HomeMy WebLinkAboutBILLING AND PERMIT STATEMENT 10-30-2014"w
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PA R TE X5 Mr,
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BMERSFIELD ME DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326-3979 e Fax: (661) 852-2171
FE66ATIO14�01PROJECTI
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PROPERTY OWNER
$280-00
STAR TING DATE C�
PL DATE
NAME
A(
Un Aal
PROJECT NAME
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ADDRESVI>
98
PH NE NO.
PROJECT ADDRESS
AI I- .D7CITY
�./ L, (---j 'a STATE
V
A A
ZIP CODE
CONTRACTOR NAME j - --- CA LICENSE NO. TYPE OF LICENSE, .4. EXPIRATION DATE PHONE NO.
FC-O-N:TRACTOR COMPANY NAM FAX NO_
ADDRESS CITY ZIP
kh"cermits must be revie&ved. stamped. and approved PRIOR TO BEGINNING WORK ON THAT PROJECT.
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❑
Alarms - New & Modifications - (Minimum Charge)
$280-00
84
98
—
❑
Over 10,000 Sq. Ft.
Sq. Ft. x.028 Permit fee
84
98
❑
Sprinklers - New & Modifications - (Minimum Charge)
$280.00
0—
84
98
❑
Over 10,000 Sq. Ft.
Sq. Ft. x.028 Permit fee
M
84
98
❑
Minor Sprinkler Modifi cations (< 10 heads)
$96.00 [Inspection Only]
E
84
98
❑
Commercial Hoods — New & Modifications
1$470,00
84
98
❑
Additional Hoods
$58-00
84
98
❑
Spray Booths - New & Modifications
$470.00
84
98
❑
❑
Aboveground Storage Tanks (Instaflafionflnsp.-1 Time)
Additional Tanks
$180-00
$96.00
M
82
82
ri
L-j
Aboveground Storage Tanks (Rernoval/inspection) 1$109.00
M I
82
❑
Underground Storage Tanks (installation. /inspection)
$878.00 (per tank)
82
❑
Underground Storage Tanks (Modification)
$878.00 (per site) ...........
82
❑
Underground Storage Tanks (Minor Modification)
$167.00
82
❑
lround Storage Tanks (Removal}
Underground
$573.00 (per tank)
84
❑
Oilwell (installation)
Mandated Leak Detection (Testing) / F I Monit.0 rt/SB989.
0 site heduled
Note: $96.00 far each type of test /per
at the same firre)
$96-00
9 ccl C� CS
84
82
❑
Tents
$ 96.00 (per tepi�
84
❑
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour)
After hours inspection fee
1$ 96.00 + (5 hrs. min. standby fee /Inspedion)=$576-00
1$121.00
84
84
❑
—
❑
RE-INSPECTION(S) / FOLLOW-UP iNspEc-rioN(s) —F$
96.00 (per hour)
M
84
❑
Portable LPG (Propane): NO. OF CAGES?
1$96.00
84
❑
❑
Explosive Storage
Copying & File Research (File Research F ee $50.00 per hr)
$266.00
j 250 per page
84
84
❑
Miscellaneous
84
FD 2021 (Rev. 06/07)
I - ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer)