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
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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
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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)