HomeMy WebLinkAbout1416 GOLDEN STATE AVENUEHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH
Permit No. Permit No. Permit No. Permit No.
File Number: Q 33gZ
Date Received: = 17 — / z
Address:
Business Name:
Bakersfield, CA 933
1
a
3
4
AST UST
Permit No. Permit No.
r— +Oo6d3 6 C
Date Time
Signature
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet: CIX
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
0,- Other:
1
a
3
4
AST UST
Permit No. Permit No.
r— +Oo6d3 6 C
Date Time
Signature
BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
Inspection Request PlTone No. (661) 326 -3979
UST NEW INSTALL
DESCRIPTION DATE SIGNATURE
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
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: rn _ n : eT Sc'7 . e .,. n _ Alm,
BUILDING ADDRESS: ell(o
JOB DESCRIPTION: OCCUPANCY TYPE:
OWNER: ,r ' PERMIT NO.
CONTRACTOR: UhAAA( i I&- K PHONE #
FD 1743
0JLL - "NU fit rECK1q11 "j,IA'I -EM ENT
PERMIT # JUNE
i{RTM
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. s
1
INFORMATIONSITE
LOCATION OF PROJECT PROPERTY OWNER
Circle Deli Same
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS PHONE #
PRO]ECi ADDRESS
1416 Golden State ctrY $AV Ei 2,S lE i..- STATE Ci*< ZIP CODE
1Z
CONTRACTOR INFORMATION
96/hr (2 hrs minimum) =$192 17- ,,
1 S B — 9 8 9 Testing G K?` I o 4q
1 Cathodic Protection Testing
96 /hr
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N-&
CONTRACTOR NAME
Advanced Compliance CA LICENSE #
971259
TYPE OF LICENSE EXPIRATION DATE
C61 D40 3/31/2014
PHONE #
661- 706 -4321
CONTRACTORCOMPANY NAME FAX # Advanced Compliance 661- 589 -9329
ADDRESS
3704 Littlefalls Ct. Bakersfield
ZIP CODE
93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. s
1
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
1Z Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
heduled at the same time TT
Oil well (Installation, Inspection, or re- inspection) X
96/hr (2 hrs minimum) =$192 17- ,,
1 S B — 9 8 9 Testing G K?` I o 4q
1 Cathodic Protection Testing
96 /hr
g Ll
N-&
2
82
Tent # 96 /tent 84
After -hours inspection fee 121/hr (2 hrs minimum) =$242
Pyrotechnic (i permit per event, plus an inspection fee of
961hr during business hours)
NOTE: After hours Pyrotechnic event Inspection Is Cgs 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? i 96/hr 84
Explosive Storage 266 84
Copying & File Research (File Research fee $50 /hr) 0.25 /page 84
Miscellaneous
84
BILLING & PERMIT STATEMENT ' BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT 2101 H StreetwRrr
Bakersfield, CA 93301
hL ____ /'I• .tor nh h
i
Alarm - New & Modification (minimum charge)
SITE INFORMATION
LOCATION OFPROJECT PROPERTY OWNER
Circle Deli Same
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS^ PHONE
PROJECTADDRESS
1416 Golden State CnY g 4KERS!G(D STATE C i4 zJPODDE
INFORMATION
96 /hr + (5 hrs min standby fee/Insp) =$576
5 hrs min standb y fee Ins = 605
CONTRACTOR NAME CA LICENSE dAdvancedCompliance97125,
TYPE OF LICENSE EXPIRATION DATE1C61D403/31/2014
PHONE #
661- 706 -4321
CONTRACTOR COMPANY NAME FAX #
Advanced Compliance 661- 589 -9329
ADDRESS cITY ZIP CODE
3704 Littlefalls Ct. Bakersfield 93312
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
E) Alarm - New & Modification (minimum charge) 280
82
0 Over 10,000 sq ft 0.028 x sq ft
84
After -hours inspection fee
Sprinkler - New & Modification (minimum charge) 280
Pyrotechnic (1 permit per event, plus an inspection fee of
96/hr during business hours) PY
NOTE: After hours Pyrotechnic event lns ction Is 121 1hr
96 /hr + (5 hrs min standby fee/Insp) =$576
5 hrs min standb y fee Ins = 605
Over 10,000 sq ft 0.028 x sq ft
Re- inspection /Follow -up Inspection 96 /hr
Minor Sprinkler Modification ( <10 heads) 96 (inspection only)
96/hr
84
84
Commercial Hood (Neva & Modification) 470
84
Additional hood 58
84
13 Miscellaneous
Spray Booth (New & Modification) 470
1&
kboveground Storage Tank (1 inspection per lnstallatioi
Additional Tank
Aboveground Storage Tank (Removal, Mod,or Inspect'i
Underground Storage Tank (Installation/Inspection)
Underground Storage Tank (Modification)
Underground Storage Tank (Minor Modification)
Underground Storage Tank (Removal)
Mandated Leak Detection (test) /Fuel Mont Cert/S6989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time
AST $180 /tank
ATI $96 /tank
ATR $109 /tank
NI $878 /tank
40D $8781site
4TM $167 /site
TR $573 /tank
96/hr (2 hrs minimum) =$192
1 SB -989 Testing cKlo'tq
TT 1 Cathodic PrntPr -t i nn TPgt-
W -I
82
82
82
82
82
82
84
82
0 uii wen kinscanaaon, Jnspecuon, or re- mspecuon) 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 lns ction Is 121 1hr
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
13 Miscellaneous 84
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ENHANCED LEAK DETECTION
TANK TIGHTNESS TEST
LINE TESTING
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., lst Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
X SB -989 SECONDARY CONTAINMENT TESTING
TO PERFORM FUEL MONITORING CERTIFICATION X Cathodic Protection Testing
SITE INFORMATION
FACILITY Circle Deli NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 1416 Golden State Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
1 87 UL
1 91 UL
TANK TESTING COMPANY.
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661- 706 -4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661- 706 -4321 CERTIFICATION #: A25212
DATE & TIME TEST TO BE CONDUCTED Icc #: 8032698
SIGNATURE OF APPLICANT L DATE 8/9/2012
Do* now *W" Apm-yelpr=' APPROVED B DATE -9—/ .r--
FD 2095 (Rev. 09/05)