HomeMy WebLinkAbout2800 PANAMA Lane_UST SB989 5.18.11Iq�lgnl
23
WN
BUILDING SQUARE FEET:
HOODS ALARMS SPRINKLER SYSTEMS SPRAY o 0077 AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
//- / oaoo iO
File Number: od-sue`' Address:
Date Received:
Business Name:
Bakersfield, CA 933
❑ M Other: S'3 - 15 5-5
Comments:
1.
2.
3.
4.
INSPECTION LOG
Date Time
i
SYSTEM:
WN
BUILDING SQUARE FEET:
New Mod.
❑ ❑
Commercial Hood System Building Sq. Feet: _
❑ ❑
Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑
Fire Sprinkler System
❑ ❑
Spray Finish System
❑ ❑
Aboveground Storage Tank
❑ ❑
Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑ M Other: S'3 - 15 5-5
Comments:
1.
2.
3.
4.
INSPECTION LOG
Date Time
i
WN
Signature
�J
B BAKERSFIELD FIRE DEPARTMENT
BILLING & PERMIT STATEMENT
B EF /RBI Prevention Services
PERMIT # were/ ' "r 2101 H Street
Bakersfield, CA 93301
-Phone: 661-326-3979 . Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑ 1Alarm - New & Modification (minimum charge) 1$280
❑ I Over 10,000 sq ft . I $0 .028 x sq ft
❑ 1 Sprinkler - New & Modification (minimum charge) $280
❑ .1 Over 10,000 sq ft 1 $0 .028 x sq ft
❑ 1 Minor Sprinkler Modification ( <10 heads) 1 $96 (inspection only)
84
❑
Commercial Hood (New & Modification)
SITE INFORMATION
LOCA.- N OF PROJECT
wt ro, L•y .
PROPERTY OWNER
STARTING DATE COMPLETION DATE
NAME
PROJECT NAME
ADDRESS
PHONE #
98
•
PROJECT ADDRESS
A-
CITY g _' ET;? � F:l E .- 3A D STATE
ZIP CODE
82
❑
Additional Tank ATI
$96 /tank
CONTRACTOR
INFORMATION.
•
CONTRACTOR NAME
CA LICENSE #
TYPE OF LICENSE EXPIRATION DATE
PHONE #
L (t'to O
Underground Storage Tank (Installation /Inspection) NI
$878 /tank
CONTRACTOR COMPANY NAME L
FAX #
ADDRESS .•
-41 i ? V — .� T� f" s 6 •^. S .
rCITY
i e w4 CQ C
ZIP CODE
IF z 5"�a - S�oY
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑ 1Alarm - New & Modification (minimum charge) 1$280
❑ I Over 10,000 sq ft . I $0 .028 x sq ft
❑ 1 Sprinkler - New & Modification (minimum charge) $280
❑ .1 Over 10,000 sq ft 1 $0 .028 x sq ft
❑ 1 Minor Sprinkler Modification ( <10 heads) 1 $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 %Inspect) ATRI
$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
•
nderground Storage Tank (Removal) TR
$573 /tank
84'
Mandated Leak Detection (test) /Fuel Mont Cert/SB989 TT
NOTE: $96 /hr or type of test/per site even if scheduled at
tl�e same time
$96 /hr (2 hrs minimum) =$192
84
❑
Oi s allation, 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
during business hours) PY
NOTE: After hours Pyrotechnic event inspection is @ $121 /hr
$96 /hr + (5 hrs min standby fee /insp) =$576
5 hrs min standby fee ins = 605
84
•
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)
$0.25 /page
84
❑
Miscellaneous
84
FD2021 (Rev 04/08)
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPT.
:.
*Pre V6 d tibi-servces
l`RYN, T , 1501 Truxtun Ave., First Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1.of 1
PERMIT NO.
t0 �
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING V-SB-989 I� SECONDARY CONTAINMENT TESTING
El TANK TIGHTNESS TEST D TO PERFORM FUEL MONITORING CERTIFICATION 1"I h 1 cL' CQ, -Q �Q TP_c --
..,:.SITEKINFORMATION'r.':'
FACILIT
a e ro
n� .
E & PHONE NUMB R O CO
ACT PER ON
ADDREESS
a Uoo1
OWNERS NAM
sme4l Groq
h C- .
OPERATORS NAME
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANK #
VOLUME.
CONTENTS
1
V
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=TANK°�'T;E$FING``C:OMPANYc` <�
; . ...::..._,.....:...;.,�<�.;,. , ;_ . :.,.
...
NAME OF TESTING COMPANY TanknOlO Inc. NAME & PHONE NUMB Michelle Cle horn_ER OF g Young
gyr CONTACT PERSON 800 -666 -1130
MAILING ADDRESS 41785 Enterprise Circle S. Suite D Temecula, CA 92590 —�
i
NAME & PHONE NUMBER OF DOntQA
TEST ER'OR SPECIAL INSPECTOR:
S5ejy'
5> _ Ig 15 3
CERTIFICATION #:
—�
DATE & TIME TESA TO BE
CONDUCTED: uy)e 3rci
@ Dam
ICC #:
TEST
METHOD
SI T RE Of APPLICANT
04 -
DATE:
5 Flo I
i APPROVED BY
DATE ��.�!
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
( _ TANK TESTING
UST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
MISC. ACTIVITY
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
E PRIOR TO OPERATION OF ANY SYSTEM,
ALL UST AND /OR AST SYSTEMS SHALL BE
JNSTALL, COMPLETE AND ACCEPTED BY
THE BAKERSFIELD CITY FIRE DEPARTMENT.
FIRE DEPARTMENT (FINAL)
1EMARKS: `t -C� Gta.vt r,O��C e. 5 -9- 91:;-S '7;r-s77-
BUILDING ADDRESS:,,?,, �QQ q•Jslrwr L..�•
JOB DESCRIPTION: - g'
OCCUPANCY TYPE:
OWNER:
PERMIT NO. el
CONTRACTOR: PHONE'/ 671, - yO�tiQ
6 - FD 1743