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HomeMy WebLinkAbout5600 AUBURN STREET FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 02160Mp $ File Number: 0 3 Address: -5c.© C AQIW Bakersfield, CA 933 Date Received: /,g — Z -- / Z Business Name: SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG New Mod. 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 m,--' Other. Building Sq. Feet: Calculation Bldg. Sq. Ft: 2. 3. 4. Date Time 121ig1,,z &t I Signature Signature Comments: z iec. IP k y y 9 — P- 6 /2911, V4:9 Lsvc149 13319 Cam. 2 /z /ig V17 IF 3-n 9'h0, 12 x /1-s BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # r/R11 2101 H StreetfBakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 R¢6tij212b aW' ws. a Rs. •<SjE- U+1+fpih.:,'.tt.Ybbp6].0 W'1. :ZOY±i..^.n.'w: w.3uvsCn.lY C1 YI.istT.A. +' :+%!.at Mo1.. . mA1FAlOUM1j. SK' NE LWS `1-R]ixY- J"W'J.."^."Yc'Y SITE INFORMATION LOCATION OF PROJECT: 5600 Auburn St, Bakersfield, CA 93304 PROPERTY OWNER: CIRCLE K STORES INC STARTING DATE: 12/12/12 COMPLETION DATE: 12/12/12 NAME: Tonya Plceno / Trisha Yahner PROJECT NAME: Circle K 2708605 ADDRESS: 495 E. Rincon, STE 150 PHONE #: (951) 270 -5104 PROJECT ADDRESS: 5600 Auburn St, Bakersfield, CA 93304 CITY: Corona STATE: CA ZIP CODE: 92879 CONTRACTOR CONTRACTOR NAME: Vincent Clark CA LICENSE #: 573009 INFORMATION TYPE OF LICENSE: EXPIRATION DATE: C61 D40 HAZ 07 31 2013 PHONE #: (818) 773 -0770 CONTRACTOR COMPANY NAME: Milligan Testing & Service, Inc. FAX #: (818) 773 -9060 ADDRESS: P.O. Box 4885 Cm: Chatsworth ZIP CODE: 91313 F*WftAllnermitsmusthereviewed. stamned. and annroved PRIOR TO BEGINNING WORK. R¢6tij212b aW' ws. a Rs. •<SjE- U+1+fpih.:,'.tt.Ybbp6].0 W'1. :ZOY±i..^.n.'w: w.3uvsCn.lY C1 YI.istT.A. +' :+%!.at Mo1.. . mA1FAlOUM1j. SK' NE LWS `1-R]ixY- J"W'J.."^."Yc'Y LO.'.yf1¢,y - 'Q+.U't1 S ifA N1tt tfs'.c- 'C rxYkY.ft7'Str: CC.L L'tiCC SOC11A`kQ+? .4,516"WGGrd:•_IY. 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J. st a >a;.a.++- 1 {'u.`v)s..ri_Yan ..!c.•> Underground Storage Tank (Modification) MOD 878 /site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573 /tank 84 Y, Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT 96 /hr (2 hrs minimum) =$192 82 NOTE: $96 /hr for ea type of test/per site even if scheduled at he same time Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours inspection fee 121 /hr (2 hrs minimum) =$242 Pyrotechnic (1 permit per event, plus an inspection fee of $96 /hr 96 /hr + (5 hrs min standby fee /insp) =$576 84 during business hours) PY NOTE: After hours Pyrotechnic event inspection is @ $121 /hr 5 hrs min standby fee ins = 605 Re- inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? _ 96 /hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 Miscellaneous 84 FD2021 (Rev 05/10) BILLING & PERMIT STATEMENT PERMIT # 194E 1 9 V I D IRI ARTAI r BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 FD2021(Rev 05/10) SITE INFORMATION LOCATION OF PROJECT: 5600 Auburn St, Bakersfield, CA 93304 PROPERTY OWNER: CIRCLE K STORES INC STARTING DATE: 12/12/12 COMPLETION DATE: 12/12/12 NAME: Tonya Plceno / Trisha Yahner PROJECT NAME: Circle K 2708605 ADDRESS: 