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Home My WebLink About2900 UNION AVE MINOR JOB FOLDERINSPECTION RECORD `�' BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 Street UST JOB CARD Bakersfield, CA 93301 Tel.: (661) 326-3979 Fan: 16611852-2171 Post this Card at the Job Site and DO NOT Remove for Duration of Work PRIOR TO OCCUPANCY OF ANY BUILDING, ALL UST AND/OR AST SYSTEMS SHALL BE INTALLED, COMPLETED, AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPAXW'�O 2 0O U."0, JOB DESCRIPTION: ,ter c,4 r jr cj OWNER: I PERMIT NO.' 7S" CONTRACTOR: 7 N 5 FD 2165 (Rev. 3/2018) BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 2101 H Street PERMIT APPLICATION �•�, Bakersfield, CA 93301 TO CONSTRUCT -INSTALL NEW TANK (NEW FACILITY)/NEW ' Phone: 661-326-3979 • Fax: 661-852-2171 TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD Page 1 of 1 Permit # TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY RI NDnnTFTrATTnN nF FArTI TTY n MINOR MODIFICATION OF FACILITY STARTING DATE/ /I f V - >o PROPOSED COMPLETION GATE FACILITY NAME 41;j f f_- S ONKr EXISTING FACILITY PERMIT i FACADDRESSrvrn�,/1 Itf/vlO Bf/ IIM vNfIVX/�Mp Cm �•LI_^ r� /Al�N ZIV CODE O� TYPE OF WSINEIG 1 G AW �/ A/ TANK OWNER r*'1_ •Le �Io rt T GV ♦4 PHONE lkX :Sta � 1�T T -1 1 4 ADDRESS _r ITY C p� CODE ZIP Ot^ CONTRACTORR S1 1 �1_ ,•I r L lI- CA LICENSE4 1CCA .L •J L-,• ADDRESS l O %/F'F 8)� r CIry r/V ZIP CODE -A G�uT• PHONE 'w� /LTO^, BAKERSFIELD CITY BUSINESS UUNSE R WORKMANS COMA INSURER ✓ BRIEFLY DESCRIBE THE WORMTOBE DONE: ?6wN�c� �P�"4 ql Qr Nc.AG 9w.� WATER TO FACILII PROVIDED BY DEPTH TO GROUND WATER I M SOIL TYPE EXPECTED AT SITE I /1 A OF TANKS TO BE INSTALLE ARE THEY FOR MOTOR FUEL?SPILL EJ YES O NO PREVENTION CONTROL AND COUNTERMEASURES PIAN ONFIIE? CI YES O NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION w toor- TANK VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER Tank Testing Company NAME OF TEBTING COMPANY ''-11�V I�.�C I((ItI y,.,.V �F�T//'K�--.✓� PHONE NUMBER /UVJ MAILING ADDRESS NAME OF TESTER rf',ylG THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITHTHE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OFTEBTER F•� A�j THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY F02f)86 fRev ]1/20151 BILLING & PERMIT STATEMENT 1/^ BAKERSFIELD FIRE DEPARTMENT \! Prevention Services PERMIT # \ 2101 H Street `�✓ Bakersfield, CA 93301 ocvroN OE PROJECT zew W,0�/j � - PPROPERIY OWNER -r,*. conPpETION Dare l H�7 CnE Y�; W 'Hat, io E r pyo I' /jM /� •' �Airrl [J F55/W •/rV/®IV Av, Awl PRO]ELT PDDRsss Z��O �GN cm PAh.ERSFIELD sTare GA 'p"pat e15— CONT Cmli croR comPPrv. nnrvr Du� OO�S� ;s P_� Please make. che,Rs payable tD C. m �,sFI BAKERSFIELD. NG GA° you. ❑ Alarm - New & Modification (minimum charge) FA $ 288 --- t --Over 10,000 sq f[ —--_---- —� $ 0.0288 x sq R D ' ❑ Alarm - Minor Modification (Add 1 geoice/Relocation of 2 devices) $ 98/hr (2 his minimum) _ $196 i ❑ � Sprinkler -New &Modification (minimum charge) FIRE $ 288 -- r ❑� _ _— Over 10,000 sq ft $ 0 .0288 x sq it 84 ❑ Spr nklcr - Minor Modification (,10 heatls) i Sprm $ 98/hr (2 ll m nimium) _ $196 -- Hood (New & UL 300 Upgrade Modification) FHD $ 241 ❑ Commercial Additional Hood $ 59/hood _ 84 _I.