HomeMy WebLinkAbout3401 CHESTER AVENUE SB-989 FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
0000 /a
File Number: 7 -3 7Co Address: 3 ,4O ( S . C S
Bakersfield, CA 933
Date Received: 3-" - /3
Business Name:
SYSTEM: I BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spvay Foe sh 3,,V rr
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Other. : wt C-- 4- S-5 -7 B"
f' 9.
a.
3.
U
INSPECTION LOG
Date Time
4
Signature
Signature
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Signature
Signature
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BkLLING & PERMIT STATEMENT " "Q "' °0 BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # FIRQ
r 2101 H StreetRsr
4114 Bakersfield, CA 93301
PhnnP- 661- 326 -3979 • Fax- 661- 852 -2171
Please make checks payable to CITY OF BAKERSFIELD. Thank you. OFFICE Us
nNl V
i1 PERMIT TYPE
Alarm - New & Modification (minimum charge)
FEE CALCULATION
280
TOTAL
DUE ACCT NO!
SITE INFORMATION
Over 10,000 sq ft 0 .028 x sq ft
LOCATION PROJECT.
C
PROPERTY OWNER
T- H T'
Sprinkler - New & Modification (minimum charge)
STARTING DATE COMPLETION DATE NAME
PROJECT NAME
0 .028 x sq ft
ADDRESS 1IS . „,O 6
PHONE #
f J 6
PROJECT ADDRESS
Sprinkler - Minor Modification ( <10 heads)
Ury >AICERSF16L -D STATE (,'A ZIP CODE
GI 3 " o
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
280
70 hood
LL
CONTRACTOR INFORMATION
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only)
CONTRACTOR NAME CA LICENSE # TYDE OF LICENSE EXPIRATION DATE PHONE #
Spray Booth (New & Modification)
CA2 LL0 1 r q W-5988-5t:f
NY NAMECONTRACTORC0.S
180 /tank
FAX
Additional Tank ATI 96 /tank
1-688-3-f86
82
ADDRESS
O O F LE
CITY
EKE R (B L
ZIP CODE
93-S08
Please make checks payable to CITY OF BAKERSFIELD. Thank you. OFFICE Us
nNl V
i1 PERMIT TYPE
Alarm - New & Modification (minimum charge)
FEE CALCULATION
280
TOTAL
DUE 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
280
70 hood
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
Spray Booth (New & Modification) 280
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 for each type of test/per site /per UST system
even if scheduled at the same time
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: 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 280 84
Copying & File Research (File Research fee $57 /hr) 0.25 /page 84
Miscellaneous 84
F02021 (Rey 12/12)
BALLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # J RIrm r 2101 H Street
Bakersfield, CA 93301
Dk - rr1 _Z7G_ZD7D - C- f.91 _Ar')_7171
Please snake checks payable to CITY OF BAKERSFIELD. Thank you.
Alarm - New & Modification (minimum charge) $280
0 Over 10,000 sq ft $0 .028 x sq ft
0 Sprinkler - New & Modification (minimum charge) $280
0 Over 10,000 sq ft $0 .028 x sq ft
0 Sprinkler -.Minor Modification ( <10 heads) $ 96 (inspection only) 84
11 Commercial Hood (New & UL 300 Upgrade Modification) $280
Additional Hood 70 hood
CI Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
0 1 Spray Booth (New & Modification) 280
11 Aboveground Storage Tank (1 Inspection per installation) AST $180 /tank
a Additional Tank ATI $ 96 /tank
0 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109 /tank
0 Underground Storage Tank (Installation /Inspection) NI $878 /tank
0 Underground Storage Tank (Modification) MOD $878 /site
0 Underground Storage Tank (Minor Modification) MTM $167 /site
0 Underground Storage Tank (Removal) TR $573 /tank
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. $ 96 /hr (2 hrs minimum) _ $192
NOTE: $96 /hr for each type of test/per site /per UST system
ven if scheduled at the same time
90- 7162.3222 2471
CHESTER LIQUOR & MARKET
3401 S CHESTER AVE.
BAKERSFIELD, CA 93304 -6115 DATE .
