HomeMy WebLinkAbout3200 PANAMA Lane_UST MINOR MOD 3.21.1111101
11
HOODS ALARMS Sp 3NKLER SYSTEMS SPRAY BOOTH AST UST.
Permit No. Permit No. Permit No. Permit No. Permit No: Permit No.
File Number: .,e1eIgq/ Address:
Bakersfield, CA 933.
Date Received: 3 -.z
Business Name: (mow
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
minor
modification
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
D ❑ Other:
Comments:
Building Sq. Feet: x
Calculation Bldg. Sq. Ft: ar'
I.
2.
3.
4.
Date
Time
Signature
IE
SUNSET MECHANICAL &CONSTRUCTION INC
City of Bakersfield Fire Department
Date Type Reference
3/21/2011 Bill
3/21/20-1111
Original Amt. Balance Due Discount
334.00 334.00
Check Amount
1664
Payment
334.00
334 -:00
Wells Fargo 001 334.00
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW
TANK INSTALL (E)USTING FACILITY) /MOD -MINOR MOD
Permit #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
e e a r l n Bakersfield, CA 93301
Phone: 661- 326 -3979 a Fax: 661 - 852 -2171
ARTIII t
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TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
(CHECK ONF ON[ Y) ❑ MnnTFTCATTnN (1F FACTI TTV ItY MTN()R mrw)TFTrATT0N OF FACTI TTY
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YES ❑ NO
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NAME OF TESTING COMPANY
PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER
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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.
NAME OF TE ER
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UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY)/NEW 4i
TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD
IPermit # I
TYPE OF APPLICATION:
(CHECK ONF ONI Y)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
D Bakersfield, CA 93301
FIRE Phone: 661-326-3979 e Fax: 661-852-2171
AREA/ f
Page 1 of 1
❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
n M()r)TFT('A-rTC)N OF FArT1 TTY Ar MTNOR MODTFICATTOKI OF FACTI TTY
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ARE THEY FOR MOTOR FUEL?
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SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES ❑ NO
YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
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Tank Testing Company
NAME OF TESTING COMPANY
PHONE NUMBER
MAILING ADDRESS
NAME OF TESTER
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.
NAME OF TESTER
ICC#
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
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