HomeMy WebLinkAbout106 E White ASTILLING & PERMIT STATEMENT
PERMIT * _ 3
,r - .,Pau =- r::; -r'•� • • '
`OJ:R BAKERSFIELD FIRE DEPARTMENT
■ $ p Prevention Services
1600 Truxtun Avenue, Suite 401
ARSr r Bakersfield, CA 93301
Phone: 661- 326 -3979 •Fax: 661- 852 -2171
FD2021 (Rev 06/07)
1- ORIGINAL WHITE (Treasury) 1- YELLOW (File) • 1 -PINK (Customer)
SITE INFORMATION
LOCATION OF PROJECT
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PROPERTY OWNER
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STARTING DATE COMPLETION DATE O
!� Q-
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NAME Q ��
PR CT NAME
s?ioTr o,1 S 1���c6 SuBS�naJ
ADDRESS
yob E.
PHONE #
PR,O /1DDRES Ljq I LA fC
CITY ::.AV ✓RS�16LA STATE CA
ZIP CODE
9 33
CONTRACTOR NAME
4 Spw� r�i 7l n
CA CONTRACTOR LICENSE #
4 4�� 9 g q
TYPE OF LICENSE EXPIRATION DATE
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PHONE #
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C� *� COMPANY
tjt; 'e M�i4K
Fto J � , / ' v
ADDRESS
�. LAHD� �n;,v�
CifY
S
ZIP COD
93 0�
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. or
•
❑
Alarm - New & Modification (minimum charge)
$280 I 17""
$0 .028 x sq ft �- IIIII�IIIIIIII�II �- 31
IE )
8
❑
Over 10,000 sq ft
4
8
❑
Sprinkler - New & Modification (minimum charge)
$280
■
■
84
98
❑
Over 10,000 sq ft'
$0 .028 x sq ft
r
■
84
98
•
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
••
•
84
98
•
Commercial Hood (New & Modification)
$470
■
84
98 -
❑
Additional hood
$58•
■
•
84
98
❑
Spray Booth (New & Modification)
$470
r
■
84
98
WOO"
Aboveground Storage Tank (Installation /One Inspection)
$180 .G
■
82
•❑
Additional Tank
$96
■
82
❑
Aboveground Storage Tank (Removal /Inspection)
$109
■
82
•
Underground Storage Tank (Installation /Inspection)
$878 /tank
,■,
82
•
Underground Storage Tank (Modification)
$878 /site
82
•
Underground Storage Tank (Minor Modification)
$167
■
82
•
Underground Storage Tank (Removal)
$573 /tank
■
84
•
Oil well (Installation)
$96
■
84
❑
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 for each type of test/per site even if
scheduled at the same time
$96 /site
a
■
■
82
❑
Tent
$96 /tent
■
84 .
❑
After -hours inspection fee
$121
■
❑
Pyrotechnic (per event, plus inspection fee of $96 /hr)
$96 + (5 hrs min.standby fee /insp) =$576
84
•
Re- inspection /Follow -up Inspection
$96 /hr
;
84
•
Portable LPG (Propane): # of cages? _
$96
r
84
❑
Explosive Storage
$266 �---- _� ,1
$0.25 /page = 1NNIIININIIIfII - 32 ;
■
84
•
Copying & File Research (File Research fee $34 /hr)
ff
"' ' ■
84
•
Miscellaneous
FD2021 (Rev 06/07)
1- ORIGINAL WHITE (Treasury) 1- YELLOW (File) • 1 -PINK (Customer)
BILLING & PERMIT STATEMENT
PERMIT # P"r -o53b
A�°�' BAKERSFIELD FIRE DEPARTMENT
Prevention Services
FIRE 1600 Truxtun Avenue, Suite 401
IA'FJIFR
fN r Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661-852-2171
FD2021 (Rev 06/07)
1- ORIGINAL WHITE (Treasury) 1- YELLOW (File) • 1 -PINK (Customer)
SITE INFORMATION
LOCATION OF PROJECT 0 L" L , � 1 -e L-
PROPE,R�YOW"ER
• `^+
STARTING DATE COMPLETION DATE
!` Zq- °
Q ���+,
NAME
PR CT NAME
FI S'm'n DA 5 � t�11 .c Suss�naJ
ADDRESS
NIC 106 IS - vk)K'TC
PHONE #
f o -2. 3
PROJECT DDRESS
a� iE • w1t 17C LA 4�
CTIY g/'C K E I�-S�� E (gyp STATE C�
ZIP CODE
3
CONTRACTOR NAME
W A4.1�.A CG S rK-�t �l
CONTRACTOR INFORMATION
CA LICENSE
V Pot 9'14
TYPE OF LICENSE EXPIRATION DATE
0.3 � •
PHONE #
! - .2.1 -� /w� 3p�
CONTRACTOR COMPANY NAME
L
ICOODE
ADDRESS
2. L-ANb� - -DnLVK
CITY
S
ZIP
9.g 060
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ■
r ■
❑ Alarm - New & Modification (minimum charge) $280 ■
•
84 �
98
❑
Over 10,000 sq ft
$0 .028 x sq ft
■
■
84
98
❑
Sprinkler - New & Modification (minimum charge)
$280
■
■
84
98
❑
Over 10,000 sq ft
$0 .028 x sq ft
■
•
84
98
❑
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
■
■
84
98
❑
Commercial Hood (New & Modification)
$470
■
:
84
98
❑
Additional hood
$58
■
■
84
98
❑
Spray Booth (New & Modification)
$470
■
■
84
98
®�
Aboveground Storage Tank (Installation /One Inspection)
$180 N G.
