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HomeMy WebLinkAbout420 34TH STREET FMC 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 3 Z Date Received: 2-- 1-3 - '-3; Address: 4 Z o v q4A ST— Bakersfield. CA 933 Business Name: i removal Underground Storage Tank GY Other. t INSPECTION LOG Date Time Signature Comments: ,Q`j ,v12Sfxtl UR # B 36s o sXo. ls /iy SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: 1. Fire Sprinkler System 2. Spray Finish System 3. Aboveground Storage Tank 4. Underground Storage Tank minor modification Underground Storage Tank i removal Underground Storage Tank GY Other. t INSPECTION LOG Date Time Signature Comments: ,Q`j ,v12Sfxtl UR # B 36s o sXo. ls /iy 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 EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO_O_PERATIO_ N OF ANY SYSTEM, ALL :US.ANTD /OR AST SYSTEMS SHALL BE_ _ INSTALL; COMPLETE AND ACCEPTED BY" rTHE- BAKERSFIELD -CITY FIRE DEPARTMENT. FIRE -DEPARTMENT (FINAL) ,3 BUILDING ADDRESS: 6) 001k ST- JOB DESCRIPTION: C_ OCCUPANCY TYPE: OWNER: 2 74- PERMIT NO. 13-Z& /Q CONTRACTOR: PHONE # FD 1743 BAKERSFIELD FIRE DEPARTMENT Prevention Services atot K 5-ME -E k Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION SB-989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CER[1F-ICX1NN FACILITY i r1 CYIa / V11 1XI NAME & PHONE# OF CONTACT PERSON l`1( UNDERGROUND STORAGE TANKS F OPERATOR NAME PERMIT TO OPERATE S OF TANKS TO BE TESTED: JAR TANKS it 5 F L APPLICATION 13s 2 AR1I T TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT u TESTING/TANK TIGHTNESS TEST AND y FUEL MONITORING CERTIFICATION Please note that these are separate individual tests and will be charged per TANK TE STING, .COMPANY.." TESTING COMPANY lJ V \'RAN M,J r1Pt t_' separate type test accordingly.) MAILING ADDRESS 51a -13 -%E>fW-C>0\-S C.T. — F3AcK RSF tE.c -O C%E °13308 NAME & PHONE-* OF TE =R OR SPECIAL INSPECTOR PERMIT # DATE & TIME TEST t BE TND D ICC # 1S, I U BAKERSFIELD FIRE DEPARTMENT Prevention Services atot K 5-ME -E k Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 ENHANCED LEAK DETECTION SB-989 SECONDARY CONTAINMENT TANK TIGHTNESS FUEL MONITORING CER[1F-ICX1NN FD2095 (Rev 03/08) FACILITY i r1 CYIa / V11 1XI NAME & PHONE# OF CONTACT PERSON l`1( ADDRESS ^ " 1, + LALu -M OWNER NAME OPERATOR NAME PERMIT TO OPERATE S OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANKS VOLUME CONTENTS 2 TANK TE STING, .COMPANY.." TESTING COMPANY lJ V \'RAN M,J r1Pt t_' NAME & PHONE # OF CONTACT PERSON L -1 MAILING ADDRESS 51a -13 -%E>fW-C>0\-S C.T. — F3AcK RSF tE.c -O C%E °13308 NAME & PHONE-* OF TE =R OR SPECIAL INSPECTOR CERTIFICATION # 6C v DATE & TIME TEST t BE TND D ICC # 1S, I U TEST METHOD APPLICANT ATU E r ma"U'r, DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) 0 1 BILLING & PERMIT STATEMENT J BAKERSFIELD FIRE DEPT. B IR 8 A I &L D Prevention Services FIR N FIr xt1600Truun Ave Ste 401 PERMIT NO.: Bakersfield CA 93301 Tel (AA11 R2R -3A7A • Fax- (661) R52 -2171 All Permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT- Alarms - New & Modifications - (Minimum Charge) 0 Over 10,000 Sq. FL Sprinklers - New & Modifications - (Minimum Charge) RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA. 93308 73708 MR 11 392 -8687. 280.00 Sq. Ft. x .028 = Permit fee 280.00 Ala }: SSG;.r ^!':'6 iCUrsk "''?r'• re ,'tea 98 or 84 98 84 98 90-7162/3222 413 0 DATE V, j /Z i CHASE JP Morgan Chase Bank, N.A. eeSFrL9 Bakersfield, CA 93308 LL _ k FOR A THORIZED SIGNATURE %11 Jp` 000 4 L 30iin 1: 3- *2 2 2 ? L 6 2 71: 308 3 50 400 711' wml- •r"`ti*'; f'.?:+' ".