HomeMy WebLinkAbout11 E 4th st_ust sb989 2.2.22INSPECTION RECORD `A� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD ' . Bakers
field, field, CA 93301
v Tel.: (661) 326-3979
Fes: f6611852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1 HR
SECONDARY PIPE-5PS1-1HR
PRF_FI Il
DESCRIPTION DATE SIGNATURE
DESCRIPTION DATE SIGNATURE
BUILDING ADDRESSw [ G r A-4 L�
JOB DESCRIPTION:
OWNER:
CONTRACTOR: -�
I DESCRIPTION I DATE I SIGNATURE
MODIFICATIONS MINOR /MAJOR
DESCRIPTION I DATE I SIGNATURE
DESCRIPTION I DATE I 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.
FIRE DEPARTMENT IFINAL)
PERMIT NO.: C 0
FD 2165 (Rev. 3/2018)
PREPARED 1/10/22, 12:29:36 PAYMENT DUE
CITY OF BAKERSFIELD PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER: 22-10000015 3624 CALIFORNIA AVE
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.
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
FPrevention Services
PERMIT # 2101 H Street
Bakersfield CA 93301
� •' s
LOCATION OF PROJECT pROf ERTY OWNER
SCOPE OF WORK NAME
PROJECT NAME
ADDRESS #
PROJECT ADDRESS VHONE
- ---
CONT17OR NAME l cA CEN E n TYPE OF LICENSE EXP ATION DATE PHON
CTOR CON1 A.
-
Y NAME
-- -- V t V l"[--- ---- E N L l Fax
ADC
C qCZjt-
ZIP
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you. •
Alarm - New & Modification (minimum charge) FA $ 302
Over 10,000 sq ft -- -- - - --- - --- - -� --- 0 . 030 --�- —�
- - -- -- - - - --- ----- I$ x sq ft
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices) $ 99/hr (2 hrs 198 minimum =
- -- - -- - - - ) $ 84
Sprinkler - New & Modification (minimum charge) FIRE $ 302F7
Over 10,000 sq ft ' 0 .0302 x sq ft
Sprinkler - Minor Modification (<10 heads) $ 99/hr (2 hrs minimum) _ S198
_ 84
Commercial Hood (New & UL 300 Upgrade Modification) FHE T,$ 244 -
Additional Hood
-----� - ---- - - -- __.� 1 $ 59/hood
! Commercial Hood - Minor Modification (add/move nozzle) $ 99/hr (2 hrs minimum) 198 1
84
Spray Booth (New & Modification) -SB $ 244
Q
Q
Q
j Aboveground Storage Tank (1 inspection_ per installation) AST
1 Each Additional Tank _
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
: Underground Storage Tank (Installation/Inspection) NI I
207 tank
99 Tank
1$ 129/tank
91 n
Underground Storage Tank (Modification)
MOD
$ 913/site
_
Underground Storage Tank (Minor Modification) —
MTM ,$
185/site
d/01�UJS derground Storage Ta moval)T Testing: Fuel Mont C rt/SB989 ath. Prat./Overfill Prev.
OTE. $99/hr for eac test/peg- sii:e/rer LAST
S�,stern even if scheduled at the same time
aOil well (Installation, Inspection, or re -inspection)
Tent------ - -- ---- ----- ---- -
TR 1$ 619/tan k
$ 99/hr (2 hrs minimum) $198
TT
'$ 99/hr 84
-- -- -- TENT $ 99/h r
C� After-hours inspection fee - -- - -- ---- - --- - -- !- 125 hr - i - --- - 2 hrs minimum - 250 _
' Pyrotechnic (1 permit per event, plus an inspection fae
p $ 99/hr + (5 hrs min standby fee/insp) = ss94
of $99/hr during business hours) PYRO
--- - NOTE: After hours Pyrotechnic event inspection is �_� $125/hr i ; 5 hrs ruin standby fee/inspl = $693
Q ; Re-inspection/Follow-up Inspection - 99 hr
_ _� I _ I 84
Portable LPG (Propane): # of Cages? $ 99/hr 1 84
E:1 Explosive Storage $ 244 84
-Copying & File Research (File Research fee $51/hr) j $ 0.a2/page
-- -- - -- - --- - ---- _ _ _ 84
Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle $ 99/hr
--- 84
Diqnlay-/Motion '
FD2021 (Rev 05/21)
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
FACILITY
---- C U
ADDRESS R rqg
OWNER NAME
OPERATOR NAME
# OF TANKS TO BE TESTED:
T A N K #
2
ERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
1
age 1 of 1
P
❑ LINE TESTING SB-989 SECONDARY CONTAIN
El FUEL MONITORING CERTIFICATION OVERFILL PREVENT1ON
SITE INFORMATION
,, j NAME & Pi•�ft3NE # o� CONTaeT PERSO�i
PERMIT TO OPERATE
IS PIPING GOING TO BE TESTED? 0 YES ❑ NO
�— VOLUME CONTENTS
- cl,
Mtn o
TANK TESTING COMPANY �
TESTING COMPA _T - - - --- --
�� ; PI`AM�Ee&_ PHONE # OF CONTACT PERS
� J�MMVRO -
MA.LING ADDRESS
\SUW;� V-S <� COT*
NAME & PHO tOF ER OR SPECIA INSPE I CERTIFICATION
TEST METHOD ICC � ------ - - — -- --- -- - ----- -
APPLICANT S NATURE DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED i
FD2095 (Rev 09/20)