'
82
❑
Additional Tank
$96
•
82
❑
Aboveground Storage Tank (Removal/Inspection)
$109
■
82
❑
Underground Storage Tank (Installation /Inspection)
$878 /tank
;
82
❑
Underground Storage Tank (Modification)
$878 /site
i
82
❑
Underground Storage Tank (Minor Modification)
$167
■
82
❑
Underground Storage Tank (Removal)
$573 /tank
■
84
❑
Oil well (Installation)
$96
■
84
❑
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 for each type of test/per site even if
scheduled at the same time
$96 /site
a
■
■
82
❑
Tent
$96 /tent
■
84
❑
After -hours inspection fee
$121
•
•
Pyrotechnic (per event, plus inspection fee of $96 /hr)
$96 + (5 hrs min standby fee /insp) =$576
84
•
Re- inspection /Follow -up Inspection
$96 /hr
;
84
❑
Portable LPG (Propane): * of cages? —
$96
■
84
❑
Explosive Storage
$266
■
84
❑
Copying & File Research (File Research fee $34 /hr)
$0.25 /page
■
84
❑
Miscellaneous
84
FD2021 (Rev 06/07)
1- ORIGINAL WHITE (Treasury) 1- YELLOW (File) • 1 -PINK (Customer)
/22/2008 TUE 13:47 FAX 661 377 0019 BF & PS
Tank Specifications
Secondary Containment Generator Base Tank
U.L. Serial Number P812002
The tank S/N P812002 was manufactured (October 2007) and labeled per
the UL 142 Standard for Secondary Contained Tanks.
Tank Construction:
1. Primary Tank (1.21" L x 51" W x 8" H) (Capacity of 202 Gal.)
1. Bottom of 10 gauge carbon steel
2. Sides and top of 10 gauge carbon steel
3. Interior baffles (2) of 1/4" carbon steel
2. Secondary Tank (125" L x 55" W x 10" H) (Capacity of 284 Gal.)
1. Top and bottom of 10 gauge carbon steel
2. Sides of 1/4" carbon steel with flanges for anchoring and
generator mounting.
3. Tank fittings and accessories included.
1. 2" Primary tank normal vent port with vent
2. 4" Primary tank emergency vent port with vent
3. 4" Secondary tank emergency vent port with vent
4. 2" Secondary monitor port with leak detector
5. 2" Tank gauge port with tank gauge
6. 2" Tank fill port with lockable cap
7. 3/4" Generator suction port
8. 3/4" Generator return port
4. Tank was tested per U.L. 142 Standards for Secondary Contained
Tanks
2001 /001
/22/2008 TUB 13:47 FAX 661 377 0019 BF & PS
Tank Specifications
Secondary Containment Generator Base Tank
U.L. Serial Number P812002
The tank S/N P812002 was manufactured (October 2007) and labeled per
the UL 142 Standard for Secondary Contained Tanks.
Tank Construction:
1. Primary Tank (1.21" L x 51" W x 8" H) (Capacity of 202 Gal.)
1. Bottom of 10 gauge carbon steel
2. Sides and top of 10 gauge carbon steel
3. Interior baffles (2) of 1/4" carbon steel
2. Secondary Tank (125" L x 55" W x 10" H) (Capacity of 284 Gal.)
1. Top and bottom of 10 gauge carbon steel
2. Sides of %4" carbon steel with flanges for anchoring and
generator mounting.
3. Tank fittings and accessories included.
1. 2" Primary tank normal vent port with vent
2. 4" Primary tank emergency vent port with vent
3. 4" Secondary tank emergency vent port with vent
4. 2" Secondary monitor port with leak detector
5. 2" Tank gauge port with tank gauge
6. 2" Tank fill port with lockable cap
7. 3/4" Generator suction port
8. 3/4" Generator return port
4. Tank was tested per U.L. 142 Standards for Secondary Contained
Tanks
2001 /001
/22/2008 TUB 13:47 FAX 661 377 0019 BF & PS
Tank Specifications
Secondary Containment Generator Base Tank
U.L. Serial Number P812002
The tank S/N P812002 was manufactured (October 2007) and labeled per
the UL 142 Standard for Secondary Contained Tanks.
Tank Construction:
1. Primary Tank (1.21 ".L x 51" W x 8" H) (Capacity of 202 Gal.)
1. Bottom of 10 gauge carbon steel
2. Sides and top of 10 gauge carbon steel
3. Interior baffles (2) of 1/4" carbon steel
2. Secondary Tank (125" L x 55" W x 10" H) (Capacity of 284 Gal.)
1. 'Top and bottom of 10 gauge carbon steel
2. Sides of 1/4" carbon steel with flanges for anchoring and
generator mounting.
3. Tank fittings and accessories included.
1. 2" Primary tank normal vent port with vent
2. 4" Primary tank emergency vent port with vent
3. 4" Secondary tank emergency vent port with vent
4. 2" Secondary monitor port with leak detector
5. 2" Tank gauge port with tank gauge
6. 2" Tank fill port with lockable cap
7. %" Generator suction port
8. 3/4" Generator return port
4. Tank was tested per U.L. 142 Standards for Secondary Contained
Tanks
2001 /001