HomeMy WebLinkAboutAST-STOCKDALE & 99 Hwy2 • 444
ABOVEGROUND STORAGE TANK B s: a p n
APPLICATION FORM AN r r
INSTALLATION /REMOVAL OF AN AST
D INSTALL ❑ REMOVE
PERMIT # fl.'Tk — ()
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Ave 1ST FLR
Bakersfield, CA 93301
Phone: 661-326-3979 ? Fax: 661-852-2171
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FACILITY NAME VERI ZON WIRELESS (STOCKDALE)
ADDRESS STOCKDALE HWY AND HWY 99 STOCKDALE, CA 93312
OPERATOR NAME
VERIZON WIRELESS
PERMIT TO OPERATE #
OWNER NAME BERRENDA MESA WATER DIST. 2100 'F' STREET # 100 BAKERSFIELD, CA 93301
# OF TANKS TO BE INSTALLED / REMOVED 1
{ • TANK # CONTENTS VOLUME
1 DIESEL FUEL ULTRA LOW SULFUR. 150 GAL
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK NRC ENVIRONMENTAL
MAILING ADDRESS 1605 FERRY PT ALAMEDA, CA 94501
NAME a PHONE # OF CONTACT PERSON ROBERT IRELAND 510-385-3253
DATE d TIME TANK IS TO BE INSTALLED /REMOVED APPROX FEBRUARY 2009
SIGNATURE O
DATE
APPROVE BY
DATE
/EL
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IE
FD2081 (Rev 01/08)
BILL1,NG & PERMIT STATEMENT
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P/RB
PERMIT # RSr r
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 1s' FLR
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
SITE INFORMATION
LOCATION OF PROJECT
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PROPPCTY OWNER
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STARTING DATE COMPLETION DATE
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NAME
PROJECT NAME
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ADDRESS
PHONE*
PROJECT ADDRESS
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ZIP CODE
CONTRACTOR
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TYPE OF LICENSE
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EXPIRATION DATE
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CONTRACTOR COMPANY NAME
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All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑ Alarm - New & Modification (minimum charge) $280 ,
•
•
❑
Over 10,000 sq ft
$0 .028 x sq ft
❑
Sprinkler - New & Modification (minimum charge)
$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
boveground Storage Tank (i inspection per installation) AST
$180 /tank
82
❑
Additional Tank ATI
$96 /tank { "? 9Z oo .
82
AL
Aboveground Storage Tank (Removal/Inspection) ATR
$109 /tank Q Go
O
O 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
84
❑
Oil well (Installation, Inspection, or re- inspection) X
$96 /hr
82
❑
Tent *
$96 /tent
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
OTE: 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