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Home My WebLink About8803 CAMINO MEDIA BOULEVARD FMC SB-989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY TOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 13- 1C16906 of File Number: 3- f9'Cf/ Address: p 3 !lt w c le Bakersfield. CA 933 Date Received: Business Name: !2:)(-,.Q- L(— BUILDING SQUARE FEET: INSPECTION LOGSYSTEM: New Mod. Commercial Hood System Building Sq. Feet: Date Time Fire Alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System 2. Spray, f=inish System 3. Aboveground Storage Tank 4. Underground Storage Tank minor Signature modification Underground Storage Tank removal Underground Storage Tank Signature CY"' Other. '7 vvr C. --r S C3 - % ?- 5 Comments: 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 TANK TESTING 01 1 UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE i MODIFICATIONS MINOR / MAJOR i AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) — - BUILDING ADDRESS: Q 3 2 iv!7 JOB DESCRIPTION: -(- OCCUPANCY TYPE: OWNER: a PERMIT NO. CONTRACTOR: PHONE # -• FD 1743 7• w . 40hCES , COMPLIANCE WITH CONFIDENCE" December 18, 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 SB -989 testing and Fuel Monitoring Certification and Billing and Permit Statements, along with our check in the amount of $384.00. 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. eal )eaiui Karli Karns, Dispatch Coordinator 16250 Meacham Road • Bakersfield, CA 93314 661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758 CONFIDENCE UST SERVICES, INC. 10809 City of Bakersfield 12/18/2012 Shell, Camino Media Blvd. (SB -989, 1/8/13) 192.00 Shell, Camino Media Blvd., (MC, 1/8/13) 192.00 Citibank Checking Permits 384.00 BILi ING :& OtkMIT STATEiHENT ; PERMIT # ul BAKERSFIELD FIRE DEPARTMENT Prevention, Services 2101 H Street Bakersfield, CA 93301 SITEINFORMATION LOCATION OF PROTECT J 0 A. PROPERTY STAR NG DATE T1kA9 l li q:U NAME M. L-L 2S PROTECT NAME 5hk) ADDRESS t PHONE # ij 2. PROJECTADDRESS v 11NAME I CA UCE # OQO C (` Q STATE CAl] 1 T oIRMATION TYPE C' L OF LICENSE O EXPIRATION D TE ZIP CODE q" Z1 3 CONTRACTOR COMPANY NAME FAX # 5 -158 ADDRESS Cm ZIP CODE Please make checksyzqa ble to CITY OF BAKERSFIELD. Thank you. PERN11T TYPE FEE CALCULATION TOTAL DUE Alarm - New & Modification (minimum charge) $280 ONLY TREASURY ACCT'PiW' Over 10,000 sq ft 0 .028 x sq ft O Sprinkler - New & Modification (minimum charge) 280 O 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 ood O Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84 Spray Booth (New & Modification) 470 98 O Aboveground Storage Tank (1 inspection per installation) AST 180 /tank 82 O Additionel`Tank ATI 96 /tank 82 O Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82 Underground Storage Tank (Installation /Inspection) NI 878 /tank 82 O Underground Storage Tank (Modification) MOD 878 /site 82 Underground Storage Tank (Minor Modification) MTM 167 /site 82 O Underground Storage Tank (Removal) TR 573 /tank 84 Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system en if scheduled at the same time 96 /hr (2 hrs minimum) _ $192 X)- _ 2 J 82 0 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 82 O 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 standby fee Ins = 605 84 O Re- inspection /Follow -up Inspection 96 /hr 84 Portable LPG (Propane): # of Cages? _ 96 /hr 84 O Explosive Storage 266 84 Copying & File Research (File Research fee $50 /hr). 