HomeMy WebLinkAbout6450 WHITE LANE MOD 2013HOODS ALARMS SPRINKLER SYSTEMS SPRAT BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
a-7
File Number: `j -203-2— Address: 6o (4'9(7
Bakersfield, CA
Date Received: 5 - -2- - 13
Business Name: 4,. -c-o
Comments:
1.
2.
3.
4.
INSPECTION LOG
Signature
SYSTEM: IF BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet:
Fire Alarm System Calculation Bldg. Sq. Ft:
Fire Sprinkler System
Spray FWsh System
Aboveground Storage Tank
Underground Storage Tank
modification derground Storage Tank
removal Underground Storage Tank
her
Comments:
1.
2.
3.
4.
INSPECTION LOG
Signature
BAKERSFIELD CITY FIRE DEPARTMENT - INSPECTION RECORD
Post this Gard 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
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
DIFICATIONS- 'MIN'.OR` /.MAJOR;
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TOOPERATION OF ANY SYSTEM;;
ALL,U.ST AN- DjOR AST.SYSTEMS SHALLBE
INS?jAIL,_ COMPLETE _AND . ACCEPTEDJY
MISC. ACTIVITY THEBAK.ERSFILD CITY_ EIRE DEPARTMENT!
AFIRE DEPARTMENT- (FINAL)
REMARKS:
BUILDING ADDRESS:
JOB DESCRIPTION: titil' t/ OCCUPANCY TYPE:
OWNER: PERMIT NO. /3- o2
ir"
Z
CONTRACTOR: ,p,Sv, 71A-OJc-.p PHONE # DG-,02 /
FD 1743
BILLING & PERMIT STATEMENT
PERMIT 4%
Th
wusr
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone* 661 -126 -1979 . Fax- 661 -R52- 7171___ .
SITE INFORMATION
LOCATION OF PRO)ECT
ARCO
PROPERTY OWNER
Same
STARTING DATE COMPLETION OATS NAME
PROJECT NAME ADDRESS PHONE S
PROJECT ADDRESS
6450 White Ln. CITY U.4KET2,S 1GL -A STATE OA ZIPCODE
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE d
Advanced Compliance 871259
TYPE OF LICENSE EXPIRATION DATE
C61 D40 3/31/2014
PHONE
661- 706 -4321
CONTRACTOR COMPANY NAME
Advanced Compliance
FAX S
661- 589 - 9329,
ADDRESS
3704 Littlefalls Ct.
CITY
Bakersfield
ZIPCOVE
93312
All permits-must-be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ONLY
DUE ACC1 NO
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 flood (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,or Inspect'n) ATR 109 /tank 82
Underground Storage Tank (installation/Inspection) NI 878 /tank 82
Underground Storage Tank (Modification) MOD 878 /site 82
H Underground Storage Tank (Minor Modification) MTM 167 /site 82
Underground Storage Tank (Removal) TR 5731tank 84
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even If
scheduled at the same time TT
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
O 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 stand! fee In = 605
84
O Re- Inspection /Follow-up Inspection 96 /hr 84
13 Portable LPG (Propane): # of Cages? _ 96/hr 84
Explosive Storage 266 84
Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
13 Miscellaneous 84
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
IPermit #
TYPE OF APPLICATION:
CHECK ONE ONLY)
FIRM
A T
NEW TANK INSTALL/NEW FACILITY
MODIFICATION OF FACILITY
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
NEW TANK INSTALL/ EXISTING FACILITY
0 MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED COMPLETION DATE, .
FACILITY NAME
ARCO
EXISTING FACILITY PERMIT # -
FACILITY ADDRESS
6450 White Ln.
CITY
Bakersfield
Z
TYPE OF BUSINESS
Gas Station
APN #
TANK OWNER
ARCO
PHONE #
ADDRESS
6450 White Ln.
CITY
Bakersfield
ZIP CODE
CONTRACTOR
Advanced ,Cotnplian .ce
CA LICENSE #
971259C61/040 `
ICC. #
803YF)9B
ADDRESS 370:4' Litt °Iefa'lls Ct.
CITY ., .,..
Bakersfield
ZIP CODE
93.312
PHONE # 661`- 706 " -9321 BAKERSFIELD CITY BUSINESS LICENSE #
sooi2a29a
WORKMANS COMP # N/A INSURER '
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace 91 UL Line Leak Detector.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED 70 E THEY FOR MOTOR FUEL?
3, YES NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NOO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #' VOLUME UNLEADED REGULAR, PREMIUM DIESEL. OTHER
1 X
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER ICC#
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY
FD2086(Rev 08/09)