--- O __..___— ._._._ _ Commercial Hood -Minor Modific_ation (add/_move nozzle)_ ___ $ 98/hr (2 hrs. minimum) _ $196 ❑ Spray Booth (New & Modification) SS $ 241 ❑ Aboveground Storage Tank T inspection per installation) �$ 98/Tank OEach Additional Tank ❑ MUM Storage Tank .(Removal Mod, or Inspection) ATR $ 112/tank ❑ IAbove9 Underground Storage Tank (Instellabommeparton) _ NI $ 900/tank ❑ Underground Storage Tank(Modfication) MOD 900/site U nder9round Storage Tank (Minor MddlpCation) MTM $ 171/site_ ❑ Underground Storage Tank _TR g g(Removal)_ $ 58L/hark ----- ❑ _ Mandated UST Testing: Fuel Mont Cert/58989/Cath Prot $ 98/hr (2 fire minimum) _ $196 NOTE. _-- __. _ j 011 well (tns[allat on Inspect on or re mspecbon) A $ 98/M1r 84 , ❑ — TENT $ 98/hr_. Ten[ _,___ ___ ._. _..._ __❑ ❑_ J Ake M1ogrs_nspec[ion fee _,_ _.___ 124 hr 2 h s.minimum - 48 $ — �-S ) �2-- ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $ 98/hr + (S his min standby fee/inep) 9 urs) PVRO �, _.. _. :rv. t ❑ spection Runs ec[ion(Follow-us Inspection p p $ 98/hr __ 84 r-- ❑ Portable LPG (Propane) # Of Cages, I$ 98/hr 84 1 p CPlos e S[ora9e $ 241 i 84 j-- Copying &File Research (File Research fee$51/hr) _ B4 ❑ Moscelll aneore 5'te Plan Review (Carnival & Faim/Veh de $ 98/hr 84 mnv nvv.1's, PREPARED 12/26/19, 16:38:25 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM EP820L -----____-.------------------__-----_____-_------____---------_-___ APPLICATION NUMBER: 19-10000757 2900 UNION AVE FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 85.50 UNDORND SIR TANK MINOR MODIFY 85.50 TOTAL DUE 171.00 Please present this receipt to the .cashier with full payment. REMARKS: ` BUILDING ADDRESS: L/ . , JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: NO 'I CONTRACTOR: PHONE # �f 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 # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS � a ar c BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661 -852 -2171 Page 1 of 1 ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT .DEL MONITORING CERTIFICATION SITE INFORMATION FACILIT`f M 1 N IT 5-T- D NAME & PHONE # OF CONTACT PERSON G) U ADDRESS 2q v0 U►V1C.i N Ae\16 � &P 4- ",p—,JF- I eD C-ot%, 33 0 5— OWNER NAME ^ Lf C) V 4 ,w 1 V OPERATOR NAME �� /IT PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES NO TANK # VOLUME f A 1 L� i s 4'� i �i oV � rJ 0 v CD Lt�'�' �CONTENTS I t,-t._ eu u4er C) G) 0 Gok- .. • �� 1 a TANK TESTING COMPANY TESTING COMPANY NAME & PHONE # OF CONTACT PERSON A LdGI Pi MAILING ADDRESS l l ®O S +T -` L A � } 2.71 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # DATE' &TIM TEST T BE CONDUCTED ICC # ��^ ® L4 1 TEST METHOD °¢1��•' *",t4n+ APPLICAN GNA RE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) ■ ff H • 'IN Hi i�q a1 a] , It. O Cl) :3 Z E CL 6 CO co Z E CL ■ ff H • 'IN Hi i�q a1 a] , It. CO co cn (D I�e cz 00 z C ■ ff H • 'IN Hi i�q a1 a] , It. cn E 0 0 0 ® 0 4 " cn >� cn cn cn cn cn T ■C.) 1= c 0 0 0 0 m CL UL cm IM tm 0) E cn 0 > 3— a— L- E w 0 LM 0 0 .&- a m V 1i U—L cn < 0 c C: 5 ® CZ — m > -0 L OE-o 0 E a) v c� o r-1 ® ® ❑ E ®