0.25 /page 84 Miscellaneous 84 FD2021-(Rev_05 /11)_ BILLING & PERMIT STATEMENT lillllr"iilnC;,•o n_NII e,r PERMIT # rlllll. FIRE JjGI !jPAAT6 r iGi:uill LOCATION OF PROJECT STARTING DATE: i PROItECT NAME PROJECT ADDRESS CONTRACTOR NAME COf17RACTOR COMPANY NAME ADDRESS cerorterterr -eAr{ 1++,E IGl 1 01 CA LICENSE k PROPERTY OWNER IITIVUN IBAIKIERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Dhnni+- AA1- '1')A -1Q7Q . Fav, 991- 0cl -11-71 ADDRESS PHONE B t CITY STATE CA' ZIP UST, SERVICES, ANC TYPE OF LICENSE EXPIRATION DATE PHONE 8 FAX ,V YY CITY I ZIP CODE 1 cc6— _ 4fL r_I- ft.__ —_- Please make checks payaWe to CITY OF BAKERSFIfELD. Thank you. CONFIDEN( 162 BAKEBAKE PAY TO THE ORDER OF C B Three Hundr Eia rA - p"E'[o . N' .l City of Bakersfield Y AEM0 8c Permits 1nnn4u 22 009534L489El ueryrouno srorage Tank (Minor Modification) M $167 /site Underground Storage Tank (Removal) TR $573 /tank — 10809 t CmBnNK, HA. i Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test /per site /per UST system seven if scheduled at the same time UST, SERVICES, ANC BAKERSFIELD- STOCKDALEJCALIFORNIAOFFICE 82 Oil well (Installation, Inspection, or re- inspection) X BAKERSFIELD CA 93309` " . 82 MEACHAM RD. FIELD; CA 93314: so717ti3?z?, 1?J1$12012 1) 631 3870 After -hours inspection fee m S "384.00 2 96 /hr + (5 hrs min standby fee /insp) _ $576 5 hrs min standby_fee /insp 605 84 S Brsfield r:.«+. *• «w+ e' 84 w, #r.r..t•.... DOLLARS 96 /hr Fo and 00/ 100*"....*...t..: .,.,. r 84 Y Explosive Storage 266 U Copying & File Research (File Research fee $50 /hr) 0.25 /page _ - -_ City of Bakersfield Y AEM0 8c Permits 1nnn4u 22 009534L489El ueryrouno srorage Tank (Minor Modification) M $167 /site Underground Storage Tank (Removal) TR $573 /tank — 62 — 84 _ i Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test /per site /per UST system seven if scheduled at the same time 96 /hr (2 hrs minimum) _ $192 2 L' X 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__ I- I_ J Pyrotechnic (1 permit per event, plus an inspection fee of 96 /hr during business hours) PY After hours Pyrotechnic event inspection is @ $121 /hr 96 /hr + (5 hrs min standby fee /insp) _ $576 5 hrs min standby_fee /insp 605 84 NOTE: Re- inspection /Follow -up Inspection 96 /hr 84 I 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 OS111) OUNDEIRGROUMD STORAGE TAINIKS BAKERSFIELD FIRE DEPARTKENT Po'evention Services J.600 TI-1.1),4111 Ave., Suitez.[W. APPLICATJON Hum Bakersfidd, CA 93301. ID PER DMH ELDAINE Phone: 661-326-3979 o F,'17: 661-852-21.7), SMR9 SKONDARNY C'DN*1*AJNM1::N1' I fir I T1- ' AND FUEL MONITMING URI]FICAI]ON 1111HI "I n- C-W%1 1-9119 51--CONDARV CONTAIPINFAJ-1- 1ANK 116-111'k-USS SIT17 INFORMA'rjON rArIIJI• 1-110111H 0 01: S1v111 Ma ._fie -7- 65cl.7- VC4, 1111*111-1-0 (HINWIT 1) i: Ol- T[%Nkv TO ICE T(:-S'F(D: 15 PIPING GOIN(I '10 BE TI'S-TED? 1 L YI No TANK V Vol LIME CONTI-14I II TANIC TE-15TING COMPANY plio611! if W CONTAC.'I'lT UMN Ff(At-1,tgqRrr ADDRESS •R Tic - - --- - - Utf 0111TINCA-riom n eaw -rfsrl n ORSPECIA1, INSITC701t Lp2-15w5-1V7( .3'756 1.1"mon10. DMV. 0 DAII! 01VIES A PERMIXT MME1\1 APPROVEDTHISAPPLICATI0N1BEC lly 1:02011!; (R-w Q61(11)