Application For Permit To Install, Remove Or Repair Tanks In The City Of Oakland printable pdf download

Application For Permit To Install, Remove Or Repair Tanks In The City Of Oakland

CITY OF OAKLAND

FIRE PREVENTION BUREAU

250 Frank Ogawa Plaza, Suite 3341

Oakland, California 94612-2032

(510) 238-3851

APPLICATION for PERMIT to INSTALL, REMOVE or REPAIR TANKS

In the CITY OF OAKLAND

Request Submittal Date:________________________

PLEASE CIRLCE APPROPRIATE ACTIONS: Application is hereby made for permit to:

(a) Remove

(b) Install

(d) Modify

(e) Abandon/Close in Place A

(a) Gasoline

(b) Fuel oil

(d)____________tank(s) and excavate, commencing:

(a) four feet inside the curb line*; (b) inside the property line; (c) aboveground: (d) underground tank(s)

*inside curb line, please attach copy of sidewalk/excavation permit from PLANNING AND BUILDING

on the _____________________side of___________________________St.Ave.________feet_______of_________St./Ave.

Site Address:_____________________________________________________Present storage____________________________

Owner:______________________________Address____________________________________Phone____________________

________________________________________________________________________________________________________

Applicant:____________________________Address____________________________________Phone____________________

________________________________________________________________________________________________________

Sidewalk surface to be disturbed______X_____Number of Tanks______Capacity___________Gallons ea.

Remarks_________________________________________________________________________________________________

Signature____________________________________________________

PLEASE ATTACH/SUBMIT: (All applicants must have a City Business License Permit)

● (2) Copies of Closure Plans for underground tank removal (s)

● (2) Sets of plans and (1) copy of specifications for above ground tank removal

● (2) Sets of plans and (2) sets of application packets for underground tank installation/modifications

●(2) Sets of plans for aboveground tank installation and specifications

● copy or prepare to show Planning and Building approval for aboveground tank removal and tank repair

NOTE: FOR TANK INSTALLATION PLEASE SUBMIT THIS APPLICATION FORM ALONG WITH A APPLICATION FOR

PERMIT TO OPERATE, MAINTAIN OR STORE

FOR OFFICE USE ONLY

Permit No.______________________

Amt. Recv’d___________________

Date Issued:________________

Copies to: Electrical Inspection

ck#______________________ Cash________________

Receipt#__________________ Recv’d by:____________________________

Application For Permit To Install, Remove Or Repair Tanks In The City Of Oakland