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HomeMy WebLinkAboutUST REP 10/29/2009 HOODS ALARM 3 SC RNKL ER SYSTEMS AST MS`s Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. Oar—/��73 IIIIIIIIIIIIIIIIIIII 69 IE File Number: Address: //p / > /7 Bakersfield, CA 93 Date Received: /p fig_85 Business Name: *\es SYSTEM: BUILDING SQUARE FEET: H OM C TMH LOG New Mod. ❑ ❑ CommerciM flood System Building Sq. Feet: Data Time ❑ ❑ Mrs Agate SYMOM Calculation Bldg. Sq. Ft: ❑ ❑ Fire SprinMer System 2. ❑ ❑ 3. ❑ ❑ Aboveground Storage Tank 4. ❑ [91 Underground Storage Tank minor Soc�w�t�PC� modification Underground Storage Tank removal Underground Storage Tank Mona ire ❑ ❑ Other: Comments: 1 1111111 11111 111 1111 IE UNDERGROUND STORAGE TANKS BAKERSFIELD FIRE DEPARTMENT Prevention Services E E R s P I D 1501Truxtun Avenue 1St Floor APPLICATION ! FIRE Bakersfield, CA 93301 TO PERFORM ELD/LINE TESTING/ A RTM Phone: 661-326-3979 . Fax: 661-852-2171 SB989 SECONDARY CONTAINMENT 4 Page 1 of 1 TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (PUease mote that these are separate individual tests and wiii be charged per separate type test accordingiy.) PERMIT# ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION ca-MI V d / 4C / 1 Qr n SITE.INFORMATION FACILITY ,J q a, ME HO NT CT PER F / � 3 ADDRESS �7S q2 1 0 NER ME r . OPERATO NAME PERMIT TO OPERATE# # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS i 10, 600 be-1 -W- - 2 e . 0 f a000 l Si TANK TESTING COMPANY TESTING COMPANY NE M PHONE#OF CONTACT PERSO MAILING ADDRES G"- r-1 C 3 , NAME&PHQNE#OF TF FR OR SP CIAL INSPECTOR CERTIFI ATION # OLV DATE&TIME TEST TO BE CONDUCTED I ICC# TEST METHOD APPLICANT SIGNATURE DATE T S APPLICATION BECOMES A PERM WH N APPROVED OVED BY DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT B A E R S F Ill-hL D Prevention Services PERMIT # FiRe 1501 Truxtun Avenue, I" Floor ARTM� s Bakersfield, CA 93301 Phone: 661-326-3979 . Fax: 661-852-2171 SITE INFORMATION LOCATION OF PROJECT ;n^ n C. a PROPERTY OWNER J a.h h �oo� (Mc -1 STARTING DATE COMPLETION DATE NAME PRO]ECT NAME � � 11n ADDRESS � PHONE•#q 7 p_72 PROJECiADDRE55, Y` CIiY gAK,ERSFI EL_D STATE CA ZIP([C�O 1 0 Mot t o I ti /V 1 , q3 3b CONTRACTOR INFORMATION CONTRACTOR NAME C� CENSE# TYPE 0 L ENSE PHONE#g! ;TI V � I G 31 I CONTRACTOR COMPANY NAME n .0 FAX# C 1.6 1_3 &,r r ADDRESS ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ' 1 PERMIT TYPE FEE CALCULATION TOTAL DUE ACCT NO 11 Alarm- New&Modification (minimum charge) $280 ❑ Over 10,000 sq ft $0 .028 x sq ft • Sprinkler- New&Modification (minimum charge) $280 ❑ Over 10,000 sq ft $0 .028 x sq ft • Minor Sprinkler Modification (<10 heads) $96(inspection only) 84 ❑ Commercial Hood (New&Modification) $470 ❑ Additional hood $58 • Spray Booth (New&Modification) $470 98 • Aboveground Storage Tank(1 inspection per installation)AST $180/tank 82 ❑ Additional Tank ATI $96/tank 82 ❑ Aboveground Storage Tank(Removal, Mod,or Inspect'n)ATR $109/tank 82 ❑ Underground Storage Tank(Installation/Inspection) NI $878/tank 82 ❑ Underground Storage Tank(Modification) MOD $878/site 82 ❑ Underground