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Home My WebLink AboutUST SB989 2012HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH Permit No. Permit No. Permit No. Permit No. File Number: 3Sgz Address: Date Received: Business Name: AST UST Permit No. Permit No. is_/0 do0oC49 o 100 S . g__ L srBakersfield, CA 933 Cn g ( . e LL L S j c),,C- 1. 2. 3. 4. Data 'r;__ uignature Other: S, 5' Signature Comments: l SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Building Sq. Feet: Fire Alarm System Calculation Bldg. Sq. Ft: Fire Sprinkler System Spray Finish System Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 1. 2. 3. 4. Data 'r;__ uignature Other: S, 5' Signature Comments: l 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 PRIORTO OPERATION OF ANY SYSTEM, . TALL UST AND /OR AST SYSTEMS SHALL BE 1 INSTALL,_ COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) T REMARKS: BUILDING ADDRESS: /00 S . JOB DESCRIPTION: 53- g OCCUPANCY TYPE: I OWNER: 5 e-L L Li PERMIT NO. - /pdpp Q G 0 CONTRACTOR: tC PHONE # 3aCb -c6`46 FD 1743 BILLING. & PERMIT STATEMENT • BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # F V\ St R >.r Bakersfield, CA 93301 Phnna• A,A,1- 'A7F, - 'IQ7Q a Fay- F;A1 -R57 -7171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) SITE INFORMATION LOCATION OF PROJECT ,k ^ f PROPERTY OWNER STARTING DATE COMPLETION DATE NAME Cn up V PROJECT NAME ADDRESS ONE # PRO]ELTADDRESS CITY 'AI_ CRSFI ELD STATE CA 1111E CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE # 7OF LICENSE EXPIRATION DATE PHONE # kY1R 5 Nc 1 O 1 l 3a cc -e jgp CONTRACTOR COMPANY NAME FAX # 843 L4ivv v rvvt-} , 3ac ADDRESS f I ' IJR.0D S CITYCITY r T C ZIP CODE 3O B All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) 280 p 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 headsp ( ) 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 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 Leak Detection (test) /Fuel Mont Ce SB98 NOTE: $96 /hr for each type of test/per site eve scheduled at the same time TT 96 /hr (2 hrs minimu =$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 QA BILL/.INrA& PERMIT STATEMENT lill6 dl1 ' BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # t FIR! 00 SCR ARfr Bakersfield, CA 93301 AwAgpos- Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification (minimum charge) 280 1 Over 10,000 sq ft 1$0.028 x sq ft I i RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 PAY TO THE ORDER OF r CHASE JP Morgan Chase Bank, N.A. Bakergfield, CA 93308 FOR n' 03883u' 1 :3 2 2 27 16 27': F1.41- na• 90- 7162/3222 3883 DATE J DOLLARS 'L_- 0.'-d 5y 9F JF AUTHORIZED 308 3 50 400 711' Underground Storage Tank (Removal) TR SITE INFORMATION LOCATION OF PROJECT ' \ \ W PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME ADDRESS O HONE # PRO]ELTADDRESS CIiY gA_ERJSf=IEI.p STATE CA ZIPCODE CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE Spm e_5 GNc EatEOF LICENSE EXPIRATION DATE 0 t t PHONE # CONTRACTOR COMPANY NAME FAX # ADDRESS 5(>z -k3 ' 2DOiC.S C . CM 1k C rLS ` E t ZIP CODE w BC -3 CJ All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 Alarm - New & Modification (minimum charge) 280 1 Over 10,000 sq ft 1$0.028 x sq ft I i RICH ENVIRONMENTAL SERVICE STATION SERVICES LIC. #809850 5643 BROOKS CT. BAKERSFIELD, CA 93308 -3708 661) 392 -8687 PAY TO THE ORDER OF r CHASE JP Morgan Chase Bank, N.A. Bakergfield, CA 93308 FOR n' 03883u' 1 :3 2 2 27 16 27': F1.41- na• 90- 7162/3222 3883 DATE J DOLLARS 'L_- 0.'-d 5y 9F JF AUTHORIZED 308 3 50 400 711' Underground Storage Tank (Removal) TR 5i3 /tank w Mandated Leak Detection (test) /Fuel Mont Ce S698g NOTE: $96 /hr for each type of testlper site eve scheduled at the same time TT 96 /hr (2 hrs minimu =$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 11 Miscellaneous 84 F02021 (Rey 04/OR) E UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELDAINE TESTING/ rT SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # r ! ENHANCED LEAK DETECTION LINE TESTING TANK TIGHTNESS FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10( E-t STREET Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661-852-2171 Page 1 of 1 SB -989 SECONDARY CONTAINMENT SITE INFORMATION _ FACILITY NAME & P E I OF CONTA PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO VOLUME CONTENTS TANK # 1 2 t b 69 TANK TESTING COMPANY TESTING COMPANY NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS 51aL13 3C'oo\cS GT. - ZM<E+RSF tE.c -O . CA °13308NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # MASON 8(089 C)q 6soDATE & TIME TEST O BE CONDUCTED ICC # TEST METHOD acQ a.V3 - OTAPPLICANTSIGREDATE a THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPR Y DATE FD2095 (Rev 03/08)