HomeMy WebLinkAbout3601 STOCKDALE HWY (MOD 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 03/37-
Date Recelved: -a-,2-7-13
Address:
Bakersfield, CA 933 '
Business Name:
SYSTEM: BUILDING SQUARE FEET:
New Mod.
minor
modfication
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish SVMem
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
I5;K
97-1" 1.
a.
4.
INSPECTION LOG
Date Time
Si nature
Signature
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
U A K C K N F I U I. n Prevention Services
IkRMIT # FIRE 2101 H StreetDEPARTMENT
Bakersfield, CA 93301
Phnnc• AA1_17F_7Q7Q . CaY- A,A,1_AS7_7171
LOCATIOALE F PU01 3 1
INFORMATION
cc iJ'l C /
IY \
OOMPLETION
PROPERTY
I—
OWNER t I
STARTING D/DAA.•TE DATE NAME
PROJECT NAME ADDRESS PHONE #
P0.0)ECf SS m, gAK ETZ' SFI ELD STATE C,,A COD
COWRACTOR INFORMATION
CONT&AoqOR NAME CA CENS i E OFLICENSE IXP RATION DATE PHONE # •
CONTRACTOR COMPANY NAME FAX A 4]/f`
ifCJ
ADDRE$t
84
CTTYck ZIP CO ^
a
Alarm - New & Modification (minimum charge) $280
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
WELLS FARGO BANK
BSSR, INC. 17880'
6630 ROSEDALE HWY.. #B
BAKERSFIELD, CA 93306 16- 24/1220 (7)
661) 588 -2777 2/27/2013
PAY TO THE BAKERSFIELD CITY FIRE DEPT $ "167.00
ORDER OF
One Hundred Sixty -Seven and 00/100 DOLLARS
2 BAKERSFIELD CITY FIRE DEP
ene°w,
MEMO 7/_f('
1190 1 ?B8011' 1: 12 2000 2 L NO 3 7 12 5 39 1 Silo
8 SECURITY FEATURES INCLUDED. DETAILS ON BACK. Ll
BILLING & PERMIT STATEMENT
PERMIT #
B A K U R S F I N I. 11
F/IPB
06PANrMENr
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnnc• AA1_1'JA._'2Q7Q . Gmv• AA1_AS')_7171
El PERMIT TYPE FEE CALCULATION TOTAL
DUE
13 Alarm - New & Modification (minimum charge) $280
ACCT NO
SITE
LOCATIO LQFPU0 \ 1 _ K
INFORMATION
iJ-
11.
L/J1
PROPERTY owN =a 1 I
STARTING DATE COMPLETION DATE NAME
PROJECT
I I J I ( 3•
ADDRESS PHONE #
PROJECT SS CITY g E s I E(_p STATE aA ZIP CODEq
R INFORMATIO
CONT OR NAME CENS #
tApss P Lac C),
EOF LICENSE IXP RATION E PH E h l
CONTRACTOR OOMPANY NAME FAX
GYI`•1 /C/
ADDREZ CITY ZIP
El PERMIT TYPE FEE CALCULATION TOTAL
DUE
13 Alarm - New & Modification (minimum charge) $280
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
O 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
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK Prevention Services
2101 H Street
PERMIT APPLICATION a4-x E R D P 1 i n Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW FRB Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
DIPARFMB #1
Page 1 of 1
Permit #
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY ` NEW TANK INSTALUEXISTING FACILITY
fl RAr)nl FI r'ATI r)M (1F FAr:I I I TV DQ MI mr)p Mnnl PI reTI nN nF Farl I I TV
STARTI NG DATE/ PROPOSED COMPLETI ON DATE
FACILITY NAME EXISTING FACILITY PERMIT#
FACI LITY ADDR CI ZI P COD
TYPE OF BUST N u APN #
TANK OWNER PHONE#
ADDRESS
1 P I CkW
z ,9
CONTRACTOR
C
LICEN #ki a IOC
v(1D ADDRESS CI ZIP
PHONE# _ 7-7 BAKERSFlELD SIN ICENSE# WORKMANS COMP # INSU
S
BRIEFLY DESCRIBE THE WORKTO BE DONE
WATER TO FACI LI TY PROVI DED BY-
DEPTH TO GROUND WATER SOI L TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL?
YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES RAN ON FILE?
YES NO
TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER
NAME OF TESTING M /
Cyy `
PHONE, I 3
MAILING ADDLES
V;
UY
NAME OF TE
urn) ko 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 TEST ICC #— %
S / pW
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY
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