HomeMy WebLinkAbout3605 ROSEDALE HWY FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPA , V BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
13 -/6600 160
File Number: Address:
Bakersfield, CA 933
Date Received:
Business Name:
SYSTEM: r BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spvay Finish Sys em
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other.
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
a.
3.
4.
Date Time
Signature
Signature
Comments: I'E44:
iCC 'S.Z °17 X 57 EX°• 1 q/is
VM ,,' -AC ;2 j'1' E V5-113
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
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTI
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.QST_AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE- AND. ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) q11011_9
REMARKS:
BUILDING ADDRESS: SOS 77e =7
JOB DESCRIPTION: -tPu-4, C— I OCCUPANCY TYPE:
OWNER: \'t I PERMITNO. 13- 16df_fO 166
CONTRACTOR: 2, PHONE # Z-- 5 6T
FD 1743
BOLLING & PERMIT STATEMENT
PERMIT NO.:
BAKERSFIELD FIRE DEPT.
Prevention Services
FIRE 1600 Truxtim Ave Ste 401ARrYT
Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
r
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. •
PERMIT TYPE
El rmAlas - New & Modifications - (Minimum Charge)
SITE INFO-RMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE, ( ` COMPLETION DA NAME
PROJECT NAME ADDRESS PHONE NO.
PROJECT ADDRESS ">
V _
1 CITY STATE ZIP CODE
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE
j S c tt O` SO c NA 3o rc
PHONE NO.
9
CONTRACTOR COMPANY NAME
1 v
FAXNO.
3'4z- oc a.r
ADDRESS f
U
CITY ZIP CODE
r
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. •
PERMIT TYPE
El rmAlas - New & Modifications - (Minimum Charge)
FEE CALCULATION TOTAL TREASURY
DUE ACCT NO
280.00 s
Over 10,000 Sq. Ft. Sq. Ft. x -028 = Permit fee 0
98
Spdnlders - New & Modifications - (Minimum Charge) 280.00 84
98
Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee 98
Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] 84
98
Commercial Hoods — New & Modifications 470.00 84
98
Additional Hoods 58.00 84
98
Spray Booths - New & Modifications 470.00 84
98
Aboveground Storage Tanks (Insta/iatioNinsp. -1 ° Time) 180.00 82
Additional Tanks 96.00 82
Aboveground Storage Tanks (RemovaUinspection) 109.00 82
Underground Storage Tanks (Installation Inspection) 878.00 (per tank) 82
Underground Storage Tanks (Modification) 878.00 (per site) 82
Underground Storage Tanks (Minor Modification) 167.00 82
Underground Storage Tanks (Removal) 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
Mandated Leak Detection (Testing) / F Monit.0 Sa989.
Note: $96.00 for each type of test /per site (e eduled
at the same time)
93-6 fper-site).. g ,o n 82
Tents 96.00 (per tenfl 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /Inspecbon)=$576..00 84
After hours inspection fee 121.00 84
RE4NSPECTION(S) /FOLLOW- UP/NSPECTION(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? 96.00 84
b Explosive Storage 266.00 84
Copying & Fite Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
FD 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
7 :
BH- L.INIG & PERMIT STATEMENT
PERMIT NO.:
a.
i FIRE
ARrW r
4
BAKERSFIELD FIRE DEPT.
Prevention Services
1600 Tr uctun Ave Ste 401
Bakersfield CA 93301
Tel _ - (9911 329 -3979 • Fax- (9911 852 -2171
308 3 50 400 711'
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)
S-
SITE INFORMATION
LOCATION OF PROJECT y_ PROPERTYOWNER
STARTING DATE ` COMPLETION DALAAICA
NAME 1
l
PROJECTNAME ADDRESS PHONE NO.
O
PROJECTADDRESS ao CITY STATE ZIP CODE
CONTRACTOR • • •
CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. IRATION DATEEXP
J IR
PHONE NO.
8 7lAmIc,S kc t t O SO fO NA o icy Sq 2
CONTRACTOR COMPANY NAM
c IV v
FAX NO.
392 - O cow
ADDRESS CITY ZIP CODE
U
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. '
Alarms - New & Modifications - (Minimum Charge) $280.00 84
98 -
Over 10,000 Sq. Ft. Sq. Ft. x .028 = Permit fee 84
98
Sprinklers - New & Modffieations - (Minimum Charge) 280.00 ff84Fj;
S F* Sa. Ft. x .028 = Permit fee _
Im le
RICH ENVIRONMENTAL'.:
SERVICE STATION SERVICES 90- 7162/3222 4,15 9LIC4809850 " .. , . .
5643 BROOKS CT.'
BAKERSFIELD, ..CA "93308 -3708 •" DATE
661) 392-86 7 '' _. .
PAYTOTHE
ORDER OF L 1 Z —
DOLLA
HAS EtE
JP Morgan Chase Bank, N.A. 1
Bakersfield, CA 9.3.308 ro
LL FOR JeAy \l - -
AUTHORIZED ShGNAT RE ..
11'00415911' :.3.22.2.7 I'S 271:
l e1 ns lauoh
Mandated Leak Detection (Testing) / F Monit.0 SB989. i 9 ,O n 82
Note: $96.00 for each type of test /persite (e eduled
at the same time)
Tents 96.00 (per ten4 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee Anspedion)--$576..00 84
After hours inspection flee 121.00 84
RE- 1NSPECT/ON(S) /FOLLOW -UP /NSPEC- RON(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? _ 96.00 84
Explosive Storage 266.00 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
308 3 50 400 711'
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)
S-
UNDERGROUND STORAGE TANKS .t
APPLICATION :}
TO PERFORM ELD /LINE TESTING /:
SS989 SECONDARY CONTAINMENT
TESTINGITANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
hWWkkol tests and will be diar8ed per
separate type best acaordingiv.)
PERMIT #
loelonl
A%
ApiRi&
sr
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
aloe 1rt S- tf_7_T
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661 -852 -2171
Page 1 Of 1
ENHANCED LEAK DETECTION LINE TESTING SS -989 SECONDARY CONTAINMENT
TANK TIGHTNESS C -N3JEL MONITORING CERTIFICATION
SiTF'3NFORMATION
FACILITY NAME & PHONE ! OF CONTACT PERSON
ADDRESS
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE !
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK VOLUME CONTeNNTS
8 —7
3
TANK T TDi1Q COMPANY
TESTING COMPANY
IJvL RDIJ L
NAME Nk PHONE a OF CONTACT PERSON
ITiaom gmJ&
MAILING ADDRESS
X13 RN o GT. - 'BAY,9 4ZSf %S_ -D % CA g 33o$
NAME a PHONE ! OF PECA PECOROST CETFICATION !
GSov
DATE 8TIME TE.ST?O 8E CONDUCTED
1
ACC TEST METHOD
APPLICANT SIGN DATE
HIS APPLICATION BECOMES A PERM rr WHEN APPROVED
APW7
DATE
3 a 5 -13
F02095 (Rev 03/08)