HomeMy WebLinkAbout1416 GOLDEN STATE AVENUE (2)HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOOTH
Permit No. Permit No. Permit No. Permit No.
File Number: 3sz_ Address:
Date Received:
Business Name:
AST UST
Permit No. Permit No.
07- /BOOQ a
4" Co G C p
Bakersfield, CA 933
C ('V- c. Cam.
Comments:
1.
2.
3.
4.
HSPECTM LOG
Date Times
Signature
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System Building Sq. Feet: RY'
Fire Alarm System Calculation Bldg. qS Ft:
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
11 Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
GK Other:
Comments:
1.
2.
3.
4.
HSPECTM LOG
Date Times
Signature
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
AN
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
ALL US ATNDORASTSYSTEMS -SHALLBE
IN—STALL—COMPLETE—AND ACCEPTEDDY
MISC. ACTIVITY THE_BAKERSFIELDCITY -FIRE DEPARTMENT;
FIRE DEPARTMENT-(FINAL)
REMARKS:
BUILDING ADDRESS: /l, ,¢
JOB DESCRIPTION: oiJS ... - OCCUPANCY TYPE:
OWNER: ;4
r
PERMIT NO. / 1C Q
CONTRACTOR: —. PHONE # _ l
FD 1743
t
BILLING & PERM3rT STATEMENT ice'' BAKERSFIELD FIRE DEPARTMENT
LO Prevention Services
PERMIT # FIRE 2101 H StreetARTN'
Bakersfield, C4 93301
Dhnna s Fax- Affil -A';7 -7171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
CAL- VALLEY EQUIPMENT, INC. UNION BANK 03/13/12 0065297
3500 GILMORE 16-49 =63500GIMCC
CA 93308
FRESNO; CA 1220 DATE CHECK NUMBER
661) 327 -4628 PAY EXACTLY THIS . AMOUNT AMbUNT
Three Hundred: Eighty -Fo.ur Dollars " 384.W.:1.'
Lj Underground Storage Tank (Minor Modification) W M
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
Circle Deli Same
STARTING DATE COMPLETION DATE NAME
PROJECrNAME ADDRESS PHONEs
PROJECT ADDRESS
1416 Golden State Ave. CITY SAV_Eii;P_SFIL.D STATE CA zlP000E
Oil well (Installation, Inspection, or re- Inspection) X
CONTRACTOR INFORMATION
82
CONTRACTOR NAME
Cal- Valley Equipment
CA LICENSE i
821733
TYPE OF LICENSE EXPIRATION DATE
A 9/30/2012
M)NE S
661- 327 -9341
CONTRACTOR COMPANY NAME FAX #
Cal-Valley Equipment 661- 325 -2529
ADDRESS C17Y ZIP CODE
3500 Gilmore Ave. Bakersfield 93308
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
CAL- VALLEY EQUIPMENT, INC. UNION BANK 03/13/12 0065297
3500 GILMORE 16-49 =63500GIMCC
CA 93308
FRESNO; CA 1220 DATE CHECK NUMBER
661) 327 -4628 PAY EXACTLY THIS . AMOUNT AMbUNT
Three Hundred: Eighty -Fo.ur Dollars " 384.W.:1.'
Lj Underground Storage Tank (Minor Modification) W M 167 /site 82
Underground Storage Tank (Removal) TR 573/tank 84
K 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 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 pemdt per event, plus an Inspection fee of
96/hr during buslness hours) Illy
NOTE: After hours Pyrotechnic event Inspection Is @ 121 /hr
96/hr + (5 hrs min standby fee/insp) =$576
5 hrs min stand fee = 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 TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
ENHANCED LEAK DETECTION
TANK TIGHTNESS TEST
X LINE TESTING
BAKERSFIELD FIRE DEPT.
D AMY E It 5 F I a L n Prevention ServicesFIRM
PEPARTMBNT 2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 e Fax: 661-852-2171
X TO PERFORM FUEL MONITORING CERTIFICATION
Page 1 of 1
SB-M SECONDARY CONTAINMENT TESTING
Cathodic Protection Testing
SITE INFORMATION
FACILITY Circle Deli
ADDRESS 1416 Golden State Ave. Bakersfield, Ca.
OWNERS NAME Same
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? YES NO
TANK# VOLUME CONTENTS
1 87 U/L
1 91 U/L
TANK TESTING COMPANY
NAME OF TESTING COMPANY Cal - Valley Equipment
MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308
Bruce W. Hinsley 661 -327 -9341 CERnFICATION B33309 Rafael Martinez
DATE & TIME TEST TO BE CONDUCTED
SIGNATURE OF APPLICANT s' 4 DATE 311312012
TM TION RECOM A PERMIT WMM APPROVED
APPROVED BY • DATE , 1Z
FD 2095 (Rev. 09/05)