HomeMy WebLinkAbout2200 BRUNDAGE Lane_ust 2010HOODS ALARM S
Permit No.
Permit No.
SPRNKLER SYSTEMS
Permit No.
SPRAY BOOTH AST . UST
Permit No. Permit No. Permit No.
File Number: , 3 Address: 2ZC'_ e) =— . (-n)
Bakersfield, CA 933
Date Received: /a
Business Name:
SYSTEM: BUILDING SQUARE FEET: F INSPECTION L ®G
New Mod.
❑ ❑ Commercial Hood System -Building Sq. Feet:
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1.
❑ ❑ Fire Sprinkler System 2.
❑ ❑ Spray Finish System vl'�" t Pc - � 3.
❑ ❑ Aboveground Storage Tank �2 6�1 f aJ 1 +0 - C 4.
❑ ❑ Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
❑ 1/ Other:
Comments:
F"_1 C.
Date Time
Signature
o(de
Signature
70
IE
HOODS ALARM S
Permit No.
Permit No.
SPRNKLER SYSTEMS
Permit No.
SPRAY BOOTH AST . UST
Permit No. Permit No. Permit No.
File Number: , 3 Address: 2ZC'_ e) =— . (-n)
Bakersfield, CA 933
Date Received: /a
Business Name:
SYSTEM: BUILDING SQUARE FEET: F INSPECTION L ®G
New Mod.
❑ ❑ Commercial Hood System -Building Sq. Feet:
❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: 1.
❑ ❑ Fire Sprinkler System 2.
❑ ❑ Spray Finish System vl'�" t Pc - � 3.
❑ ❑ Aboveground Storage Tank �2 6�1 f aJ 1 +0 - C 4.
❑ ❑ Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
❑ 1/ Other:
Comments:
F"_1 C.
Date Time
Signature
o(de
Signature
70
IE
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BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION Prevention Services
JARTM R S F I D 1501 Truxtun Avenue 1st Floor
iP /RS Bakersfield, CA 93301
T Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
DISTRICT _
BLOCK NO.
DATE
TEE
FACILITY ADDRESS
CITY, STATE, ZIP V
FACILITY NAME
MANAGER'S NAME
PH NO.
BUSINESS OWNER'S NAME AND ADDRESS .'
CITY, STATE, ZIP
PH NO:,
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP,
PH NO.
OCC TYPE
OCC LOAD
NO. OF FLOORS
HIGH RISE BLDG
RISER DATE
❑ YES ❑ NO
CORRECT ALL VIOLATIONS ViOLATiON
REQUIREMENTS
CHECKED BELOW NO.
1
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
COMBUSTIBLE WASTE / DRY
VEGETATION
304.1.1)
2
Provide non- combustible containers with tight fitting lids for the storage of combustible waste and
rubbish pending its safe disposal. (CFC 304.3:1)
COMBUSTIBLE STORAGE
3
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC
605.3)
4
Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the
top to the extinguisher not more than 5 feet above the floor. (CFC 906.5 & 906.9)
EXTINGUISHERS,
5
Provide and' install (amount) _____ approved (type & size) _________•_________ portable fire
extinguisher to be immediately accessible for use in (area) _____________________________ (CFC
TABLE 906.3(1))
6
Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and /or
after each use, by a person having a valid license or certificate. (CCR TITLE 19: 575.1)
7
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
SIGNS
(door /window) to fire escape. (CFC 1011.5.1)
8
Provide and maintain appropriate numbers on a contrasting background and visible from the street to
indicate the correct address of the building. (CFC 505)
9
Repair all (cracks /holes /openings) in plaster in (location) ---------------------------------------
FIRE DOORS/
FIRE SEPARATIONS '
Plastering shall return the surface to its original fire resistive condition. (CFC 703.1)
10
Remove /repair (item & location) ______________ _______________________________ ______
Self- closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an
approved smoke and heat sensitive device. Self- closing doors shall have no attachments capable of
preventing the operation of the closing device. (CFC 703.2) .
EXITS
11
Remove all obstruction from hallways. Maintain all means of egress free r of any, storage. (CFC 1028.3)
12
Provide a contrasting colored and permanently installed electric light over or near required exit
(location) ______________________________ to clearly indicate it as an exit. (CFC 2403.12.6)
STORAGE .