Storage Tank(Minor Modification) MTM $167/site 82 ❑ Underground Storage Tank(Removal) TR $573/tank 84 Mandated Leak Detection (test)/Fuel Mont Cert/SB989 $96/hr(2 hrs mini um)=$192 82 NOTE: $96/hr for each type of test/per site even if scheduled at the same time TT ❑ Oil well (Installation, Inspection, or re-inspection) X $96/hr 82 ❑ Tent # $96/tent 84 ❑ After-hours inspection fee $121/hr(2 hrs minimum)=$242 ❑ Pyrotechnic(1 permit per event, plus an inspection fee of $96/hr+ (5 hrs min standby fee/insp)=$576 84 $96/hr during business hours) PY NOTE:After hours Pyrotechnic event inspection is C> 121/hr 5 hrs min standby fee ins = 605 ❑ Re-inspection/Follow-up Inspection $96/hr 84 ❑ Portable LPG (Propane): #of Cages? _ $96/hr 84 ❑ Explosive Storage $266 84 ❑ Copying&File Research(File Research fee$50/hr) $0.25/page 84 ❑ Miscellaneous 84 FD2021(Rev 04/08) o� L L. jumu at II-CKMI 1 S 1 ATEMENT "j.11 iIIII1�jp BAKERSFIELD FIRE DEPARTMENT E R S F l o Prevention Services PERMIT # I FiRE 1501 Truxtun Avenue, 111 Floor +� 'ARTN r Bakersfield, CA 93301 � ` � Phone: 661-326-3979 • Fax: 661-852-2171 SITE INF RMATION LOCATION OF PROJECT ;/�^�S(t In„l•�i� �UUI' PROPERTY OWNER STARTING DATE COMPLETION DATE NAME /�n f_ 4-010 // -j I I CLj�6L1 PROJECT NAME I _�� . ��^ , ,In o M ADDRESS _ 4 l/`Ili E# PROTECT ADDRESS. Y` �y gA ERS 16 Lp STATE CA ZIP CODE, 0 ii 0J 4 CONTRACTOR INFORMATION CONTRACTOR NAME CENSE# TYPE 0 LI ENSE EXl?J TION DATE PHONE# 0 _C CONTRACTOR COMPANY NAME FAX# ADDRESS ZIP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. 1 PERMIT TYPE FEE CALCULATION TOTAL DUE ACCT NO: ❑ Alarm- New&Modification (minimum charge) $280 ❑ Over 10,000 sq ft $0.028 x sq ft ❑ Sprinkler-New&Modification (minimum charge) $280 ❑ Over 10,000 sq ft $0.028 x sq ft ❑ Minor Sprinkler Modification (<10 heads) $96(inspection only) 84 ❑ Commercial Hood (New&Modification) $470 ❑ Additional hood $58 ❑ Spray Booth (New&Modification) $470 98 ❑ Aboveground Storage Tank(1 inspection per installation)AST $180/tank 82 ❑ Additional Tank ATI $96/tank 82 ❑ Aboveground Storage Tank(Removal, Mod,or Inspect'n)ATR $109/tank 82 ❑ Underground Storage Tank(Installation/Inspection) NI $878/tank 82 ❑ Underground Storage Tank(Modification) MOD $878/site 82 ❑ Underground Storage Tank(Minor Modification) MTM $167/site 82 ❑ Underground Storage Tank(Removal) TR $573/tank 84 Mandated Leak Detection (test)/Fuel Mont Cert/SB989 $96/hr(2 hrs mini um)=$192 82 NOTE: $96/hr for each type of test/per site even if scheduled at the same time TT II ❑ Oil well(Installation, Inspection,or re-inspection) X $96/hr 82 ❑ Tent # $96/tent 84 ❑ After-hours inspection fee $121/hr(2 hrs minimum)=$242 ❑ Pyrotechnic(1 permit per event, plus an inspection fee of $96/hr+ (5 hrs min standby fee/insp)=$576 84 $96/hr during business hours) PY NOTE:After hours Pyrotechnic event inspection is @ 121/hr 5 hrs min standby fee ins = 605 ❑ Re-inspection/Follow-up Inspection $96/hr 84 ❑ Portable LPG (Propane): #of Cages? $96/hr 84 ❑ Explosive Storage $266 84 ❑ Copying&File Research (File Research fee$50/hr) $0.25/page 84 ❑ Miscellaneous 84 FD2021(Rev 04/08)