13
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
PERMIT NO. 13- 16bC^OO
PRIMARY PIPE
PHONE # 5FF5s''" 7 7
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.OPERATI.ON_OF_ANY SYSTEM,
ALLJUST_AND /.OR.AST_SYSTEMS SHALL RE-
INSTALL, ^COMPLETE- AND.ACCEPTED BY
MISC. ACTIVITY I THE BAKERSFIELD_CITY FIRE DEPARTMENT.
AFIRE DEPARTMENT (FINAL) __ _Z /.3 7-zt
REMARKS:
BUILDING ADDRESS: d3d (,k) i Iio Le i
JOB DESCRIPTION: T' w OCCUPANCY TYPE:
OWNER: t > PERMIT NO. 13- 16bC^OO
CONTRACTOR: R)-?f>-k_ PHONE # 5FF5s''" 7 7
FD 1743
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
It ., K I: F 1 1• f Is 1. 11 Prevention Services
PERMIT # FIRE 2101 H StreetDEPARrMENr
Bakersfield, CA 93301
Dhn - A.F.t_Z7F._Z070 . C.— 991_Ar") 1171
OFFICE USE
ONLY
Underground Storage Tank (Minor Modification) MTM
LOCAT[ O ROJECT l l I
1 7
V7 iVJ1
PROP WNER
STAR DATE COMPLETION DATE NAME
PROJECT /r,,', e- W - W 1
ADDRESS PHONE tj r ` t • 1 _j
PROJECTADDRESS Fcrry F K ETZS I El_D STATE CA ZIP CO
CONT r CAI [i IISE 1r
OF LICFiJSE EXPIRATION DATE PH tt,'
GXJ
CONTRACTOR COMPANY NAME ` FAX 50C-
ADDREbS _ _ / - Cif1' ZIP C D
OFFICE USE
ONLY
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
FD?071 (Rey 05/11)
BILLING &PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
11 A K 1- R 5 1: 1 13 L 13 Prevention Services
PERMIT # FIRE 2101 H StreetDEPARYmEmr
Bakersfield, CA 93301
Phnne- 661-326 -3979 • Pax. 661 -852 -2171
El PERMIT TYPE FEE • CALCULATION
DUE
Alarm - New & Modification (minimum charge) $280
on
ONLY 7
ACCT NO
SITE INFORMATION
LOCATIC& O ROJECT / _
c 60) Y/1
PROP WNER
STAR DATE COMPLETION DATE NAME
PROJECT NN4n %
r p i••
W `
ADDRESS
R
PHONE fib`
PROJECiADDRESS QTY g.4KERSFIELD STATE CA ZIP
CONTRACTOR INFORMATION
CO -ySEj( OF .LICENSE EXPIRATION DATE PH i
a - ^
1
fJX
CONTRACTOR COMPANY NAME FAX y -
1
0
ADDRF _ _ / CITY ZIP
El PERMIT TYPE FEE • CALCULATION
DUE
Alarm - New & Modification (minimum charge) $280
on
ONLY 7
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) MTN 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
FD2021 (Rey OS/ 1)
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK, Prevention Services
2101 H Street
PERMIT APPLICATION B `r'!p R 9 P 1 fl L D Bakersfield, CA 93301
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW l ' FIRE - Phone: .661-326-3979 • Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD OfPARFM fT_
Page 1 of 1
Permit #
TYPE OF APPLICATION: NEW TANK INSTALL /NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY
rl M(1r1TFTra -rTrTN (1G PArTI TTV MTNf1R M(IIITFTC'ATT(TN (TF ;:arTI TTV
STARTING DATE/ i- PROPOSED COMOEETION DATE
FACILITY NAME
jJ1t Mct
EXISTING FACILITY PERMIT #
o !
FACILITY ADDRESS . f • CITY
co'MAA
ZI
TYPE OF BUSINESS
l CAS ."
APN #
TANK OWNER ` PHONE # -
ADDRESS , 1 , blLC 9 ZIP
CONTRACTOR
L { C ICS
a
ADDRESSS Z31
PYONE # BA RSFIELD CITY BUSINESS CENSE #
ov ( o
WORKMANS COMP #
9 0
INS
BRIEFLY DESCRIBETHE WORK TO BE DONE: f lc a
LJ o i D
cr1
ri% iE ,4 f n
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED ARERE THEY FOR MOTOR FUEL?
YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO
P.Y1:;
TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER.
wc. g
sit
p m00
tanK ,iesasre Lorr.Qanv
NAME OF TESTING COMPANY PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER ICC#
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY
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