HomeMy WebLinkAbout3698 MING AVENUE FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH
Permit No. Permit No. Permit No. Permit No.
AST
Permit No.
UST
Permit No.
3 16ed ;
File Number: <i z_ /-5-C3 Address:
Bakersfield, CA 933
Date Received:
Business Name:
SYSTEM: F BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish Sys em
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
her. L,
Building Sq. Feet: or
Calculation Bldg. Sq. Ft: Ar 9.
a.
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
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
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,
ALL UST AND /OR AST SYSTEMS SHALL BE
INSTALL, COMPLETE AND ACCEPTED BY
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: `?it/1 rL/
JOB DESCRIPTION: '" vtA OCCUPANCY TYPE:
OWNER: L Q PERMIT NO.
CONTRACTOR: CA— PHONE #,r7 Z
FD 1743
UNDERGROUND STORAGE TANKS
FACILITY ` NAME & PHONE 0 OF CONTACT PERSON
ADDRESS
3
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED:
APPLICATION
TANK #
FIR
CONTENTS
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT f. TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
individual tests and will be charged per
TANK TESTINGCOMPANY•
TESTING COMPANY
separate type test accordingly.)
MAILING ADDRESS
Jla -13 t i oo tS GT. - F3MKIERSF lE.L-p \ CA °13308
NAME PHONE # OF TESTER OR SPECIAL INSPECTOR
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q101 irk ST ev—T
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661 - 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS FUEL MONITORING CERTIFICA
SITE: INFORMATION .:
FACILITY ` NAME & PHONE 0 OF CONTACT PERSON
ADDRESS
3
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
UY1
TANK TESTINGCOMPANY•
TESTING COMPANY NAME 9 PHONE S OF CONTACT PERSON
MAILING ADDRESS
Jla -13 t i oo tS GT. - F3MKIERSF lE.L-p \ CA °13308
NAME PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
S09 eCo U
DATE & TIME TEST YO BE CONDUCC
l3
ICC # ^ TEST METHOD
DATE
I I o 3
APPLICANT SIGN E 9,k
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
2.,-,.
TE
X-16-13
FD2095 (Rev 03/08)
BILLING & PERMIT STATEMENT
PERMIT NO.:
R 9 F I D
FIRE
ARIA r
BAKERSFIELD FIRE DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
FD 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer)
SITE INFORMATION
LOCATION OF PROJECT
v S-tazl i O PROPERTY OWNER
STARTING DATE ` — COMPLETION PATE
1 `1 —1 v ^ 1
NAME
PROJECT NAME
n
ADDRESS S PHONE NO.
PROJECT ADDRESS CITY STATE ZIPCODE
CONTRACTOR NAME CALICENSE NO. J Ian s R .c a 09S TO
TYPE OF LICENSE. EXPIRATION DATE PHONE NO.
Sq 2 -8 7
CONTRACTOR COMPANYNAME
tG 'E/U
FAX NO.
3'92. —o(Oc'
ADDRESS ,
6U
CITY ZIP CODE
0
or
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. •
ONLY
CALCULATION1-1 PERMIT TYPE FEE
DUE •
13 Aiarms - New & Modifications - (Minimum Charge) $280.00 84
98
Over 10,000 Sq. Ft Sq. Ft. x.028 = Permit fee i 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] 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 (Installaffonllnsp. -1 " Time) 180.00 82
Additional Tanks 96.00 82
Aboveground Storage Tanks (Removal/inspeclion) 109.00 82
Underground Storage Tanks (InstallationJlnspecGon) 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 (Removg 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
Mandated Leak Detection (Testing) / Fuel "onll.Ce 989.
Note: $95.00 for each tye of test / persite (led
at the same time)
tft{ persi g , G 82
Tents 96.00 (per tent) 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee Anspection4576..00 84
After hours inspection fee 121.00 i 84
RE4NSPECTION(S) IFOLLOW -UP INSPECTION(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? _ 96.00 84
Explosive Storage 266.00 84
Copying & File Research (File 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)
BILLING & PERMIT STATEMENT
FPERMIT NO.:
B 1-
71416
D
FARE
ARrm r
BAKERSFIELD FIRE DEPT.
Prevention Services
1600 TnLxtun Ave Ste 401
Bakersfield CA 93301
Tel__ (6611326-3979 a Fax: (6611 R52 -2171
All permits rust be reviewed, stamped, and approved PRIOR TO BEGINNING WORK OIL THAT PROJECT
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
661) 392 -8687
90- 7162/3222 4095
DATE
i CHASE
JP Morgan Chase Bank, N.A.
M-1
F.. ,
Onus m ew.
Bakersfield, CA 93308
rOR A Mal 9 AUTHORIZED SIGNATURE .
11100409511' 1:3 2 2 27 L6 271: 3083504007114
t .ti r'r Tti a, %.— ;5?n X T ^ v =, .. 7, s. "ea --art `'y i'I ': iid' ° Yt''f#v':tl. }rr`?xi .J Sg.7"y `4ti MyiiTY(;`' r - H£ t?!_ 'f{E'y..r rY.i 7- st f. ",y j• t
4 p
Underground Storage Tanks (Installation. /Inspection)
SITE INFORMATION
a
LOCATION OF PROJECT
j SAO. i
PROPERTY OWNER
0d
878.00 (persite)
STARTING DATE COMPLETION WATE NAME
PROJECT NAME
l C i
ADDRESS NO.
1 ` ` C,
82
PROCDDRESS CITY , STATE
1t
ZIP CODE
CONTRACTOR INFORMATION
Oilwell (Installation)
CONTRACTOR NAME CA LICENSE NO. J 14m 091 S_b
TYPE OF LICENSE. EXPIRATION DATE
I V4014 Nil
PHONENO.
CONTRACTOR COMPANY NAME'
1G 'E-63v
FAX NO.
39z =0(o01
ADDRESS CITY ZIPCODE
9 B n
All permits rust be reviewed, stamped, and approved PRIOR TO BEGINNING WORK OIL THAT PROJECT
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
661) 392 -8687
90- 7162/3222 4095
DATE
i CHASE
JP Morgan Chase Bank, N.A.
M-1
F.. ,
Onus m ew.
Bakersfield, CA 93308
rOR A Mal 9 AUTHORIZED SIGNATURE .
11100409511' 1:3 2 2 27 L6 271: 3083504007114
t .ti r'r Tti a, %.— ;5?n X T ^ v =, .. 7, s. "ea --art `'yi'I ': iid' ° Yt''f#v':tl. }rr`?xi .J Sg.7"y `4ti MyiiTY(;`' r - H£ t?!_ 'f{E'y..r rY.i 7- st f. ",y j• t
4 p
Underground Storage Tanks (Installation. /Inspection) 878.00 (per tank) a 82
Underground Storage Tanks (Modification) 878.00 (persite) 82
Underground Storage Tanks (Minor Modification) 167.00 82
Underground Storage Tanks (RemovaQ 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
p Mandated Leak Detection (Testing) / Fuel onit.6eWSB989.
Note: $96.00 for each type of test /per site (9 itschec'u/ed
at the same time)
986 (pef site) ) ,
i.F} "{(i c; `f` r, (L :!;t_-
v 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 r 84
After hours inspection fee 121.00 0 84
RE4NSPECT/ON(S) /FOLLOW -UP INSPEC710N(S) 96.00 (per hour) 84
Portable LPG (Propane): NO. OF CAGES? 96.00 84
Explosive Storage 266.00 84
Copying & File Research (File Research Fee $50.00 per hr) 250 per page 84
Miscellaneous 84
FO 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)