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Commercial Hood Sys.
Fire Alarm Sys.
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Fire Sprinkler Sys. ❑ Calculation Bldg. Sq. Ft.
Spray Finish Sys.
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Bus . Name: \ J,e t -? W 0. %r--O- L-- Ci
Commercial Hood Sys.
Fire Alarm Sys.
Bldg. Sq. , ft.
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Fire Sprinkler Sys. ❑ Calculation Bldg. Sq. Ft.
Spray Finish Sys.
Other:
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ABOVEGROUND STORAGE TANKS
APPLICATION FORM
FOR INSTALLATION,/ REMOVAL OF AN AST
/is, INSTALL ❑ REMOVE
PERMIT: #
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 2
F ILITY
r
ADDRESS Y0Lk\11\Q.
5
OPERATORS NAME
PERMIT TO OPERATE NO.
O NERSt�ME . •
NUMBER OF TANKS TO BE INSTALLED / REMO ED
. - - -M� nB- "g5-�•, uA' qd.s `uq. .$RG d b =g#`- '�•2•..- - ey.. •• .�•+..; =F`•
TANK NO. ' � • � ` ' –CONTENTS - '_: =VOLUINE '
�(.
VA vL'i - ?AL-w S ado C,/zL .
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Cp t we;e
CA
NAME OF COMPANY IN TALLING & / OR MOVING T ; . S�U
M ING AD RESS . • As
NAME & PHONE NUMBER OF CONTACT PERSON
DATE & TIME TEST IS TO BE INSTALLED OR E
�r� OF APPLICANT
DATE 7- 1
PR V D BY G000r V7
DATE
&— FD2058 (Rev. 02/05)
ABOVEGROUND STORAGE TANK
GUIDELINES
FOR PERMIT TO INSTALL AST
FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE
LIQUIDS
T=/
BAKERSFIELD FIRE .DEPT.
PREVENTION SERVICES
$ x s F D 900 Truxtun Ave., Suite 210
P/R! Bakersfield, CA 93301
A` rr r Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 2 of 2
GUIDELINES FOR PERMIT TO INSTALL AN AST
FOR DISPENSING OF FLAMMABLE OR COMBUSTIBLE LIQUIDS
A) Any above ground storage tank installed within the City of Bakersfield for the` purpose of dispensing motor vehicle
fuels must meet the requirements of section 5202.3.7 of the California Fire Code, 2001 Edition and Bakersfield Municipal
Code.
B) The tank sizes shall not exceed a capacity of two. thousand (2,000) gallons individual or four thousand .(4,000)
gallons aggregate.
C) -- Any above ground storage tank with a single capacity of greater than 660 gallons or cumulative capacity of more than
1,320 gallon must complete a Spill Prevention, Control and Countermeasure (SPCC) Plan, per California Health & Safety
Code Division 20 Chap per 01A copytof this�plan �m�st be su�h'mitted�to�theGB,a�ke �sf�eld`Fl�ire.rDepa�rtment Office of Pr`vention
Services located at 900 Truxtun Avenue, Suite 240,'Bakersfield, CA 93301 and can be reached at 661 — 326 -3979.
APPLICATION PROCESS .
1. Provide two sets of a plot plan for the facility. This plan must include location of property lines, all buildings and
openings to each building (such as windows, doors, vents, etc: )unearest`road :or Jiltersection; all-tanks piping, any
fixed source of ignition (i.e., water heaters; forced air, AC. units, etc.), all foundations, and equipment to be
installed.
2. Construction details of tank pad seismic straps or fixtures, and crash posts.
3. Certification by the manufacture that the tank meets the applicable codes.
4. Identification of the materials,to be stored in the above ground storage tank.
5. Building permits for all reinforced concrete and electrical work must be obtained at the Bakersfield City Building
Department located at 1715 Truxtun Avenue, Bakersfield,•CA 661 — 326 -3720. Construction "cannot begin-
without their approved permit.
6. Complete any necessary application for the Air Pollution Control District for any storage or dispensing of
gasoline or aviation fuel.
7. Applications must be fully ggmpleted -or they will be returned: rio..exceptions.; .s:
8. Permit fee must be submitted with the application or the application will'not be processed.
9. A final inspection must be completed before AST system is operational. This is to insure compliance with the
UFC regarding placement of placards, and where applicable, the testing of emergency shut -off device, and
overfill /overspill.
FD2058 (Rev. 02/05)
BILLING & PERMIT STATEMENT
PERMIT NO.:
BASERSFIEW FIRE DEPT.
Prevention Services -
FIRM 9001Yu dun Avenue, Suite 210
ARSr
Bakersfield, CA 93301
Tel.: (661) 326 -3979 a Fax: (661152 -2171
1- ORIGINAL WHITE (to Treurey) 1- YELLOW (10 FIN) "INK (to Guaterm)
FD 1735 (Rev.
SITE LOCATION OF PROJE
, OWNER ,
STARTING DATE COMPLETION DATE
12,
F, ��
ECT ` � '
PHONE N0.
PROJECT A
C 8TA
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TOR NAME CA LICENSE NO.
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INFINIMN� -- __m
TYPE OF LICENSE. EXPIRATION DATE
y 2D 0511 t
PHONE N
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CONTRACTOR COMPANY NAME �/ 48 t{ `'ice
FAX NO.
