HomeMy WebLinkAbout4901 LISA MARIE COURT MOD 2011HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 35-
Date Received: /0 _0?& - //
Address: 'd / L y .a y1,4 i -Q e-
rsfield, CA 933
Business Name:
Q; Other: `j ?it/f
Comments:
1.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Signature
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:
Fire Alarm System Calculation Bldg. Sq. Ft:
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
inor
modification Underground Storage Tank
removal Underground Storage Tank
Q; Other: `j ?it/f
Comments:
1.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Signature
1 a
UNDERGROUND STORAGE TANK
B VA. P fi ! P I,g{. -D
PERMIT APPLICATION I wRT/ T
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITYYNEW
TANK INSTALL (EXISTING FACILITYYMOD-MINOR MOD
Permit #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H St Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661 -852 -2171
Page 1 of 1
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY NEW TANK INSTALUEXISTING FACILITY
rl MODIFICATION OF FACII ITY Y MINOR MnniFICATInN OF FACILITY
STARTING DATE/ 11/7/2011 PROPOSED COMPLETION DATE 11%%/2011
FACILITY NAME YRC EXISTING FACILITY PERMIT #
FACILITY ADDRESS 4901 Lisa Marie Ct CITY Bakersfield ZIP CODE 93312
TYPE OF BUSINESS Freight hauling. APN #
TANKOWNER YRC PHONE #
ADDRESS 4901 Lisa Marie Ct. -Fr; Bakersfield zIP cooE 93313
CONTRACTOR CaVValley Equipment CA LICENSE # M733A HAZ I= # 520136 -U1
ADDRESS 3500 Gilmore Ave. CITY Bakersfield ZIP CODE 93308
PHONE # 661- 327 -9341 110BAKERSFIELD CITY BUSINESS LICENSE 0
00054089
woRKmANs COMP # 80-4852009 RJR ICCW
BRIEFLY DESCRIBE THE WORK TO BE DONE Replace existing Beaudreau 404/406 stand alone UDC SensorWith a Veeder -Root 847990 -001 Stand alone
Sensor.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED ATSITE
OF TANKS TO BE INSTALLED ARE THEYFORMOTOR FUEL?
YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO
TANK # VOLUME UNLEADED REGULAR PRE#RIAM DIESEL AVIATION
1 X
TANKS # VOLUME UNLEADED REGULAR PRE ARN DIESEL AVIATION
FOR OFFICIAL USE ONLY
APPLICATION DATE FACILITY # OF TANKS FEES $
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.
Appucm - NAME (PRINT) Bruce W. Hinsley APPLICANTSIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2086 (Rev 06/07)
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
JOB DESCRIPTION:
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
V 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)
BUILDING ADDRESS: ,
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: Cr PERMIT NO.
CONTRACTOR: PHONE # 3Q 7
6 FD 1743
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERWT # wetir 2101 H Street
Bakersfield, CA 93301
phone- 661 -126 -4070 . Fav 661 -as2 -2171
SrTE INFORMATTON
LOCATION OF PROJECT PPROPERTY OWNER
STARTING DATE COMPLETION DATE NNAME
PROS NAME AADDRESS PPHONE
PROIECrADDRESS
4901 Lisa Marie Ct. SSTATE Cis
CONTRACTOR •
PHONE
CONTRAt.`rORCOMPANY NAME FFAX *
AG /- 32S -2SZ
ADDRESS aam ZZIP CODE
933op
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
DI AACCT •
OOver 10,000 sq ft $ 0.028 x sq ft
O SSprinkler - New & Modification (minimum charge) $ 280
OOver 10,000 sq ft $ 0.028 x sq ft
MMinor Sprinkler Modification ( <10 heads) $ 96 (inspection only) 884
CCommercial Hood (New & Modification). $ 470
AAdditional hood $ 58
SSpray Booth (New & Modification) $ 470 98
AAboveground Storage Tank (1 Inspection per Installation) AST $ 180/tank 882
AAdditional Tank AATI $ 96/tank
AAboveground Storage Tank (Removal, Mod,orInspect'n) A $ 109/tank 882
UUnderground StorageTank (InsialfaKwn/inspectlan) NNI $ 878/tank 882
UUnderground StorageTank (Modification) MMO $ 878 /site $ 2
i UUnderground Storage Tank (Minor.Modif cation) 882
TO THE BAKERSFIELD FIRE DEPARTMENT.
ORDER,:_ 1501 TRUXTUN AVEOFBAKERSFIELD, CA ..9330111:
11.006475411•
S' ixty -Seven Dollars
io L 2 2000it 96ie 34900009
U
SIGNATURE
0.01