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Home My WebLink About4013 H Street_UST MINOR MOD 3.4.11i�nunWU� IE MOODS ALARMS SpG3NKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: fwr- -- Date Received: 3 - -f -4i Address: Bakersfield, CA 933 Business Name: ❑ ❑ Other: 1. 2. 3. 4. Date Time 3 1el/1i 6,11 J�ze<—y Signature Signature 11111141100t1lil 60-- SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calculation Bldg. Sq. Ft: e ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification n round Storage Tank removal Underground Storage Tank ❑ ❑ Other: 1. 2. 3. 4. Date Time 3 1el/1i 6,11 J�ze<—y Signature Signature 11111141100t1lil 60-- BAKERSFIELD CITY FIRE DEPARTMENT -- INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work Inspection Request Pl one No. (661) 326 -3979 UST NEW INSTALL DESCRIPTION DATE SIGNATURE BACKFILL PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT SENSORS AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF TANK TESTING UST REMOVAL DESCRIPTION DATE SIGNATURE EVR UPGRADE MISC. ACTIVITY REMARKS: AST NEW INSTALL DESCRIPTION DATE SIGNATURE (- MODIFICATIONS MINOR /MAJOR AST REMOVAL DESCRIPTION DATE SIGNATURE PRIOR TO OPERATION OF ANY SYSTEM, ALL UST AND /OR AST SYSTEMS SHALL BE INSTALL, COMPLETE AND ACCEPTED BY THE BAKERSFIELD CITY FIRE DEPARTMENT. FIRE DEPARTMENT (FINAL) BUILDING ADDRESS: /3 S• �� JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: '- Mrll.a PERMIT NO. CONTRACTOR: PHONE # JZZ -66&0 FD 1743 BILLING & PERMIT STATEMENT _ BAKERSFIELD -FIRE DEPARTMENT Prevention Services - PERMIT # °- ,i�ri r 1501 Truxtun Avenue, ill Floor Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. OFFICE USEI nNl v 0 ❑ PERMIT TYPE Alarm - New & Modification (minimum charge) FEE CALCULATION $280 TOTAL DUE ACCT NO ❑ Over 10,000 sq ft LOCATION OF PROJECTL, So SITE INFORMATION PROPERTY QWER GO 01 1 ❑ STARTING DATE -v4- COMPLETION DATE -o - r NAME I- J 0 Oil PROJECT NAME F& / •�^ ❑ Over 10,000 sq ft ADDRESS / ^ /C/ /�'C PHONE # PROJECT ADDRESS o t 3 1 So, 5f �� hers red CITY g,�iCETZS�I6(_D STATE ZIP CODE 3�b 8 CONTRACTOR NAME_ e , CONTRACTOR INFORMATION LICENSE #� `�1 S TYPE OF LICENSE EXPIRATION DATE .J(/e' ( /'T/ PHONE # -04 16 0 3 CONTRACTOR COMP Y NAME �v f C h FAX # ADDRESS O i e ve C b .)ers�� ZIP DE 1 a6 All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. OFFICE USEI nNl v 0 ❑ PERMIT TYPE Alarm - New & Modification (minimum charge) FEE CALCULATION $280 TOTAL DUE ACCT NO ❑ 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) M T M C1 67 /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 UNDERGROUND STORAGE-TANK PERMIT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY)/NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD [Permit # ERA- � -A FIRM VJ • TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY (rHF(k' ONF r)NJ Y) n mr)nTFTrATTON OF FAr.T1 TTY BAKERSFIELD FIRE DEPARTMENT Prevention - services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of I ❑ NEW TANK INSTALL/EXISTING FACILITY tR MTNOR mor)TFTCATTON OF FACTLTTY STARTING DATE/ 03- - 11 Q X M' oil FACILITY NAME EXI�77, G WC T� i", 111'1'�"111'"�' % att 7a / ,a FACILITY ADDRESS CITY 1'I4'3'3' i&,ker field 0Q TYPE OF BUSINESS APN # TANK OWNER o, t PHONE # ADDRESS 3/01, _51��tg RO, CITY,3 C ZIP CODE cl OR 33 TRA R' �'f V_x CXT: P b Z I OD UAW PHONE. A t BRIEFLY DESCRIBE THE WORK TO BE DONE: and /"..5 Xa ileul Pt - 0. r ffto WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED E TjAR' THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? ❑ YES ❑ NO ❑ YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK, 1 0 rc "I"X_ qmm A 12a "Y i AQ�E Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER 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 7C7 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE L. N. VE `0 ��'.L�.'