ADDR 5
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ZIP qEa
❑ Alarms - New & Modifications - (Minimum Charge) $262.50
84 '
98
❑
Over 20,000 Sq. FL
Sq. Flt x.013125 = Permit fee
84
98
❑
Spdnlders - New & Modifications - (Minimum Charge)
$210.00
84
98
❑
Over 5,000 Sq. Ft
Sq. Ft x.042 a PWmk fee
84
98
•
Minor Sprinkler Modifications (< 10 heads)
$ 90.00 [Inspection Only]
84
98
•
Commercial Hoods — New & Modifications
$ 398.26
84
98
❑
Additional Hoods
$ 3R00
84
98
❑
Spray Booths - New & Modifications
$372.14
84
98
Aboveground Storage Tanks (Installaftftsp: l" Time)
$160.00
82
Additional Tanks
$ 2&00
82
Aboveground Storage Tanks (Removadinspection)
$106.00
82
Underground Storage Tanks (InstatadonAnspaclon) ''
$852.00 (per tank)
82
❑
Underground Storage Tanks (Modification)
$852.00 (pars")
82
❑
Underground Storage Tanks (Minor Modification)
$150.00
82
❑
Underground Storage Tanks (Removal)
$655.00 (per tank)
84
❑
Oilwell (Installation)
$ 70.00
84
❑ ' '� "Mandated
Leak Detection (Testing)
$ 79.00
82
•
Tents
$ 90.00 (per"
84
❑
After hours inspeodon fee
$118.00
84
•
Pyrotechnic - (Per event, Plus Insp. Fee ® $90 per hour)
$ 60.00 + (5 hm. min. stand -by fee Ane m1m) _ $510.00
84
❑
RE-INSPECTIO)WS) /FOLLOW -UP INSPEC71ON(S)
$ 90.00 (per houll
84
❑
Portable LPG (Propane): NO. OF CAGES? _
$ 64.00
84
❑
Explosive Storage
$242.00
84
❑
Copying & File Research (File Research Fee $33.00 per hr)
250 per page
84
❑
Miscellaneous
84
1- ORIGINAL WHITE (to Treurey) 1- YELLOW (10 FIN) "INK (to Guaterm)
FD 1735 (Rev.
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BILLING & PERMIT STATEMENT
PERMIT NO.: i
F/RL
Atr/
BASER8FIELD FIRE DEPT.
Prevention Services
90 - T u dun Avenue, Suite 210
Bakersfield, CA 93301
Te1_r 16611 326-3979 •'Fax- 16611 R52 -2171
Lt At 1 1c:;
❑
i
Alarms - New & Modifications - (Minimum Charge)
$262.50 .
ACCT NO
84 '
98
❑
LOCATION OF PROJEOY
Sµ R. x.013125 = Permit flee
ER
98
❑
STARTING DATE
COMPLETION DATE U
NAME l ` ?s `
\
98
ECT NAME'
O `
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M
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PHONE NO.
PROJECT AD
"Q
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$ 90.00 [Inspection Only]
C
ZIP CODE
TOR NAME
�—
CA LICENSE NO.
2:
TYPE OF LICENSE.
r4 ..
EXPIRATION DATE
05622-1/6-7
PHONE NO
.359
CMTRACTOR•COMPJ(WWAME
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Additional Hoods
FAX /
ADDRE U
`
t` - [
+ Q J�
ZIP T
Lt At 1 1c:;
❑
i
Alarms - New & Modifications - (Minimum Charge)
$262.50 .
ACCT NO
84 '
98
❑
Over 20,000 Sq. Ft.
Sµ R. x.013125 = Permit flee
84
98
❑
SpdnMers - New & Modifications - (Minimum Charge)
$210.00
84
98
❑, ,
Over 5,000 Sq. Ft
S¢ R x .042 a Permit fee
.
84
98
•
Minor Sprinkler Modifications (< 10 heads)
$ 90.00 [Inspection Only]
84
98
•
Commercial Hoods — New & Modifications
$ 398.26
84
98
❑
Additional Hoods
$ 3800
84
98
❑
Spray Booths - New & Modifications
$372.14
84
98
Aboveground Storage Tanks (Installada✓insp: l" Time)
$160.00
82
Additional Tanks
$ 2800
82
Aboveground Storage Tanks (Removalinspection)
$106.00
82
Underground Storage Tanks (InstaladonJlnspeciion)
$852.00 (per tank)
82
13
Underground Storage Tanks (Modification)
$652:00 (persite)
82
,,.❑.
Underground Storage Tanks (Minor Modification)
$150.00
82
❑
Underground Storage Tanks (Removal)'_
$655.00 (per WV
84
❑f
Oilwell (Installs on)-
$ 70.00
84
❑ '
Mandated Leak Detection (reeling)
$ 79.00
82
❑
Tents
$ 90.00 (per Game
84
❑
Aflr hours inspecdon lies
$118.00
84
❑
Pyrotechnic - (Per event, Plus Insp. Fee 0 $90 per hour)
11160.00 + (5 hue. min. etand'-0y fee ltrw wdm) _ $510.00
84
•
RE4NSPECWWS) 1F0LL0W -UP INSPEC7101V(S)
$ 90.00 (par hour)
84
•
Portable LPG (Propane): NO. OF CAGES? _
$ 64.00
84
❑
Explosive Storage
$242.00
84
❑
Copying & File Research (File Research Fee $33.00 per hr)
250 per page
84
❑
Miscellaneous
I .-
,
84
1- ORlON& WHITE (%Treasury) 1-YELLOW (W Fib) I~ (w q rata W)
FD 1735 (Rev.