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UST-BILLING/PERMIT 7/29/2015 (2)
STATEMENT BAKERSFIELD, FIRE DEPT. CHILLING PERMIT r�A T n Prevention Services 1600 Truxtun Ave Ste 401 PERMIT NO.: r Bakersfield C A 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 SITE INFORMATION LOCATION OF PROJECT PROPERTY OWNER STARTING DATE C MPLETION DATE NAME _U0<1 PROJECT NAME ` ADDRESS \ NE loodi N 1o✓j PROJECT ADDRESS y CITY STATE ZIP CODE/ (k • R + . : + • CONTRACTOR NAME CA LICENSE NO. TYPE OF LICENSE. EXPIRATION DATE PHONE NO. is od - r��c� FAX N - 3t�6 7? O. CONTRACTOR COMPANY NAME _ • 7 �Q to V CITY ZIP cvut ADDRESS U QL r AIl permits must Abe reviewed., stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJEgT ..: ' a ❑ e w & Modifications - (Minimum Charge) $280.00 98 7AIarms� Over 10,000 Sq. Ft. Sprinklers - New & Modifications - (Minimum Charge) Over 10,000 Sq. Ft Minor Sprinkler Modifications (< 10 heads) Commercial Hoods — New & Modifications Additional Hoods Spray Booths - New & Modifications Aboveground Storage Tanks (Installa#ionllnsp. -1" Time) Additional Tanks Sq. Ft. x .028 = Permit fee ■ 84 ❑ 98 $280.00 S Ft. x .028 = Permit fee 4 ■ ■ " ■ 84 • ❑ 98 84 98 $ 96.00 [Inspection Only] $ 470.00 58. $ 00 $470.00 ■ ■ ■ ■ ■ ■ ■ ■ ■ 84 • ❑ 0 ❑ gg 84 98 84- 98 84 98 $180.00 $ 96.00 ■ ■ 82 82 ❑ ❑ ❑ Aboveground Storage Tanks (Removal/Inspection) $109.00 $878.00 (per tank ) . _ 78'0U -(per site) 1....- ■ ■ 82 82 _.. 82 ❑ Underground Storage Tanks (Installation.lInspection) - ___._. _. Underground StorageTariks (Modfication ■ ■ 82 84 ergroun • n) Underground Storage Tanks (Removan $167.00 �t'�� $573.00 (per tank) • 96. $ 00 ■ ■ 84 • Oilwell (Installation) - ■ 82 ❑ Mandated Leak Detection (Testing) / Fuel Monit.Cert/SB989. Note. $96.00 for each type of test / per site (even if scheduled at the same time) Tents $ 96.00 (per tent ■ 84 ❑ $ 96.00 + (s hrs. min. standby fee inspection)= $576..00 $121.00 ■ ° 84 4 8 ❑ Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) ❑ After hours inspection fee $ 96.00 (per hour) ■ 84 ❑ RE- INSPECTIONS) /FOLLOW -UP INSPECTIONS) $ 96.00 84 ❑ Portable LPG (Propane): NO. OF CAGES? $266.00 ■ 84 11 Explosive Storage 25 per page ° ■ 84 84 ❑ ❑ Copying & File Research (File Research Fee $50.00 per hr) Miscellaneous FD 2021 (Rev. 06/07 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -1PINK (to Customer)