HomeMy WebLinkAbout3620 WILSON ROAD SB-989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
iz- /6006 gS
File Number. 7/ $Z- -z— Address: ZgK :SCo;6 bi r,C SC Rc
Bake eld, CA 933
Date Received: /p - Z - / Z
Business Name: 1/l/l d (0
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Sprays Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: I.
2.
3.
4.
Date Time
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
JOB DESCRIPTION:
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
C G ci'lc1iJ.'1J'/1.9
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
PRIOR TO OPERATION OF ANY SYSTEM, 1
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY r-THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) I!
REMARKS:
BUILDING ADDRESS: JC
JOB DESCRIPTION: I OCCUPANCY TYPE:
OWNER: ''YV( PERMIT NO. —/ S
CONTRACTOR: PHONE #
FD 1743
I
PERMIT STATEMENT
PERMIT NO.: —7
4R F-` D
FIRE
PA&TAVAT
BAKERSFMLD FIRE DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (6611326-3979 • Fax: (661) 852 -2171
r
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
Alairms - New & Modifications - (Minimum Charge) $280.00 / 84 •
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
1 L T Y
STARTING DATE COMPLEfION D NAME
yy
PROJECT NAME n ADDRESS W PHONE NO.
PROJECT ADDRESS
Awfj-y---
CITY STATE
7L1 \
i6L-La ZIP CODE
CONTRACTOR
CONTRACTOR NAME CA LICENSE NO.
PM jiz S C- ti O SO
TYPE OF LICENSE. EXPIRATION DATE
f 'DivoAA14 e 10
PHONE NO.
sqz -8lo i
CONTRACTOR COMPANY NAME
ra j 4 -
FAX NO.
39z -o(0a (
ADDRESS CITY ZIP CODE
9:3,3C)
r
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
Alairms - New & Modifications - (Minimum Charge) $280.00 / 84 •
98
Over 10,000 Sq. FL Sq. Ft. x.028 = Permit fee 98
Sprinklers - New & Modifications - (Minimum Charge) 280.00 84
98
Over 10,000 Sq. Ft. Sq. Ft. x.028 Permit fee 84
98
Minor Sprinkler Modifications (< 10 heads) 96.00 [inspection Only] 98
Commercial Hoods - New & Modifications 470.00 84
98
Additional Hoods 58.00 84
98
Spray Booths - New & Modifications 470.00
9898
Aboveground Storage Tanks ynstafladoMnsp: 1`' Time) 180.00 82
Additional Tanks 96.W 82
Aboveground Storage Tanks (RemovaFinspection) 109.00 82
Underground Storage Tanks (instanationJinspection) 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)1 it. SB989.
Note: $96.00 for each type of test / perit h
at the same time)
9 n 82
Tents 96.00 (per tent) 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /Inspection)- $576..00 84
After hours inspection fee 121.00 84
RE4NSPEC77ON(S) /FOLLOW -UP /NSPEC77ON(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? — 96.00 84
O Explosive Storage 266.00 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
FD 2021 (Rev. 0607)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
E!ILI G & PERMIT STATEMENT
PERMIT NO.:
B F I D
FIRE
ARTY r
BAKERSFIELD FIRE DEPT.
Prevention Services
1600 T uxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326 - 3979_. Fax: (661) 852 -2171
SITE INFORMATION
PERMIT TYPE
LOCATION OF PROJECT ; PROPERTYOWNER "
w
STARTING DATE COMPLETION D
Tents
NAME wxr_::)*
ki
PROJECT NAME n ADDRESS PHONE NO.
PROJECT ADDRESS CITY STATE ZIP CODE
CONTRACTOR INFORMATION
Over 10,000 Sq. Ft.
CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO.
I i'Y1 cS c tt O SO 1 RHA 3o rc 3q2 -8(0 %
CONTRACTOR COMPANY NAME FAX NO.
tC t Z-O(ocl2_(
ADDRESS —/ CITY
4_ kc_ I C_ PC
ZIP CODE '
3 C
r
Alt permits must be revieweai. statykiDd, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT
01. PERMIT TYPE FEE CALCULATION TOTAI TREASURY
82
Tents
DUE ACCT NO
Alarms - New & Modifications - (Minimum Charge) 280.00 84
96.00 + (5 hrs. min. standby fee /Inspection)-4576_00 84
98
Over 10,000 Sq. Ft. Sq. Ft. x .028 ! Permit fee
sa
RE4NSPECTION(S) /FOLLOW- UPINSPECTION(S) 96.00 (per hour)
98
Sprinklers - New & Modifications - (Minimum Charge) 280.00 84
84
98
Over 10,000 Sq. Ft. I Sq. Ft x.028 = Permit fee 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC1809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
661) 392 -8687
AYTO THE
ORDER OF
C' CHASE
JP Morgan Chase Bank, N.A.
Bakersfield, •CAA93308
FOR
90- 7162/3222 4041
DATE -) ",/.i.
a.1r"ff1Qq.1'
o f.
9,
fc4 Q
AUTHORI SIGN URE ti
11200404 Lii' 1:3 2 2 27 L6 2?1: 3018350400711•
X- "F }vr'i ?;e -• !pk t ,.ate;-i"*`1;•^'M`': °i'i =i9, m ,
s5'
f^..1 3j. tfi- #'J_. - J'..zi3
FD 2021 (Rev. 06/07)
1 - ORDINAL WHITE (to Treasury) 11- YELLOW (to File) 1 -PINK (to Customer)
Mandated Leak Detection (Testing)1 it. 58989.
Note: $96.00 foreach type of test/ per s' h
at the same time)
j 9 ,<N Cn 82
Tents 96.00 (per tend 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /Inspection)-4576_00 84
After hours inspection fee 121.00 sa
RE4NSPECTION(S) /FOLLOW- UPINSPECTION(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? _ 96.00 84
Explosive Storage 266.00 84
Cl Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
FD 2021 (Rev. 06/07)
1 - ORDINAL WHITE (to Treasury) 11- YELLOW (to File) 1 -PINK (to Customer)
UNDERGROUND STORAGE TANKS x•,
ADDRESS )
JD
15`
APPLICATION
OPERATOR NAME
FIRE
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
r
TO PERFORM ELD /LINE TESTING/
CONTENTS
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
Individual tests and will be charged per
li
separate type test accordingly)
TANK TESTING?COMPANY'..
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
atol SZREET
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of i
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS FUEL MONITORING CERTIFICATION
SITE INFORMATION .
FACILITY 1 , (^
W \'\w(
1 \
NAME & PHONE OF CONTACT P N
J
ADDRESS )
JD
15`
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
f ! TANK VOLUME CONTENTS
li
TANK TESTING?COMPANY'..
TESTING COMPANY NAME & PHONE it OF CONTACT PERSON
MAILING ADDRESS
JLc -13 C dOkS GT A `13308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR _ CERTIFICATION #
S09 GSU
DATE & TIME TEST O BE CONDUCTED
O 1`Z
ICC i
5aut1 bZl3 - yT
TEST METHOD
1mcok1
APPLICANT SIGNA
i
DATE
v 0t 2
HIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPR Y pgTE
tit
FD2095 (Rev 03/08)
f , .