HomeMy WebLinkAbout4600 STINE Road_UST SB989 5.11.11� v 11111
51
E BUILDING SQUARE FEET:
HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
//- 70X0 / 7
File Number: zdn i(c/6 2
Date Received: .5 _ i/ — //
Address: 15 � cc Z5
Bakersfield, CA 933
Business Name: - eTv (n
❑ V Other:
1.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Signature
Comments: All T)'// -SAW Svc 1491 z�,VCC� a /se a//
A"^j su er r ae 7' 7h z it / 2if /E�
SYSTEM:
E BUILDING SQUARE FEET:
New Mod.
❑ ❑
Commercial Hood System Building Sq. Feet:
a
❑ ❑
Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑
Fire Sprinkler System
❑ ❑
Spray Finish System
❑ ❑
Aboveground Storage Tank
❑ ❑
Underground Storage Tank
minor
modification
Underground Storage Tank
removal
Underground Storage Tank
❑ V Other:
1.
2.
3.
4.
INSPECTION LOG
Date Time
Signature
Signature
Comments: All T)'// -SAW Svc 1491 z�,VCC� a /se a//
A"^j su er r ae 7' 7h z it / 2if /E�
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
_ 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: Q O si /sue P �Ci
JOB DESCRIPTION: 6 -
OCCUPANCY TYPE:
OWNER:
PERMIT NO. / / -/
CONTRACTOR: PHONE # 63 .. .
FD 1743
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD/1-INE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANI< TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
PERMIT 41- 1- 1
_K� 1� 0
tFiRE
D-f PA R rmd2l
❑ ENHANCED LEAK I)ETE.-CTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 TrUXtUn Ave., Suite 401
Bakersfield, CA 93301
Phone: 661-326-3979 o Fax; 661-852-2171
Page I of i
VSB-989 SECONDARY CONTAINMENT
SITE INFORMATION
FACII ATY
_____jLVVlki
NAME , PHONE 11 01: CONTACT PERSON
- o���
ADDRESS CA
OWNER NAME
OPERATOR NAMIz
PERMIT TO OPERATE 11
P Or TANKS TO 131: TESTED:
IS PIPING GOING TO BE TESTED? Cl YES E) NO
TANK
VOLUME
CONTENTS
TANK TESTING*COMPANY
TESTING COMPANY NAME & PHONE 11 OF CONTACT PERSON
(Jk -,,rhs (_-
J?
MWLING ADDRESS 9
I-Le 13 0—H–
Wit: & PHONE 11 OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
b I? I 111 co)
DATE & TI VII: TEST TO BE CONO(ICTED 1CC # TEST' I*IETIIOD
9V
Lob o,1 qZ-OLk-5 - LAT)
APPLICANT SIGNATURE DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPnRED BY
DATE
FD2095 (Rev 06/07)
BILLING & PERMIT STATEMENT
PERMIT #
A
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II A�i I: R S r+ �J��^ I, U
1' Z FIRE - 1'
OftPARTM T
BAKERSFIELD FIRE DEPARTMENT_
Prevention_ Services
1600 Truxtun Avenue, Suite 401
Bakersfield, CA 93301
Phone: 661 - 326 - 3979 • Fax: 661 - 852 - 2171.
' FD2021(Rev 06/07)
1 - ORIGINAL WHITE (Treasury) f- YELLOW (File) 1 -PINK (Customer)
SITE INFORMATION
LOCATION OF PROJECT
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PROPERTY OWNER
STARTI /NAG DATE
• /A34X -�-
NAME
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PROJECT NAME
ADDRESS
PHONE
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PROJECT ADDRESS ``
� 1
CITY pA+'- G -TZSFI EL.-D STATE GA
ZIP CODE
Q
• ' • INFORMATION
CONTRACTOR NAME CA LICENSE fl I
TYPE OF LICENSE EXPIRATION DATE "
PHONE'# -' Y
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Qu u 0 ual -
CONTRACT01R COMPANY NAME
FAX S
ADDRESS CITY
11 IOU C\
ZIP CODE
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ::
•
i
❑ Alarm - New & Modification (minimum charge) $280 .
84
98
■
❑
Over 10,000 sq ft
$0 .028 x sq ft
■
84
98
■
•
Sprinkler - New & Modification (minimum charge)
$280
■
84
98
■
❑
Over 10,000 sq ft
$0 .028 x sq ft
■
84
98
■
•
Minor Sprinkler- Modification ( <10 heads)
$96 (inspection only)
■
84
98
❑
Commercial Hood (New & Modification)
$470
■
84
98
�
— ❑
Additional hood
$58
■
84
98
■
❑
Spray Booth (New & Modification)
$470
■
84
98
■
❑
Aboveground Storage Tank (Installation /One Inspection)
$180
■
82
❑
Additional Tank
$96
■
82
•
Aboveground Storage Tank (Removal /Inspection)
$109
82
•
Underground Storage Tank (Installation /Inspection)
$878 /tank
;
82
•
Underground Storage Tank (Modification)
$878 /site
.
82
•
Underground Storage Tank (Minor Modification)
$167
■
82
•
Underground Storage Tank (Removal)
$573 /tank
■
84
•
Oil well (Installation)
$96
■
84
Mandated Leak Detection (test) /Fuel Mont Cert /S6989
$96 /site
82
NOTE: $96 for each type of test /per site even if
■
scheduled at the same time
■
■
❑
Tent
$96 /tent
■
■
84
❑
After -hours inspection fee
$121
■
■
❑ I
Pyrotechnic (per event, plus inspection fee of $96 /hr)
$96 -I- (5 hrs min standby fee /insp) =$576
84
❑
�❑
Re- inspection /Follow -up Inspection
$96 /hr
n
84
Portable LPG (Propane): # of Cages?
$96
■
84
❑
Explosive Storage
$266
■
■
84
❑
Copying & File Research (File Research fee $34 /hr)
$0.25 /page
■
84
❑
Miscellaneous
84
' FD2021(Rev 06/07)
1 - ORIGINAL WHITE (Treasury) f- YELLOW (File) 1 -PINK (Customer)
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