13
Remove all,storage and /or other obstructions from fire escape landings and stairways stair shafts. (Fire
escapes /stair shafts are to be maintained free from obstructions at all times..) (CFC 1028.3)
14
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES
electrical outlets where needed. (CFC 605.5)
15
Remove multiple attachment cords from specific electrical convenience. outlet (one plug per outlet) (CFC
605.4)
OUTDOOR BURNING
16
Recreational fires or open burning. CFC 1102
FIREWORKS
17
Violations of Section 7802 (CFC) & 8.49.040 (B.M.C.). -
OTHER
18
----
I
v
/ 1 f .
CUSTOMER: 1 %%lendl' R /Cr`$ /)��
LEGEND:
( igri cure) (Please Print Name Legib(, Title)
C.F.C. CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: AP NO.:
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature)
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
FD 2022 (Rev. 03/08)
White - Customer /Original 'Yellow - Station Copy Pink - Prevention Services
n
FIRE PREVENTION INSPECTION
B B R S F T D
* Flffff
Harr r
" . F +h • .. , r.. -.l:' �.S:y R. ,V; d;.N" ,'r <.M " .,V, a, "niy` -i�U Y•+I.
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun •Avenue 1St Floor
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
DISTRICT
BLOCK NO.
DATE r -•�.!{ It . /rfi'J
FEE`y
FACILITY ADDRESS •``�. " = "t -- -.•,, :.-` -
CITY, STATE, ZIP - -�
•�`
FACILITY NAME 1 >Y„ _ ,` "4`--' ` r -
MANAGER'S NAME
PH NO.
BUSINESS OWNER'S NAME AND ADDRESS y' (
CITY, STATE, ZIP
PH NO:
tai
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS v
CITY, STATE, ZIP,
PH NO.
OCC TYPE
OCC LOAD
NO. OF FLOORS
HIGH RISE BLDG
RISER DATE
❑ YES ❑ NO
CORRECT ALL VIOLATIONS VIOU ION
REQUIREMENTS
CHECKED BELOW ■O.
. -•-
I
Remove and safely dispose of all hazardous refuse and dry yvegetation on the above premises (CFC
COMBUSTIBLE WASTE / DRY
VEGETATION
304.1.1)
2
Provide non - combustible containers with tightfitting lids for -the storage of combustible waste and
rubbish pending its safe disposal. (CFC 304.3.1)
COMBUSTIBLE STORAGE
3
Relocate combustible storage to provide at least,3 feet clearance around motor fuse box /fire door (CFC
605.3)
4
r
Relocate fire extinguisher(s) so that they will be in a con spicuous,location, hanging on brackets with the
top to the extinguisher not more than 5 feet above the floor. (CFC-t906.5 & 906.9)
EXTINGUISHERS
5
Provide and install (amount) _____ approved (type & sizVe) =------- - __ portable fire
-------
extinguisher to be immediately accessible for use in (area•) _?_�= '________________ _ _ _ __ (CFC
TABLE 906.3(1))
6
Re- charge all fire extinguishers. Fire extinguishersp shall be serviced 'at least once each year, and /or
after each use, by a person having a valid_ license or certificate. (,CCR TITLE 19: 575.1)
7
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in, height over each required exit
SIGNS
(door /window) to fire escape. (CFC 1011.5.1) -- -''•,
8
Provide and maintain appropriate numbers on a contrasting background and visible from the street to
'
indicate the correct address of the building. (CFC 505)
9
Repair all (cracks /holes /openings) in plaster in (location) —
FIRE DOORS/
FIRE SEPARATIONS
Plastering shall return the surface to its original fire resistive condition. (CFC 703.1)
10
Remove /repair (item & location) ________ +____? ----------------------------------- - - - - -'
Self- closing doors shall be designed to close by gravity, or by the action of a mechanical device, or by an
approved smoke and heat sensitive device. Self- closing doors shall have no attachments capable of
preventing the operation of the closing device. (CFC •703.2)
EXITS
it
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3)
12
Provide a contrasting colored and permanently installed electric light over or near required exit
(location) ___________________________ . =_ to clearly'indicate it as an exit. (CFC 2403.12.6)
STORAGE
13
Remove all storage and /or other obstructions -f_rom fire escape landings and stairways stair shafts. (Fire
escapes /stair shafts are to be maintained free from obstructions at all times.) (CFC 1028.3)
14
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES
electrical outlets where needed. (CFC 605.5)
15
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605.4)
OUTDOOR BURNING
16
Recreational fires or open burnin CFC 1102
FIREWORKS
17
Violations of Section 7802 (CFC) & 8.49.040 (B.M.C.).
