HomeMy WebLinkAbout3624 CALIFORNIA AVENUE FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
C3LMOOO 7<1
File Number. a?/ 7/0
Date Received: — z4—t3
New Mod.
Address:
Business Name:
3 6a C.0
Bakersfield, CA 933
SYSTEM: BUILDING SQUARE FEET:
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
SpFay Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
W,,,"'Other. F"14 C.
Building Sq. Feet: a
Calculation Bldg. Sq. Ft:
Comments: 57 7,rc
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I
2.
3.
4.
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INSPECTION LOG
Date Time
Signature
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
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
2
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
MISC. ACTIVITY
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
I I I :__l
RRIO_R -TO OPERATION_OFANY.SYSTEM,
ALL_UST ANDMR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
THE- BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) -.
REMARKS:
n
BUILDING ADDRESS: a4
JOB DESCRIPTION: vt.A C_,_ OCCUPANCY TYPE:
OWNER: STvA,vZ L PERMIT NO. /3 - /&(SpqQ 7
CONTRACTOR: K, C-, ,v,gT' , PHONE # (S3 -- S-n
FD 1743
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
ENHANCED LEAK DETECTION
TANK TIGHTNESS
i',
J%Nr —
m its
AR
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661- 852 -2171
Page 1 of i
LINE TESTING SB -989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY -/ /
tGr
NAME & PHONE # OF CONTACT PERSON
ADDRESS
r, c
OWNER NAME
OPERATOR NAM / PERMIT TO OPERATE
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
TANK TESTING COMPANY
TESTING COMPANY /' _ ]
WL4ki ^id /C/U
NAME PHONE # F CONTACT PERSON
wIN1.""t
MAILING ADD SS
NAME PHONE * OFT R OR SPECIAL MSPECTOR CERTIFICATION #
DATE TIME TEST TO BE CONDUCTED
d - P-3
ICC
i Z 3 6 /'J
METHOD
APPLICANTS G T DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APP.QVED BY DATE
FD2095 (Rev 03/08)