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3701 BELLE TERRACE_UST MINOR MOD 10.12.09
HOODS ALA RMS SPRINKLER SYSTEMS SPRAY E00TH ASI Permit No. File Number: Permit No. . /6009z-C7, Date Received: - /D.-,, -z-6c7, Permit No. Permit No. Permit No. Address: 370 I -3p - - A J eV r _4L_ .Bakersfield, CA 933 Business Name: 4/,,e , -I 6L - SYSTEM: I F-BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System ❑ 1:1 FfifoAIAMS to' ❑ ❑ FiewSpri'nkler 'System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ 9� Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank 0 ❑ Other Building Sq. Feet: Calculation Bldg. Sq. Ft'4- -e 2. 3. 4. Permit No. ep!�-/OMOASCI INSPECTION LOG Date Time Signature Signature Comments: MA�7 AA-k 2 Mille 1E 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, 1St Floor ,41-, N"r Ba kersfield, CA 93301 P '1R! AR1M T Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY TANK OWNER Nm I PHONE # U (,I, ?EJ , 6ICn ADDRESS 3- 10k ��`� CITY � ZIP CODE CONTRACTOR A CA LICENSE # ICC #' ADDRESS`;'e, CITY ZIP CODE. PHONE # BAKERSFIELD CITY BUSINESS LICENSE # WORKMA'S COMP # INSURER BRIEFLY DESCRIBE THE WORK TO BE DONE: �q venwie- V SCLU 4 1w� vc at 5 koc IWATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE MAILING ADDRESS I 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 ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY ,DATE'APPROVED - APPROVED BY FD2086 (Rev 08/09) BILLING & PERMIT STATEMENT 00401° BAKERSFIELD FIRE DEPARTMENT B . E R S F 1 �, L D Prevention Services PERMIT # FIRE 1501 Truxtun Avenue, 1st Floor O AR1B T Bakersfield, CA 93301 Phone: 661-326-3979 •'Fax: 661 -R52 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) SITE IINF LOCATION OF PROJECT � ©1 � 1 MATION PROPERTY OWNER STARTING DATE ^ ^ _ ^ ' COMPLETION DATE NAME PROJECT NAME [AI ♦1 VCS 4 00 ADDRESS PHONE # PROJECT ADDRESS ���n C/ 1INFORMATION gA�ERS�IELp STATE L'A ZIP CODE CONTRACTOR NAME _^ �. • • R CA LICENSE # TYAPE NSE EXPIRATION DATE PHONE #�w�„ CONTRACTOR COMPANY NAME 1 1 FAX # i ADDRESS i ` ` 1 s CITY & ^ c� ZIP CODE q All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ 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) 184 ❑ 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 (Instal lation/Inspection) NI $878 /tank 82 ❑ Underground Storage Tank (Modification) MOD $878 /site 82 Underground Storage Tank (Minor Modification) MT $ /site 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