HomeMy WebLinkAbout3221 TAFT Hwy_UST MINOR MOD 10.12.07HOODS ALARMS
Permit No. Permit No.
IIIIIIIIIIIIIIIIIIII 15
File Number:
Date Received: /0 -
SPRNKLER SYSTEMS SPRAY BOOTH
Permit No.
Address:,
Business Name:
Permit No.
Bakersfield, CA 933.__ -
AST UST
Permit No,,'. Permit No.
05j4W;KI
SYSTEM: BUILDING SQUARE FEET
New Mod.
❑ ❑ Commercial Hood System Building Sq. Feet:
J_
0 ❑ Fire A'Iar''-' Sy to Calculation Bldg. Sq. Ft:
4100-00
❑ ❑ Fire Sprinkler System 2.
❑ ❑ SpIray Fin- %,h Sysietn 3.
❑ ❑ Aboveground Storage Tank 4.
❑ U11 'Aboveground
Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
❑ ❑ Other:
PECTION LOG
Signature
Signature
Comments:
WIN
16
IE
I
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
1501 Truxtun Avenue, 1't Floor
V-. >i 9 P I Bakersfield, CA 93301
0
PIRF Phone: 661- 326 -3979 • Fax: 661- 852 -2171
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Page 1 of 1
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/ �m� \� p PROPOSED COMPLETION DATE
FACILITY NAME �,` EXISTING FACILITY PERMIT; #a '"
"am
S
FACILITY ADDRESS 3T^ ` T^ �,` e 1 CI Y �I, _ _ r Q ZIP CODE (']�
TYPE OF BUSINESS (+ ^(S' :I On l� K APN # "I
TANK OWNER 4"a D.4116 PHONE # w_Q1 ^ �2 ^ 3^ 2
ADDRESS „^ 1 (� 11 cny F CA J ZIP CODE
LJ
.CONTRACTOR':,;:. - :. � .: :.... .. ....:. ;:;.;;;,:_;� ;;,..,.!, ;I..; #•:- _
CA.LICENSE # CC
ADDRESS \00 "�!'•, �i �i,',' CI7Y��•I �� ZIP CODE /] 0
l� �+
,PHON ,I• ` �(� BAKERSFIELD CI Y BUSINESS LICENSE # WORKMANS COMP # INSURER
BRIEFLY DESCRIBE THE WORK TO BE DONE:
MAILING ADDRESS
NAME OF TESTER
ICC#
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 I ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
ww� N m
-01 w-t"10-1 momm-mm
FD2086 (Rev 08/09
BILLING& PERMIT STATEMENT
PERMIT #
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BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 1s' Floor
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661-852-2171
SITE INF
LOCATION OF PROJECT i \ /t _ •
`
RMATION
PROPERLY OWNER �1
STARTING DATE' COMPLETION DATE
NAME Ij
PROJECT NAME \` A 1 00
ADDRESS S Z I �a r j _ i 1, , `
PHONE #W
PROJECT ADDRESS 3'22-1 Q�4
CITY gA K ERS:F 16 LA STATE CA.
ZIP CODE
CONTRACTOR NAMEA
CONTRACTOR INFORMATION
ICA LICENSE
``i
TYPE F LICENSE EXPIRATION DATE
TI 1� Z�
PHONE # 27�
CONTRACTOR COMPANY NAME jam`
FAX #
ADDRESS 1\00 �j -31 sk i
MX t1 are CA
ZIP CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
J PERMIT TYPE FEE CALCULATION TOTAL
DUE
. ❑ Alarm - New & Modification (minimum charge) $280
ACCT •
❑
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
$878 /site
82
Underground Storage Tank (Minor Modification) MTM
7 ite
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