HomeMy WebLinkAbout3624 CALIFORNIA AVENUE MOD 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: o? 1710 Address: _ 36-.2S1 (at -yo'( A. A-e.
Eakersfield, CA 933
Date Received:
Business Name: --)p C l AX -0
SYSTEM: BUILDING SQUARE FE r INSPECTION LOG
New Mod.
mind
Tnca',log)
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray FWsh Sys em
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 9.
a.
3.
4.
Date Time
s :
Signature
Signature
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ISILLING & PERMIT STATEMENT OPIZZ BAKERSFIELD FIRE DEPARTMENT
Prevention Servkms
PERMIT # 2101 H Street
Bakersfield, CA 9330i
Phona. 661- 326-3979,4j.FaYe .661 -852 -2171
STARTM DATE COMMON DATE NAME —
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PROJECT MAME
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All permits must he reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
O
0
Alarm - New & Modditation (minimum charge)
Over 10,000 sq R
28D
0 .028 x sq R
Sprbdder - New S Modffi aHmrr (minimum charge) 280
O Over 10,000 sq R 0.026 x sq ft
O Minor Sprinkler Modiim on ( <10 heads) 96 (inspection only) 84
0 Commercial Hood INew tar Modification) 470.
Additional hood S8
0
0
Spray Booth (New $ Modification)
round Storage Tank (1 Inspection. perInstallation) AST
470
180/tank 82
0 Additional Tank ATI 96/tenk 82
O Aboveground Storage Tank (Removal, Mod,or Inspecen) ATR 109/tank 82
O Underground'Sborage Tank (InstaMon/lnepetdon) M 878/tank 82
Underground Storage Tank (Modem_ n) MOD 878/sibe
167 /site _
82
82UndergroundStorageTank (Minor Modification) MTN 67
0 Underground Storage Tank (Removal) TR 573/tank 84
0 Mandated Leak Detecdon.(test )/Fuel Mont Cert/SB989
NOTE: $96/hr:for each type of.test/per site even If
scheduled at the same time TT
96/hr (2 hrs minimum)-$192 82
0 01 well (Installation, Inspection; or re- Inspection) X 96/hr 82
E3 Tent # 96/tent 84
0
0
After-hours inspection flee _ _
Py otedinic (1 permit per event, plus an Inspection fee of
96/hr during business hours) PY
OTC ARer hours-Pyrotechnic event inspect on is @ $121/hr
121_ /hr(2 hrs minimum) @$242
96/hr + (5 hrs min standby fecAnsp) =$576
5 hrs min standby fee ns = 605
84
O Re-inspeWon/Follow =up Inspection 96/hr 84
O Portable LPG (Propane): # of Cages? _ 96/hr 84
O Explosive Storage 266 84
84 _ O Copying a File Research (File Research fee $50/hr) 0.25/page —
BILLING & FERMI' STATEMENT BAKERSFIELD FIRE DEPARTMENT
Pirevention Servkes
2101 H Street
Bakersfield, CA 93301
Phnna• AA1_17r_Q070 - Cam... eei_eee_-%. -P.
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COMPIFrroN oATB i tow
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wu permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
114024L23eT -1 :12224279111: 002 00064411'
Underground Storage Tank (Mlnor Modification) MTM $1671site -^ 6 82
O Underground Storage Tank (Removal) rR $573/tank I 1 84
O Mandated Leak Detection (test) /Fuel Mont Cert/S8989 $96 /hr (2 hrs minimum)-$192 82NOTE: $96 /hr for each type of test/per site even If IscheduledatthesametimeTTt
p OQ well (Installation, Inspection, or re- Inspectlon) X $96 /hr 82
O ; Tent $96 /tent S4
After -hours inspection fee 3121 /hr (2 hrs minimum) =$242
D 1 Pyrotechnic (1 permit per event, plus an Inspection fee of V + (5 hrs min standby fee /insp)m$576 8496/hr during business hours) lP1f
i MOTE: P,21 "ours ayrctechnic event inspection is @ $17V 5 hrs min standby fee /irtspi =46Qa _ O Re- inspectlon/Follow -up Inspection $96/hr 84
O Portable LPG (Propane): # of Cages? _ $96/ !
O Explosive Storage - $266 84
0 Copying & File Research (File Research fee $50 /hr) $0.2S /Rage 84
I r .,,
JNDERGROUND STORAGE TANK
PERMIT APPLICATION R A P
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW FIRM
lTANKINSTALL (EXISTING FACILITY) /MOD -MINOR MOD * ARTN'
Permit #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 e Fax: 661 - 852 -2171
Page 1 of 1
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALL/EXISTING FACILITY
CHECK ONF ONLY) rl Mr)r)TFTrATTON (1F FACTI TTY `a- /MTNnP MCN)TFTCATTON OF FACTI TTY
STARTING DATE/ PROPOSED COMPLETION DATE 2,01
FACILITY NAME Pet d
EXISiING FACILITY PERMIT #
FACILITY ADDRESS 3 CITY
f -e
ZIP
5
ram
TYPE OF BUSINESS APN #
TANK OWNER
yk
PHONE #
ADDRESS ' - /
7
C
CY I
ZIP D
CONTRACTOR 1P 14 s JYLT h' CA LICENSE #
3
ICC #
2 2_
ADDRESS
G d
CITY p ZIP CO
PHONE #
V 1 r
BAKERSFIELD CITY BUSINESS LICENSE #
z 000 Cl 4s-
WORKMANS COMP #
O 01 Z
INSU E rIS /
BRIEFLY DESCRIBE THE WORK TO BE DONE: C % e
K-s. Z l 0,
WATER TO FACILITY PROVIDED BY
j
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED 7 ARE THEY FOR MOTOR FUEL? SPILL
YES NO
PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILET
YES NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER ICC#
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
3 10
APPROVED B
rUtutlb IKev ues/uy)
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
REMARKS:
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR •
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: .e (- `T -4,C_p W6 bc L
r •.1 M
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVRUPGRADE
PRIOR_TO.OPERATION OF ANY SYSTEM,
ALL LIST ,AND /OR AST SYSTEMS SHALL BE
INSTALL,_ COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL) . T
I
BUILDING ADDRESS: i yJi
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: .e (- `T -4,C_p W6 bc L PERMIT NO. /3 -/D QC 15Y
CONTRACTOR: ,r,J o • . t ' PHONE # 634F- (
FD 1743
V/