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HomeMy WebLinkAboutUST-LEAK BILLING/PERMIT 11/19/201010/27/2010 15:32 6613268934 RICH PAGE 04/07 BI�tN+t'a �'EFiM�"i"` .�wT`ATE�tE�'�iT . �Ai�ER��TEL� FIRE DEPARTMENT �"'`' b Prevention ;eviceQ Flits PERMIT MOWWWaerr r Bakersfield, CA. 933011 Phone: 661-326-3929"',*. Fax: 661 -•852 -2171 INFORMATION LOCATWN OF �i7ECr PTt4pEfi7'� OWNER T i STAR7TNG pgTE Co N DAB y , l r�' PROJECT NAME I- ADDRESS PROJECT AD � MY A1 0R,S4 (FL X> STATE CA �P Q� , # CONTRACTOR INF.ORMATION (:0N1'R0ZMR NME i CA LY E, V TYPE OF LICENSE EXPVA1'(MN 'f Olt-, s PHONE # 3-ma A V�M COKMCMR OOMPANY' NAME FAX t t ADDRESS All perm a revieWed, 6taimpted, and approved PRIOR TO BEGINNING WORK. ` s 0 Alarm - New Ik Modli'i Hon (minimum charge) $280 0 Over 10,000 sq! $0 .028 x sq ft -13 Sprinkler - New Modfflcat ldn (minimum charge) i $2.80 a • Oyer 10,000 sq ft .. 11' • Mjhor Sprinkler MddifrcatW ( .< 10 heads) $0,028 x sq ft $96 (Inspecuon.only) 84 Q. Commertial Go (New & Mot tficaaion) $470 O Additional hold $58 C3 spray Booth (view & lvlodtf ccatlon) 0 Aboveground Stoma: a Tank t1 inspection per insWilation) AST $470 $180 /tank 98 $2 L3 Additional Tank ATI $ /'tank 82 ❑ Aboveground Stor'a'ge Tank (Removal, Mc d or Inspect n) A►TR. $109/tank 82 0 Underground Storage Tank i(Inslaltation/Inspection) M $878/tank 82. G] tlndergTCxmd $ yrage Tank (Modification) MO 8 Underground Si. ge "Tankl(minor Modification) I Ti�I $167 /site Sa El Uoderground Storage Tank (Removal) TR $Sn /tank tom' Mandated Leak Ur on ( ) %FueppeTtsite 9 NOTE: $96fhr for each even it scheduled at the sa'rne ti e• $96 /hr (2 hrs minimu , 0$192 , 82 l' it well (In�llati6n, in on, or re- )rlspelt $96 /hr 82 C3 Tent ' # $96 /tent 84 © After -hours lnsp+ection fie $17# jhr (2 hrs minimum )x$242' i3 Py nic (1 permit per' Event, plus an inspection tee of $96 /hr during. twsines% hours) PY NOTE: After hours methnic event ins on 1S l21 r $96/'hr + (S hrs min standby Win$p) =$576 9 hr's min stanQ by fee i = 605 .84 r ©` Re- lnspecUon /Fallow -uP In�pec66A $96/hr 84 e � U FOrtabte LPG (ProgOne): 41, ct Cages? �icplt�Sige Sb9e Copying & 910 ieseeMh (f;le i arrh' fee'$50/hr) $96 /hr $256 $0.25 /page 84 84 84 0 Misceftneous i 84 10/27/2018 15:32 G613258934 RICH PAGE 02/87 BILLING & PERMIT STATEMENT Z, . . BAKERSFIELD ' 'FIRE DEPARTMENT Prevention Servimr. PERMIT # FIX Bakersfield, CA 93301 Phono: 661-326-3979 SITE INFORMATION- El Additional ho0a $'rARYP4 DATE CDAPU�WN DATE NAM 0 spray Booth (New & Modificition) $470 98 rP�ECT ADD RE 5S $180/tank T; 71P MDE CIONTR.ACTOR 1,N FORMATION ADDRESS -To"Y -6 A- QS r-t F_ CZ I MOD E3 Underground storage Tank (modlftcation). AltpsirMlft must-be revj6 wed,. stamped., and approved PTUOR TO BEGINNING WORK. .0 [Sprinkler - New & Modiftatto : n (minimum charge) 0, over 10e000 sq Ft 'so $280 .02e x sq ft mor Sprinkler Modiftation! (< 10 headS) __7n_' Commercial Hood' C N*ew 8� M�dlficatlbn) $96 (inspection -only) $470 El Additional ho0a $58 0 spray Booth (New & Modificition) $470 98 Aboveground Storage Tank ins per Installation) AST $180/tank 82 I MOD E3 Underground storage Tank (modlftcation). $878/s6e 82' 82 0 Underground Storage Tank TR $573/tank 8.4 Mont 6�5 scN�dujed at the same time ;! Lh 2 hr,5 mi 192 Ll Aner-hours inspection fee b pyrotechnic (I permit per e�ient� plus an Inspection fee of NOTE: After hQurs 1pyrote&n:ic eve,.n�tjqnpspie!�gtlon is C% $1211hr $,96/hr + (5 hrs min standby feerjrisP)=$576 ..