HomeMy WebLinkAbout7851 ROSEDALE HWY FMC 2013HOODS AALARMS SSPRINKLER SYSTEMS SSPRAY BOOTH A
File Number: a /3S 3 Address: ?(R- S / P c wetj y
Bakersfield, CA 933
Date Received:
Business Name:
I
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
Commercial Hood System Building Sq. Feet: Kill Date Time
Fire Alarm System Calculation Bldg. Sq. Ft: 1.
Fire Sprinkler System 2.
Spray Finish System 3.
Aboveground Storage Tank 4.
Underground Storage Tank
minor Signature
modification Underground Storage Tank
removal Underground Storage Tank
C /Other.
Signature
Comments: Czs'
f 5;K-?2e2- Ex011;Vi3
vR fi A 'R / Z.j ? Avis
C /Other.
Signature
Comments: Czs'
f 5;K-?2e2- Ex011;Vi3
vR fi A 'R / Z.j ? Avis
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
C- -- TANK TESTING
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,
ALL_ USTAND /OR_AST SYSTEMS SHALL BE,
INSTALL, COMPLETE-AND .ACCEPTED' BY
MISC. ACTIVITY ME- BAKERSFIELD CITY FIR E.DEPARTMENT
FIRE DEPARTMENT (FINAL) z
REMARKS:
BUILDING ADDRESS: "] e
JOB DESCRIPTION: w OCCUPANCY TYPE:
OWNER: C, n PERMIT NO.
CONTRACTOR: 3 5 5 Z PHONE # 77
FD 1743
j BILLING & PERMIT STATEMENT /jy__I_ BAKERSFIELD FIRE DEPARTMENT
It A K V R\ 1+ 1 H I. I+ Prevention Services
PERMIT # FIRE 2101 H StreetDEPARrMENr
Bakersfield, CA 93301
DMnnc• F.F.1 _']'f._Z070 C v• f. F.1 _Ar.7_717
Underground Storage Tank (Minor Modification) MTM
INFORMATION.
LOCATION O PROJECT PROP OWNER /^^
L CL
STARTINGQATE _
1
COMPLETION DATE NAME 1) l
PROJECT E
l o !l
573 /tank
ADORES
G
PHONE
PROJECT ADDRESS
CITY STATE CA ZIP CODE
CONTRACTOR INFORMATION
C CA LICENSE,# \ OF SE EXPIRATION DATE
Co
PHON #
CONTRACTOR COMPANY NAME FAX
ADORE$ _ CITY
Tent #
ZIP on
Underground Storage Tank (Minor Modification) MTM 167 /site 82
Underground Storage Tank (Removal) TR 573 /tank 84
C C Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE:
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
Pyrotechnic (1 permit per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE:
96 /hr + (5 hrs min standby fee /insp) _ $576 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
BILLING & PERMIT STATEMENT
PERMIT #
tl A R L R x F l b I. I
FIRE
OEPANrMENr
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhn - A .1 _11A -1070 . Pnv AA1 _AS7_')1 71
El • TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
ACCT NO
SITE INFORMATION
LOCATION O PROJECT
S
PROP OWNER n ^ l • 1 `
vCllY+
sTARTI ATE -\ COMPLETION DATE NAME+
V '
PROJECT E
D
ADORES PH
U
PROJECT ADDRESS CITY 1,AK•ETRSFI El_D STATE CA ZIP CODE
CONTRACTOR INFORMATION
CA UCEp+ .V
i 1II
1
d•
F SE EjP RATION DATE PHON 4
CONTRACTOR COMPANY NAME
on
FAX
a
ADDRESS _
u,
CITY ZIP
El • TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
ACCT NO
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 Modification)
Additional Hood
470
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
C q Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE:
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
Pyrotechnic (1 permit per event, plus an inspection fee of
96 /hr during business hours) PY
NOTE:
96 /hr + (5 hrs min standby fee /insp) _ $576 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
F02021 (Ray OS/11)
i
UNDERGROUND STORAGE TANKS
4
s,',,t,:«zv >f;:.:ezcx:_..._.. .. .. __. .:•i `_,Y ..s>.; B s a s P h L_n
APPLICATION U FIRE
DIB+PAIPTMBgfTTOPERFORMELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL IY'tON!Tit)F2s".NG CERTIFICATIOsi
individual tests and will be charged per
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 e Fax: 661-852-2171
Page 1 of 1
ENHANCED LEAK DETECTION LINE TESTING SB -989 SECONDARY CONTAINMENT
TANK TIGHTNESS %if+UEL MONITORING CERTIFICATION
FD2095 (Rev 03/08)
SITE INFORMATION
FACILITY
D
PHONE # OF ONTA PERSO- NA C
S
ADORES r 5 , CJ
IV
i
OWNER NA Q C&-A 60' oxw ULL.,
OPERATO N E , PERMIT TO OPERATE #
OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO
TANK # VOLUME CONTENTS
I
TANK TESTING COMPANY
TESTING A Pb' PHONE # of CUNTA RSUN f_
MAILING QDDR_ES
IAAPA ( III
NAME ONE # #_ OF TESTER OR SPECL NSP OR
1-777
CERTIFICATION # 3
DATE & TIM EST T BE CONDUCTED J TEST METHOD
APPLICANT GNATUR
DATES
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY '
G
DATE
FD2095 (Rev 03/08)
0