HomeMy WebLinkAbout4100 california_opi 2.24.22INSPECTION RECORD `^� BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
UST JOB CARD Bakersfield, CA 93301
Tel.: (661) 326-3979
Fes: 16611 852-2171
Post this Card at the Job Site and DO NOT Remove for Duration of Work
DESCRIPTION DATE SIGNATURE
TANK INSTALL
PRIMARY PIPE-50PSt-1HR
[SECONDARY PIPE-5PS1-1 HR
TA K TES
DESCRIPTION DATE SIGNATURE
DESCRIPTION DATE SIGNATURE
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JOB i
CONTRACTOR:
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DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
DESCRIPTION DATE ,.SIGNATURE
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DESCRIPTION I DATE I SIGNATURE
FIPRIOR TO OCCUPANCY OF ANY BUILDING,
ALL UST AND/OR AST SYSTEMS SHALL BE
NTALLED, COMPLETED, AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
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FD 2165 (Rev. 3/2018)
PREPARED 2/23/22, 14 :48 :03 PAYMENT DUE
CITY OF BAKERSFIELD PROGRAM BP820L
___---_-__-------------__---.---___________
APPLICATION NUMBER: 22-10000131 4100 CALIFORNIA AVE
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
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please.
-.PERMIT
TYPE
FEE CALCULATION
TOTAL TREASURY
77
1 Alarm - New & Modification (minimum charge) FA
$ 302
DUE ACCT NO
El
Over 10,000 sq ft
$ 0 .0302 x sq ft
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices)
$ 99/hr (2 hrs minimum) _ $198
84
Sprinkler - New & Modification (minimum charge) FIRE
$ 302
Over 10,000 sq ft
$ 0 .0302 x sq ft
Sprinkler - Minor Modification (<10 heads)
$ 99/hr (2 hrs minimum) _ $198
1 84
Commercial Hood (New & UL 300 Upgrade Modification) FHD
$ 244
Additional Hood
$ 59/hood
_F7
Commercial Hood - Minor Modification (add/move nozzle)
$ 99/hr (2 hrs minimum) _ $198
84
Spray Booth (New & Modification) SB
$ 244
Q
Aboveground Storage Tank (1 inspection per installation) AST
$ 207/tank
Q
Each Additional Tank
$ 99/Tank
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
$ 129/tank
Q
Underground Storage Tank (Installation/Inspection) NI
$ 913/tank
Underground Storage Tank (Modification) MOD
$ 913/site
0
j
Underground Storage Tank (Minor Modification) MTM
$ 185/site
Underground Storage Tank (Removal) TR
$ 619/tank
UST Testing: Fuel Mont Cert/S13989/Cath. Prot./Overfill Prev.
$ 99/hr (2 hrs minimum) _ $198
NOTE: $99/hr for each type of test/per site/per UST
system even if scheduled at the same time TT
Oil well (Installation, Inspection, or re -inspection) X
$ 99/hr
84
Q
Tent TENT '$
99/hr
0
After-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) _ $59
of $99/hr during business hours) PYRO
NOTE: After hours Pyrotechnic event inspection is @ $125/hr
(5 hrs min standby fee/insp) _ !t693
0
Re-inspection/Follow-up Inspection
$ 99/hr
84
Q
Portable LPG (Propane): # of Cages?
$ 99/hr
84
0
Explosive Storage
$ 244
84
Copying & File Research (File Research fee $51/hr)
$ 0.02/page
84
Miscellaneous Site Plan Revj (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 1 of 1
Permit #
TYPE OF APPLICATION: F-1NEW TANK INSTALL/NEW FACILITY F-1NEW TANK INSTALL/EXISTING FACILITY
(CHECK ONE ONI Y`) n MnnTFTr-ATTnni nF FA(-T1 TTv I ✓ I MTnInD KAr)nTCTf-A-rTn1\1 nC CAf-TI TT/
STARTING DATE/ 2/22/22
PROPOSED COMPLETION DATE 2/26/22
FACILITY NAME Samco #4
EXISTING FACILITY PERMIT #
FACILITY ADDRESS 4100 California Ave.
CITY Bakersfield
ZIP CODE
TYPE OF BUSINESS GDF
APN #
TANK OWNER
Samco Food Stores
PHONE #
ADDRESS 4100 California Ave.
CITY Bakersfield
ZIP CODE
CONTRACTOR Kern Construction
CA LICENSE #
ICC #5242369
ADDRESS PO Box 6096
CITY Bakersfield
ZIP CODE 93386
PHONE #661-634-9950
BAKERSFIELD CITY BUSINESS LICENSE #
On File
WORKMANS "On File
INSURER State Fund
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Install Drop Tubes. 87 North, 87 South, and 91
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL? I
YES F I NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
F-1YES a NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR PREMIUM
DIESEL
OTHER
Tank Testing Company
NAME OF TESTING COMPANY Kern Construction
PHONE NUMBER 661-634-9950
MAILING ADDRESS
NAME OF TESTER Josh Simmons
ICC# 5242369
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 PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED APPROVED BY
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