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HomeMy WebLinkAbout3620 WILSON ROAD FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 7(%- z z-- Address: Bakersfield, CA 933 Date Received: - i 3 — 3 Business Name: I v L L SYSTEM: BUILDING SQUARE FE F INSPECTION LOG New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other. .0 1"" c-, Building Sq. Feet: Calculation Bldg. Sq. Ft: a. 3. 4. Date Time Signature Signature Comments: -a c/„ ; Spur -/v o sn aolz11y 4/4/ /3 UNDERGROUND STORAGE TANKS; FACILITY ^ NAME 8 PHONE a OF CONTACT N F\ ADDRESS k APPLICATION FIRM OPERATOR NAME ARrAF, ! TO PERFORM ELD /LINE TESTING / IS PIPING GOING TO BE TESTED? YES NO SB989 SECONDARY CONTAINMENT T TESTINGITANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per 3 separate type test accordingly.) PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services 6210 t l-t S -Mee —T Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION SB-989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CERTIFI ON SITE.INFO" FACILITY ^ NAME 8 PHONE a OF CONTACT N F\ ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE t OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS O- 3 TANK;TESTINGCOMPANY TESTING COMPANY tJV \'R t 1.Y\t - NAME & PHONE A OF CONTACT PERSON Off- $ to I MAILING ADDRESS 5LQL 73 t C{oo c.S C T. — F3P KE+RSF lE - C °13308 NAME & PHONE a Of TESTER OR SPECIAL INSPECTOR O CERTIFICATION # GSUlJ DATE S TIME TEST TO BE CON UCTE X 3 • ` ICC # TEST METHOD APPLICANT SIGN RE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) Y BILLING & PERMIT STATEMENT PERMITIT NO.: I Qan-R-s - P1* i.,-.D FIRK - ARrm r 46* MYCLIP't.-I P-Mi 11" A1 l"i Prevention Services 1600 T uxttm Ave Ste 401 Bakersfield CA 93301 TPI - (AA I 1 129-1979 • Fqx- (AR I I RR9 -2171 All permits must be reviewed. stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. PERMIT TYPE FEE CALCULATION TOTAI TREASURY DUE ACCTNO Alarms - Now & Modifications - (Minimum Charge) 280.00 SITE INFORMATION Tents 98 0 Over 10,000 Sq. Ft. LOCATION OF PROJECT Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour) I 1 98 PROPERTYOWNE975rA 4131 After hours inspection fee STARTING OATE MPLETI!Z Sprinklers - New & Modifications - (Minimum Charge) 280.00 NAME - \ V by\ 84 98 PROJECT NAME oMn ftc Portable LPG (Propane): NO. OF CAGES? a PDRESS to DATE ONE NO. US6— PROJECT ADDRESS 84 94 CITY P)k STATE 71P CODE c) 84 CONTRACTOR AYTO THEPORDER INFORMATION 84 CONTRACTOR NAME CALICENSE NO, OF LICENSE. EXPIRATION DATE PHONE NO. 12ICVM;.S tC ti A 21- Q 3CI /01J sq CONTRACTOR COMPANYNAME E FAX NO. B I C- 0y Q I VQ n A) M F 59 2- - 0 (0 GL I ADDRESS 5u C4 14:) CITY ZIP CODE All permits must be reviewed. stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. CHASE JP Morgan Chase Bank, N.A. Baorsfie!d, CA 93308 fP FOR 1190041,31,111 i:32227&627i: pi AUTHORIZED SIGNATURE 308 3 SO 400 711• 24,9050 tf BTunwediInirWlan PERMIT TYPE FEE CALCULATION TOTAI TREASURY DUE ACCTNO Alarms - Now & Modifications - (Minimum Charge) 280.00 WP Tents 98 0 Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour) 84 98 90- . 7162/32 22 4131 After hours inspection fee LIC.#809850 Sprinklers - New & Modifications - (Minimum Charge) 280.00 84 98 2, 3//-3 Portable LPG (Propane): NO. OF CAGES? DATE Explosive Storage 84 CHASE JP Morgan Chase Bank, N.A. Baorsfie!d, CA 93308 fP FOR 1190041,31,111 i:32227&627i: pi AUTHORIZED SIGNATURE 308 3 SO 400 711• 24,9050 tf BTunwediInirWlan Mandated Leak Detection ffesfing)/F "elMonit.0 SB989.. Note., $96-00 for each OW of test 1per site uled at the same time) 0 C:I, 19 M 82 WP Tents RICH ENVIRONMENTAL 84 Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour) SERVICE STATION SERVICES 90- . 7162/32 22 4131 After hours inspection fee LIC.#809850 01 84 RE4NSPECTION(S) / FOL L 0 W-UP INSPECTION(S) 5643 BROOKS. CT. 2, 3//-3 Portable LPG (Propane): NO. OF CAGES? BAKERSFIELD, CA 93308-3708 DATE Explosive Storage 6611.392 -8687 94 Copying & File Research (File Research Fee $50.00 per hr) 84 AYTO THEPORDER di 84 OF 5 CHASE JP Morgan Chase Bank, N.A. Baorsfie!d, CA 93308 fP FOR 1190041,31,111 i:32227&627i: pi AUTHORIZED SIGNATURE 308 3 SO 400 711• 24,9050 tf BTunwediInirWlan Mandated Leak Detection ffesfing)/F "elMonit.0 SB989.. Note., $96-00 for each OW of test 1per site uled at the same time) 0 C:I, 19 M 82 Tents 96.00 (per tent) 84 Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby tee nnspadon)=$576-00 84 After hours inspection fee 121.00 01 84 RE4NSPECTION(S) / FOL L 0 W-UP INSPECTION(S) 96.00 (per hour) 84 Portable LPG (Propane): NO. OF CAGES? 96.00 84 Explosive Storage 266.00 94 Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84 Miscellaneous 84 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer) FD 2021 (Rev. 06/07) ME BILLING'& PERMIT STATEMENT FPERM NO.: 41.111104fth. - S F D 4 P/RB ARrm r BAKERSFIELD FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 Over 10,000 Sq. FL Sq. Ft, x .028 = Permit fee LOCATION OF PROJECT SITE INFORMATION I 1 PROPERTY OWNE Spdnlders - New & Modifications - (Minimum Charge) 280.00 STARTING DATE MPLETI A 84 98 NAME Over 10,000 Sq. FL Sq. Ft. x.028 = Permit fee PROJECT NAME / / O ^ 98 RESS C O l ONE NO. O PROJECT ADDRESS b 84 98 CITY STATE Commercial Hoods — New & Modifications ZJPCODE CONTRACTOR NAME 14YY1 ES _ ti CA LICENSE N. O so 98 TYPEOF LICENSE. EXPIRATION DATE f R Nei o icy PHONE NO. g 2 -8 i CONTRACTOR COMPANYNAME tc 84 98 FAX NO. 2 -O(ocl ADDRESS 470.00 CITY 98 ZIPCODE 9 ?3 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 Over 10,000 Sq. FL Sq. Ft, x .028 = Permit fee Spdnlders - New & Modifications - (Minimum Charge) 280.00 84 98 Over 10,000 Sq. FL Sq. Ft. x.028 = Permit fee 84 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 (Installatiodinsp. -1 °Time) 180.00 82 Additional Tanks 96.00 82 Aboveground Storage Tanks (Removal/Inspection) 109.00 82 Underground Storage Tanks (InstalladonAnspection) 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 (RemovaQ 573.00 (per tank) 84 Oilwell (Installation) 96.00 B4 Mandated Leak Detection (Testing) / F el Monit.0 SB989. Note: $96.00 foreach" oftest1persite uled at the same time) ets. ` , n 82 Tents 96.00 (per tent) 84 Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee Anspection)=$576..00 84 After hours inspection fee 121.00 84 RE4NSPECTION(S) 1FOLLOW -UP INSPECTIONS) 96.00 (per hour) 84 Portable LPG (Propane): NO. OF CAGES? _ 96.00 84 Explosive Storage 266.00 84 Copying &File Research (Rle 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) 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 111111\ 16.1111.6 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, b ALL"USTAND/OR AST SYSTEMS SHALL BE , INSTALL,_COMPLETE AND ACCEPTED BY , MISC. ACTIVITY THEU KERSFIELD- CITY-FIRE -DEPARTMENT. CFIRE-DEPARTMENT (FINAL)- _ REMARKS: av 1/I AlegM cl_i41w'6 L/ /Sual ) dtg l A,9 64St c &Y1162v ZFs BUILDING ADDRESS: p t JOB DESCRIPTION: FtAA C___ OCCUPANCY TYPE: OWNER: -kA PERMIT NO. 13 - 16aCO /O Z CONTRACTOR: . LC' PHONE # 3 Z -. FD 1743