HomeMy WebLinkAbout4900 PANAMA Lane_UST MINOR MOD 7.13.10HOODS ALARMS SPRINKLER SYSTEMS SPRAY A BOOTH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
�d �ccioo P
File Number: -gyp X833 Address: •5/YQd,Jq�,l,�,q,
Bakersfield, CA 933
Date Received: 7-/3-/0
Business Name: Co i cp
SYSTEM: BUILDING SQUARE FEET: INSPECTION LOG
New Mod.
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❑ ❑
❑ ❑
❑ ❑
❑ ❑
❑ ❑
minor
Cirriodificatio
removal
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
Underground Storage Tank
Underground Storage Tank
❑ ❑ Other:
Building Sq. Feet:
Calculation Bldg. Sq. Ft:
Comments: aLq,C,e -ot 1
A
1.
2.
3.
4.
Date Time
Signature
0X-
1E
J
0X-
BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK I` Prevention Services
2101 H Street
PERMIT APPLICATION . B e e , D Bakersfield, CA 93301
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW Phone: 661 - 326 -3979 • Fax,:.661 -852 -2171
TANK INSTALL (EXISTING FACILITY) /MbD -MINOR MOD *AFJ'FJ'TAff
.
Page 1 of 1
Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL/ EXISTING FACILITY
BRIEFLY DESCRIBE THE WORK TO BE DONE:
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED ARE TktY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YE9 ❑ NO ❑ YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
MAILING ADDRESS .
NAME OF TESTER ICC#
THE APPLICANT HAS RECEIVEbj UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS
PERMIT AND ANY OTHER STA% LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER
PENALTY OF PEP49RY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER I ICC#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
Rev
BILLING & PERMIT STATEMENT BAKERSFIIELD FIRE DEPARTMENT
B M, F R S F I! U Prevention Services
PERMIT # FIRE 2101 H Street
a �ARr�� r
(y�r Bakersfield CA 93301
Dt, ---• r-r-I _'17 _'2070 Gov• .rr,1 71
All permits must be revi2ewed, stamped, and approved PhIOR TO BEGINNING WORK.
❑
Alarm - New & Modification (minimum charge)
INFORMATION
LOCATION OF PROJECT
PROPERTY OWNER
fps 15TA- I oN
C6sTz O
STARTING DATE COMPLETION DATE
NAME
CDSTc p W �{o�Sl4 ��
PROJECT NAME
COST,cO W p _ 17
ADDRESS
L4900 PC-h aW' c (_N
PHONE #
Ce0l - �7— ZOZ%
PROJECT ADDRESS 4-f ie)�
�4n�nr,•1q Clt1
^
CITY P/ \ice! ET2SCIELT:5 STATE CA
ZIPCODE 3 3 3
CONTRACTOR INFORMATION
❑
CONTRACTOR NAME CA LICENSE #
TYPE OF LICENSE EXPIRAT ON DATE
(C)
PHONE #
'Rs 1 0, 0 t, - 3o z3
CONTRACTOR COMPANY NAME
FAX #
❑
Minor Sprinkler Modification ( <10 heads)
ADDRESS
ZIP ,SODE
❑
Commercial Hood (New & Modification)
All permits must be revi2ewed, stamped, and approved PhIOR 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)
84
❑
Commercial Hood (New & Modification)
$470
❑
Additional hood
$58
•
Spray Booth (New & Modification)
$470
98
•
boveground 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). MTM
$167 /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
2
•
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
FD2021(Rev 04/10)