HomeMy WebLinkAbout5201 WHITE LANE (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
2 -1660 '5z
File Number: C..- Address: — z o
Bakersfield, CA 933
Date Received:
Business Name:
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Speay Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
EY'Other. t- ';- / C_
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
Comments:
2 axr
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
C TANK TESTING
C_.
UST REMOVAL
DESCRIPTION DATE SIGNATURE
REMARKS:
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 I JHE BAKERSFIELD CITY FIRE DEPARTMENT:
FIRE DEPARTMENT (FINAL)
BUILDING ADDRESS: t Z d L-Q .
JOB DESCRIPTION: OCCUPANCY TYPE: I
OWNER: cy® a.- i `r4 PERMIT NO.
CONTRACTOR: '2; PHONE # 2t- - Tg T
FD 1743
BILLING & PERMIT STATEMENT
PERMIT NO.: aAfiRrYJANIFPINK
BASERSFIELD 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 PROPERTY OWNER
STARTING DATE — PLETION DA7
C_t1
NAME
h r
1
PROJECTNAME `
r
ADDRESS „ 1
v \1 V
PHONE NO.
PROJECT ADDRESS CnY STATE ZIPCODE
CONTRACTOR NAME CA LICENSE NO. J .S -R ,c tA o so
TYPE OF LICENSE. EXPIRATION DATE
I V4c) A .q o
PHONE NO.
g 2 -8
CONTRACTOR COMPANY NAME
lCV
FAX NO.
Q O_
ADDRES4
L (4
CITY ZIPCODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. •
Alarms - New & Modifications - (Minimum Charge) $280.00 , 84 •
98
Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee 8
Sprinklers - New & Modifications - (Minimum Charge) 280.00 84
98
Over 10,000 Sq. FL 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
98
Aboveground Storage Tanks (InstaliatioNlnsp. -1s' Time) 180.00 82
Additional Tanks 96.00 82
Aboveground Storage Tanks (RemovaUlnspection) 109.00 82
Underground Storage Tanks (Ir>,staliadonAnspection) 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 (Removao 573.00 (per tank) 84
Oilwell (Installation) 96.00 84
p Mandated Leak Detection (Testing) / Fuenit.Ce B989.
Note. $96.00 foreach type oftest / per site (,4n N sch uled
at the same time)
98"eBl<-. 9 ,cs n 82
Tents 96.00 (per tend 84
Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour) 96.00 + (5 hrs. min. standby fee /Inspection)-_W&.00 84
After hours inspection fee 121.00 84
RE4NSPECTION(S) /FOLLOW-UP INSPECT/ON(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 I 84
FD 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
SILLiNG & PERMIT STATEMENT
PERMIT NO.:
B B R S F I D
FIRE
ARTY r
BMERSFEELD FIRE DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel -: f6611326-3979 • Fax: (6611852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
1 Alarms - New & Modffications - (Minimum Charge)
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
280.00
41 CHASE
JP Morgan Chase Bank, N.A. Bakersfield, CA 93308
LL FOR
001, 0 56ii' is 3 2 2 7 1 6 2 7i: 3118 ; rn Lnn'7n
90- 7162/3222 4056
DATE / US
84
98
84
1W
e
AUTHORIZED SIGNATURE
A TTJd f.T9l it .RP•iSH
Underground Storage Tanks (Modificatlonl ,, , ,.:
tea..
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE OMPLETION DA2 0 l( NAME
PROJECT NAME ADDRESS
ve
PHONE NO.
PROJECTADDRESS ` ; ^ CITY STATE ZIPCODE
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE NO. TYPEOF LICENSE EXPIRATION DATEJmESR.ctt o So o 1-
PHONE NO.
g2 -8 7
CONTRACTOR COMPANY NAME
1 G > V
FAX
2- _ O O
ADDRESS
C4
CITY ZIP CODE
9 3
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
1 Alarms - New & Modffications - (Minimum Charge)
RICH ENVIRONMENTAL
SERVICE STATION SERVICES
LIC. #809850
5643 BROOKS CT.
BAKERSFIELD, CA 93308 -3708
280.00
41 CHASE
JP Morgan Chase Bank, N.A. Bakersfield, CA 93308
LL FOR
001, 0 56ii' is 3 2 2 7 1 6 2 7i: 3118 ; rn Lnn'7n
90- 7162/3222 4056
DATE / US
84
98
84
1W
e
AUTHORIZED SIGNATURE
A TTJd f.T 9l it .RP•iSH
Underground Storage Tanks (Modificatlonl ,, , ,.:
tea..
Underground Storage Tanks (Minor Modification) 167.00 82
Underground Storage Tanks (Removao 573.00 (per tank) 64
Oilwell (Installation) 96.00 84
lam Mandated Leak Detection (Testing)/ Fuel onit.Ce 8989.
Note: $96.00 for each p ( type of test / er site n ifsch uled
at the same time)
tJQ:9 joe,csite) , n 82
Tents 96.00 (per tend 84
Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /Inspection)-4576-00 a 84
After hours inspection fee 121.00 84
RE- INSPECTIONS) /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) 250 per page 84
Miscellaneous 84
FD 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
I, . , 14
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
Please note that these are separate
Individual tests and will be charged per
separate type test accordingly.)
PERMIT #
Loe
iA - 411! 3 P I
JuRAF 19
AR TMAIWT
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q10l l-t 5-meET
Bakerstield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
ENHANCED LEAK DETECTION E SB-989 SECONDARY CONTAINMENT
TANK TIGHTNESS -ft9EERTI ON
SITE INFORFIA
FACILITY 1 NAME 8: PHONE t OF CONTACT PERSON
ADDRESS V) V10
OWNER NAME
OPERATOR NAME PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK VOLUME CONTENTS
TANK TFSTING.COMPANY,:. .
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
MAILING ADDRESS
5ULA 3 t3 tcS C_T. — F3AcK RSF E c-O C °13308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
IRSIAA) MASON -1 o - B(P 9
CERTIFICATION #
809 85v
DATE & TIME TEST 0 BE CONDU7 2
ICC
ac a 3 - T
TEST METHOD
McoM
APPLICANT SIGNATURE DATE
16HIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD209S (Rev 03/08)
F
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