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Home My WebLink About5634 STINE ROAD SB-989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 1,96od sXa File Number. 02 g59, Address: S-(-' -e ZA- Bakersfield, CA 933 Date Received: /a- S- -/Z Business Name: 0-1 1 '- C-GQ- A"' 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 Building Sq. Feet: Calculation Bldg. Sq. Ft: GY"" Other. Comments: ,6_ ti 1. 2. 3. 4. Date Time Signature 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 BI R It 9 F I R A 4 FIRE ARTN T BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171 Page 1 of 1 LINE TESTING X SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY NAME &PHONE # OF C NTACT PERSON o kv, ADDRESS . 5434 Jr h ,n e, Qoad RatkerSPW Col 93313 OWNER NAME C1rGi f S OPERATOR NAME C ir t res n PERMIT TO OPERATE t OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 15 k r le A ot ad Z Z r/n leaded TANK TESTING COMPANY TESTING COMPANYI:, Iqn rQ IC V V , rs NAME & PHONE # C,OfdTACT PER N 11 MAILING ADDRESS NAME & (J 4 O v i OR SPECIAL I SPECTOR — — DATE & TIME TEST TO BE DU ED ` 112_ 2 O CERTIFICATION t L.I $37 ` ( 3 7-0 y ICC # TEST METHOD APPLICANT SIGNA E DATE THIS APPL TION BECOMES A PERMIT WHEN APPROVED APP D BY DATE FD2095 (Rev 03/08) CITY OF BAKERSFIELD MAIL TO: CALIFORNIA CITY OF BAKERSFIELD P.O. Box 2057 APPLICATION FOR BUSINESS TAX CERTIFICATEBAKERSFIELD, CA 93303 PURSUANT TO ORDINANCES OF THE CITY OF BAKERSFIELD PLEASE TYPE OR PRINT LEGIBLY IN INK Separate Certificate Required for Each Location) BUSINESS NAME ISLAND PETROLEUM BUILDERS BUSINESS LOCATION 1843 S. CAMPUS AVE. MAILING ADDRESS 7470 SVL BOX STREET KIND OF BUSINESS OR PROFESSION CONTRACTOR DATE 12/05112 Gr - - •ilNltu... ONTARIO CA 91761 VICTORVILLE, CITY CAST 92655 TELEPHONE 909 -923 -9373 1 NAMES AND ADDRESS OF ALL OWNERS /CORPORATIONS LIST OFFICERS — INCLUDE TITLES n NAME HOME ADDRESS TELEPHONE jftV) 14-(,e.o (- e L IE g Street 7' i ?fi `tVL City t;'t 11e State QQ - Zip 12 3 9s Oq ZZ€I 0 tB 1 << . Street `7 (7C% fC f + City e;' C tate &-Zip S7 ?! sue Street City State Zip. TYPE OF ORGANIZATION D 33 333PARTNERSHIP CORPORATION LLCCj FEDERAL ID# INDIVIDUAL Name SSN t exemption from the Business License Tax for the organization or individual name above since it is x Exempt under Internal Revenue Code Section 501(C) (3) or under State ofCalifornia Revenue & Taxation Code Section 23701 or; a passive investment in the rental of Real Property under Internal Revenue Code Section 469. I understand I may be required to provide proofof continued exemption from the Business License Tax upon request. DATE COMMENCED BUSINESS IN BAKERSFIELD I 2 11 i 1 0- CALIFORNIA STATE CONTRACTOR'S LICENSE NUMBER, IF ANY_776846 SALES TAX PERMIT NO. ALPHA NUMERIC SUB Sales or use tax may apply to your business activities. You may seek written advice regarding the application oftax to your particular business by writing to the nearest State Board of Equalization office. For general information, please call the Board of Equalization at 1- 5004007115. ESTIMATED ANNUAL GROSS RECEIPTS IN BAKERSFIELD $ 115 0 D °0D I SWEAR UNDER PENALTY OF PERJURY UNDER THE LAWS Oy THE STATE OF CALIFORNIA THAT THE FOREGOIN VEANDCORRECT. EXECUTED AT CITY n ra r-; 'O STATE CA- TITLE pwcxea DATE Z l Z Signature Owner, Partner, Agent or Officer ofCorporations License Code Sect. ONCE YOU HAVE COMPLETED THE APPLICATION, PLEASE CONTACT THE TREASURY DIVISION AT (661) 326 -3762 TO DETERMINE THE AMOUNT OF TAX DUE. (Rev. 11/2010) BILLING & PERMIT STATEMENT PERMIT # nrmr BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) $280 • SITE INFORMATION Over 10,000 sq ft LOCATION OF PROJECT C,rc e k re 563y h R PROPERTY OWNER Ci Gle k S- tove,s .Zwc . STARTING DATE COMPLETION DATE 12- II -I'L - 2 NAME risl ci yc,Hhe.r PROJECT NAME C i rc I It l ADDRESS 2S5 E R htcn SP Sh 1oo PHONE # cfSI - 2 0-5I `! PROJECT ADDRESS 504 Sh ' e Rd gAIC>iZS IELD STATE li C ZIP CODE 2ri 5 CONTRACTOR CONTRACTOR NAME CA LICENSE # Vck 6 I1e 1"IbV46 INFORMATION TYPE OF LICENSE 040, EXPI TIO DATE B cIa, cc I z 1 0.3121 14 PHONE # 61 - g23- 9113 CONTRACTOR COMPANY NAME , I Pe +roievw Q Iders he FAX # 9C)9-92-1-01337- ADDRESS 74 L. -AtIA CITY _ ZIP CODE oa 3 cj 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 headsp ( ) 96 (inspection only) 84 Commercial Hood (New & Modification) 470 Additional hood 58 Spray Booth (New & Modification) 470 98 boveground 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 Ce 8989 TT NOTE, $96 /hr for ea type of test/per site even i scheduled at he Sam' ame time 96 /hr (2 hrs minimum) =$192 q2 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 Miscellaneous 84 FD2021 (Rev 05/10) k BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Services PERMIT # FIRM 2101 H Street ARTAI r Bakersfield, CA 93301 Phone: 661- 326 -3979 . Fax: 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Bank of America. ISLAND PETROLEUM BUILDERS, INC. GVaoe, Rd,SWeA 7470 SVL BOX 7M.244.0139 VICTORVILLE, CA 92395 16 -66 -1220 909) 923 -9373 12/5/2012 PAY TO THE "` 192.00ORDEROFBakersfieldFireDept. One Hundred Ninety-Two and MEMO Bakersfield Fire Dept. 2101 H Street Bakersfield, CA 93301 CK 5634 Stine Road Bakersfield 11102235 ?11' ",11:122000660: 24634-0361411° 22357 -j DOLLARS Mandated Leak Detection (test) /Fuel Mont Ce B989 TT NOTE: $96 /hr for ea type of test/per site even i scheduled at he same time SITE INFORMATION rp 1 /Z LOCATION OF PROJECT C r ie k Skirt? 5h;ie Rd PROPERTY OWNER Cirele, it S #eve_s Inr , STARTING DATE COMPLETION DATE NAME PROJECT NAME i re, i 7 ADDRESS 15-5 E R 6,a S!- S .J_z 100 PHO E # S"1 •21C -51 113 PROJECT ADDRESS 5Uq Rd cm g K >RS I El_D STATE aA ZIP CODE CONTRACTOR CONTRACTOR NAME CA LICENSE # 1ki)elk C r e 77 f E INFORMATION ITYPEOFLICENSE D4US EXPI TIO DATE c,;,r a z c 3; >iy PHONE # 9 -9*?3, 13. CONTRACTOR COMPANY NAME Is I(. i Pei ro1z, Qv; 1 rr v) t.•- FAX # 9t.) -12 - 3I ADDRESS 7 V.L_ 11 X Cm 1 c . , r ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Bank of America. ISLAND PETROLEUM BUILDERS, INC. GVaoe, Rd,SWeA 7470 SVL BOX 7M.244.0139 VICTORVILLE, CA 92395 16 -66 -1220 909) 923 -9373 12/5/2012 PAY TO THE "` 192.00ORDEROFBakersfieldFireDept. One Hundred Ninety-Two and MEMO Bakersfield Fire Dept. 2101 H Street Bakersfield, CA 93301 CK 5634 Stine Road Bakersfield 11102235 ?11' ",11:122000660: 24634-0361411° 22357 -j DOLLARS FD2021 (Rev 05/10) i S 8 Mandated Leak Detection (test) /Fuel Mont Ce B989 TT NOTE: $96 /hr for ea type of test/per site even i scheduled at he same time 96 /hr (2 hrs minimum) =$192 rp 1 /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 insn = 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 Miscellaneous 84 FD2021 (Rev 05/10) i S 8 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 f 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 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: 6fc 3 JOB DESCRIPTION: S 8- 5' OCCUPANCY TYPE: ,C3 OWNER: „mac ( / PERMIT NO. /a - /p CONTRACTOR: ^a 74 ,. PHONE Sc 923-7373 FD 1743