HomeMy WebLinkAbout2900 UNION Avenue_UST 11.9.09Permit No.
Permit No.,
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15
File Number: IE
Date RedWVO& 02
Permit No.
Address:
IES11 AIIMII
Permit No.
Bakersfield, CA 933
Business Name: xAA; -c-
SYSTE, M-41 BUILDING S QUARE. FEET:
New Mod..
11 u Commercial Hood System BU-11diftg td. Feet:
0 ❑ Fire - Alarm S''Ae Calculation Bldg. S Ft
ys. m q
Permit No:
ARIA
Permit- No.
0 0 Fire Sprinkler System 2.
0 El S' - - in
F;'-
pmy o.sh Sy"Sits'Op 3.
0 ❑ Aboveground Storage Tank 41.
❑ a Underground d tbiiide Tank S
minor
Modification Underground Storage Tank
removal Underg.round,.Stora,ge Tank
Other:
Signature
C bmments:
16-
IE
0&
From: Franzen -Hill Inc. To: 16618522171 Page: 1/2 . -Date: 1119/2009 1.1:11:35 AM
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To: Minit Stop Liquour
From:
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Message: Dave attached is the permit Darren will process with payment when he arrives
in your office, sometime today.
Any questions please call me.
Thanks,
Diane Lopez
Franzen -Hill Corporation
1100 N. "J” St.
Tulare, CA 93274
(559) 688 -2977 ext. 3002
(559)8 05-3368 cell
(559) 688 -1467 fax.
- - - -- Original Message---- -
From: Franzen Hill- Copier [mailto:copier @franzenhill.com]
Sent: Monday, November 09, 2009 12:12 PM
To: Diane Lopez
Subject: Scanned from e2830c 11/09/2009 12:11
Scanned from e2830c.
Date: 11/0912009 12:11
Pages:1
Resolution:300x300 DPI
---------------------------------- - - - - --
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Franzen -Hill Inc.
1100 N. J St, Tulare, CA 93274
Tel: 559 -688 -2977 Fax: 559 - 688 -1.467
Website: http: / /www.franzenhill.com.
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BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
B E R S R 1 hL D Prevention Services
PERMIT # FIRE 1501 Truxtun Avenue, 1st Floor
o AARTq r Bakersfield, CA 93301
PhnnP- Af;l- 'A7Fi -'lg7q • Fay- 661 -RS7 -7171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑
Alarm - New & Modification (minimum charge)
$280
❑
LOCATION OF PROJECT 2"C0 S a n`Cn
SITE
f W
INFORMATION
PROPERTY OWNER
CUn G et,_,
•
STARTING DATE COMPLETION DATE
$280
NAME
PROJECTNAME
(. �q
$0 .028 x sq ft
ADDRESS
2800
S - on ton
PHONE#
PROJECT ADDRESS
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
CITY ?,AK6R S9 ELD STATE CA
ZIP CODE / w✓
CONTRACTOR NAME (
CONTRACTOR
LICENSE #
INFORMATION
TYPE OF LICENSE
EXPIRATION DATE
PHON
CONTRACTOR COMPANY NAME �{ t
^K1 �Q
Additional hood
$58
FAX #
ADDRESS 41 00 N f
•
�
cfi
ZIP CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑
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
$87 '
82
0
Underground Storage Tank (Minor Modification) MT
ff 6 7/si
82
❑
Underground Storage Tank (Removal) TR
$573 /tank
84
❑
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
$96 /hr (2 hrs minimum) =$192
82
❑
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 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
-_-
UNDERGROUND STORAGE TANK
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
it4`-.Y 3raYd'(•..cu`.:k♦^,u'witi.C..�.i 8146:P�"'.SR �i.2�:i3:S \`.r.`Ja`Ei+ 6YJ,,.3+a'+1' ,..u'SY.Sfz,..R2•! 1$$6,S..t,
PERMIT APPLICATION $ R s n Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW A TAI T Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Page 1 of 1
t i
Permit # � k
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
(CHECK ONE ONLY) ❑ MODIFICATION OF FACILITY MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED COMRLETION DATE ,
FACILITY ADDRESS `( DI U `
j.
CITY
ZIP CODE
TYPE OF BUSINESS t
APN #
TANK OWNER r
PHONE # wi
1
ADDRESS _ ,._ _ _
, .
I CITY B i_
n %
I ZIP CODE
BRIEFLY DESCRIBE THE WORK TO BE DONE: t-: / Q ' xa g „ C/h � j �I
rI L.MO -r ih� /!3/) ca. / iG, cs
Ao rxlT, ' 'n .4 "ice _ _. II /►/`Yb h -1 d.,. itr✓on0 //a
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO ❑ YES ❑ NO
THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS
I THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS I
FOR OFFICIAL USE ONLY
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE,
LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS
TRUE AND C CT.
aan Fn APPLICANT NAME (PRINT) APP NT SIG RE
THIS APPLICATION BECOMES A PERMIT WH "OrD
FD2086 (Rev 06/07)
From: Franzen -Hill Inc. To:•16618522171
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY)/NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Permit #
TYPE OF APPLICATION: 0 NEW TANK INSTALL
CHECK ONE ONLY ❑ MODIFICATION OF F
STARTING DATE/
iACILITY NAME
Lit C
fACILI Y ADDRESS � 5
TYPE OF BUSINESS t
'r•
TANK OWNER L
ADDRESS A
Page: 2/2
Date: 11/9/2009 11:11:35 AM
BAKERSFIELD FIRE DEPARTMENT
Prevention Services .
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
t�$s
Phone: 661 -326 -3979 • Fax: 661- 852.2172
vW4RrxA r
Page i of 1
/NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
CITY
APN #
PHONE #
ZIP CODE
ZIP
BRIEFLY DESCRIBE THE WORK T0.8G DONE; '�(� Q � i�. RV^ , ,f _ I'i�C.�n � o h„
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER i SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
10 YES a NO 0 YES 0 NO
THIS SECTION IS FOR MOTOR FUEL STORAGE -TANKS
THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS
FOR OFFICIAL USE ONLY
THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE,
LOCAL, AND FEDERAL REGULATIONS, THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, rDT!;5!_7 OF MY KNOWLEDGE IS
TRUE AND CORRECT.
OVR,D�i�� ^�' APL /1179
(PT{fNT,)� -•fin " APPLICA �IGNATUIR/ .
J `I
i'HIS APPLICATION BECOMES A PERMIT WHEN PP D
F02086 (Rev 06/07)
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