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Home My WebLink About928 FLOWER STREET FMC 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOT H AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 3 3 ` S Date Received: /:z --i ( —/ 'z— Comments: Address: CA 933 Business Name: ,c ,o .tee SS Gd-5 BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. INSPECTION LOG Date Time 2/ 2/1Z iAoSp Signature Signature SYSTEM: 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 her. C-- Comments: Address: CA 933 Business Name: ,c ,o .tee SS Gd-5 BUILDING SQUARE FEET: Building Sq. Feet: Calculation Bldg. Sq. Ft: 1. 2. 3. 4. INSPECTION LOG Date Time 2/ 2/1Z iAoSp Signature Signature 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 UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR T.O 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) 12/1z,,112- y BUILDING ADDRESS: 52 Q ' -P i JOB DESCRIPTION: ;:'i. C_ OCCUPANCY TYPE: OWNER: v-.e Ga4, s- S PERMIT NO. CONTRACTOR: G r-' Al Aj C PHONE # / p-9-70 FD 1743 UNDERGROMID STORAGE TANKS BAOURSHELD FIRE DEPARTKEN-FPreventionSel-itices 1,6001*11-1)(1111) Ave., Sijito /,to.j. Bakersfielcl, CA 9330 1. APPLICATJON r I-D Pl.-UDMH ELD/UNE 'I'ESTING/ tiCy, WONDARY CONITAINMEN'l- PhOlIC )61-326-3979 FIX: TBI-IINCVIANK 11CITMESS'll-ST AND 1:01-1, NOW)TORING CE101FICA110A) n. FiVIIANCIAl ITAN L-I MONITOW Cl."ItTIVICATION SXTI! INrORMA•rxON I.-I..' ..... ..... rArII.Il'; /I OF COPITACT N-14!;nti CA 1WRIolt HAW Qn,lrn'F0JZ 111:1*11)' TO OPERATE 11 L, or Tftwti'ro m., IS PIPING rOING TO til- plo TANK .1 v 0 1. li M F CONTENTS TANIC 'IT'S'UNG COMPANY PJA 11: V., IM01-11i it 01: NTAGV Pelt:.' Q Applltr'!; F•'ff JrP O;t f.PFMAI. INSPECTOR cmaINCA'nom n lti IcC TEST 1-11::mol) 1011f. co"mirclil L AM1.1 VIRI: Z\V Vz . ..... THIS APPLICATION BECOMES A PERMIT WHEIV APPROVED IWIT NIZ0115 (It'!V 1361(il) BILLING & !btMIT STATEMENT ,lu;iJihr'ih;;,G•, BAKERSFIELD FIRE DEPARTMENT Prevention Services7PEIT # pine ARTM T 2101 H Street Bakersfield, CA 93301 A Please make checks Alarm - New & Modification (minimum charge) Over 10,000 sq ft to CITY OF BAKERSFIELD. Thank you. 280 0 .028 x sq ft Sprinkler - New & Modification (minimum charge) 1$280 Over 10,000 sq ft 0 .028 x sq ft Sprinkler — Minor Modification ( <10 heads). 96 (inspection only) SITE INFORMATION 84 Commercial Hood (New & UL 300 Upgrade Modification) Additional Hood 470 58 hood LOCATION OF PROJECT k' a24 : to" e S\ PROPERTY OWNER ELwu SiyQuA W ' tila, r 96 (inspection only) STARTING DATE GQMP66T8W4MT -E T% pkE NAME 470 PROJiCT NAME G tX, lJlo,Jr Aboveground Storage Tank (1 inspection per installation) AST ADDRESS q2 IJeX PHONE # Apt - 28- 2 PROJECT ADDRESS i OW S 96 /tank crrY $ICEIZS IEt_D STATE CA ZIP CODE 05 109 /tank R INFORMATION Underground Storage Tank (Installation /Inspection) NI 878 /tank 82 CONTRACTOR , NAM CA LICE SE # 878 /site TYPE OF LICENSE EXPIRATION DATE PHONE #- Underground Storage Tank (Minor Modification) MTM 1 3 82 0 31 1 Underground Storage Tank (Removal) TR 3 - 1 CONTRA OR COMPANY NAME Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system even if scheduled at the same time FAX # 82 Oil well (Installation, Inspection, or re- inspection) X 96 /hr 15"1 -1n ADDRESS 96 /tent C'TY ZIP CODE 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 3 84 A Please make checks Alarm - New & Modification (minimum charge) Over 10,000 sq ft to CITY OF BAKERSFIELD. Thank you. 280 0 .028 x sq ft Sprinkler - New & Modification (minimum charge) 1$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 Mandated UST Testing: Fuel Mont Cert/SB989 /Cath. Prot. NOTE: $96 /hr for each type of test/per site /per UST system even 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 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 CITIBANIC, N A 1 0803 uk ` 6AKERSFIELD STOCKDACE/GALIFORNIX OFFICE BAKERSFIECD;,GA 93309: t ., 12111 /2012: w PAY TO THE * oROER of : City of Bakersfield-: I 576.00 e r., s u ,:,ate Seventy- Slxand 00% 100* r* w* wa** t*** ww* r, e*++** rrr* w* w**t*** r, r*****. rx++** t +aarrw +**r*ww*w*r * ****a * *r *ww . DOLLARS e' 1 iVe I u'rid ed o City'of Bakersfield MEMOz-_ Permits a 115 010803II' is3222717241: 009 5 34 14898 7 II' CONFIDENCE UST SERVICES, INC. 10803 City of Bakersfield 12/11/2012 Flower Street Mini Mart (MC, 12/12/12) 192.00 Samco Food Store #2 (MC, 12/17/12) 192.00 Ramco Express (MC, 12/20/12) 192.00 Citibank Checking Permits 576.00 i p# FI DFti V p N p. t*, hcES `P COMPLIANCE WITH CONFIDENCE" December 11, 2011 CITY OF BAKERSFIELD Attn: David Weirather Office of Environmental Services Fire Department /UST Program 2101 -H- Street Bakersfield, CA 93301 Dear Mr. Weirather: Enclosed for your approval, please find Applications to Perform Fuel Monitoring Certification and Billing and Permit Statement, along with our check in the amount of $576.00. 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. Karli Karns, Dispatch Coordinator 16250 Meacham Road -Bakersfield, CA 93314 661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758