OTHER
18
r
R
J
CUSTOMER: 1/ ! ' "� /'f�f /rf l r ✓? $i I)/(lf t i >�
LEGEND:
✓ (Sign ture)! j ! \ (Please Print Name Legibly(Title)
CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: y_ i - AP NO.:
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature)
ASSOCIATION
-,
N.E.C. NATIONAL ELECTRIC CODE
FD 2022 (Rev. 03/08)
White - Customer /Original `Yellow - Station Copy Pink - Prevention Services
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
PERMIT #
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
B E R !T'N P I E D
AR r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
Phone: 661 - 326 -3979 e Fax: 661 - 852 -2171
Page 1 of 1
❑LINE TESTING 1:1 S13-989 SECONDARY CONTAINMENT
E ,/ FUEL MONITORING CERTIFICATION
FD2095 (Rev 06/07)
j
SITE INFORMATION
FACILITY
NAME & PHONE # OF CONTACT PERSON
ADDRESS 22�
�/'Ct�E�S��EI.p� CA
OWNER NAME
a-
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING'COMPANY .
TESTING COMPANY
C' ner�
U5— 5w-
In.e,
NAME & PHONE # OF CONTACT PERSON
drl* &zns CLe t 6 -
MAILING ADDRESS
1 25 0
C'q 3
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
CERTIFICATION #
DATE & TIME TEST TO BE c-dNbUCTED
/ 2.01 t
Xn
ICC #
90mun-1 - u
TEST METHOD
APPLICANT SIGNATURE
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 06/07)
j
CONFIDENCE UST SERVICES, INC. 10101
City of Bakersfield 8/11/2010
#351 Howard's #4 (MC, 9/9/10) 192.00
#562 Fastrip #6 (MC, 9/9/10) 192.00
#1001 Wholesale Fuels (MC, 9/20/10) 192.00
1
Citibank Checking Permits 576.00
CONSTRUCTION PERMIT BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
E E R S F I D 1501 TRUXTUN AVENUE, 1sT FLR
FIRE BAKERSFIELD, CA 93313
ARTM T Office Phone: (661) 326 -3979
Application Number
. . . . .
10- 10000268
Date 8/31/10
Property Address
. . . . .
2200 E BRUNDAGE LN A
ATN (11 Digits):
141 - 300- 08 -00 -9
Application type description
FIRE DEPT
Subdivision Name .
. . . . .
Property Use . .
. . . . . .
Application valuation . . . .
0
Owner
Contractor
------- ------ -- ---
JAMIESON THOMAS J
- - - - --
------------------------
OWNER
P O BOX 82515
BAKERSFIELD
CA 93380
--------- -------------------------------------------------------------------------
Permit '. . . . .
. MANDATED LEAK DETECT TEST.
Additional desc .
.
Phone Access Code
1029651
Permit Fee
96.00
Plan Check Fee
,• 96.00
Issue Date .
. 8/31/10
Valuation . .
. . 0
Expiration Date
2/27/11
----------------------------------------------------------------------------
•Fee summary
-- --------- - -- - --
Charged
---- - - - - --
Paid Credited
---- - - -- ---- - - - - --
Due
Permit Fee Total
96.00
--
96.00 .00
---- - - - - --
.00
Plan Check Total
96.00
96.00 .00
.00
Grand Total
192.0,0
192.00 .00
.00
CALL FOR INSPECTION
(661) 326 -3979
Please state the Permit Number, the Job address, and
the Type of Inspection. Requests for inspections
should be made at least 48 hours in advance.
DECLARATIONS
Permit is issued in accordance with all applicable
Federal, State and Local Ordinances. The permittee
has properly signed and dated the reverse side of this
form. This Permit expires after 180 days of inactivity.
I have reviewed the above application, and find it to
be correct/complete.
Permittee:
Date:
HAZARDOUS MATERIALS STATEMENT
—Yes—No Will the applicant or future occupant handle hazardous material or a mixture containing a hazardous material equal to or greater
than the amounts specified on the list of extremely hazardous substances? See checklist for guidelines.
_ Yes — No Will the proposed building or modified facility be within 1000 feet of the outer boundary of a school?
Yes No Will the intended use of the building by the applicant or future building occupant require a permit for construction or modification
from the Kern County Air Pollution Control District ( KCAPCD) or from the Bakersfield Fire Dept? See checklist for guidelines.
Yes _ No I have read the Hazardous Material Guide and KCAPCD Permitting Checklist. I understand my requirements under the Calif.
Health and Safety Code Sec. 6.95 and Calif. Govt. Sec. 65850 and the requirements of the City of Bakersfield Fire Dept. regarding
hazardous materials.
Owner or Authorized Agen hone No. Date
DECLARATIONS: The declarations below are mandated by the State of California under Section 19825 of the Health and Safety Code.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of the Division 3 of the
Business and Professions Code and my license is in full force and effect.
Lic. Class Lic. No. Exp. Date Contractors Signature Date
OWNER- BUILDER DECLARATION
I hereby affirm that under penalty of perjury that I am exempt from the Contractors License Law for the following reason (Sec. 7031.5 Business
and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure prior to its
issuance also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors
License Law (Chapter 9 commencing with Section 7000 of Division 3 or the Business and Professions Code) or that he or she is exempt there from
and the basis for the alleged exemption. Any violation of Section 7031.5 by any.applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)):
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044 Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or herself through his or her own employees, provided that such improvements are not.
intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner - builder will have the
burden of proving that he or she did not build or improve for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044 Business and Professions
Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon and who contracts for such
project with a contractor(s) licensed pursuant to the Contractor License Law).
I am exempt under Sec. B. & P. C. for the reason
Owner Signature I Date
WORKERS COMPENSATION DECLARATION
I hereby affirm that under penalty of perjury one of the following declarations:
Carrier
I have and will maintain a certificate of consent to self - insure for workers' compensation, as provided for by Section 3700 of the Labor Code,
for the performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work
for which this permit is issued. My workers' compensation insurance carrier and policy number are:
Policy No.
I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become
subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions
of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
Applicant: Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN
EMLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST AND ATTORNEY'S FEES
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097 Civ. C.) '
Lenders Name
Lenders Address
1 certify that I have read this application and state that the information contained herein is correct. I agree to comply with all city ordinances and state
laws relating to building construction and hereby authorize representatives of the city to enter the above mentioned property for inspection purposes. ,
Signature of Applicant or Agent I I Date
`O0104 0,
UST
"COMPLIANCE WITH CONFIDENCE"
August 5, 2010
r.
CITY OF BAKERSFIELD.
Attn: David Weirather
Office of Environmental Services _
Fire Department /UST Program
1501 Truxtun Avenue, First .Floor
Bakersfield,:CA 93301 r
To Whom It May Concern:
Enclosed'•for your approval, please find Applications to
Perform Fuel Monitoring'Certification and Billing and -Permit
Statements, along with our check in the amount of $192.00 /site.
Please fax the approved Applications and.permit fee'
receipts to our office at 661- 587. - 9758.,
Should.you have any- 'questions, please feel free: to contact
me at 631- 3870.
Thank you for your attention herein.
Yours .truly,
CONFIDENCE UST SERVICES, 'INC..
Karli Karns, Dispatch. Coordinator
Enclosures
16250 Meacham Road • Bakersfield,. CA 9331 -4
(661) 631 -3870 or (800) 339 -9930
FAX (661) 587 -9758 .
