HomeMy WebLinkAbout6009 COFFEE Road_UST 10.1.07HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST
Permit No.
Fite Number:
Date Received:
Permit No.
New Mod.
❑ 0 Commercial Hood System
Permit No. Permit No. Permit. No. Permit No.
Address:. tL
Bakersfield, CA 933
Business Name:
.BUILDING SQUARE FEET: INSPECTION
Building Sq. Feet:
O ❑ Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑ Fire Sprinkler System
❑ ❑ Spray Fhos.h System I.
O 0 Aboveground Storage Tank 4.
❑ 0 Storage Tank
minor
modification Undergro.uhd.Stora§e Tank
removal Underground Storage Tank
❑ ❑ Other
Date Time
Signature.
Comments:
64
1E
ima�N�
63
1E-
New Mod.
❑ 0 Commercial Hood System
Permit No. Permit No. Permit. No. Permit No.
Address:. tL
Bakersfield, CA 933
Business Name:
.BUILDING SQUARE FEET: INSPECTION
Building Sq. Feet:
O ❑ Fire Alarm System Calculation Bldg. Sq. Ft:
❑ ❑ Fire Sprinkler System
❑ ❑ Spray Fhos.h System I.
O 0 Aboveground Storage Tank 4.
❑ 0 Storage Tank
minor
modification Undergro.uhd.Stora§e Tank
removal Underground Storage Tank
❑ ❑ Other
Date Time
Signature.
Comments:
64
1E
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BILLING .& PERMIT STATEMENT
PERMIT #
11 A,l H R S 11 1 L 1)
FiqE
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BAKERSFIELD FIRE DEPARTMENT
Prevention I services
1600 Truxtun Avenue, Suite 401
Bakersfield, CA 93301
Phone: 1�661:--326-39,79.,* Fax: 6,6.1:- 852r2171
SITE INFORMATION
LOCATION OF PROJECT 1
C14) C1135
PROPERTY OWNER
STAR G DATE -GQMR69UQU-DAT-L �j I #At
NAME
i'@ Ujog wa in
1 Vao
PRECT NAME
7
ADDRESS
&
PHONE#
A f\A-Y1,4 YA ao
E 11th
(UL,00321-50OR
PROJEC`kDDRESS
mt(*s i
_13 E
CITY A 1,_ STATE C,A
ZIP CODE
CONTRACTOR INFORMATION
CONTPACTOR NAME CA: LICENSE 41
TYPE OF LICENSE 'EXPIRATION _DATE
E'
PHONE j#
M"b III il� n yuj3-at SUL>G
CS Lf I
k 0 U, 1) ul. - 6% 1
CONTRACTOR COMPANY NAME L)
0 r
FAX #
(-U.LL
ADDRESS CITY
ZIP CODE
C�
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
■
❑ Aiamn - New &'140d`ihcation (minimum charge) $280 ■
98
■
❑
Over 10,000 sq ft i
$0 .028 x sq ft
■
84
98
■
❑
Sprinkler - New & Modification (minimum charge)
$280
84
98
❑
Over 10,000 sq ft I
$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) j
$470
■
84
98
■
❑
Aboveground Storage Tank (Installation/One Inspection) r
$180
■
82
❑
Additional Tank i
$96
82
❑
Aboveground Storage Tank (Removal/Inspection) 1
$109
82
❑
Underground Storage Tank (Installation/Inspection)
$878/tank
82
❑
Underground Storage Tank (Modification)
$878/site
82
❑
Underground Storage Tank (Minor Modification) 1$167
■
82
❑
Underground Storage Tank (Removal)
$573/tank
■
■
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
■
❑
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
o
84
❑
Portable LPG (Propane): # of Cages? �$96
■
84
❑
Explosive Storage
$266
■
84
❑
Copying & File•Research (File Research, fee
$0.25/page
■
84
❑
-$34/hr)
Miscellaneous
1
1
84
FD2021 (Rev 06/07)
1 -.ORIGINAL WHITE:(Treasury) ii- YELLOW (File) 1 -PINK (Customer),
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT.
TESTING/TANK TIGHTNESS TEST AND
FUEL, MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be Charged per
separate type test accordingly.)
PERMIT W
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
I W n R v r I n. n
Fmir
®Ef Al�'Y'IbIB,� 8'
❑' LINE TESTING
F/FUEI_ MONITORING CERTIFICATION
BAKERSFI•ELD FIRE'DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
Phone: 661-326-3979 o Fax: 661 -852 -2171
Page 1. of 1
❑ S13 -989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY — •-- .-- - -_ - -_ --- _ - - - - -- -- NAME & PFIONL it OF CONTACT PERSON
ADDRESS
Um 00
OWNER NAME
OPERATOR NAME:
PI:RMI -I- TO OPERATE #
$1 OF TANKS TO BE TESTED:
IS PIPING GOING TO 13E TESTED? Cl YES CI NO
w.
z�TANK # � `�— ��—
-�~ VOLUME
^�
-- � CONTENTS
TANK TESTING COMPANY
TANK
-
TESTING COMPANY - ` I — I NAME & PHONE N OF CONTACT PERSON
S: u.► �c� .n_c�_- liS.LS�- r__vise5.; -1��,
MAILING ADDRESS
-5 L�l.ct e:hctn�_._I'Zoad_ �c`kev5 �_el_ <I..,.�C`_R
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
-- - - ---- - - - - --
DATE: tL TIME TEST TO DC CONDUCT _ ICC_i: ___ _. 1'Es'i METHOD
APPLICANT SIGNATURE DATE
THIS PPLrCATI ON BECOMES A PERMIT WHEN,,APPROVED
— .—
:D BY - _
DATE
FD2095 (Rev 08/07)