HomeMy WebLinkAbout3640 SILLECT Avenue_UST FMC 5.17.10inn
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Commercial Hood System
❑
HOODS ALARMS SPRINKLER SYSTEMS EMS \r „R A T” BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: 3--927
Date Received: 6 - � 7 — i O
Address: 3& Sl 0 S L L (Q cT AcwQ�
Bakersfield, CA 933.
Business Name: Q 79 a-LT' 5:1--45 e-
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
❑ Other: 7= 1il/l t...
Comments:
Building Sq. Feet: �
Calculation Bldg. Sq. Ft:
1.
2.
3.
4.
IMSPECTIOId LOG
. Date Time
Signature
28 1
BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD
Post this Card at the Job Site and DO NOT Remove folr Duration of Work
InsoeCtion Reauest Phone No. (661) 326 -3979
PRIMARY PIPE
SECONDARY PIPE
SECONDARY CONTAINMENT
AUTHORIZATION FOR FUEL
ELECTRICAL SEAK -OFF
PRIOR TO OPERATION OF ANY SYSTEM,
,ALL -UST AND /OR AST SYSTEMS.SHALL_BE
INSTALLED, COMPLETE AND ACCEPTED BY
THE.BAKERSFIELD CITY FIRE DEPARTMENT.
ADDRESS ?Ca M5 s • <<
JOB SCRIPTION "r.�
OCCUPANCY TYPE
rRUILDINQ
A.
PERMIT NO.
ACTOR PHONE # W6 D =—
FD 1743
UNDERGROUND STORAGE TANKS I
VIM
APPLICATION wet
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.)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501Truxtun Avenue 1-qt Floor
Bakersfield, CA 93301
Phone: 661-326-3979 * Fax: 661-852-2171
Page 1 of I
N
PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑, SB-989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS JR FUEL MONITORING CERTIFICATION
70
FACILITY
NAME PHONE .VgPCON CT PERSON
ADDRESS
Jaw,
OWNER NAME
OPERATOR NAME
FPERMIT TO OPERATE
OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ No
TANK
VOLUME
CONTENTS
z_ MP -"E
TESTING COMPANY & PHONE OF CO=N
MAILING ADDRESS LaLki-3 PY&kS' C4-. kA Co-- 9 WO
NAME & PHON" OF TESTER OR SPECIAL INSPECTOR
CERTIFICATION # �0 9 18 so
DATE &TIME TEST I Tb BE CONDUCTED
Icc * 5a (D1 a 13 - U
METHOD
APPLICANT SIGNATURE
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
DATE
FD2095 (Rev 03/08)
BILLING & PERMIT STATEMENT
PERMIT #
FIR!
ARM T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 15t Floor
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661- 852 -2171
INFORMATION SITE
LOCATION OF PRQIECr �1 ,, 1
PROPERTY OWNER
�"S17�Y\
(,( `�o
STARTING DATE COMPLETION DATE
NAME
J► 1��+`.
PROJECT NAME _y,
ADDRESS--
NE S
,ECTADDRESS 40 S;llec- e
QTY gi4�ERSflEL1% STATE cA
z c 3
CONTRACTOR INFORMATION
CONTRACTOR NAME CA LICENSES
Ab9VSQ
TYPE OF L�ICEfNSE EXPIRATION DATE
Wt
PHONE S
CONTRACTOR COMPANY NAME
FAX S
ADDRESS `3ry ld•
ZIP CODE 9 safe
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
El PERMIT TYPE FEE CALCULATION TOTAL
13 Alarm - New & ModMcation (minimum charge) $280
•
TREASURY I
ACCT •
❑
Over. 10,000 sq ft
$0.028 x sq ft i
•
Sprinkler - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft
$0 .028 x sq It
•
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
13
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 Modiflcation) MTM
$167 /site
82
❑
Underground Storage Tank (Rem TR
$573 /tank
84
Mandated Leak Detection (tes Fuel M rt/56989
NOTE: $96 /hr for each type of test/per site even if
scheduled at the same time TT
$96 /hr (2 hrs minlmunt191
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 standb' fee ins = 605
84
❑
Re-Inspection/Follow-Up Inspection
$96 /h'
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
13
Miscellaneous
84
CONSTRUCTION PERMIT
Application Number . . . . .
Property Address . . . . . .
ATN (11 Digits):
Application type description
Subdivision Name . . . . .
Property Use . . . . . . . .
Application valuation . . . .
Owner
--------------- --- - - - - --
ORANGE BELT STAGES.
P O BOX 949
VISALIA CA 93279
^P� BAKERSFIELD FIRE DEPARTMENT
PREVENTION SERVICES
R S F II D 1501 TRUXTUN AVENUE, 1sT FLR
FIRE R BAKERSFIELD, CA 93313
I RTM T Office Phone: (661) 326 -3979
10- 10000151 Date 5/25/10
3640 SILLECT AVE
332- 481- 12 -00 -2
FIRE DEPT
0
Contractor
OWNER
----------------------------------------------------------------------------
Permit . . . . . . MANDATED LEAK DETECT TEST
Additional desc . .
Phone Access Code . 1004217
Permit Fee . . . . 96.00 Plan Check Fee 96.00
Issue Date . . . . 5/25/10 Valuation 0
Expiration Date . . 11/21/10
----------------------------------------------------------------------------
Fee summary. Charged Paid Credited Due
--- -------- - - - - -- -- -- - --- -- --- - - - - - -- ----- - - -- -- ---- - - - - --
Permit Fee Total 96.00 96.00 .00 .00
Plan Check Total 96.00 96.00 .00 .00
Grand Total 192.00 192.00 .00 .00
CALL FOR INSPECTION
(661) 326 -3979
Please state the Permit Number, the Job address, and
the Type of Inspection. Requests for inspections
should be made at least 48 hours in advance.
DECLARATIONS
Permit is issued in accordance with all applicable
Federal, State and Local Ordinances. The permittee
has properly signed and dated the reverse side of this
form. This Permit expires after180 days of inactivity.
I have reviewed the above application, and find it to
be correct/complete.
Permittee: Date: