HomeMy WebLinkAbout5634 STINE ROAD MOD 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number. do?'-7' Address: 3 SF 'S, AJ e
Bakersfield, CA 933
Date Received:
Business Name: C < <r-C Q,-Q K
SYSTEM: BUILDING SQUARE FE r INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spvay Finish System
Aboveground Storage Tank
Underground Storage Tank
modification nderground Storage Tank
removal Underground Storage Tank
Other.
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
a.
3.
4.
Date Time
Signature
Signature
BILLING & PERMIT STATEMENT BAKERSIFIELD FIRE DEPARTMENT
s _ 9 Prevet<ction S®rOcls
PE6tMYT ar 2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 a Fax: 661 -852 -2171
LOCATION OFPROJECT
51, n e- R.d
PROPERTY OWNER
C11rr-1,c- 5 Vu r-p-5 nL
STARTING DATE COMPLETION DATE
f 3 3 t 5 13
NAME
i cAe,
PROJECT NAME
sag
ADDRESS PHONE a
PROJEcr ADDRESS (
034 si-crte 2.d cm 8 4AW_ P_Sf =IE( -D STATE CA ZIP CODE
qOVrRACrOR NAM CA LICENSE 0
i` e ro er's
i3
1o84
TYPE OF LICENSE
R uo 04o
EXPIRATION DATE'
I Q
PHONE 0
6%0 Cl Ct13 8373
CONTRACTOR COMPANY NAME FAX 0
opt C0Zci 37 -z
Lj
3 C s f `
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All.permits must be reviewed, s"njped, and.approve$ PRIOR TO BEGINNING is 0RK.
P RUrr PE FEE CALCULATION TOTAL
DUE
Alarm - New & ModUication (minimum charge)' $280 .
0 Over 10,000 sq ft $0.028 x sq ft
TREASURY
ACCT. N
Sprinkler - New & Modification (minimum charge) 280
Over 10,000 sq ft 0.028 x sq ft
O Minor Sprinkler Modification (<10 heads .) 96 (Inspection only) 84
Commercial Hood (New & Modification) 470
Additional hood 5a
Spray Booth(New,& Modification)
Aboveground Storage Tank (1 Inspection perinstallation) AST
470
98
180 /tank 82
Additional Tank ATI 96/tank 82
O Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109/tank 82
Underground Storage Tank (Installatlon/Inspection) NI 878 /tank 82
L L underground Storage Tank (Modification) PROD 878 /site 82
ISLAND PETROLEUM BUILDERS, INC.
7470 SVL BOX
VICTORVILLE, CA 92395
909) 923 -9373
ORDER of Bakersfield Fire Dept.
Bank of America.
SWIBA
780.244.0139
16 -66 -1220
2/19/2013
878.00
Eight Hundred Seventy-Eight and
MEMO
Bakersfield Fire Dept.
2101 H Street
Bakersfield, CA 93301
5634 STINE RD SB989 REPAIRS
1110 2 244611' L 2 2000 66 LI: 246 3 41110 3 6 1 oll'
0
2244.6
DOLLARS
8
AUTHORIZEDSIGNATURE
is
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Servkms
PERH T # J ras 2101 H Street
AT f
Bakersfield, CA 93301
P.hone:,661- 326 -3979 o Fax:.661- 852 -2171
Rd C1r -C-kc S%re5 nL
STARTING DATE COMPLETION DATE NAME
3/1 1 1 3 3 1 13 1 C,1,-C-ke-
PROJECTNAME' ADDRESS mme o
se)cl a rS
vaoJSCTAODRESS
cry gAIGER;S.FIE(rD STATe CA J2P000Es, ne 2d
CONTRACTOR INFORMATION
NAM CA LICENSE b rme of LICENSE ixPIRATI6k DAT! PHONE al c l rs 7 (084 Q 00 04o rkA& 3 3 1 %A (i0a 423 g373
CONiRACTORCOMDANY;NAME FAX a
Ci Oci q2Z S7 2
AD a CODE
V n iur c o ` 1, 76 k
Alf.permfts must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ,
D
0
Alarm - New & Modification (minimum charge)
Over 10,000 sq ft
280 .