PAY TO THE L 8 FL/Y-01. / 1 $ Q L '
ORDER OF -
LLARS 12
CHASE 105
JPMorgan Chase Bank, N.A.
www.Chasezom
MEMO
1:3 2 2 2 7 1 6 27: 13L,Ltgo 3690111 24 ?1
98
82
82
82
82
82
82
84
82
82
84
42
Fee /insp) = $576 84
84
84
84
84
84
SITE INFORMATION
LOCATION 0 PROJECT
C ;-(- Q330L
PROPERTY OWNER
HARA 6'iJ L H/- T I
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS
3L4_0 I S Chas -I r tfv
PHONE #
6 61- - o ff
PROJECT ADDRESS CITY 'F>A ERSFIEL-D STATE CA ZIP CODE
c/
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
CONTRACTOR COMPANY NAME FAX #
ADDRESS CITY ZIP CODE
Please snake checks payable to CITY OF BAKERSFIELD. Thank you.
Alarm - New & Modification (minimum charge) $280
0 Over 10,000 sq ft $0 .028 x sq ft
0 Sprinkler - New & Modification (minimum charge) $280
0 Over 10,000 sq ft $0 .028 x sq ft
0 Sprinkler -.Minor Modification ( <10 heads) $ 96 (inspection only) 84
11 Commercial Hood (New & UL 300 Upgrade Modification) $280
Additional Hood 70 hood
CI Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
0 1 Spray Booth (New & Modification) 280
11 Aboveground Storage Tank (1 Inspection per installation) AST $180 /tank
a Additional Tank ATI $ 96 /tank
0 Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109 /tank
0 Underground Storage Tank (Installation /Inspection) NI $878 /tank
0 Underground Storage Tank (Modification) MOD $878 /site
0 Underground Storage Tank (Minor Modification) MTM $167 /site
0 Underground Storage Tank (Removal) TR $573 /tank
Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. $ 96 /hr (2 hrs minimum) _ $192
NOTE: $96 /hr for each type of test/per site /per UST system
ven if scheduled at the same time
90- 7162.3222 2471
CHESTER LIQUOR & MARKET
3401 S CHESTER AVE.
BAKERSFIELD, CA 93304 -6115 DATE .
PAY TO THE L 8 FL/Y-01. / 1 $ Q L '
ORDER OF -
LLARS 12
CHASE 105
JPMorgan Chase Bank, N.A.
www.Chasezom
MEMO
1:3 2 2 2 7 1 6 27: 13L,Ltgo 3690111 24 ?1
98
82
82
82
82
82
82
84
82
82
84
42
Fee /insp) = $576 84
84
84
84
84
84
l \
f
i
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 # 1 771
ENHANCED LEAK DETECTION
TANK TIGHTNESS
AR"
J'
r'NffjT
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
FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
L H &S'TC IP- L-Ia O1 /'')f R IC t
NAME & PH NE # OF CONTACT PERSON
1 `_1 66 (- 3 3 7-0 C
IADDRESS
S C P LJ VdP i S ' e l(y CA y3 S o L -
OWNER NAME
OPERATOR NAME
I 13
PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
TANK TESTING COMPANY
TESTING COMPANY t3s52 c .
NAME & PHONE # OF CONTACT PERSON
EL. C0%Z1ZtLijQ - 05-
MAILING ADDRESS
64-30 R0 -6.EpA LF Hwy -t- 16
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
21 -T
CERTIFICATION #
173 q
DATE & TIME TEST TO BE CONDUCTED ICC # TEST METHOD
APPLICANT SIGNATURE
C
DATE
3 -1y- 3
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APP Y DATE
FD2095 (Rev 03/08)