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Home My WebLink About4800 FAIRFAX Road _UST FMC 6.8.11Willi 31 HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH OO TH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. File Number: G3lb Date Received: Address: Bakersfield, CA 933 Business Name: AU-CA'-% SYSTEM: BUILDING SQUARE FEET: New Mod. ❑ ❑ Commercial Hood System Building Sq. Feet: ❑ ❑ Fire Alarm System Calcu rat ion Bldg. Sq. Ft: ❑ ❑ Fire Sprinkler System ❑ ❑ Spray Finish System �Q ❑ ❑ Aboveground Storage Tank ❑ ❑ Underground Storage Tank minor modification Underground Storage Tank removal Underground Storage Tank ❑ B----'Other: °yfil (2— Comments: 1. 2. 3. 4. INSPECTION LOG Date Time Signature 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: r q JOB DESCRIPTION: OCCUPANCY TYPE: OWNER: Astay o IT NO. .- Q CONTRACTOR: Cesj ; C„g„ PHONE C) Jj -WaO FD 1743 BILLING & PERMIT STATEMENT PERMIT # I{ AIi.R S I' IJ ,I. U FIRE %%q' D$f'ARTMFS�r IY •f!'w. P.n•Y.0 V 1139 e:L BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 Truxtun Avenue, Suite 401 Bakersfield, CA 93301 Phone: 661 -326- 3979.9 Fax: 661-852-2171 FD2021(Rev 06/07) 1 - ORIGINAL WHITE (Treasury) 1- YELLOW (File) 1 -PINK (Customer) FORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE tvriP:ii�vA' lU ETIME NAME PROJECT NAME Altc b— AD DR PHONE# _2Lk�lZC r_li_A�a aA. - o PROJECT ADDRESS CITY �AK,GT\.SF(6L -.D STATE CA ZIP CODE q 3 CONTRACTOR I14FORMATION CONTRACTOR NAME CA LICENSE Jl I TYPE OF LICENSE EXPIRATION DATE l ns 0�� t� C5 L� _ PHONE If ' • 1 -'3k 10 CONTRACTOR COM ANY NAME FAX N ZIP CODE ADDRESS / �//� CITY y�� ( y 6'c �L All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. � • i ■. • 11 Alarm - New & Modification (minimum.charge) 1 $280 m . 84 • 98 ■ ❑ Over 10,000 sq ft $0 .028 x sq ft ■ 84 98 ■ ❑ Sprinkler - New & Modification (minimum charge) $280 ■ 84 98 ■ Cl Over 10,000 sq ft $0 .028 x sq ft ■ 84 98 ■ ❑ Minor Sprinkler Modification ( <10 heads) $96 (inspection only) ■ 84 98 0 ❑ 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 r ■ 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 ❑ d Underground Storage Tank (Minor Modification) $167 ■ 82 C, I Underground Storage Tank (Removal) $573 /tank ■ M. 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 r ❑ I After -hours inspection fee $121 ■ IL ❑ ' 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 e 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) p�F IDFti N V. ES "COMPLIANCE WITH CONFIDENCE" June 7; 2011 CITY OF BAKERSFIELD Attn: David Weirather Office of Environmental Services Fire Department /UST Program 2101 H Street Bakersfield, CA 93301 To Whom - It. May Concern: Enclosed for your approval, please -find Application to Perform Fuel Monitoring Certification and Billing and Permit Statement, along with our check in the amount of $192.00. Please fax the approved Applications and permit fee receipts to our office at 661- 587 -9758. Should you have any questions, please feel free to contact me at 631 -3870. Thank you for your attention herein. Enclosure Yours truly, CONFIDENCE UST SERVICES, INC. Karli Karns, Dispatch Coordinator 16250 Meacham Road • Bakersfield, CA 93314 (661) 631 -3870 or (800) 339 -9930 FAX (661) 587 -9758 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TE-STING/TANI< TIGFITNESS TEST AND FUEL MONITORING CERTIFICATION PERMIT • I I It 13 R I P 1 1111 FIRE EPAR r V BAKERSFIELD FIRE DEPARTMENT Prevention Services 1600 TI'Llxtun Ave., Suite 401 Bakersfield, CA 93301 Phone: 661-326-3979 o Fax: 661-852-2171 Page I of I ❑ ENHANCED LEAK DETECTION ❑ LINE i-rSTING ❑ Sf.3-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ICI I:LJFI- MONITORING CERTIFICATION SITE INFORMATION FACILITY Nalu K-4 NAME & PHONE # 01: CONTACT PERSON ADDRESS CA OWNER NAME OPERATOR NAME PERMIT TO OPERATE /I _—M fnaA ?AS -rO PIPING GOING TO BE TESTED? 0 J# OF 131: TESTED: IS YES 0 NO TANK # y VOLUME CONTENTS TANK TESTING'COMPANY TrSTIWG COhWANY us> —\- NAmr & mioNr It OF CONTACT PERSON —L)-LAIAAL�-a—ca- —K&' A �5(- MAILING ADDRESS o- NAME 8, PHONE 41 OF TESTER OR SPFCIAL INSPECTOR CERTIFICATION # --Z3 —lAA-(AQ_ DATE & TIME tEST TO BE CONDUCTED ICE OD APPLICANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPR y DATE FD2095 (Rev 06/07) F Y 1 j •Balerifi.'e ' `•�•�•�: ,Gt'� ?GMc�' per.; "�i ��' tiofi.;, vp; lII1iINGT.iA�IT� ':Cliff' '�,Z�+'_93`''' • � � � �'� Lit`: ($ . — Ti a'i l4 t)3::Q.r,,,, •+ � I:w i � � ' 1