(5 brs min standby fe0AMP3=190 0-1- Ple-inspection/Follok-up In5i;eff[On $96/hr 84 84 10/27/2010 15:32 6613268934 RICH RICH E NVIRONMENTA SE&VICE STA11M SERVICES 5,643 BROOKS CT. - BAKFMFIELD, CA 93308 OFF: (661) 326-8402 FAX (661) 326-8934 james.res@mail.co FAX COVER SHFIFT DATE: TIME., I'+ PAGES: ATTENTION: COMPANY! FAX #: FROM: JAMIE MCCATN ,p ilk PAGE 01/07 alff W YOU HAVE ANY QUESTIONS PLEASE CONTACT ME AT MY OFFICE. THANK YOU 10/27/2010 15:32 6613268934 RICH WWAE�� State eff cainkirliq taste wat*� RaGouroop Control ftaro PDivis'iEon o hnanew uistafts .O. lox 944212 S�qcrarnento, CA 9AZZ4.2121 7 (instructions Oil re"Ma sido) - 71 77- ,117,11" CEKI NIFIQATION OF FINANCIAL RESPONSIBILITY FOR UNDERGROUND STORAGE TANKS CONTAINING PETROLEUM A. tam'requWtodemons0ift Financial msportsibi14 bn the required amounts as specMed'16CaWornW Code, cff DWkM 3, ChaMr 18, Siction 2807:1. Qr AND or am annual aggregate 1 ffdllioo 00118M per C=Mwe 2 MiffiOn 40911 h n h cerffies Mt it is In CoMpOnce with the requirmentft of Saaan 2&)7, IPL mma of oww&owaw) ! ceft4ia code of ftuatkns, rwe k UY&W Q-Wbr 10, At" A Secdon 2807. Tho inecharihmm used b dernarmdm I to ra l r*m=a&fffv as r9aukW by Sedkn 2807 are as fahbws: Note: )vzNob: fryw ory using ft St" Fund its any part of your deMMSfttkn of finanGiipf "QfWbjW, your aKeW6,Dn and SUbn1#960 Of . �x thIs osifteiffon alp o�rtffes t6t you are In cc npffarm and Mall maktain CoMpflanca with A9 condftns thr poiVapotbn hi Oe -41 Fund. Sim 0- Fadlity Ngfflo Faccirdy Addrm Facility Name j iN b% Facility Name T t1b 5-+<ttdL vq Name gnu Tweof 7*ank Owner or 0"retor T- V I-( q 2-1 a 0 CCV T, r 4vkc., C,44A V elf (Me Name of Mrwas or Notary ckafxww-�j Y zq, R (Rev)aed 11/08) i FILF- Or al - Local Agency COPM - FUMPIRS) zoo In C- 5, 0 r-cu T-Ytyk Note: )vzNob: fryw ory using ft St" Fund its any part of your deMMSfttkn of finanGiipf "QfWbjW, your aKeW6,Dn and SUbn1#960 Of . �x thIs osifteiffon alp o�rtffes t6t you are In cc npffarm and Mall maktain CoMpflanca with A9 condftns thr poiVapotbn hi Oe -41 Fund. Sim 0- Fadlity Ngfflo Faccirdy Addrm Facility Name j Fadifty Address Facility Name E. sign of Tank 0mr'0rAipem1i* k A Dfite Name gnu Tweof 7*ank Owner or 0"retor x..4.16..4 W 0 w (Me Name of Mrwas or Notary R (Rev)aed 11/08) i FILF- Or al - Local Agency COPM - FUMPIRS) zoo In XVd 02:9T QOWOT/10 10/27/2010 15:32 6613268934 RICH PACE 07/07 I OTI�: Effective ulY 1� , a19 'praga Sm&n Businetsea and C$lifo enia l3uaineg 0r With 50 I`d !employ" or less! mint clerinonstprafie at least monst , tO u# 1661st $14,00 (Chap. Cleanup U&SC, buatnessim with Oetr 500 emPloYe mus #denies tx Sect 20299 -32) � a letter' warded The Chief Financial Officer Or the ate' or o is letter must sib, uu th� blanks wltheaPP rPriate inform4lm': EXACTLY as follows or YOO Ynay wmp tltls sett r try filly I4 )ET'TER FROM C1MIF FINANCIAL OFFICER ' j s I am the Chief Fin al OrP,�.= fair -'- - t8u.Aft -4 rtwr4, 'Itwrima addre94 and adder of OW= or opal A is letb�r is in su port of the use ©f the Und r ouad Storage Tan#t cl4maup Fund to demonstrate financial This , �espaz�sibzlily fvr ta�xng cartiva ;:totson, andior calnpensating third parties for bodily . injury and property damage baused >an u uthQri d release of petroleum in a cvvera��f'$t lest per ow cuirrcnec and sn O ller Amount) Underground storage tanks �t the following facilities sae lassurcd by this letter. qT (Naaw and address of each facilk j r wbich fimmui ►! resposslb tv it+ *B9 dr_r,na�n�tcal .) 1. Amount of 8nnual1a99Tv to coverage being assured by this letter ........ I ............................................. •. •.• ..,..... tangible . r... ......... r..........rr.....r.a..Y...... `* �. Total tazrg� ts,..........t..... Total liabilities..... 1 .............• r.......• 1.... ...NIrrY.......A••... +AyYlY.LJN U.. 4. Tangible not worth (subtract line 3 from line 2. � 'Line 4 mist be at feast 10 ttrues lire 1) ...... ........... ........IJ.�....� I h�rebY certify that tl�+e wo�di�►g of this ltr is itlentical to the wording specified in subseWon 2808.1(d)(1), Chapter IS, Divislo-n 3, Titta 23 of the CailfQrnta Cade of �egttlatiryns. 1 deola under penalty of lerj 'that the foregoing is true and cot to the best of my knowledge, and belief. ��ecuted at Az 140 of Exrxpuol rL 17$t 02FR,m 4od4195 1001B YVJ OVS7 90.0VOT /t0 I-:{ M4 I bF'gAg7g'TRq AP :t7T ATCV /17 /14 T MIA T�n