-"i'� AP P ED it ,�4r"�,,�'!--"�-,-��,�",�,-.,��,,'-��,:"",--,."",",- _ ?-VZUUb (Kev uums) UNDERGROUND STORAGE TANK._ PERMIT °APPLICATION e $ 9 P I` TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW FIRS TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD IPerm- # TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY fCHFCI( ONF ()N1 Y) rl MnDTFTCATTnN OF FACTI TTY `it, BAKERSFIELD FIRE- DEPARTMENT - Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 . Fax: 661 - 852 -2171 Page 1 of 1 ❑ NEW TANK INSTALL/EXISTING FACILITY Id MTNnR MnnTFTrATTnK1 (1F FArTI TTV STARTING DATE/ PROPOSED'.COMPCETION DATE " " "'- "`- ' "c} 03-014-11 Yr' a,fr r, FACILITY NAME EXISTING FACILITY,,PERMIT #,. a ^'K =' `'`' ` %`4` str-112 781 -. FACILITY ADDRESS f t CITY ZIP COD 4 v i e d R304 TYPE OF BUSINESS G APN # G1. h TANK OWNER j PHONE # 1 ADDRESS 31 I S CITY ZIP CODE O a7F-e c. e s e/rJ 3 0 C O � � e • � ;, ,r, , ,~k v "s - y p CA CENS # ' e �` ,ICC # � a � ry � -'S = - '.A "Y- �,( r�.`.� `,.�,*i `d �,:' >'ti4•'r';C: -Y,,, 'a,:R: 'x',y. �ry�r:,c- t ,y=4 +I:J�c 'i = =' v 1''�fu`Ji N,i(1. u�t, < It{ ' rpj� 1 ;:!` - �a4` i, _ �5. V.'J;•,F u.i'r ° }''�%'f ":': Y r�".' . ..,�„w.ti,,t `.r1'•i i�?2�';JtY "r':K: .i;SS'pe- .F.....y BAKERSFIELD CITY BU SIN ESS " LICE NSE,# WORKM4NS,COMP #$;; it -f INSURER j• r E h„ t'. F' - {,- }.. i2 5. LIB - _+c �.t.H;7- . ='t'.a =n4» 'L's .,t,;.ti o!�;: rzl` _,, x.; =f�;'l'.� }t,:,,, BRIEFLY DESCRIBE THE WORK TO BE DONE: Flocf Sen / Tr Q,, scr.!T In /CSC S WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED 713 ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES ❑ NO ❑ YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION ;TANK' #'4;ri' VOLUME, UNLEADED ` %" REGULAR `' *i PREMIUM °r t:' % ^a. DIESEL s OTHER' ' �,�a. Ht X32 `�' � � �� kt r �.1. � o �- � ��. >;f`y ;�'�F?,;,� .5' ,4. i ss. �. Fr• Z r -NYi r :'r > wr , ' i f'L�'J_.,d.' �" �ftF , x �, � - s ` - ra ,9 '. F.' _ -`'JP� t Y S I:: -�' i .f.. { ti ✓: �=f f `?;ra'sa' ,'- �:;f$•.+ a:x ,Z., -,.y; ��i ,�:(•i��' `fib > fi:' var� t � � 4 - .•�;; . +: r' ruE._ —:' t ,t -6:... �' a.a:!- kY..1,. 1`, J'. .5:v ,o:a -<,,, •.Y+ .F- i`i >'•- J%4�'i( -a - �'.�. .h. _•� - .�7.!��:V �a,.�'J,.f? '+. TI,"'..;.< ,Z }„' - '1'i n4 „ "`: +'S'y,, - Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER 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 ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPRO -:i - "f=' x. `APP ED ROV B - t-Uluuo (Kev vuluy) , - 'ern• -, 1 , � •_ .-� A � ', ' .�, a `:{ F�1• - , .!!t - .��. « j`, ••••ate.; ' .. °- _ . « _ __ . _ ., r _ - LL.._...:,{.t;ra .: _ •_'?.....: =.'i' « _ .. , ... � ry - . A,�- �, _ .. _........... -.. T � ... y ,^r i i .2. "..� +« ..._ .»...0 .;,• .., ., .. ..� ._.. r . 1. � _ 1. �r[( " _ , �.... ,�.�:' :zi't.y. �of Sa�ensfield . • � .,. , ... �.. _.,.� _ .__ ..4.. _r .l .,. •, •. _�� ._. �... f r pei ., V,DAVI'L Tl AA - „- (. iron` � "',' �tyscr.i�# t��ant:a�,;• - �.�t�oun��•Y'';_�:,:: ,,�_ � . _ 064 : . i'.._ .,__ --° - - - i .�. ;1'a�' �',::;;�F:�B!'�•''I'.'�',�� ?;' � - ._._... __.._. _ .._ w_......_.... -. fitt. .. _ .'fie *n�e•�s^p:}f�Q{'��zl.'_ '� - .:; ";� � t�' E cite.." jl+ubent`:::a:' .. ... n5 dat`eE' . :1�= iS:•1.5 :� ''u r3r•'�.111`::; .�Ti�c� , . r.. P 4E0 ''': tL��diF�� .,'ik, +Pi'r'F'i4'tN_iT;g pCtf� `,PAY VD), ! 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