HomeMy WebLinkAbout4200 ASHE ROAD, UST 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
i3- /d6066 SO
File Number: a 3co3 6 Address: 4 Z0 C Nak-2
Bakersfield, CA 933
Date Received: 1-10-13
Business Name:
BUILDING SQUARE FEET: r INSPECTION LOGSYSTEM:
New Mod.
Commercial Hood System Building Sq. Feet: Date Time
3
Fire Alarm System Calculation Bldg. Sq. Ft: 1.
Fire Sprinkler System 2.
Spray f=inish System 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other.
Signature
Signature
Comments: TzAzA : Q ah22W Ma5cwy
c`P• 131 s
C-10,
BILLING & PERMIT STATEMENT
PERMIT NO.:
7R—P
BAKERSFIELD FIRE DEPT.
134. D Prevention Services
PtrRE
aR>rr r 1600 Truxtun Ave Ste 401
SITE INFORMATION
ECT —
tf LLLM kCL
Bakersfield CA 93301
Tel_: (6611326-3979 • Fax: (6611 852 -2171
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
1 .(661) 392 -8687
PORAY
Ek CHASE
JP Morgan Chase Bank, N.A.
1 a
Bakersflel A 933080
i? FOR I.l --fl _ V/ r'
W27 AN
90- 7162/3222 4102
DATE o
NJ„
9w
AUTHORIZED SIGNATURE
LOCATION OF
SITE INFORMATION
ECT —
tf LLLM kCL
ROPERTY OWNER
STARTING DATE COMPLETION DATE N
PROJECT NAME
O 1 \ Cl
ADD(, E$S^
wC
PHONE NO.
PROJECT ADDRESS - ` - CfTY STATE ZIPCODE
CONTRACTOR
CONTRACTOR NAME CA LICENSE NO. J t CMficS tc t-t O SO
INFORMATION
TYPE OF LICENSE. EXPIRATION DATE
I X40 AP/14 3o 10
PHONE NO.
CONTRACTOR COMPANY NAME
I C 'E V
FAX NO.
59 G (o o'Z
ADDRESS I CITY ZIPCODE
ci
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
PERMIT TYPE FEE CALCULATION TOTAI
DUE
Alarms - New & Modifications - (Minimum Charge) $280.00
TREASURY
ACCTNO
ONLY
98
Over 10,000 Sq. Ft Sq. Ft x.028 = Permit fee 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] 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 (InstallatfoNlnsp. -1" Time) 180.00 82
Additional Tanks 96.00 82
Aboveground Storage Tanks (RemovaMnspection) 109.00 82
Underground Storage Tanks (InstaflationAnspection) 878.00 (per tank) 82
Underground Storage Tanks (Modification) 878.00 (persite) 82
Underground Storage Tanks (Minor Modification) 167.00 82
Underground Storage Tanks (Removao 573.00 (pertank) 84
Oilwell (Installatlon) 96.00 84
Mandated Leak Detection (Testing) Fuel Mon t.CerVSB989.
Note. $96.00 for each tvne nt t npr.c it crho. hJor+
f 9 ,O
xM r:.
82
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
1 .(661) 392 -8687
PORAY
Ek CHASE
JP Morgan Chase Bank, N.A.
1 a
Bakersflel A 933080
i? FOR I.l --fl _ V/ r'
W27AN
90- 7162/3222 4102
DATE o
NJ„
9w
AUTHORIZED SIGNATURE
BILLANGA PERMIT STATEMENT
PERMIT NO.:
Fl
FIRE
ARrO r
Aftp
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 WHIT E (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
SITE INFORMATION
LOCATION OF FFqJECT - ROPERTY OWNER
STARTING DATE COMPLETIONDATE N
S.
PROJECT NAME
1 \r y` r~'°
ADDRESS
O
PHONE NO.
PROJECT ADDRESS , t I ` _ C STCATE. ^ ZIP CODE
CONTRACTOR
CONTRACTOR NAME CALICENSE NO. J mES c tt O SO
INFORMATION
TYPE OF LICENSE EXPIRATION DATE
r 0 '4
PHONE NO.
CONTRACTOR COMPANY NAME
t C
FAX
ADDRESS
9
CITY ZIP CODE
c
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
v
moil]
Alarms - New & Modifications - (Minimum Charge) $280.00 84 •
98
Over 10,000 Sq. Ft Sq. R. x.028 = Permit fee 84
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 (InstallatiorgInsp. -1 ' Time) 180.00 82
Additional Tanks 96.00 82
Aboveground Storage Tanks (RemovaNnspection) 109.00 82
Underground Storage Tanks (Instal /ationAnspection) 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 (Removal) 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
Mandated Leak Detection (Testing) Fuel Mon t.CerUSB989.
Note. $96.00 foreach type of test / pers Ifscheduled
at the same time)
98 69 (per- site,!_ 9 ,o 82
ITents 96.00 (per tent) 84
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /Inq*mon)=$576..00 84
After hours inspection fee 121.00 84
RE4NSPECTION(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 WHIT E (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTINGITANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
Individual tests and will be charged per
separate type test accordingly.)
PERMIT #
4 ]XX a %P. a- -Imn,
tRt
ARf T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q10 ( k-F 5 -MeF —T
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661 - 852 -2171
Page 1 of 1
ENHANCED LEAK DETECTION 04-URLMLCMNG SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS -FUEL MONITORING CERTIFI NN
FD2095 (Rev 03/08)
1A11 P NAME & PHONE 0 OF CONTACT PERSON
ADDRESS
Cq am
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANKS VOLUME CONTENTS
2
TANK TESTINGCOMPANY ..
TESTING COMPANY
C L
NAME & PHONE # OF CONTACT PERSON
MAILING ADDRESS
51o+ -13 3C tcS c T. - F3A KE+RSF 1E.c - C 93308
NAME & PHONE. -# OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # (.
7c> l GSU
DATE & TIME TEST tO BE CONDUCTED ICC TEST METHOD
APPLICANT S ATUR DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROV DATE
2 i i 3
FD2095 (Rev 03/08)
0- . , -.
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
TANKTESTING___ — _ -- _ -- -
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
P ,,RIORTO.O.PERATION OF ANY SYSTEM,
ALLUST-"N %OR AST SYSTEMS-SHALL BED
INSTALL, OQMOLETE_AND ACCEPTED BY
MISC. ACTIVITY THE- BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE_ DEPARTMENT (FINAL) Z
REMARKS:
BUILDING ADDRESS: 4v(2 C5 d Z
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: `! PERMIT NO. 13- 160 (000
CONTRACTOR: PHONE # _.916
FD 1743