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Home My WebLink About6100 DISTRICT Boulevard_UST 2.10.10HOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTH AST UST Permit No. Permit No. Permit No. Permit No. Permit No. Permit No. 05 I P File Number: Date Received: lot) 7.,z-z7 SYSTEM: New K64,: ❑ ❑ Commercial Hood System Address. Business Name: CA 933 . Fie& —sx, BUILOING'' S UARE FEET: " Building Sq. I Feet-: ❑ In Firil-e'AlArm.- System Calculation Bldg, Sq, Ft ❑ ❑ f=ire Sprinkler Syttem q P 2. 0 0 Spray FWsh System ❑ Aboveground Storage Tank 4. 0 Underground'Storage Tank minor modification Untleitgtbu id Storage Tank removal Underground Storage Tank 13 ❑ -Other-.! Signature- L 2:0112PEI-423ER L-i2 'EN c-:ER PAN OR 01-IT AD�Rll 15- 2010 1 4'= -",1, j - G 5 1-1 FEE, E::�', r I Cl D! S"T F-.'l '--'T BLVD i,iiiRl 15, 7,010 1 43, :Pil S'ThTLIS RUOR-1, F Ll 10 11S 11ORMAL L 2:fjl'STEI--6"ER 'cl - -.121PEII'S.ER NMI SLIA2X)F.' OUT hb��Rll iloFl 15, 201CI 1 :44 Pil FEF., E'," I C-1 0 F) I T R I CT BI if) fl�Fl 1'5.. 20 1 Fj I : 4 P REP L L F li Nl: "ll 1, AS ! No llli L FUEL. p F i9 1 E, '2 0 1 A STI, FULL "iLi-iFTI '20 1 tj : TH 12,1111P c3l.A.IP FUEL "LARI'l !f, .2. ID I D I ESE L PROBE "--"LJT 5 1 ,-,o I cl 1:34 P11 T 1 :DIE:-JEL. LEVEL C 10 1 35 PH 15, PIK 'i D I E,,E; F_ I '01 0 J- -'I- RM I -2010 I 3%i pf,-1 FEE, E," i.DIOCI E1123-IRIC11' I ELD CO 't-.TC ..j rl REPORT BAKERSFIELD CITY FIRE DEPARTMENT — INSPECTION RECORD Post this Card at the Job Site and DO NOT Remove for Duration of Work InSDection Reauest Phone No. (661) 326 -3979 PRIMARY PIPE SECONDARY PIPE SECONDARY CONTAINMENT AUTHORIZATION FOR FUEL ELECTRICAL SEAK -OFF 1 DESCRIPTION I DATE I SIGNATURE 1 MODIFICATIONS MINOR/ MAJOR PRIOR,TO OPERATION DF ANY SYSTEM, ALL U_ST_AND/OR.AST SYSTEMS SHALL BE INSTALLED, COMPLETE AND ACCEPTED BYE THE BAKERSFIELD CITY -FIRE DEPARTMENT.] Rjjii DING ADDRESS 6l JOB DESCRIPTION or "4 OCCUPANCY TYPE OWNER Fe I-(- �' PERMIT NO. 16 - DO600 CONTRACTOR G-� �4L� vi PHONE # ZoZ7 -5'3cf FD 1743 UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ❑ ENHANCED LEAK DETECTION LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testinq SITE INFORMATION FACILITY Fed -Ex NAME & PHONE NUMBER OF CONTACT PERSON BAKERSFIELD FIRE DEPT. B B R 9 P I Er prevention Services PERMIT TO OPERATE NO. *AFR'RT'NffJ7JF 1600 Tr-uxtun Ave., Ste. 401 �. Bakersfield, CA 93301 CONTENTS Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testinq SITE INFORMATION FACILITY Fed -Ex NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 6100 District Blvd. Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK# VOLUME CONTENTS 1 Diesel TANK TESTING COMPANY :. NAME OF TESTING COMPANY Cal - Valley Equipment Bruce W. Hinsley 661- 327 -9341 MAILING ADDRESS 3500 Gilmore Ave. Bakersfield, Ca. 93308 Bruce W. Hinsley 661- 327 -9341 CERTIFICATION #: A25212 DATE & TIME TEST TO BE CONDUCTED 2/22/2010 at 13:00 Icc #: 1064437 -UT SIGNATURE OF APPLICANT ;g?,�?. �.— ` DATE 2/3/2010 13 -P j0O i 1111,00HES, PIERM R, WHER APPROMED) APPROVED BY Q DATE FD 2095 (Rev. 09/05) p, qk COB 2/9/2010 8:57:43 AM PAGE 3/003 Fax Server BILLING & PERMIT STATEMENT t3AKEKS>FlE1L® IF16�E IvEFeAlZTIv9El�T B, I.. A S Prevention Services, PERMYT #. rRe 1501 Truxtun Avenue, 1� Floor m .PaarlH v F, r Bakersfield, CA 93301 Phone: 661 -$26 -3979 o Fax- 661- 852-2171 All permits niusit be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 1111111111WJA'1� .. SITE INFORMATION. Over 10,000 sq ft Sprinkler - New & Modification (minimum charge) $0 .028 x sq it LOCATION OF PROJECT PROPERTY OWNER 0_. STARTING DATE COMPLETION DATE NAME 7--?-Z-2 0/4 _ - _- .._.._ —.... — .�.._.. PRO7ECr NAME �n / r' r C ' lai-yl0 ADDRESS PHONEY PROJECT ADDRESSD, 1 v CITY 1jAV- G-RSFIGI D STATE CA ZIP CODE CONTRACTOR INFORMATION all CONTRACTOR NAME CA LICENSE 0 - 1/ocl% tc' eht 921733 TYPE OF LICENSE IXPIRATION DATE z - 30 -�l0 PHONE Cal 7-93y CONTRACTOR COMPANY NAME �_�/6rl/ 4jopi Ch't _ FAX S C6/-32S -ZS2 .._ Z1800DE 173308 ADDRESS CITY 3500 C,-r' o All permits niusit be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. ❑ Alarm - New & Modification (minimum charge) $280 ❑ Over 10,000 sq ft Sprinkler - New & Modification (minimum charge) $0 .028 x sq it 0_. $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 ❑ Aboveground Storage Tank (1 Inspection per installation) AST $180 /tank 82 ❑ Additional Tank ATI $96 /tank 82 ❑ Aboveground Storage Tank (Removal, Mod,or Inspecen) 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 82 ❑ oil well (installation, Inspection, or re- inspection) X $96 /hr 82 ❑ Tent # $96 /tent v 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 PD2021fRev 04/081