HomeMy WebLinkAbout3125 CALIFORNIA Avenue_UST MINOR MOD 2.10.10Permit No.
17
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File Number:
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Permit No.
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SYSTEM
New Mod.
❑ ❑ CommercIM Hood System
❑ 1:1 Fire AkM $yttdiml
'0 ❑ Fire Sprinkler System
❑ ❑ Spray F!Msh System
0 ❑ Aboveground Storage Tank
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oddificattio
removal
Underground Storago Tank
Underground Storage Tank
Underground Storage Tank
Other:
Permit No.
Permit No.
Address: 31zig
'Bakersfield, CA 933.,__
Business Name: Aj.cn
BVILDI
Building Sq. Feet-:
Calculation Bldg. 6q. Ft:
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Permit No.
UST
Permit No.
140-166060f&
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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
BACKFILL
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
DESCRIPTION
SIGNA
MAJOR
PRIOR-TO-OPERATION-OF-ANY SYSTEM,,_
ALL-UST—AND/OR AS? SYSTEMS SHALL BE
INSTALLED,.COMPLETEANDACCEPT_ED BY
",THE BAKERSFIELD CITY-FIRE DEPARTMENT,.
3,1.-?!S-
JOB DESCRIPTION
1OCCUPANCY TYPE
OWNER A--c-
PERMIT NO. l6 - e606605-Z-
CONTRACTOR CSC 0= c��� . I PHONE # %
FD 1743
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
IPermit #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
B Ali R B P I a Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
D ARTM T
Page 1 of 1
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
(CHECK ONE ONLYI n MODIFICATION nF FACII ITY X MINOR MODIFICATION nF FACII ITY
STARTING DATE/ 2/21 /201 0
PROPOSED COMPLETION DATE 2/21/2010
FACILITY NAME ARCO DhillOn Partners
EXISTING FACILITY PERMIT #
FACILITY ADDRESS 3125 California Ave.
FuTyakersfield
ZIP CODE
TYPE OF BUSINESS Gas Station
APN #
TANK OWNER ARCO Dhillon Partners
PHONE #
ADDRESS 3125 California Ave.
CITY Bakersfield
ZIP CODE
CONTRACTOR Cal - Valley Equipment
CA LICENSE # 921733 A HAZ
Icc # 520136 -U1
ADDRESS 3500 Gilmore Ave.
CITY Bakersfield
ZIP CODE 93308
PHONE # 661 - 327 -9341
BAKERSFIELD CITY BUSINESS LICENSE #
10 00054089
WORKMANS COMP # 80- 4852009
INSURER State Fund
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace 87 UL vapor Spill thicket In quad fill sump.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL?
❑ YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
0 YES ❑ NO
THIS SECTION IS FOR MOTOR FUEL STORAGE TANKS
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
AVIATION
THIS SECTION IS FOR NON -MOTOR FUEL STORAGE TANKS
TANKS #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
AVIATION
FOR OFFICIAL USE ONLY
APPLICATION DATE
FACILITY #
# OF TANKS
FEES $
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 CORRECT.
APPROVED BY
APPLICANT NAME (PRINT) Bruce W. Hinsley
APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FD2086(Rev 06/07)
COB 2/9/2010 8:57:43 AM PAGE 3/003 Fax Server
y �wKE���a��® �a�� DEPARTMENT & PERMIT STATEMENT
D (Prevention Services
PERMIT # File 1501 Truxtun Avenue, 1"' Floor
00 PAl?TM T
Bakersfield, CA 93301
`KU1u� Phone_ 6614126 -3979 o Fax- 661- 852 -2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑
Alarm - New & Modification (minimum charge)
SITE .•
•
LOCATION OF PROOECT
1419 co
PROPERTY OWNER
STARTING DATE COMPLETION DATE
NAME
ADDRESS
PHONE #
PROTECT NAME
.tZer�lace -e i sfi`i� V oV' U-c
_
PRO]ECT ADbRE55
3/2,S' �a ° 'a 10•C.
aTY F>ftlCi✓RSFIE(_D srnrE CA
IP CODE
v^
❑
ONTRACT OR INFO
-
CONTRACTOR NAME C�c.j -Va /levy-
TYPE OF LICENSE EXPIRATION DATE
PHONs��������
U, n�es,t 92I�3E#
•%/�'.
CONTRACTOR COMPANY NAME
FAX BOG
ZIP CODE
33� og
ADDRESS CITY
00 6 e. F
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑
Alarm - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft
Sprinkler - New & Modification (minimum charge)
$0.028 x sq R
•
$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 /Yank
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 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 permlt per event, plus an inspection fee of
$96 /hr during business hours) PY
NOTE: After hours Pyrotechnic event inspection Is Q $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 1
84
FD2021(Rev 041081