495 E. Rincon, STE 150 PHONE #: (951) 270 -5104 PROJECT ADDRESS: 5600 Auburn St, Bakersfield, CA 93304 CITY: Corona STATE: CA ZIP CODE: 92879 CONTRACTOR CONTRACTOR NAME: Vincent Clark CA LICENSE #: 1573009 INFORMATION TYPE OF LICENSE: EXPIRATION DATE: 61 D40 HAZ 107/31/2013 PHONE #: (818) 773 -0770 CONTRACTOR COMPANY NAME: Milligan Testing & Service, Inc. FAX #: 818) 773 -9060 ADDRESS: P.O. Box 4885 TaTY: Chatsworth ZIP CODE: 91313 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 , Over 10,000 sq ft 0 .028 x sq ft Sprinkler - New & Modification (minimum charge) 280 Over 10,000 sq ft 0 .028 x sq ft Minor Sprinkler Modification ( <10 heads) 96 (Inspection only) 84 Commercial Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) 470 98 Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82 Additional Tank ATI 96 /tank 82 Aboveground Storage Tank (Removal /Mod /Inspect) ATR 109 /tank 82 Underground Storage Tank (Installation /Inspection) NI 878 /tank 82 Underground Storage Tank (Modification) MOD 878 /site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 Underground Storage Tank (Removal) TR 573 /tank 84 Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT NOTE: $96 /hr for ea type of test/per site even if scheduled at he same time 96 /hr (2 hrs minimum) =$192 i1` a -m (ii' 45 gqo 5 19 Z 82 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82 Tent # 96 /tent 84 After -hours inspection fee 121 /hr (2 hrs minimum) =$242 Pyrotechnic (1 permit per event, plus an inspection fee of $96 /hr during business hours) PY NOTE: After hours Pyrotechnic event inspection is @ $121 /hr 96 /hr + (5 hrs min standby fee /insp) =$576 5 hrs min standby fee ins = 605 84 Re- inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? 96 /hr 84 Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr) 0.25 /page 84 11 Miscellaneous 84 FD2021(Rev 05/10) 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 AFRrjrr'AffFAfJ1 BAKERSFIELD FIRE DEPARTMENT, Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION SITE. INFORMATION CUTY Q, K Q-7Q'9 00I PHONE ; CONTACT PB eyl• 1 &7O^ 00 ADDRESS 5c00o A u n t)+. Wco 0 TIER NAME K es PERATOR NAMl g PERMIT TO OPERATE # rQ OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS if I - q I. CI to g 4 G CLSO i n e, a - Sq q,U?$4- 6a sdine 3 - 87 q, co$ 4 6 sol i ne_ TANK: TESTING COMPANY TESTING COMPANY Milli -r n NAME & PHONE # OF C NTACT PERSO r-Y-- (81S)-M-0770 MAILING ADbfESS 3a c 4W5 wor--, -h CA a 3 3 LAME & PHONE # OF TESTER OR SPECIAL INSPECTOR fir! e t W 9 14-70 - 50D I CE TIFICATIO # S3 4 q DATE &TIME TEST TO BE CONDUCTED O qr'-1 ICC # TEST METHOD APPLICANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROV D BY ZLA DATE a- i7-- /' Z FD2095 (Rev 03/08) i Coif bY 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 l 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; CALL UST AND /OR_AST. SYSTEMS SHALL BE INSTALL, COMPLETE-AND ACCEPTED BY MISC. ACTIVITY 'THE-BAKERSFIELD CITY FIRE DEPARTMENT. FIRE-DEPARTMENT (FINAL) - -- REMARKS: BUILDING ADDRESS: JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: C i K. PERMIT NO. (Z-16<5(5 C 6-6'Z- CONTRACTOR: PHONE# /' 7773 -67%0 FD 1743