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BILLING & PERMIT STATEMENT 8-27-14
. RS= FIEcLD F DEPT. BILLING & PERMIT STATEMENT ,.� RE B R S F T: g� L D Prevention .Yon. Services °°`�'° FIRE �. 1600 T� uxtun Ave Ste 401 �� �� N 0•: D < qq Bakersfield CA 93301 (661) 326 -3979 s Fax: (661) 852 -2171 LOCATION OF PROJECT ° 0 "L PROPERTY OWNER STARTING DATE C M ETION DA NAME ` PROJECT NAME ADDRESS PONE NO. PROJECT ADDRESS C6 STATE ZIP CODE CONTRACTOR NAME j PCM CA LICENSE NO. TYPE OF LICENSE. [ .4N� EX PiRATION DATE PHONE NO. CONTRACTOR COMPANY NAME �_ _ FAX NO. ADDRESS 15U c J_ I CITY kQ1 ZIP wu� Ur All Permits must be reviewed. stamped. and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. ® 0 ❑ Alarms - New & Modifications - (Minimum Charge) $280.00 84 98 ❑ Over 10,000 Sq. Ft. Sq. x.028 = Permit fee 84 98 ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ® 84 ® 98 ❑ Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee 84 I 98 ❑ Minor Sprinkler Modifications (< 10 heads) $ 96.00 [Inspection Only] ® r' 84 � I 98 ❑ Commercial Hoods — New & Modifications $ 470.00 84 98 ❑ Additional Hoods $58-00 ® 84 � 98 ❑ Spray Booths - New & Modifications $470.00 84 98 ❑ Aboveground Storage Tanks (Instatlationlinsp. -1s` Time) $180.00 82 ❑ Additional Tanks $96.00 82 I • Aboveground Storage Tanks (Removal /Inspection) $109.00 ® 82 • Underground Storage Tanks (Installation./Inspection) $878.00 (per tank) a 82 • Underground Storage Tanks (Modification) $878.00 (per site) _- 82 • Underground Storage Tanks (Minor Modification) $167.00 * 82 • Underground Storage Tanks (Removal} $573.00 (per tank) 84 ❑ Oilwell (Installation) $ 96.00 ® 84 Mandated Leak Detection (Testing) U(even Cert/SB989. % , ©� 82 0 Ilfote: $96.00 for each type of test / pescheduled -- - at the same time) • eats $ 96.00 (per tent) 84 • Pyrotechnic - (Per event, Plus Insp. Fee Q $96 per hour) $ 96.00 f (5 hrs. min. standby fee /Inspection) = $576..00 a 84 ❑ After hours inspection fee $121.00 84 • RE-INSPECTION(S) / FOLLOW-UP INSPECTlON(S) $ 96.00 (per hoar) ® 84 • Portable LPG (Propane): NO. OF CAGES? $ 96.00 84 � • Explosive Storage $266.00 84 ❑ Copying & File Research (File Research Fee $60.00 per hr) 250 per page 84 ❑ Misceilaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITS (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)