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)