HomeMy WebLinkAbout3698 MING Avenue_UST FMC 12.17.10INIIIIIII =3
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:HOODS NLr,',tS SPRINKLER SYSTEMS SPRAY BOOTH H AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
File Number: /00 340!
Date Received: /a -- /7_ic3
Address: ?Ca el T :IAA 1 ti ji c ��
Bakersfield. CA 933
Business Name: --=— (&e-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
❑ C1/ Other: -?"w C....
Comments:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
1
a
3
4
INSPECTION LOG
Date Time
Signature
11911
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
W
jask - 40 Ts r �m
FmAr AV
44011;
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
62101 %-k S-MeF—T-
Bakersfield, CA 93301
Phone: 661-326-3979 e Fax: 661-852-2171
Page 1 of I
❑ LINE TESTING ❑ SS-989 SECONDARY CONTAINMENT
<J�EL �MONITORING C�EffnFP;�nON
kl� 4 Me
FACILITY
NAME & PHONE # OF CONTACT-PERSON
ADDRESS V
OWNER NAME
OPERATOR NAME T
-PERMIT To OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? 0 YES ❑ NO
TANK 0
VOLUME
CONTENTS
9j
940 26 q
T
TESTING I ING COMPANY
NAME 81 PHONE # OF CONTACT PERSON
NAILING ADDRESS
. CX- —
NAME & PHONE * OF TESTER OR SPECIAL INSPECTOR
IRNAA) M '1 8(0
CERTIFICATION
1809 SSA
-
DATE &TIME TEST tO BE CONDUCTED
1CC 8
- nolut k RV3 - OT
TEST METHOD
(MC->y1
APPLICANT
DATE Llo
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPR D BY
DATE
FD2095 (Rev 03/08)
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
UST REMOVAL
DESCRIPTION DATE SIGNATURE
AST NEW INSTALL
DESCRIPTION DATE SIGNATURE
MODIFICATIONS MINOR / MAJOR
AST REMOVAL
DESCRIPTION DATE SIGNATURE
EVR UPGRADE
PRIOR TO OPERA.T.ION OF ANY SiSTEM,I
ALL_UST_AND /OR AST SYSTEMS SHALL BEi
INS
T L ,COMPLETE AN4D ACCEPTED BY'
MISC. ACTIVITY THE-BAKERSFIELD-CITY FIRE-DEPARTMENT:-�
FIRE DEPARTMENT (FINAL)
REMARKS:
BUILDING ADDRESS: & '�4A
JOB DESCRIPTION:
OCCUPANCY TYPE:
OWNER: ISLNL
PERMIT NO. /Q-/60(0036 5
CONTRACTOR: PHONE #, WC� • Seicd lr—
FD 1743
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
Prevention Servicec
PERMIT # FIAE oi101 1-C %CREST
�N r Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661-852-2171
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. •
PERMIT TYPE
0 Alarm - New & Modification (minimum charge)
FEE CALCULATION TOTAL TREASURY,
DUE ACCT NO,
$280
SITE INFORMATION
; Over 10,000 sq ft
LOCATION OF PROJECT ..• - ^
1
PROPERTY OWNER
STARTING DATE COMPLETION DATE
NAME
PROJECT NAME J
I `
-
oaf
ADDRESS
PHON 'g.3 l
PROJECT ADDRESS
CITY 17'A V _R,S f I Ci L-D STATE
ODE
CONTRACTOR INFORMATION
$0.028 x sq ft
CONTRACTOR NAME CA LICENSE:#
TYPE OF LICENSE
EXPIRATION DOTE
PHONE f
t
3o tt .
.13—
CONTRACTOR COMPANY NAME
' MI<��-
FAX S
- s'Q�3gy
� �tvv� ,v �
3ac�
ADDRESS � �3 �Ro0�C5 C�
� •Q
ZIP CODE � 3 �vp •-
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. •
PERMIT TYPE
0 Alarm - New & Modification (minimum charge)
FEE CALCULATION TOTAL TREASURY,
DUE ACCT NO,
$280
0
; Over 10,000 sq ft
$0.028 x sq ft
• 0
Sprinkler - New & Modification (minimum charge)
$280
0'
Over 10,000 sq ft
$0.028 x sq ft
0'
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
84
.13—
Commercial Hood (New & Modification)
$470
0
Additional hood
$58
0
Spray Booth (New & Modification)
$470
98
.0
boveground Storage Tank (1 inspection per installation) AST
$180/tank
82
0•
Additional Tank ATI
$96 /tank
82
0
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR
$109 /tank '
82
D
Underground Storage Tank (Installation/Inspecdo' n) NI
$878 1tank
82
0
Underground Storage Tank (Modification) MOD
$878/S'ft
8Z •
0
Underground Storage Tank (Minor, Modification) MTM
$167 /site
82
0 '
Underground Storage Tank (Removal) TR
$573 /tank
84
0
Mandated Leak Detection (test) /Fuel ont Ce 56989
NOTE: $96 /hr for each type of test/ even-if
eduled at the same time TT
$96 /hr (2 hrs minimu =$192
82
0
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
li
Pyrotechnic (i permit per event, plus an inspection fee of
$96 /hr during business hours) py
NOTE: After hours Pyrotechnic event ins ion'is @ 121 hr
$96 /hr + (5 hrs min standby fee/insp) =$576
5 hrs min standby fee ins = 605
.84
0"
Re- inspection/Follow -up Inspection
$96 /hr
84
0
Portable LPG (Propane): # of Cages? _
$96 /hr
84
0
Explosive Storage
$266
84
0
Copying & File Research (File Research fee $50 /hr)
$0.25/page.
84
13
Miscellaneous
84