HomeMy WebLinkAbout2612 buck owens_minor mod 2.17.22INSPECTION RECORD BAKERSFIELD FIRE DEPARTMENT
Prevention Services
'off 2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PS1-1HR
SECONDARY PIPE-5PS1-1 HR
pRp:-P:i n
r
e
MODIFICATIONS MINOR / MAJOR
DESCRIPTION
ATE
SIGNATURE
LAB
FD 2165 (Rev. 3/2018)
PREPARED 8/30/21, 12:01:20 PAYMENT DUE
CITY OF BAKERSFIELD PROGRAM BP820L
----------------------------------------------------------------------------
APPLICATION NUMBER: 21-10000470 2612 BUCK OWENS BLVD
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
PLAN CHECK FEES 92.50
UNDGRND STR TANK MINOR MODIFY 92.50
TOTAL DUE 185.00
Please present this receipt to the cashier with full payment.
BILLING & PERMIT STATEMENT = BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # 2101 H Street
Bakersfield, CA 93301
SITE INFORMATION
LOCATION OF PROJECT PROPERTY OWNER
--"�jb - Alcc
SCOPE OF WORK v NAME
PROJECT NAME - - --- ADDRES
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PROJECT ADDRESS � ^- ^ � -
\1 n ( r-A I *f A1:ZN'1'- CITY. K- EST I E C._-D STATE C.'�C ZIP CODE
CC�NT OR NAME j CA UICEN E n TYPE OF LICENSE EXP ATION DATE PHON
C RACTOR CO,M Y NAME FaX
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Please make checks Payable to CITY OF BAKERSFIELD• NO CASH Please. Thank you - OFFICE
Alarm - New & Modification (minimum charge)
FA
$
302
Over 10,000 sq ft
i$
0 .0302 x sq ft
El.
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices) $
99/hr (2 hrs minimum) = $198
84
Sprinkler - New & Modification (minimum charge)
FIRE I$
302
Over 10,000 sq ft
$
0 .0302 x sq ft
Sprinkler - Minor Modification (<10 heads)
I$
99/hr (2 hrs minimum) - 5198
84
Commercial Hood (New & UL 300 Upgrade Modification)
FHD !$ .
244
Additional Hood
i $
59/hood
_
Commercial Hood - Minor Modification (add/move nozzle)
99/hr (2 hrs minimum) _ $198 i
; 84
-
Spray Booth (New & Modification)
SB I$
244
j
a
Aboveground Storage Tank (1 inspection per installation)
-
AST $
207/tank
QEach
Additional Tank ---_ '-__
$
99/Tank --_ -- - ---- --_-
0
Aboveground Storage Tank Removal, Mod, or Inspect -Ion)
ATR $
129/tank
Underground Storage Tank (Installation/Inspection)
NI $
913/tank
Underground Storage Tank (Modification)
MOD f $
9 - e
Underground Storage Tank (Minor Modification)
MTM
185/site
!
EJ
Underground Storage Tank (Removal)
TR i$
619/tank
,
UST Testing: Fuel Mont Cert/SB989/Cath. Prot./Overfill Prev.
1$
99/hr (2 hrs minimum) _ $198
NOTE: S99/hr for each type of test/per site/per UST
�system even :f scheduled at the same time
TT
aOil
well (Installation, Inspection, or re -inspection)
X $
99/hr
84
0
---I-------
Tent -- ---- --- - - - ----- -- -- ---- ---- -- ----TENT
j$
99/hr -- --- --- -- -- ---- -- ---
QAfter-hours
inspection fee
`$
125/hr (2 hrs minimum) _ $250
Pyrotechnic (1 permit per event, plus an inspection fee
! $
99/hr + (5 hrs min standby fee/insp) = $594,
of 599/hr during business hours) PYRO
-NOTE:
After hours P�ro�technic event. inspection is a� $I25;"hr
(5 hrs min standby fee/insp) _ $693
F-1
Re-inspection/Follow-up Inspection
Portable LPG # Cages?
i$
_
99/hr
84
(Propane): of
,$
99/hr
84
a
i
Explosive Storage
1$
244
84
0
Copying & File Research (File Research fee $51/hr) ! $ 0.02/page 84
F-1 Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle !$ 99/hr 84
FD2021 ( Rev 05/21)
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 lofl
Permit #
TYPE OF APPLICATION: NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
n1 p nNH V� n Mr)nTFTr-ATTnK1 nF PAr-Ti TTY MTNnP Mof)TFTC'ATTnN OF FAC'TI TTY
STARTING DATE/
PROPOSED COMPLETION DATE
FACILITY NAME 1
EXISTING FACILITY PERMIT #
FACILITY ADDRESS - CITY l� ZIP
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APN #
TYPE OF BUSINESS Ulm
TANK OWNER
PHONE #
ADDRESS CITYPA-
CONTRACTOR CA LICENSE # sc)
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ZIP
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ICC # (Oq I (do
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PHONE # BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # INSURER
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1
BRIEFLY DESCRIBE THE WORK TO BE DONE:
�OU1 aj\.-
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO YES EJ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK # VOLUME UNLEADED
REGULAR PREMIUM DIESEL OTHER
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1 ✓
f
Tank Testing Company
NAME OF TESTING COMPAN RPHONE NUMBER
MAILING ADDRESS
ct-
NAME OF TESTER
RM s A P, vuA:
ICC#
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THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PER3URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
t(•
ICC# r
C) LQL � �
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY