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Home My WebLink About2601 WHITE Lane_UST SB989 FMC 10.21.10Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: - / /QV Date Received: SYSTEM: New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System Address: c2ca O / OJ CL -�:e L,e►,y-e. Bakersfield, CA 933 .. Business Name: BUILDING SQUARE FEET: INSPECTION LOG Building Sq. Feet: Calculation Bldg. Sq. Ft:9! 1. ❑ ❑ Fire Sprinkler System 2. ❑ ❑ Spray Finish Systems 3. ❑ ❑ Aboveground Storage Tank 4. ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ 05000 Other: S� – 7�'�' Q� F"-f C---. Comments: Data Time Signature UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # I i j►j,Rff BAKERSFIELD FIRE DEPARTMENT Prevention Services 0'2101 K 5-mf-F-T- Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION NE �TESTING ❑ SB-989 SECONDARY CONTAINMENT FUEL MOT r ❑ TANK TIGHTNESS FUEL MONIT�ORIING6* CERTIFICATION FD2095 (Rev 03/08) FACILITY f NAME & PHONE # OF CONTACT PERSON ADDRESS U OWNER NAME L OPERATOR NAME PERMIT TO OPERATE OF TANKS TOW TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ No TkNK # VOLUME CONTENTS 21vc - r TESTING COMPANY NAME 8E PHONES OF CONTACT PERSON MAILING ADDRESS - 5ULA --a CX- NAME & PHONE * OF TESTER OR SPECIAL INSPECTOR IR . bko 8(ogg CERTIFICATION S698'so DATE & TIME TEST 0 BE CONDUCTED Icc # ncQu- k a-V?> — 07 TEST METHOD 1 APPLICANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APP .MBY Z , DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Servicec PERMIT # Rr RX01 � %TMICT ar . Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 SITE INFORMATION Alarm - New & Modification (minimum charge) LAG4TiON OF PRQ]ECT ( PROPERTY OWNER STARTING DATE COMPLETION DATE NAME L i PROIECi NAME - $0.028 x sq ft AD PH" t . • � _0 � �eA Sprinkler - New & Modification (minimum charge) s PROIECT ADDRESS cry SAW- ✓RSFI ELU STATE ('A zm ODDECV . ❑ Over 10,000 sq R $0 .028 x sq ft CONTRACTOR INFORMATION Underground Storage Tank (Modification) MOD $878 /site CONTRACTOR NAME CA LICENSE.* TYRE OF LICENSE EXPIRATION DATE PHONE C 7p*-n E5 :�� t o l CONTRACTOR COMPANY NAME tvv� �v M E �- , FAX Sato -8�4 i q ADDRESS � f� � $ � �•�� 'I � � ` ZIP CODE � 3 �vp - All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 82 ❑ Over 10,000 sq ft $0.028 x sq ft 82 O ❑ Sprinkler - New & Modification (minimum charge) $280 82 ❑ Underground Storage Tank (Installation/Inspection) NI . ❑ Over 10,000 sq R $0 .028 x sq ft O Underground Storage Tank (Modification) MOD $878 /site ❑': Minor Sprinkler Modification ( <10 heads) $96 (inspection only) Underground Storage Tank (Minor Modification) MTM 84 ❑. Commercial Hood (New & Modification) $47.0. $573 /tank 84 ❑ Additional hood $58 82 ❑ CI Spray Booth (New & Modification) $470 82 b QA O boveground Storage Tank (1 inspection per installation) AST $180 /tank 82 ❑ Additional Tank ATI $96 /tank 82 O Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109 /tank 82 ❑ Underground Storage Tank (Installation/Inspection) NI $878 /tank 82 O Underground Storage Tank (Modification) MOD $878 /site 82' O Underground Storage Tank (Minor Modification) MTM $167 /site 82 O Underground Storage Tank (Removal)_,----, TR $573 /tank 84 Mandated Leak Detection (test) /F Mont Cert/S 989 NOTE: $96 /hr for each.type of n if scheduled at the same time TT $96 /hr (2 hrs minimu =$192 82 ❑ .Oil well (Installation, Inspection, or re- inspection) X $96 /hr 82 b Tent # $96 /tent 84 ❑ After -hours inspection fee $121 /hr (2 hrs minimum) =$242 O Pyrotechnic (1 permit per event, plus an Inspection fee of $96 /hr during business hours) PY NOTE: After hours Pyrotechnic event inspection is @ 121 hr $96 /hr + (5 hrs min standby fee/insp) =$576 5 tars min standby fee ins = 605 .84 0" Re- inspection/Follow -up Inspection $96 /hr 84 O Portable LPG (Propane): # of Cages? _ $96 /hr ; . 84 O Explosive Storage $266 84 D Copying & File Research (File Research fee $50 /hr) $0.25 /page 84 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/UNE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) . PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS INAEF TAW R Iva! BAKERSFIELD FIRE DEPARTMENT Prevention Services 62101 K 5-ME-F--v Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ LINE TESTING SB-989 SECONDARY CONTAINMENT ❑ FUEL MONITORING CERTIFICATION RM TZ FACILITY -NAME & PHONE OF CONTACT PERSON ADDRESS OWNER NAME OPERATOR NAME PERMIT TO OPERATE OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS r2 Jk< Layl. TESTING COMPANY NAME S PHONE Yf OF CONTACT PERSON MAILING ADDRESS Z<R,o \-<,% CX- - NAME & PHONE * OF TESTER OR SPECIAL INSPECTOR RNA*a) WrSo -1 8(0 99 CERTIFICATION sc>qeso DATE & TIME TEST tO BE CONDUCTED Icc # - TEST METHOD APPLICANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN.APPROVED APOPD BY DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT Prevention Serviean PERMIT # FIX& RX01 S'CREET Arrrr V1, Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661- 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. • 0 0 PERMIT TYPE FEE CALCULATION TOTAL TREASURY DUE ACCT NO Alarm - New & Modification (minimum charge) $280 SITE INFORMATION Over 10,000 sq R $0.028 x sq ft LOCATION OF PROIECr ,..,.O PROPERTY OWNER Sprinkler - New & Modification (minimum charge) STARTING DATE COMPLETION DATE NAME I PROJECT NAME Over 10,000 sq ft $0.028 x sq ft ADD PHONE .. PROJECTADDRESS ^ �w W�Ane—) Minor Sprinkler Modification ( <10 heads) CITY gA1-,ERSFIEL1> STATE C-A COD D 84 CONTRACTOR INFORMATION Commercial Hood (New & Modification) $470 CONTRACTOR NAME CA LICENSE;* TYPE OF LICENSE EXPIRATION DATE PHONE ❑ I o ll CONTRACTOR COMPANY NAME � lvv� /UM�L- Aboveground Storage Tank (1 inspection per installation) AST FAX ac�-8R3y ADDRESS 82 CITY uP CODE All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. • 0 0 PERMIT TYPE FEE CALCULATION TOTAL TREASURY DUE ACCT NO Alarm - New & Modification (minimum charge) $280 ❑ Over 10,000 sq R $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 Ce ' 989 NOTE: $96 /hr for each type of tIest/per site even scheduled at the same time TT $96 /hr (2 his minimu =$192 82 ❑ Oil well (Installation, Inspection, or re- inspection) X $96 /hr 82 • Tent . # $96 /tent 84 • After -hours inspection fee $121/hr (2 his minimum) =$242 b Pyrotechnic (1 permit per event, plus an inspection fee of $96 /hr during business hours) PY NOTE: After hours Pvrotechnic event inspection is @ 121 /hr $96 /hr + (5 hrs min standby fee/insp) =$576 5 hrs min standby fee ins = 605 .84 ❑ Re- inspection/Foilow -up Inspection $96 /hr 84 13 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 BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Phone No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF UST REMOVAL DESCRIPTION DATE ' SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE (PRIOR TO OPERATION -OF _ANY- SYSTEM; ALL US AT ND /OR AST`SYSTEAWSHALL BEI INSTALL,_COMPLETE AND AC.CEP_TED BY] THE BAKERSFIELD-GITY- FIRE -DE RAP TMENT.1 —FIRE DEPARTMENT - (FINAL) ____- WILDING ADDRESS: C;26 6 e- IOB DESCRIPTION: - OCCUPANCY TYPE: DWNER: 'S OA- k*Q. PERMIT NO. - ONTRACTOR: R. LC,` PHONE #;Z -B FD 1743 -W-ty of"Baker9field—, .*H --CU9TX-A'RECEIPT..***,- - OP DagTV ' AWOMM. Type,:--DC.- Iftwen." 1, e- M/64?110 :Receipt no. '44672. Descr on,- Quantity Asouft ;:1000335 PP 8 ' UlLDINB.,PERAjf.d--:'.' Tender ,detail CK DECK - $192A CK DECK.' Total:, tifideiid 1384.*N - - TRW 'payvent'.--: S384M.: HEL P CONTROL 'TH E PET P O PILMON' PLEASE- SPAY OR NE&R