HomeMy WebLinkAbout2012 FMC RESULTSHOODS ALARMS SPRINKLER SYSTEMS SPRAY BOOTHH AST UST
Permit No. Permit No. Permit No. Permit No. Permit No. Permit No.
62- /d"W 3 7 O
File Number:
Date Received:
0 n 3
C3-- lC4 -- IL
Address: 22,C y AJ L,vo .
Bakersfield, CA 933
Business Name:
SYSTEM: BUILDING SQUARE FEET:
New Mod.
Commercial Hood System
Fire Alarm System
Fire Sprinkler System
Spray Finish System
Aboveground Storage Tank
Underground Storage Tank
minor
modification Underground Storage Tank
removal Underground Storage Tank
Other:
Comments: ,;C-P.4
Building Sq. Feet:
Calculation Bldg. Sq. Ft: 1.
2.
3.
4.
INSF''ECTMN
Date Time
Signature
Signature
BILLING & PERMIT STATEMENT r 1111 - i tr! ii BAKERSFIELD FIRE DEPARTMENT
B ' _ Prevention Services
PERMIT # FIRENTAF .l r 2101 H Street
Bakersfield, CA 93301
MPANY
ADDRESS
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11)
V-\
1UN E PHONE#
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UA
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I FAX #
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
ZIP CODE
C1 1 z
NxNW w
CONFIDENCEONFIDENCE S T SERVICES, INC. cma ANK, N.A. 16250 MEACHAM RD.' , BAKERSFIELD-STOCKDALE/CALIFORNIA OFFICEBAKERSFIELD, CA 93314 BAKERSFIELD, CA 93369661) 631-3870 90-7172/3222
C I—) V--, 'x I I
x/13/2012 Ii
PAY TO THE
ORDER OF — City of R;ik6rsheld 0
576.00
Eive H, indred SeVPOW-Six and 00/1
DOLLARS
City of Bakersfield
MENi"D
Permits
U
AV
118010673112 1:3222717241: 00953414891B71Iz
Underground Storage Tank (Minor moainCdL1Uf))
WAMWM.4.111123MAWAVA
LOCATION OF PROJECT
SITE.
LL
ORINFMATI
PROPERTY OWNER
STARTING DATE
QAL -16ccu-n
96/hr (2 hrs minimum) = $192
V :h
NAME
PROJECT NAME ADDRESS
X
1
CITY _E, A T;_S F- I E5 LD STATE CA
PHONE#
a\r3 0__-__4_q0)__.
ZIP CODEPROJECTADDRESS
buI.Ln An-Ck L tQ.
Tent # 96/tent
C6NiRA'cTOk.INF6RMATIONFr_1MT. A X. A -------
84
After-hours inspection fee
MPANY
ADDRESS
k
11)
V-\
1UN E PHONE#
Azi
UA
I
Ll I
I FAX #
Please make checks payable to CITY OF BAKERSFIELD. Thank you.
ZIP CODE
C1 1 z
NxNW w
CONFIDENCEONFIDENCE S T SERVICES, INC. cma ANK, N.A. 16250 MEACHAM RD.' , BAKERSFIELD-STOCKDALE/CALIFORNIA OFFICEBAKERSFIELD, CA 93314 BAKERSFIELD, CA 93369661) 631-3870 90-7172/3222
C I—) V--, 'x I I
x/13/2012 Ii
PAY TO THE
ORDER OF — City of R;ik6rsheld 0
576.00
Eive H, indred SeVPOW-Six and 00/1
DOLLARS
City of Bakersfield
MENi"D
Permits
U
AV
118010673112 1:3222717241: 00953414891B71Iz
Underground Storage Tank (Minor moainCdL1Uf))
Underground Storage Tank (Removal) TR 573/tank 84
Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot.
NOTE: $96/hr for each type of test/per site/per UST system
even if scheduled at the same time
96/hr (2 hrs minimum) = $192
V :h
82
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
NOTE: After hours Pyrotec nic event inspection is @ $121/hr
96/hr + (5 hrs min standby fee/insp) $576
5 hrs min _standby feeLiqsp) = $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
Fr)7071 (Rpvor/111
BILLING & PERMIT STATEMENT Ipilli ;liEl; BAKERSFIELD FIRE DEPARTMENT
Prevention Services
PERMIT # P R5
A 1 2101 H Street1fBMT
iliil$71<9liiilll1oi° Bakersfield, CA 93301
Please make checks payable to CITY. OF BAKERSFIELD. Thank you.
I Alarm - New & Modification (minimum charge) 1$280
Over 10,000 sq ft 0 .028 x sq ft
WA
Sprinkler - New & Modification (minimum charge) 280
INFORMATION
Over 10,000 sq ft
LOCATION OF PROJECT PROPERTY OWNER
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only)
holeSAle ia241 o P, bviln—W Ln. IS 1
470
58 oo
STARTING DATE 1 MlE NAME
96 (inspection only) 84
i rL
Spray Booth (New & Modification)
S&L
PROJECT NAME
Ie,SaUI. Fl l21s
Aboveground Storage Tank (1 Inspection per installation) AST
ADDRESS Q -1T .6 , VC C 522'I 1
CITY 1,A C-RSFI ELD STATE C
PHONE #
PROJECT ADDRES
0 , r d Q,
ZIP CODE
96 /tank 82
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR 109 /tank 82
CONTRACTOR
878 /tank 82
Underground Storage Tank (Modification) MOD
CONTRACTOR' NAME
if Z
CA LICE SE #
a0
TYPE OF LICENSE EXPI TION DATE PHONE #
82
Underground Storage Tank (Removal) TR
0 3
84
3- -7
CONTRACTOR C MPANY AME
96 /hr (2 hrs minimum) _ $192
G iL I O(7 j S7• °pg -4N -iz
82
FAX #
Oil well (Installation, Inspection, or re- inspection) X
aa C6,0 01
82
Tent #
11-S-151
ADDRESS
84
CITY
121 /hr (2 hrs minimum) = $242
ZIP CODE
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
C 3 Lli
Please make checks payable to CITY. OF BAKERSFIELD. Thank you.
I Alarm - New & Modification (minimum charge) 1$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
Sprinkler - Minor Modification ( <10 heads) 96 (inspection only) 84
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
470
58 oo
Commercial Hood - Minor Modification (add /move nozzle) 96 (inspection only) 84
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 Inspect'n) 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 UST Testing: Fuel Mont Cert/SB989 /Cath. Prot.
NOTE: $96 /hr for each type of test/per site /per UST systemy
even if scheduled at the same time
96 /hr (2 hrs minimum) _ $192
G iL I O(7 j S7• °pg -4N -iz
82
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
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
I FD2021 (Rev 05/11)
UNDERGROUND STORAGE TANKS BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1.600 -I Ave., Suil-o 0 I.
APPLICATION HIM
mv Bakersfield, CA 91:;0.1. 0EPA m nu r
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