HomeMy WebLinkAbout4600 STINE Road_UST FMC 5.11.11HOODS ALARMS
Permit No. Permit No.
File Number: rip -g4G2
Date Received:
SPRINKLER SYSTEMS SPRAY BOOTH
SYSTEM:
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
Permit No.
Permit No.
Permit No.
UST
Permit No.
/ /—ld 0670/i
Address: -V6C C1 5 7iAL).Q ,r .
Bakersfield, CA 933
Business Name:
BUILDING SQUARE FEff77 SPECTION LOG
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
7�
FRA
3.
4.
Date Time
Signature
❑ GY' Other: � 7ili1 =C—
Comments: 87 iv�eh ;:vs �v�✓ %sZ -� r'
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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
JOB DESCRIPTION:
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:
JOB DESCRIPTION:
OCCUPANCY TYPE:
OWNER:
PERMIT NO. /�-
CONTRACTOR: PHONE # 631---3$;7
FD 1743
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UNDERGROUND STORAGE TANKS
0
ADDRESS CA-
OWNER NAME
OPERATOR NAME Pi:Rmn-ro OPERATE #
ii OF TANKS TO•BI: TESTED:
APPLICATION—
FLNE
TO PERFORM ELD/LINE TESTING/
DIE PA R rmsiv r
V
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUELMONITORING CERTIFICATION
PERMIT #
D EN•ANCI-1) LEAK OETECTION 0 1 INE TESTING
❑ TANK 1-IGI-11-Nrss ICJ rL)El- MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Semices
1600 TI-UXtUn Ave., Suite 401
Bakersfield, CA 93301
Phone: 661-326-3979 o Fax: 661-852-2171
Page I of I
❑ S13-989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY NAME & PHONE fl Of: CONTACT PERSON
c--
ADDRESS CA-
OWNER NAME
OPERATOR NAME Pi:Rmn-ro OPERATE #
ii OF TANKS TO•BI: TESTED:
IS PIPING GOING TO BE TESTED? I-) YES 0 NO
TANK #
VOLUME
CONTENTS
1
TANK TESTING'compANY
TESTING COtIPANY NAME & PlIONr V Of- CONTACT PERSON
c. u-t
MAILING ADDRESS
NA611: & PHONE It OF: TESTER OR SPECIAL INSPrCTOR CERTIFICATION It
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DATE & TIME T - ST TO BE CONDUCTED ICC # TEST METIi00
51�0\ALWkc- (0::
APPLICANT SIGNATURE DATE
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROV BY
7,
DATE
FD2095 (Rev 06/07) .
BILLING & PERMIT STATEMENT
PERMIT #
api6�Q�0�, @;n
1
• �glii FIRE ,h' �
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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) 1- YELLOW (File) 1 -PINK (Customer)
INFORMATION
LOCATION OF PROJECT
PROPERTY OWNER
,A
STARTING DATE SATE -hN,;F-
� f =�Qnm
NAM
-
PROJECT NAME \
ADDRESS
PHONE N
( kaly 1
PROJECT ADDRESS
CITY P>/CICG`Tl\...SF1EL.-D STATE CA-
ZIP CODE
CONTRACTOR
CONTRACTOR NAME `J
��rt.sL1�
CA LICENSC f!
TYPE OF LICENSE EXPIRATION DATE
PHONE f/
CONTRACTOR CO PANY NAME
,UI_ : li lC:i_1(:ST= ��.r_v C�j_, �l_C,
FAX ff
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ADDRESS CITY
ZIP CODE
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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
a
84
98
■
r
❑
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
�
❑
I Additional hood
$58
■
84
98
■
•
Spray Booth (New & Modification)
$470
■
84
98
a
•
Aboveground Storage Tank (Installation /One Inspection)
$180
■
■
E
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
• I
Underground Storage Tank (Removal)
$573 /tank
r
■
84
❑
Oil well (Installation)
$96
'
84
[
Mandated Leak Detection (test) /Fuel Mont Cert /SB989
$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
■
s.
•
Pyrotechnic (per event, plus inspection fee of $96 /hr)
$96 + (5 hrs min standby fee /insp) =$576
84
•
Re- inspection /Follow -up Inspection
$96 /hr
;
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) 1- YELLOW (File) 1 -PINK (Customer)