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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 , .