HomeMy WebLinkAbout HW14 SEC 13-T30S_R26E OILWELL INS 2010HOODS ALARMS SPG°NKLER SYSTEMS AST MS`s
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number:
Date Received: .y -- g - /p
SYSTEM:
New Mod.
Commercial Hood System
Fire Marm System
Fire Sprinkler System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tarok
removal Underground Storage Tank
We"" Other:
Comments: L L 4P_LL j &JtZ o ,
Address: &,c & Sec., • 13- i 3e s/R .2Co E
Bakersfield, CA 933
Business Name: o << c ye-c
BUILDING SQUARE FEET:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
MSPECTM LOG
Date Time
Signature
Signature
BILLING & PERMIT STATEMENT
PERMIT #
B__ R S 1 1 D
F1RE
ARTM Q T
BAKEK5FIELV FLKE DEPAKTMENT
Prevention Services
1501 Truxtun Avenue, 15f Floor
Bakersfield, CA 93301
Phone: 661 -326 -3979 . Fax: 661- 852 -2171
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DA
N 511 ,Zo o
PROJECT NAME ti
fos yr 33 x - % 3
NAME
ADDRESS PHONE # 9d/ T,o r• r bVaY l, Z ,
PROJECTADDRESS
T3o5 2 E c UAKETZSFIEILD STATE CA ZIP CODE
9330
CONTRACTOR NAME
CONTRACTOR INFORMATION
CA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
CONTRACTOR COMPANY NAME
ADDRESS CITY
FAX #
ZIP CODE
All
G
permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
PER . MIT TYPE FEE CALCULATION TOTAL
DUE
Alarm - New & Modification (minimum charge) $280
ONLY
TREASURY
ACCT NO
Over 10,000 sq ft 0 .028 x sq ft
280Sprinkler - New & Modification (minimum charge)
Over 10,000 sq ft
Minor Sprinkler Modification (<10 heads)
0 .028 x sq ft
96 (inspection only) 84
Commercial Hood (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
Underground Storage Tank (Installation /Inspection) NI
109 /tank
878 /tank
82
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 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
96 /hr a
82
82Oilwell (Installation, Inspection, or re- inspection) X
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 /insp) =$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
FD2021 (Rev 04/08)
Pi'sf I F I
iyp OC Drawei,. I
Oec; 36 J't(LW. it Asount
TCjpACIE ANK PERMIT
Oe, $96.00
SL Q[Lf
lender 0t2i.-
CY. D-UK 15435 !%.%
Total end,wc $96. RratalR9GE # +.m
Tranq date; iRe: 9:LT""77
IEL.' C;'NTPU THF PET P(N)LUTIPTY,
P E 4SE leAY OR NWTER
BAKERSFIELD FIRE DEPARTMENT
OIL WELL SAFETY Prevention Services
1501 Truxtun Ave., 1t Floor
APPLICATION ARSM , r Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
DRILL NEW OIL WELL
In conformity with provisions of pertinent ordinances, codes, and /or regulations, permission is
hereby granted to:
c
COMPANY ME
l
ADDRESS / TwQr e ej S44;0-, 02 ///
re- G _
LOCATION OF WELL: SECTION TOWNSHIP
4
RANGE NAME OF E
3
TELEPHONE # TYPE OF ORGANIZATION (CORPORATION, PAR SHIP, INDIVIDUAL)
6G /- 327 -3oZ/ Cor ra. 7rio
Violation of pertinent ordinances, codes, and /or regulations will void this permit.
ISSUED DENIED DATE V9 Zo /o
APPLICANT NAME (PRINT)
O //,C-1;7 r
A/ / APPLICANT SIGNATURE
awl 14A
APPROVED BY
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2075(Rev 01 /08)
BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Reauest Phone No. (661) 326 -3979
1 DESCRIPTION I DATE I SIGNATURE 1
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
1 DESCRIPTION I DATE I SIGNATURE 1
TANK TFSTINC; MODIFICATIONS MINOR/ MAJOR
DESCRIPTION DATE SIGNATURE
PRIOR TO OPERATION OF ANY SYSTEM, .
ALL UST AND /OR AST SYSTEMS SHALL BE'
INSTALLED, COMPLETE AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT..
BUILDINGADDIRFAR Sec. / •" 5 026
JOB DESCRIPTION OCCUPANCY TYPE
OWNER PERMIT NO.
CONTRACTOR ' L – ie. l - . PHONE #
FD 1743