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Home My WebLink AboutApplication 8-26-19_4-7UNDERGROUND 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 ❑ LINE TESTING ❑ TANK TIGHTNESS ® FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY Jaco #2233/ D & G Liquors NAME & PHONE # OF CONTACT PERSON Omero Garcia (661) 393-7000 ADDRESS 2732 Brundage Lane, Bakersfield, CA 93304 OWNER NAME Jaco Hill OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 12,000 gal. 87 2 12,000 gal. 91 3 12,000 gal. DSL TANK TESTING COMPANY TESTING COMPANY CONFIDENCE UST SERVICES, INC. NAME & PHONE # OF CONTACT PERSON Jessica Baker 661-631-3870 MAILING ADDRESS 16250 MEACHAM ROAD, BAKERSFIELD, CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Tim Capehart (661) 573-8962 CERTIFICATION # TEST METHOD ICC # 8414476 APPL ANT S NAT DATE 7/17/2019 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095(Rev 03/18) f - f OB-DE CRIPTI. J S ON - - OCCUPANCY TYPE r .OWNER: PERMIT.NO x PREPARED 7/18/19, 15:30:15 PAYMENT DUE CITY OF BAKERSFIELD PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 19-10000412 2732 BRUNDAGE LN FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 98.00 MANDATED LEAK DETECT TEST 98.00 TOTAL DUE 196.00 Please present this receipt to the cashier with full payment. BILLING & PERMIT STATEMENT PERMIT # SITE BAKERSFIELD FIRE DEPARTMENT SCOPE OF WORK FMC Prevention Services PROJECT NAME Jaco #2233/ D & G Liquors 2101 H Street n Bakersfield, CA 93301 CITY $AI,'-ER�SFI EL_I�) STATE aA TYPE OF LICENSE EXPIRATION DATE Haz, A, C61 -D4 03/31/2020 Dhnna• Ar.1 -111-1070 . Pnv-titii _RS7_71 71 INFORMATION LOCATION OF PROJECT 2732 Brundage Lane, Bakersfield, CA 93304 PROPERTY OWNER Jaco Hill SCOPE OF WORK FMC NAME Bassam PROJECT NAME Jaco #2233/ D & G Liquors ADDRESS 15000 Olive View, Dr. Unit G PHONE # 8052170610 PROJECT ADDRESS 2732 Brundage Lane, Bakersfield, CA 93304 CONTRACTOR INFORMATION CONTRACTOR NAME CA LICENSE # 804904 CITY $AI,'-ER�SFI EL_I�) STATE aA TYPE OF LICENSE EXPIRATION DATE Haz, A, C61 -D4 03/31/2020 ZIP CODE 91 342 PHONE # 661-631-3870 CONTRACTOR COMPANY NAME Confidence UST Services Inc. FAX # 661-587-9758 ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you. El PERMIT TYPE FEE CALCULATIONTOTAL DUE ❑ Alarm - New & Modification (minimum charge) FA $ 288 ONLY 0 Over 10,000 sq ft $ 0 .0288 x sq ft ❑ Alarm - Minor Modification (Add 1 device/Relocation of 2 devices) $ 98/hr (2 hrs minimum) = $196 84 ❑ Sprinkler - New & Modification (minimum charge) FIRE $ 288 ❑ Over 10,000 sq ft $ 0 .028 x sq ft ❑ Sprinkler - Minor Modification (<10 heads) $ 98/hr (2 hrs minimum) = $196 84 ❑ Commercial Hood (New & UL 300 Upgrade Modification) FHD Additional Hood $ 241 $ 59/hood ❑ Commercial Hood - Minor Modification (add/move nozzle) $ 98/hr (2 hrs minimum) = $196 84 ❑ Spray Booth (New & Modification) SB $ 241 ❑ Aboveground Storage Tank (1 inspection per installation) AST $ 185/tank ❑ Each Additional Tank $ 98/Tank ❑ Aboveground Storage Tank (Removal, Mod, or Inspection) ATR $ 112/tank ❑ Underground Storage Tank (Installation/Inspection) NI $ 900/tank ❑ Underground Storage Tank (Modification) MOD $ 900/site ❑ Underground Storage Tank (Minor Modification) MTM $ 171/site ❑ Underground Storage Tank (Removal) TR $ 587/tank 0 Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot. NOTE: $98/hr for each type of test/per site/per UST system even if scheduled at the same time TT $ 98/hr (2 hrs minimum) = $196 7-19-M JPO ql¢ 15,57() f`q r 0 Oil well (Installation, Inspection, or re -inspection) X $ 98/hr 84 ❑ Tent TENT $ 98/hr ❑ After-hours inspection fee $ 124/hr 2 hrs minimum = $248 ❑ Pyrotechnic (1 permit per event, plus an inspection fee of $98/hr during business hours) PYRO NOTE: After hours Pyrotechnic event inspection is @ $124/hr $ 98/hr + (5 hrs min standby fee/insp) _ $588 5 hrs min standby fee ins = 620 ❑ Re-inspection/Follow-up Inspection $ 98/hr 84 ❑ Portable LPG (Propane): # of Cages? $ 98/hr 84 ❑ Explosive Storage $ 241 84 ❑ Copying & File Research (File Research fee $51/hr) $ 0.02/page 84 ❑ Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle $ 98/hr 84 FD2021(Rev 07/18)