HomeMy WebLinkAbout1501 FELIZ DRIVEHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHOOTel AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
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File Number: /"7- 16 Z Address: t5-0 / C) r'
Date Received:
Bakersfield, CA 933
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Business Name:
SYSTEM: BUILDING SQUARE FEET: INSPECTION L ®G
New Mod.
Commercial Hood System
fire Alarm System
Fire Sprinkler System
Spray FWsh System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other:
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft: p
a. 'o
1.
2.
3.
4.
Date Time
Signature
Signature
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # FIRE 2101 H StreetAmyx,
Bakersfield, CA 93301
Ohnno• 441- 114_7370 a Fav KP,1 -RS7 -7171
SITE INFORMATION
Underground Storage Tank (Removal) TR
LOCATION OFPROJECT PROPERTY OMER
Bakersfield City School Dist. Same
STARTING DATE COMPLETION DATE NAME
PROJECT NAME ADDRESS PHONE #
PRO]ECrADDRESS
1501 Feliz CITY g 4K R5 11 trD STATE ('A ZIPCODE
CONTRACTOR INFORMATION
Tent #
CONTRACTOR NAME CA LICENSE #
Cal- valley Equipment 921733
TYPE of LICENSE EXPIRATION DATE
A 9/30/2013
PHONE t
661- 327 -9341
CONTRACTOR COMPANY NAME FAX #
Cal-Valley Equipment 661- 325 -2529
ADDRESS CITY ZIP CODE
X3500 Gilmcire Ave. Bakersfield 93308
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
Underground Storage Tank (Removal) TR 573/tank 84
N Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96/hr for each type of test/per she even if
scheduled at the same time TT
96/hr (2 hrs minimum) =$192
i. y - iiVim' l,z5 4'5 2
92
Otl 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/hrduring business hours) PY
MOTE: After hours Pyrotechnic event Inspection Is 1211hr
96/hr + (5 hrs min standby fWinsp) =$576
5 hrs min standby fee In = 605
84
Re- inspectlon/Follow -up Inspection 961hr 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
u a. nano)_
BILLING & PERMIT- STATEMENT
gap I'D
PERMIT # lte
w fr
BAKERSFIELD FIRE DEPARTMENT
Prevention 5ervims
2101 H Street
Bakersfield, CA 93301
Phnne: 661 -326 -3979 • Fax: 661 -R52 -2171
SITE INFORMATION
LOCATION OF PROJECT
Bakersfield City School Dist
PROPERTY OWNER
Same
STAr nNG DATE COMPLETION DATE NNaNE
PROJECT NAME ADDRESS PHONE #
PRwECrADDRESS
1501 Feliz cTr g l R l>i'A STATE CA lmcm*
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE #
Cal- Valley Equipment 921733
TYPE of LICENSE DWlRATION DATE
A 19/30/2013
PHONE #
661- 327 -9341
CONTRACTOR COMPANY NAME -
Cal - Valley Equipment
FAk #
661- 325 -2529 ,
ADDRESS
3 Gilmore Ave.
CITY
Bakersfield
ZIPCODE \
93308
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
C1 PERKIITTYPE FEE CALCULATION' TOrAL
DUE
Alarm - New & Modification (Tninimum charge) $280
TREASURY;:
ACCT NO
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 R
Minor Sprinkler Modification ( <10 heads) 96(1nspection only) 84
Cornmercial Hood (Neat & Modification) 470
Additional hood 58
Spray Booth (New & Modification) 470
98
Abovegmund 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/Ir T) 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
11 Mandated Leak Detection (hest) /Fuel Mont Ceht/SB989
NOTE: $96/hr fts each type of test/per site even N
scheduled at the same time TT
96/hr (2 hrs minimum) =$192
4- a5 - 2 b0 CcS 45 2 d'L
82
OH well (Installation, Inspection, or re4nspection) X 96/hr 82
Tent # 96/bent 84
After -hours inspection fee 1211hr (2 hrs ndnlmum) =$242
Pyrotechnic (1 perrnit per event, plus an frLspection fee of
96/hr during business hours) PY
OTE: After hours Pyrotechnic event inspection Is 1211hr
96/hr + (5 hrs min standby fee/insp) =$576
5 hrs min = 605
84
Re- inspection/Follow -up Inspection 961hr 84
Portable LPG (Propane): # of Cages? _ 96/hr 84
Explosive Storage 266 84
Copying & Rk Research (File Research fee $50/hr) 0.25 /page 84
13 Miscellaneous 84
F02021 M6,04h0l
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
SB989 SECONDARY CONTAINMENT TESTING
TANK TIGHTNESS TEST AND
PERMIT NO.
ENHANCED LEAK DETECTION LINE TESTING
TANK TIGHTNESS TEST
BAKERSFIELD FIRE DEPT.
D A K R a s P I B L D Prevention ServicesFIR!
DBPARrIIBNr 2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
X SB -989 SECONDARY CONTAINMENT TESTING
SITE INFORMATION
FACILITY Bakersfield City School Dist.
ADDRESS 1501 Feliz Dr. 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 Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Cal - Valley Equipment
MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308
Bruce W. Hinsley 661- 327 -9341 CERTIFICATION I- B33309 Rafael Martinez
DATE & TIME TEST TO BE CONDUCTED
SIGNATURE OF APPLICANT 1+— DATE 4116/2012
TM 6E<tQM A PERMIT WHEN APPMVW
APPROVED BY DATE , -2—
FD 2095 (Rev. 09/05)
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
TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
IMODIFICATIONS 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)
tEMARKS:
BUILDING ADDRESS: SU F 4
JOB DESCRIPTION: _ OCCUPANCY TYPE:
OWNER: k. C: z- PERMIT NO.
CONTRACTOR: f PHONE # 7--.
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