^°"? r•""'!F'1'"'TF1.T?P I+c't•, Sa Y vnwau n i ianeuun ;i5d y S': = `' s,s Y #M1 >` f I l 1 ia I D yO.uu I I Mandated Leak Detection (Testing) tuel Mon .Cert/SB989. Note. $96.00 for each type of test / per f scheduled at the same time) SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME ewr) ; I t S PROJECT NAME Ovu_-b-— V `- -CA - ^ `0_C40') ADDRESS o ;5r 1i , s— PHON O. PROJECT ADDRESS O CITY STATE A- ZIP CODE^ CONTRACTOR INFORMATION 84 CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE 14QA)-4A 3o 10 PHONE NO. CONTRACTOR COMPANYNAME IC_ 1E4k_)v ' FAX NO. 1592, -0(00 ADDRESS ' 6U Cq "1 - CITY ZIP CODE All Permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT- Alarms - New & Modifications - (Minimum Charge) 0 Over 10,000 Sq. FL Sprinklers - New & Modifications - (Minimum Charge) RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA. 93308 73708 MR 11 392 -8687. 280.00 Sq. Ft. x .028 = Permit fee 280.00 Ala }: SSG;.r ^!':'6 iCUrsk "''?r'• re ,'tea 98 or 84 98 84 98 90-7162/3222 413 0 DATE V, j /Z i CHASE JP Morgan Chase Bank, N.A. eeSFrL9 Bakersfield, CA 93308 LL _ k FOR A THORIZED SIGNATURE %11 Jp` 000 4 L 30iin 1: 3- *2 2 2 ? L 6 2 71: 308 3 50 400 711' wml- •r"`ti*'; f'.?:+' ".^°"? r•""'!F'1'"'TF1.T?P I+c't•, Sa Y vnwau n i ianeuun ;i5d y S': = `' s,s Y #M1 >` f I l 1 ia I D yO.uu I I FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) Mandated Leak Detection (Testing) tuel Mon .Cert/SB989. Note. $96.00 for each type of test / per f scheduled at the same time) 11 .O&-6pet~site,L 1 g a, o o 82 Tents 96.00 (per tent) 84 Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee Anspection)=$576.00 84 After hours inspection fee 121.00 84 RE4NSPECTION(S) /FOLLOW- UP/NSPECTION(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) 2511 per page 84 Miscellaneous 64 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) 41 BILLING & PERMIT STATEMENT PERM IT NO.: BAKERSFIELD FIRE DEPT. B 19 It 8 F r D Prevention Services FIRE YANsr 1600 Truxtun Ave Ste 401i Bakersfield CA 93301 Tel.: (6611326-3979 • Fax 661 852 -2171 AN permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT T. PROJEC: PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) FEE CALCULATION 280.00 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME , I1 ` w0. exy\ O 06 PROJECT NAME ` Jo\ n ` OCL+ 01) ADDRESS PHO N PROJECT ADDRESS CITY 1 STATE /I ZIPCODE, CONTRACTOR CONTRACTOR NAME CALICENSE NO. J IArm s R o so INFORMATION TYPE OF LICENSE. EXPIRATION DATE d),.a o , PHONE NO. 9 2 -8 CONTRACTOR COMPANYNAME FAX NO. 3'42. -oea. It ADDRESS - CITY ZIP CODE 9 a a AN permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT T. PROJEC: PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) FEE CALCULATION 280.00 r0TA1 TREASURY DUE ACCTNO 98 Over 10,000 Sq. Ft, Sq. Ft. x .028 = Permit fee 84 98 Sprinkiers - New & Moddications - (Minimum Charge) 280.00 84 98 Over 10,000 Sq. Ft. Sq. FL x.028 = Permit fee 98 Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] 84 98 Commercial Hoods — New & Modifications 470.00 98 Additional Hoods 58.00 84 98 Spray Booths - New & Modifications 470.00 84 98 Aboveground Storage Tanks (Instal/atioNlnsp. -1" Time) 180.00 I ' 82 Additional Tanks 96.00 82 Aboveground Storage Tanks (RemovaAnspection) 109.00 82 Underground Storage Tanks (Installation. /Inspection) 878.00 (per tank) 182 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 Mandated Leak Detection (Testing) u I Mon .CerUSB989. Note: $96.00 foreach type of test / per IFscheduled at the same time) 1 ,C) n 82 Tents 96.00 (per tent) 84 Pyrotechnic - (Per event, Plus Insp. Fee a $96 per hour) 96.00 + (5 hrs. min. standby fee /lnspection)a$576..00 84 After hours inspection fee 121.00 84 RE- INSPECTION(S) / FOLLOW -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)