HomeMy WebLinkAbout6009 COFFEE ROAD FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
tea- /ate o
File Number: 7 Z G 5 "j Address: 616 0 Ct nC6U -e
Bakersfield, CA 933
Date Received: / / ---I-- /-z
Business Name:
SYSTEM: F BUILDING SQUARE FE F INSPECTION LOG
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spfa y Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
L7,,' Other. r "w C_
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
Date Time
Signature
BILLING & k1kMIT STATEMENT 1i;lilii ll((;I,myp BAKERSFIELD FIRE DEPARTMENT
11- hL Prevention ServicesPERMIT #RSeir s 2101 H Street
lll;juJiC,. Bakersfield, CA 93301
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
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
Sprinkler - Minor Modification ( <10 heads). $ 96 (Inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modificatlon) $470
Additional Hood 58 /hood
Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
Spray Booth (New & Modification)
SITE INFORMATION
LOCATION"OF PROJECT PROPERTY OWNER
Aboveground Storage Tank (1 inspection per Installation) AST 180 /tank
STAR1iNG DATE -n M NAME
1 0i'. 600-M Ffank ukl;Van
PROJECT NAME ADDRESS PHONE #
o U 1ru.x•k.L. e., l4tr
PRO30 ADDRESS
UGor- Co , STATE cgICE1ZSlEI_D .4 ZIP CODE
9 61
CONTRACTOR INFORMATION
878 /tank
CO CTOR'NAME CA LICE SE # TYPE OF LICENSE EXPIRATION DATE PHONE #
s Ojb C c zl-
CONTRACTOR C MPANY NAME FAX #
ADDRESS CITY ZIP CODE
573 /tank
s1 LJi
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
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
Sprinkler - Minor Modification ( <10 heads). $ 96 (Inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modificatlon) $470
Additional Hood 58 /hood
Commercial Hood - Minor Modification (add /move nozzle) $ 96 (inspection only) 84
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,or Inspect'n) 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
id Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST system
ven If scheduled at the same time
96 /hr (2 hrs minimum) _ $192 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
Pyrotech.nic (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 1 84
i)
BILLING& PERMIT SiATENIEIV°f BAKERSFIELD FIRE DEPARTMENT
Prevention ServicesBAli... nL D
PERMIT #pAR,MY's— 2101 H Street
p, Bakersfield, CA 93301illipliltl! DMnno• - C-.... LG1 OC'f .1171
Please make checks pxayabile to CITY OF BAKERSFIELD. Thank vou-
INFORMATION
LOCATION OF PROJECT
00" _ _ --
PROPERTY OWNER
uAh _L
STAR NG DATE - COMPCE779N IjrigE -' T1 yM t NAME
h/ -- — v1 •• 6OG` 'r FrafO< LL_6 t ec- I
PROJECT NAME
S ADDRESS PHONE #
LULU 1 I0t;
UNDERGROUND STORAGE TANKS
AP PLICATJON
1*0 PEP ELD/IJ NE 'I'I:ST.ING/
S119139 SM)NDARNY CON-1-AINMEW1'
TI' ' MING/I'ANK
FOE-1. MONITOPING U-101FICA'001\1
BAKERSFIELD FIRE DEPARTNEW
Prevention Sel•ifices
1.600 *1*1 .111n Ave,, Si.Iii:c /toj.
ME BZ11(el'sfie-Id, (A 9330:1.
Phone: 661-326-3979 Fay: 661-852-21.7i.
n- FNIIANGVIh I.I:AK SIS-989 f;I-00P1f)AI21 CONTAIVINENT
r-1 PANIC 1'11-J F1 N11: S!; MONITOWN(•! (J.'14TIVICATIC)N
STTI' INrORMA'rxON
rACKil• I-JANI: 10, 1-1101,11: 0 ._.0..
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OVER OR UARIF 111:111,11TTO 0101:1WIT 11
Kwk' n. t'C L.
V; PIPING GOING TO 131' TF!Tl-'D? I--I Yi*: 1-1 No
V 0 1. 11 M H CONTENTSTANK -1 -[
OF TANK' ; TO HE TFSTI: D:
TANI( TESTING COMPANY
11MA -11:
Tr!,Tmf.; f.-.f) 4pr%raV se. y-y.i.c.cs.
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lie key' MiRTIVICA'nom n
monr ir OFTFS71:11 j)R!wFrIAI. INSPECTOR
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At
THIS APPLICATION BECOMES A PERMIT mfol.Ehl AI>PROVEV
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COMPLIANCE WITH CONFIDENCE"
November 8, 2012
CITY OF BAKERSFIELD
Attn: David Weirather
Office of Environmental Services
Fire Department /UST Program
2101 H Street
Bakersfield, CA 93301
To Whom It May Concern:
Enclosed for your approval, please find Application to
Perform Fuel Monitor Certification and Billing and Permit
Statements, along with our check in the amount of $192.00 /site.
Please fax the approved Applications and permit fee
receipts to our office at 661- 587 -9758.
Should you have any questions, please feel free to contact
me at 631 -3870.
Thank you for your attention herein.
Enclosures
Yours truly,
CONFIDENCE UST SERVICES, INC.
Karli Karns, Dispatch Coordinator
16250 Meacham Road -Bakersfield, CA 93314
661) 631 -3870 or (800) 339 -9930
FAX (661) 587 -9758
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
t _ TANK TESTING
1Ati 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 l
INSTALL, COMPLETE AND ACCEPTED BY ;
MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT:
FIRE DEPARTMENT (FINAL)
BUILDING ADDRESS: 60C cr, c9 e--e_ -VEd
JOB DESCRIPTION: t!r-7vvL C_, OCCUPANCY TYPE: (3
OWNER: Z c ,v'T NQ PERMIT NO. / - / 0005 d 5 t3 0
CONTRACTOR: Coo de--i e_ PHONE # 0 at -• '?
FD 1743