BILLING & PERMIT STATEMENT
PERMIT #
D A44I C H R S F I •1 1)
ER; ! FIRE �lg
D�ARTM 11/T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Avenue, Suite 401
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661- 852 -2171
i - ORIGINAL WHITE (Treasury) 1I- YELLOW (File)
1 -PINK (Customer)
FD2021 (Rev 06/07)
SITE INFORMATION
LOCATION OF PROJECT
~�1f
PROPERTY OWNER (-
START DATE JJJ -nvtV; }
NAME
g_o�
PROJECT NAME
i
ADDRESS
i ?: c_- B,ox , 2z� -- -- --
�— ^ �_ �–
CITY PEA f,1_ 6 ,,S f } Fi L_T , STATE C/A
PHONE #
i -
PROJECT ADDRESS ;
k X133 �1 i
ZIP CODE
1 L
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSE �1 , TYPE OF LICENSE EXPIRATION DATE
GUA- t" �S C5 „'�
PHONE 11
LU ,° A ,20% 10
CONTRACTOR CO PANY NAME
1 �
FAX It
ADDRESS CITY
ZIP CODE
r
�J
U U �A' \_dn Li 01 RbCC C! I 6c \� 'Si \ L_I C�
C�
All permits must be reviewed, stamped, and approved PRIOR TO BEGIIlININ.G WORK. M
•
I
❑ Alarm - New & ModiI fication (minimum charge) j $280
84
98
■
❑
Over 10,000 sq ft `
$0 .028 x sq ft
e'
98}
•'
•
Sprinkler - New & Modification (minimum charge) i
$280
m
84
98'
■
❑
Over 10,000 sq ft 1
$0 .028 x sq ft
:
84
98
•
Minor Sprinkler Modification (<10 heads)
$96 (inspection only)
■
84
98
a
❑
Commercial Hood (New & Modification)
$470
■
84
98
I
�
❑
Additional hood j
$58
n
84
98
l
❑
Spray Booth (New & Modification)
$470
or
®
84
98
■
❑
Aboveground Storage Tank (Installation /One Inspection)
f $180
°
82
❑
Additional Tank
$96
IN
82-
❑
Aboveground Storage Tank (Removal /Inspection)
$109
;
82
•
Underground Storage Tank (Installation /Inspection)
$878 /tank
;
82.
❑
Underground Storage Tank (Modification)
I $878 /site
.
82
•
Underground Storage Tank (Minor Modification)
` $167
■
82
•
Underground Storage Tank (Removal)
j $573 /tank
■
84
•
Oil well (Installation)
' $96
■
a
84
Mandated Leak Detection (test) /Fuel Mont Cert /SB989
( $96 /site
82
NOTE: $96 for each type of test /per site even if
■
scheduled at the same time
I
■
s'
❑
Tent
$96 /tent
T.
84
❑
After -hours inspection fee
i $121
■
s
❑
Pyrotechnic (per event, plus inspection fee of $96 /hr)
i $96 + (5 hrs min standby fee /insp) =$576
84`
❑
Re- inspection /Follow -up Inspection
$96 /hr
o
84
❑
Portable LPG (Propane): # of Cages? —
' $96
■
■
84
f
❑
Explosive Storage
i $266
■
84
❑
Copying & File Research (File Research. fee $34 /hr)
I $0.25 /page
■
84
❑
Miscellaneous
i
84
i - ORIGINAL WHITE (Treasury) 1I- YELLOW (File)
1 -PINK (Customer)
FD2021 (Rev 06/07)
BAKERSFIELD CITY FIRE DEPARTMENT = INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove for Duration of Work
InSDection Reauest Phone No. (661) 326 -3979
DATE
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT,
SENSORS
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
DESCRIPTION
AS AL
DESCRIPTION DATE SIGNATURE
PRIOR TO OPERATION OF ANY SYSTEM,
ALL-UST AND /OR AST SYSTEMS SHALL BE
INSTALLED, COMPLETE AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
CRRE DEPARTMENT FINAL
BUILDING z C• 7 e
OB DESCRIPTION C.�
r
OCCUPANCY TYPE
WNER
PERMIT NO.
ONTRACTOR ccJC PHONE # 31
FD 1743