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Home My WebLink About5401 STOCKDALE HWY SB-989 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 43- 166M/C10 File Number: SIBS -2 Address: 6--L4 C ( S'C:5 C- V., 8AI-0— Bakersfield, CA 933 Date Received: 5k- / 3 - Business Name: (0 L SYSTEM: BUILDING SQUARE FEET: F INSPECTION LOG 1 Commercial Hood System Fire Alarm System Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank Other. S`3 —9 5S- Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: 3 4 Date Time Signature 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 f __ __ _ TANK TESTING. UST REMOVAL DESCRIPTION DATE SIGNATURE 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-; C04PLETE AND ACCEPTEDlY MISC. ACTIVITY THE - BAKERSFIELD CITY FIRE DEPARTMENT. JIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: OZFc S' d 1 JOB DESCRIPTION: 5 '5 - OCCUPANCY TYPE: < OWNER: PERMIT NO. 3 - t!06 /0 CONTRACTOR: c PHONE # FD 1743 1 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 # ENHANCED LEAK DETECTION TANK TIGHTNESS X It amp I tno APINT1u r BAKERSFIELD FIRE DEPARTMENT Prevention Services Q101 1-t 5-MeET Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 LINE TESTING ;B-989 SECONDARY CONTAINME FUEL MONITORING CERTIFICATION SITE4kFORMATION :.. .. FACILITY NAME & PHONE # OF CONTACT PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME 1 QCONTENTS TANK TESTING_COMPANY: TESTING COMPANY IJV flN M L NAME & PHONE # OF CONTACT PERSON LO MAILING ADDRESS I-13 3e-C>0tcS CX., - CA X13308 NAME & PHONE OF TESTER OR SPECIAL INSPECTOR 1O I CERTIFICATION # o o DATE & TI ST TO E CONDUCTED J ICC # _ TEST METHOD APPLICANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP D BY DATE FD2095 (Rev 03/08) f P BILLING & PERMIT STATEMENT PERMIT NO.: BAKERSFIELD FIRE DEPT. 6 9 F 1 D Prevention Services F Re 1600 Truxtun Ave Ste 401ARTYT Bakersfield CA 93301 Tel _- (6611 326 -3979 • Fax- (6611 A52 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.: E7 PERMIT TYPE SITE INFORMATION LOCATION OF PROJECT O, I1 PROPERTY OWNER q/ ` r STARTING DATE COMPLETION DATE NAME PROJECT NAME ^ ADDRESS — IV 1 i5 PHONE NO. PROJECT ADDRESq:-,-, CITY / STATE ^ , ^ ZIP CODE CONI RACTOR CONTRACTOR NAME CA LICENSE NO. J 14m s c ti o So INFORMATION TYPE OF LICENSE. EXPIRATION DATE I 1)40 )4A PHONE NO. S CONTRACTOR COMPANY NAME 1 C FAX NO. 59 Z.! ADDRESS 6u Ll _ CITY ZIPCODE U All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.: E7 PERMIT TYPE FEE CALCULATION TOTAI TREASURY 82 Tents DUE ACCT NO Alarms - New & Modifications - (Minimum Charge) Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby tee /Inspection)-_$576_00 84 After hours inspection fee 121.00 84 RE- INSPEC710N(S) /FOLLOW -UP INSPEC77ON(S) 96.00 (per hour) 84 Portable LPG (Propane): NO. OF CAGES? _ 96.00 01 84 Explosive Storage Over I III Sq. Ft Copying & File Research (File Research Fee $50.00 per hr) 25o per page 9r.tS 84 s. - '• ..• av, .ll' S;F,•.'9`1.'c`.isV.z /.[ y . •_- Y :.'. :. ... •x _'r'. :U:.:.: :..... ..1S.1'r"ly- in §14.ei,Yn'.t'i+•3rn.•)1i:T3 !s , f.. S: fM1• l:' 1!. Y.'::: . lWr{ ti3Y. a. A..: tt' iWiR: .[ F•. ietil tF.`. /,X.`.•.4if wY ia.F..1n.. a.;:: !Yy,"w •_ Z`Ktir '.:itt .7tM?j?.t4tr~ii irX:w _ .:_..— ._!h';,'T'iY. w. :luJl.. _ # i CHASE JP Morgan Chase Bank, N.A.° r RfBeWield; CA 93308 LL FOR Q1 6 2401 5 &A l' THORIZED SIGNATURE 11' 0 0 4 L 3 311' 1:322271[,271: ¢30 8' 3- 5 0 4 0 0 71 1p'pSy4t?` -« tig hJw may, T .t4 .d' .i ^' :.i 4 v' at yM' e1'-µa fE- 'L'f .'.: v1A•i: 4F. i{':YS i l1' '7I . S:b -1;i. Mandated Leak Detection (Testing) / Fuel Monit.Ce B98 Note: $96.00 for each type of test / per site (even if sc 7 at the same time) 9 ,a n 82 Tents 96.00 (per tenQ 84 Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby tee /Inspection)-_$576_00 84 After hours inspection fee 121.00 84 RE- INSPEC710N(S) /FOLLOW -UP INSPEC77ON(S) 96.00 (per hour) 84 Portable LPG (Propane): NO. OF CAGES? _ 96.00 01 84 Explosive Storage 266.00 84 Copying & File Research (File Research Fee $50.00 per hr) 25o per page 84 Miscellaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) BILLING & PERMIT STATEMENT I PERMIT NO.: r R 1 D P/R6 ARTm r BAKERSFIELD FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. • R] PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) SITE INFORMATION DUE ACCTNO 98 LOCATION OF PROJECT o, I1 PROPERTY OWNER ` O \. Q STARTING DATE COMPLETION DATE NAME M bi CL nrx C) PROJECT NAME ` ^ ADDRESS LAC) PHONE NO. PRQIECTADDRESI::,—,OI CITY /' STATE ^ ,^ ZIP CODE CONI HACTOR INFORMATION Sq. Ft x.028 = Permit fee CONTRACTOR NAME CA LICENSE NO. em;Y IR 0 TYPE OF LICENSE. EXPIRATION DATE PHONE NO. 1 cS kc Minor Sprinkler Modifications (< 10 heads) 96.00 [Inspection Only] CONTRACTOR COMPANY NAME T Ic_+ FAX NO. 592- - 0 c001. If ADDRESS , 6u "I i CITY ZIPCODE 0 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. • R] PERMIT TYPE Alarms - New & Modifications - (Minimum Charge) FEE CALCULATION 280.00 DUE ACCTNO 98 Over 10,000 Sq. FL Sq. Ft x.028 Permit fee 84 98 Sprinlders - 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 (Installatiordlnsp. -1 • Time) 180.00 82 Additional Tanks 96.00 82 Aboveground Storage Tanks (RemovaMnspection) 109.00 82 Underground Storage Tanks (InstallationAnspection) 878.00 (per tank) 82 Underground Storage Tanks (Modification) 878.00 (persite) 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 Monit.Ce B98 Note: $96.00 for each type of test / persite (even If sch at the same time) m tie-(pe f d 82 Tents 96.00 (per tend 84 Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) 96.00 + (5 hrs. min. standby fee /inspection)-_$576_00 84 Auer hours inspection flee 121.00 84 RE4NSPECIION(S) /FOLLOW- UPINSPECTION(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 f 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)