HomeMy WebLinkAbout6501 UNION Avenue_UST 10.13.09I
0
Permit No.
File Number:
ALARMS
Permit Na
23.
—JE
DMOR OiVed': ZQ-I-a-cg
'New Mod.
COMMOrchil, Hood System
❑ ❑ FlAi- .Ala r. M. SyOthm
❑ ❑ Fire Spr1rikler System
❑ 0 Aboveground Storage -rank
❑ M-'�Underground Storage Tank
minor
m clifcation UridOgriduhd Storage Tank
removal Underground Storage Tank
1:1 .❑ Other.,
Permit No.
Permit No.
AST
Permit No.
Address: JVc*OJ ,d,"-2.
'"Bakersfield, CA 9
Business Name. #L
.. L). vAA: -v Z
_BUILDING SQUARE FE-'E"'-T:
Building Sq. Peet::
Calculation EMA9 ".8,4, ft.
Permit No.
V-4- _T� w _� c * 2__ 5
� m I I g m P; j _ i I i(oi g FIr,, *T_ M
.Date. Time
26
3.
4.1 -1
7 11=1 7,
Comments:
24
IE
UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT / MODIFY / MINOR
MODIFICATION OF AN UST
PERMIT NO.
btu- tw�►D�ro2 3
TYPE OF APPLICATION: (Check one item only)
0 NEW FACILITY
n MODIFICATION OF FACILITY
Ia
�l
A
BASERSFIBI FIRE DEPT.
Prevention Services
!fN 900 T7nixtun Ave., Ste. 210 Bakersfield, CA 93301 .
e r D Tel: (661)326 -3979
Fax: (661) 852 -2171
pap 1 of 1
13 NEW TANK INSTAL -A ISTIN AGILITY
P'IGINOR MODIFICATION OF FACILI
ARiING DATE ' Q
PLETION DAYS.
ACILrrY ADDRESS 1
1
(
rV`I
P�QDE
C��{ i ✓G
I OF IlNna�!-
W-N.4.
ANK OWNER
PHONE NO
DRESS
DITY
P CODE
LMENSEC�N-O.
IOC ;NO.
�
DRESS - -
_f (/
(
nY
ZIPCOD E
ONE;NO
IELD CITY BUS
ES :WENSE•NO. - '
KMANS COMP NO.
INSURER
BRIErLYDE1VBETHEWORKTOBE DONE
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
NO. OF TANKS TO BE I
ARE THEY FOR MOTOR FUEL
O YES 0 NO
SPILL PREVENTION CONTROL AND COUNTER MEASURES PLAN ON FILE
17 YES 17 NO
THIS SECTION N FOR NON MOTOR FUEL STORAGE TANKS
TANK NO. V6LUW "' NLEADE[i." PIiCAR' PREMIUM DIESEL AVIATION
!K!20& ds, and % 1y with the attached conditions of the permit and any other state. and federal
d r of pedwy, and to the best of my knowledge, is true and corr AP BY: APPLICANT NAME (PRINT) APPLICANT SIGNATURE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVE F„,. 02"
r
c
Y
c
BILLING & PERMIT STATEMENT
PERMIT NO.:
B
�ASERSFIEM FIRE DEPT.
4s m Prevention Services
*113TIff T 1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
SITE INFORMATION
LOCATION OF PRQ/EC7 { _/� � � ��� \/1 _ ' (_
\VI
\\PLETION
PROPERTY OWNER
STARTING DATE DA
_,_ -Zr
V I r 1
NAME
PROJECT NAME - k � ^ -Q
CW
so.
PF�NE
PROJECT ADDRESS �C
J
CITY, 37ATE /� /)
I`lL.ii�
ZIP
CONTRACTOR
CONTRACTOR NAME CA LICENSE NO.
J RrnrLS �c t# OQ sb
• • •
TYPE OF LICENSE. EXPIRATK>rl DATE
r ,rn�4H.q c, �C)
PHONE NQ
CONTRACTOR COMPANY NAME'
FAX NO.
ADDRESS ^� � �
CITY ^
ZIP CODE 9 3 3 c)
All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
■
Alas - New & Modifications - (Minimum Charge) $280.00 '
j 13 rm
•
9 •
❑
Over 10,000 Sq. Ft
'S¢ Ft x.028 = Permit fee
9
❑
Sprinklers - New & Modifications - (Minimum Charge)
$280.00
■
■
84
98
❑
Over 10,000 Sq. Ft
Sq. R. x. 028 = Permit fee
■
84
98
i ❑
Minor Sprinkler Modifications (< 10 heads)
11196.00 [Inspection Only]
■
■
84
98
❑
Commercial Hoods — New & Modifications
$ 470.00
'
84
98
i ❑
Additional Hoods
$ 58.W
■
98
❑
Spray Booths - New & Modifications
$470.00
■
■
84
98
❑
Aboveground Storage Tanks (Installaftyinsp: 1a Timej
$180.00
■
82
' ❑
Additional Tanks
$ 96.W
;
82
•
Aboveground Storage Tanks (RemovaNlnspecction)
$109.00'
:
82
•
Underground Storage Tanks (Instapatlon/Inspecilon)
$878.00 (per tank)
■
82
•
Underground Storage Tanks (Modriication)
$878.00 rs&)
82
i
Underground' Storage Tanks (Minor Modification)
$167.00
■
82
j •
Underground Storage Tanks (Removao
per tank)
84
•
Oilwell (Installation)
$ 96.00
;
84
•
Mandated Leak Detection (Testing) / Fuel Monit.Ceri/sB989.
Note: $56.00 foread► type of test /persda (even If schedrded
at rile same time)
$�8 9e (peFS' f 9 �, O C7
— -
;
■
■
82
•
Tents
$ 96.00 (per tent)
■
84
•
Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour)
$ 96.00 + (5 tn. mh standby fee AngIedm)= ,$576..00
;
84
❑
Aker hours inspection fee
$121.00
84
•
RE4NNSPECTION(S) /FOLL0 W- UP/NSPECTION(S)
$ 96.00 (per hour)
■
84
❑
Portable LPG (Propane): NO. OF CAGES? _
$ 96.00
■
84
❑
F)cplosive Storage
$266.00
•
84
❑
Copying & File Research (File Research Fee $50.00 per hr)
250 per page
;
84
❑
Miscellaneous
84
FD 2021 (Rev. 06/07)
1- ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer)