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Home My WebLink About1125 COFFEE ROAD (3)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: 1z -Z-3 Date Received: 7 -2 — Z Address: Bakersfield, CA 933 Business Name: V'0 SYSTEM: BUILDING SQUARE FEET: 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 13,1 Other: F lAel c Comments: Building Sq. Feet: Calculation Bldg. Sq. Ft: a 3 NSPEcTooN LOG Signature BILLING & PERMIT STATEMENT PERMIT # B B R aRfer f BAKERSFIELD FIRE Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: DEPARTMENT 661 - 852 -2171 FD2021 (Rev 05/10) SITE INFORMATION LOCATION OF PROJE 1311--, e 1, - PROPERTY OWNER n 1-4ir.4 (0 STARTING DATE COMPLETION DATE NAME C, V q PROJECT NAME AD ES OC) I )t Q'PiZ HONE# 9 5 y b9o Z PROJECT A DRESS ` J CITY STA C I ZIP CODE CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE # PE F LICE E EXPIRA ON D TE R 03 -- 09 o PHONE # 1 LI -- o CONTRACTOR COMPANY N ME 7 3 873 FAX # cl) 73M ADDRESS 14 1 r"mm Ldeak Ave. CITY ZIP CODE A00 permits must be Irevie ed, stamped, and approved RUM V® 0$EGIlfi`JMMS lWG RK. 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 /Inspect) 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 Cert/SB989 TT NOTE: $96 /hr for ea type of test/per site even if scheduled at he 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 FD2021 (Rev 05/10) BILLING & PERMIT STATEMENT PERMIT # s_ B_xsa_in FIRd ARrN r BAKERSFIELD FIRE Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: DEPARTMENT 661 - 852 -2171 6r' wH p'i?e*E•mks @'ti's+ st, be ii av8 e -ojved , st ag'a`iipmd, and appd'9"a@7ed PRI— VOR TO BEGINNING "WORK. Over 10,000 sq ft SITE INFORMATION. LOCATION OF PRO]E PROPERTY OWNER 280 STARTING DATE COMPLETION DATE NAME nn v i PRO]ECTNAME Z AD ES n ACA HONE #( PROJECT A D CITY STAT ZIP CODE GlS_ 8281 COMMONWEALTH AVE. s• o• s CONTRACTOR NAME CA LICENSE # PE .AF LICENSE EXPIRA ON D TE PHONE # CONTRACTOR COMPANY N ME 1 I ^+ FAX # ADDRCSS_, t11 I j - ,/1 + . C () 1 1'1 -- ZIP CODE 6r' wH p'i?e*E•mks @'ti's+ st, be ii av8 e -ojved , st ag'a`iipmd, and appd'9"a@7ed PRI— VOR TO BEGINNING "WORK. Over 10,000 sq ft 0 .028 x sq ft I Sprinkler - New & Modification (minimum charge) 280 27200 WAYNE PERRY, INC. PH. 714- 826 -0352 8281 COMMONWEALTH AVE. 16 80/1220BUENAPARK, CA 90621 C DATE PAY TO THE 0099 ORDER OF AG DOLLARS 8 J AUTHORIZED SIGNER AMERICAN BUSINESS BAN7C 523West 6th Street • Suite 900 Los Angeles, CA 90014 -1223 FORi 00272001" 1:1 2 20 L. 2160 71: 0210 82711' DJ /J /IdIIK 84 A . Mandated Leak Detection (test) /Fuel Mont Cert /SB989 TT 96 /hr (2 hrs minimum) =1192 82 NOTE: $96 /hr for ea type of test/per site even if scheduled at he same time 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 96 /hr + (5 hrs min standby fee /insp) =$576 84 during business hours) PY NOTE: Aftei NOUrs Pyrotechnic evens inspection is n $121/hr 5 hrs min staridby iee!insp) =605 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 05/10) 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 he charged per separate type test accordingly.) PERMIT # ENHANCED LEAK DETECTION TANK TIGHTNESS FC aR/ R> rer IF BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 a Fax: 661 - 852 -2171 Page 1 of 1 LINE TESTING SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION FD2095 (Rev 03/08) SITE INFORMATION FACILITY ARE K PHONE # OF CONTACT PE Po ADDRESS At_ t OWNER NAME OPERAT NAME OLAP,;Ce- PERMIT TOOPERATE # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES NO TANK # VOLUME CONTENTS TI o e v 4 e c I TANK TESTING COMPANY TESTING COMPANY ARE aL PHONE OF OPITACT PERSON iZo MAILIN ADDRESS Cob e a K CA qO6291 N E & PNONOE OF TEST R Cie+ OR PECIAL IN ( 1 1 PECTOR w CERTIFICATION # DATE & TIME TETkO BE CONDUCTED ICC a TEST METHOD APPLI A SIGN TURE DATE THIS APPLICATION B COMES A PERMIT WHEN APPROVED APP ED DATE FD2095 (Rev 03/08)