HomeMy WebLinkAboutline test 2021_10_15INSPECTION RECORD `^i BAKERSFIELD FIRE DEPARTMENT
Prevention Services
�pg 2101 H Street
UST JOB CARD Bakersfield, CA 93301
v Tel.: (661) 326-3979
Fes: (661)852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1HR
SECONDARY PIPE-5PS1-1HR
1iDpr=-i=i fl
DESCRIPTION DATE SIGNATURE
UST P RA VAL
DESCRIPTION DATE SIGNATURE
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR /MAJOR
DESCRIPTION DATE I SIGNATURE
AS L
'7
DESCRIPTION DATE SIGNATURE
PRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
INTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
F nFPA T (171 1 io/evvl 11fA
C'
N ////
rJOBDESCRIPTION:
ER: PERMIT NO.:RACTOR: E
FD 2165 (Rev. 3/2018)
PREPARED 9/17/211 8:08:26 PAYMENT DUE
CITY OF BAKERSFIELD PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 21-10000510 1918 M ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
PLAN CHECK FEES 99.00
MANDATED LEAK DETECT TEST 99.00
TOTAL DUE 198.00
Please present this receipt to the cashier with full payment.
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Dhnnn- . Fair• tiF,�-Rrii-71 7�
LOCATION OF PROJECT PROPERTY OWNER
SA004 - 1918 M Street Pacific Bell Telephone Co. dba AT&T California
SCOPE OF WORK Annual Precision Line Testing NAME Adolfo Aguilar
PROJECT NAME ADDRESS PHONE #
SA004 � � � 8 M Street (661) 361-4408
PROJECT ADDRESS 1918 M Street Bakersfield CA CITY -?->,Af<,'C-T`SF1 C-i.....-T:� STATE CA ZIP CODE 93301-4635
CONTRACTOR NAMECA LICENSE # TYPE OF LICENSE EXPIRATION DATE PHONE #
_,�., (714)
���-��
a�� Envir nmental Services i jpC, ,3 �3 �7 X3 3 g,. , - • • � � �, 2/28/2022
18
CONTRACTOR COMPANY NAME FAX # (714)
�-�rQ-GVr��+�Tait Environmental Services, lnc.j t,}
ADDRESS 701 N. Parkcenter Drive CrrY Santa Ana ZIP CODE 92745
Please make checks payable to CITY OF BA ERSFIELD. NO CASH Please. Thank you.
! 1
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PERMIT TYPE
FEE CALCULATION
TOTAL
DUE
TREASURYI
a
❑
Alarm - New & Modification (minimum charge) FA
$ 28-8-
880
0
Over 10,000 sq ft
$ 0 .0288 x sq ft
❑
larm - 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
0
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
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
196
❑
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
OTE: After hours Pyrotechnic event inspection is @ 124/hr
$ 98/hr + (5 hrs min standby fee/insp) = $588
5 hrs min standby fee insD = $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 0//18)
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 # I
L
❑ ENHANCED LEAK DETECTION LINE TESTING
F-1 TANK TTC;HTNFS:� ❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2191 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
Pacific Bell Telephone Co. dba AT&T California
NAME & PHONE # OF CONTACT PERSON
Adolfo Aguilar (661) 361-4408
ADDRESS
1918 M Street, Bakersfield, CA 93301-4635
OWNER NAME
Pacific Bell Telephone Co. dba AT&T California
OPERATOR NAME
AT&T
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? YES ❑ NO
TANK #
VOLUME
CONTENTS
SA004UO-0-1
20,149 Gallons
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Tait Environmental Services, Inc.
NAME 8e PHONE # OF CONTACT PERSON
Carlos Cardenas (714) 567-6418
MAILING ADDRESS
701 N. Parkcenter Drive, Santa Ana, CA 92705
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Pat Banbury 714-920-5476
CERTIFICATION #
SWRCB License # 90-1413
TEST METHOD
Leighton O'Brien Line Test Kit and/or Petro-Tite Test Kit
ICC #
5254955
APPLICANT SIGNATURE
...
DATE
9/9/2021
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)