0.028 x sq'ft
Sprinkler - New & Modification (minimum charge) 280
D Over 10,000 sq ft 0.028 x sq ft
D Minor Sprinkler Modification (<10 heads) 96 (inspection only) 84
0 Commercial Hood (New & Modification) 470
0 Additional hood 58
0
D
Spray Booth (New,& Modification)
ALboveground Storage Tank (1 inspection'per.lnstallation) AST
470
98
180/tank 82
D Additional Tank ATI 96/tank 82
D Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109/tank 82
D Underground Storage Tank (lnstWiation/Inspection) NI 878 /tank 82
Underground Storage Tank (Modification) _[MOD
Underground Storage Tank (Minor Modification) MTM
878 /site _^
167 /site
82
82
D Underground Storage Tank (Removal) TR 573/tank 84
0 Mandated Leak Uebection.(test) /Fuel Mont CerU5B989
NOTE: $96/hr for each type of test/persite even If
scheduled at the same time TT
96 /hr (2 hrs mirilmum) -$192 82'
0 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82
Tent # 96/tent 84
0
D
1
After-hours inspection fee
Pyrotechnic (1 permit per event, plus an Inspection fee of
96/hr during business hours) P1f
OTE: After hours Pyrotechnic event Inspection is @ $121 /hr
121/hr(2 hrs minimum) =$242
96 /hr + (5 hrs min standby fee/insp)m$576
5 hrs min standby fe 605
84
Re- inspection/Follow -up Inspection 96 /hr 84
D Portable LPG (Propane): # of Cages? _ 96/hr 84
D
D
F-xpkuive Storage
Copying & File Research (File Research fee $50 /hr)
266
0.25 /page
84
84
13 Miscellaneous I 84
State Of Cal kmia
CONMCTC ST EENSE BOAFw
CT
e. 776846 CORP
ISLAND PETROLEUM BUILDERS
INC
B Cl0 Cs1/D40 Fwz
03/3112014 www.cslb.ca.gov 1A
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apoe damend WIM saependaa, ro OMC Ofhweudaaa forany naeon.
Thb packet cold to vend through the erplMftn da% only.
8 found dropin any maHbmc
gtwianteed W
Conbwkn State Liamm Board
r.O. Boot 28DW Sacnmenm CA96828
Lk7enaee signaetre
2001 Challenger Avenue, GrovIlle, CA 95965 • Tel: (666) 267-9765 # Fac (866) 310-3818
wym.blue4lnetechnalOSIN&COM
Name: Floyd Fuller
Company: Island Petroleum Builders, Inc.
Certified Trained Installer Card M CA-1185
Expires on: June 9, 2013 M((-. , m.e
Floyd F Fuller - 5268833
UST iru;Wlatlon/Retroiftlin 1- Exp. 04/08!2014
Floyd F Fuller - 6259833
CalNornla UST Service Technklarl - Exp. 04102/2014
it Remove card at perforation! and FOLD in center before placing in wallet
International Code Council
500 New Jersey Avenue, NW
Washington, DC 20001
The individual named hereon is CERTIFIED In the
categories shown, having been so certified pursuant to
successful completion of the prescribed written
examinations.
International Code Council
500 New Jersey Avenue, NW
Washington, DC 20001
The Individual named hereon is CERTIFIED In the
categories shown, having been so certified pursuant to
successful completion of the prescribed written
examinations.
Not valid unless signed by certificate holder. Not valid unless signed by certificate holder.
ICC Certification attests to competent knowledge of codes and ICC Certification attests to competent knowledge of codes and
standards. standards.
jr Remove carol at perforation and FOLD in center before placing in wallet''
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INSTALL NEW ELECTRICAL PENT RATION REPAIR FITTINGS ON THE ELECTRICAL
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CONTRACTOR NOTES
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CONTRACTOR TO PERFORM REQUIRED TESTING OF ALL PREVIOUSLY FAILED
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3/4.
CONTRACTOR TO PERFORM REQUIRED TESTING OF ALL PREVIOUSLY FAILED
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CONTRACTOR TO PROVIDE (5) WORKING DAYS NOTICE PRIOR TO SCHEDULING
SITE INSPECTIONS.
CONTRACTOR TO PERFOM ALL WORK PER MANUFACTURER'S SPECIFICATIONS.
NO EQUIPMENT PESG pnoN MMIUFACfURER MODEL QTY
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CONTRACTOR TO PERFORM REQUIRED TESTING OF ALL PREVIOUSLY FAILED
COMPONENTS UNDER THE DIRECTION OF THE DAKER5FIELD FIRE DEPARTMENT
CONTRACTOR TO PROVIDE (5) WORKING DAYS NOTICE PRIOR TO SCHEDULING
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CONTRACTOR TO PERFOM ALL WORK PER MANUFACTURER'S SPECIFICATIONS.
NO EQUIPMENT DESCRIPTION MNWF&=RER MODEL QTY
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