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Home My WebLink About101 19TH STREET FMC 2011HOODS ALARMS SPRINKLER SYSTEMS R FF,4, A f Permit No. Permit No. Permit No. Permit No. File Number: / 7Q 7z Address: Date Received: T -.2 7— Business Name: la / l 1 `7-4 5—f Bakersfield, CA 933 wok" SYSTEM: BUILDING SQUARE FEET: New Mod. Commercial Hood System Fire Alarm System Fire Sprinkler System tip'iray ' n'ris[u Aboveground Storage Tank Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 41,-'Other. Comments: C_ Building Sq. Feet: Calculation Bldg. Sq. Ft: jor a. 3. 4. AST UST Permit No. Permit No. R9S ECTIOR9 LOG Date Tina Signature PREPARED 10 /10 /11, 14:03:16 PAYMENTS DUE RECEIPT CITY OF BAKERSFIELD PROGRAM BP820L APPLICATION NUMBER: 11- 10000369 101 19TH ST FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES 96.00 MANDATED LEAK DETECT TEST 96.00 TOTAL DUE 192.00 Please present this receipt to the cashier with full payment. RICH ENVIRONMENTAL SERVICE STATION SERVICES 90- 7162/3222 3794 LIC. #809850 5643 BROOKS CT. dBAKERSFIELD, CA 93308 -3708 DATE _ 661) 392-8687 A . n _. -.. . PAYTOTHE ORDER OF -1 9 IL CHASE JP Morgan Chase Bank, N.A. Bakersfield, CA 93308 LL FOR H' :32227L6 71' 003794 2 308 3 SO 400 ?III DOLLARS : F" W AUTHORIZED SIGNATURE, FC4so i-iV4 ''Vf.: L'. :'i.1. lk'. =;;n `., `1'r, • -a!i• Yy'y"t E iL`LE O„! '.. ...p -.. N4`IDL.CHi9R.jiUB`fiEO'IMAG.E• %17tiW L•L'ADI 'A PEAB= Yl1.TJ1 EAT :. `„u .I!.; w •,i :q.., ..;.. -.. ..y:. n ry+•:. r £ ..t..., +.. ,.4 . >. _ . 4 iAa -;!b ''.zrr Qua f : JaFXJ "zi x• City of Bakersfield CUSTOMER RECEIPT Oper: 5CARRILLO Type: OC Drawer: 1 Date: 10/11/11 01 Receipt no: 3437E Des cr.pt,ion Quantity Amount 2011 1000K69 BP BUILDING PERMITS 1.00 $192.00 Tender detail CK C,-CK 3794 $192.00 Total tendered $192.00 Total payment $192.00 Trans date: 10/11/11 Time: 11:40 :30 HEL CJNTROL THE PET POPULATION PLEASE SKY AND NEUTER 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 TANKTESTING- UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE 1 MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION OF ANY SYSTEM, -, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENT., FIRE DEPARTMENT (FINAL) REMARKS: BUILDING ADDRESS: S f — JOB DESCRIPTION: X14 -fC. OCCUPANCY TYPE: OWNER: PERMIT NO. 11-,6066 36CONTRACTOR: , .yy,. PHONE # ,3.?G - 6 Z. FD 1743 BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servicec 4OPERMIT # Fine ! 02101 S* AR7,N r Bakersfield, CA 93301 PhnnP- 661- 326 -3979 • Fax: 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) SITEINF •' MATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE COMPLETION DATE NAME PROJECT NAME (fin ADDRESS PHONE # Vrt k 411hPROJECTADDRESS ` ` CITY g _SF (E (_D STATE CA ZIP CODE 0 .028 x sq ft CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE TYPE OF LICENSE EXPIRATION DATE rVAa A o t PHONE II CONTRACTOR COMPANY NAME FAX # tvv N KACAY"PA Commercial Hood (New & Modification) ADDRESS CITY ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. Alarm - New & Modification (minimum charge) 280 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 heads) 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 ont Ce SB989 NOTE: $96 /hr for each type of test/pe s e even if 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 84 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ 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 # BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10( E-t S -Mee -T Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS 2- 1 b K k TESTING COMPANY NAME & PHONE i# OF CONTACT PERSON MAILING ADDRESS 5 y3 C oo tS GT. - 3PCK f2SF1E. -C `330£ NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # sc S09 6so DATE & TIME TEST 0 BE CONDUCTED ICC # TEST METHOD 50-lu t @-V3 - OT 013CO l APPLICANT SIGNAT E DATE I THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08)