HomeMy WebLinkAboutBILLING & PERMIT STATEMENT 9-16-144,
PERMIT NO.:/L—A9000
LOCATION OF PROJECT
STARTING DATE V COMPLETION DATE
IRSFIELD BAKE
B E R S F I 15UL D Prevention Services
�
FIRE r 1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326 -3979 • Fax: (661) 852 -2171
PROPERTY OWNER
NAME
PROJECT NAME MN� i_h 'I� ADDRESS PHONE NO.
PROJECT ADDRESS _ A
CONTRACTOR NAME
�fl'1 �.,j -R
CONTRACTOR COMPANY NAME _
CITY
STATE I ZIP CODE
GA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO.
�SC)91R SCE l' ij�ac�.�tf -q Cp�3D�2�i,� . q2 --e
FAX Nn.
j1jW4rW7,V ZwM1,0287Z
&i V900dall !110 Rk 1 —1
All permfts must be reviewed stamped and nd approved PRIOR TO BEGINNING FORK ON THAT PROJECT ; e
M �..
❑ Alarms - New &)Modifications - (Minimum Charge) $280.00 w 1 84
wl 98
to
Over 10,000 Sq. Ft Sq. Ft x. 028 = Permit fee 81 84
.-. -- 0 98
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)
so III (Iii
b::.
❑
a
Underground �t �a
Under round Stora e Tanl<s Remova e
.,N
❑
•
Oilwel! (Installation)
�,TM
$ 96.00
•
Mandated Leak Detection (Testing)1 Fuel Monit.Cert/S6989.
Note: $96.00 for each type of test /per site ('even if scheduled
-- - -
at the same time)
1-0
Tents
$ 96.00 (per tend
84
❑
Pyrotechnic - (Per event, Pius Insp. Fee @ $96 per hour)
$ 96.00 + (5 hrs. min. standby fee /Inspection),$576.°00
®!
84 i
❑
After hours inspection fee
$121.00
T
84
❑
NE INSFEOTION(S) /FOLLOW -U'P INSPECTION(S)
$ 96.00 (per hour)
84
•
Portable LPG (Propane): NO. OF CAGES?
$ 96.00
®
84
•
Explosive Storage
$266.00
®
84
❑ {
Copying & File Research (File Research Fee $50.00 per hr)
25¢ per page
84
❑
Miscellaneous
84
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)
FD 2021 (Rev. 06/07)