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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 �: ��:. 1, '- 'T f iN i"7^ f (7? Jt �` 1\ �W / / BILLING .& PERMIT STATEMENT PERMIT # 11 A,l H R S 11 1 L 1) FiqE TMlT :4:4 aqfk. 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)