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Home My WebLink About3333 UNION Avenue_UST FMC 12.17.10611111 31 IE VE8 -3o2 HOODS ALARMS SpG3NKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: Date Received: Address: CA Business Name: ,&V -C-c SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System ❑ ❑ Fire Alarm System ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ C/ Other.! �. Comments: Building Sq. Feet: _ Calculation Bldg. Sq. Ft: 1. 2. 3. 4. Date Time Signature Signature UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD /LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) _ PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS D *AFJ1fRY'AffF#1F BAKERSFIELD FIRE DEPARTMENT Prevention Services Q101 E-i S -Mee -T Bakerstield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATI .- ,, INFORMATION FACILITY 0 t1 NAME & PHONE # OF CONTACT PERSON -70 -2 8 ADDRESS l)C OWNER NAME T V OPERATOR NAME U PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME J CONTENTS a TANKTE STING-CO MPANY .. TESTING COMPANY NAME 8i PHONE # OF CONTACT PERSON MAILING ADDRESS Slat -13 13C�.00k.S Lam'. - F3�K�R.SFtEt -O.C� g33o�S NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR U _1 8(Dpp O I CERTIFICATION # b p c> Q l eso DATE & TIME TEST O BE CONDUCTED ICC # L)T TEST METHOD cox1 APPLICANT SI TURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROV Y DATE FD2095 (Rev 03/08) BILLING & PERMIT STATEMENT B ' BAKERSFIELD FIRE DEPARTMENT t R S F � Prevention Servicec PERMIT # PIRB u oi1o� St1iC� *ARTN r Bakersfield, CA 93301 Dhnno• AA1 _'Z )A_1CI70 . Gav• AA1 _Q "_71 71 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. D 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 SITE INFORMATION $96 /hr LOCATION OF PROJECT R PROPERTY OWNER STARTING DATE 000MPLETION DATE NAME Portable LPG (Propane): # of Cages? _ G PROJECT NAME 0 ❑ ADDRESS - 3 t in P PHONE # PRO]ECT ADDRESS CITY _9A � S � � E Lp SPATE C ^ �C ZIP CODE Additional Tank ATI CONTRACTOR INFORMATION 82 CONTRACTOR NAME —r CA LICENSE,# TYPE OF LICENSE EXPIRATION DATE PHONE # `J11m [ S :GNc ❑ l 30 I l -g CONTRACTOR COMPANY NAME FAX # sg -89'3 y ❑ c ADDRESS 5& q3 6 Q_CCo�s C*. CITY _S /k k,_C9_S � c L� : ZIP CODE �J - ` All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. D 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 $96 /hr ❑ 'Spray Booth (New & Modification) . $470 Portable LPG (Propane): # of Cages? _ 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 $0.25 /page 82 ❑ Underground Storage Tank (Installation /Inspection) NI $878 /tank Miscellaneous 82 ❑ Underground Storage Tank (Modification) MOD $878 /site 84 82 ❑ Underground Storage Tank (Minor Modification) MTM $167 /site 82 ❑ . Underground Storage Tank ( Remova TR $573 /tank 84 Mandated Leak Detection (test) /Fue Mont �Ce!3989 NOTE: $96 /hr for each type of test/per if scheduled at the same time TT $96 /hr (2 hrs minimu =$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 $96 /hr +,(S hrs min standby fee /insp) =$576 .84 ❑ Re- inspection /Follow -up Inspection $96 /hr 84 1 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 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 NK TESTIN UST REMOVAL DESCRIPTION DATE SIGNATURE AST NEW INSTALL DESCRIPTION DATE SIGNATURE MODIFICATIONS MINOR / MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE PRIOR TO OPERATION- OF- ANY_SYSTEM, , ALL_US.T_AND /OR -AST SYSTEMS_SHALL BEj INSTALL, COMPLETE AND ACCEPTED -BYE -MISC. ACTIVITY THE BAKERSFIELD CITY FIRE DEPARTMENV FIRE DEPARTMENT - (FINAL-)_ _.- REMARKS: ,� L ASS G 4NC� : /,�s A.S 64, k BUILDING ADDRESS: 3 cow JOB DESCRIPTION: C, OCCUPANCY TYPE: OWNER: PERMIT NO. CONTRACTOR: xec 6 k �� V «� PHONE FD 1743