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BILLING & PERMIT STATEMENT 6-26-15
BILLING & PERMIT STATEMENT PERMIT NC> >: B I ER S F T O +AFJ"FRT'Aff r in BA ERSFIELD. FIRE DEPT. Prevention Services 1600 Truxtun Ave Ste 401 Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 SITE INFORMATION LOCATION OF PROJECT ` PROPERTY OWNER STARTING DATE ON DATE 61\11S NAME • ADDRESSI HO NO. PROJECT NAME PROJECT ADDRESS CITY STATE ZIP CODE PHONE NO. �?' 2 "S � � � CONTRACTOR INFORMATION CONTRACTOR NAME LICENSE NO. TYPE OF LICENSE EXPIRATION DATE �..J �m �..5 � �c t� `�' fJ� SCE t �0.� /-I•�! 30 ,'� a, j CONTRACTOR COMPANY NAME 1C_ ' 7V FAX NO- 4 LLI� ADDRESS CITY ZIP Lout _ Allloermits must be reviewed stamped, and approved :PRIOR TO BEGINNING WORD ON THAT PROJEC3�a ■ _ ,■: . ION TOTAL DUE ❑ Alarms - New & Modifications - (Minimum Charge) $280.00 ■ ■ • ONLY TREASURY ACCTNO 84 98 ❑ Over 10,000 Sq. Ft. Sq. Ft. x.028 = Permit fee ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ■ ■ 84 98 ❑ Over 10,000 Sq. Ft. Sq. Ft. x.028 - Permit fee ■ ■ 84 98 ❑ Minor Sprinkler Modifications (< 10 heads) $ 96.00 [inspection Only] 84 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 ( /nstallatioNinsp. -l" Time) $180.00 ; 82 ❑ Additional Tanks $ 96.00 : 82 - - -. -.- ❑ Aboveground Storage Tanks (Removaffinspection) $109.00 : 82 • Underground Storage Tanks (Installationllnspecfion) $878.00 (per tank) f 82 .0 Underground Storage Tanks (Modification) �-`" - 78:0�(persite) ■'' ❑ Underground Storage Tanks (Minor Modification) $167.00 ■ 82 ❑ Underground Storage Tanks (Removo $573.00 (per tank) ' 84 ❑ Oilwell (Installation) $ 96.00 ; 84 Mandated Leak Detection (Tesfing) / Fuel Monit.Ce 8989. Note. $9a00 for each type of test / per site (even if sch at the same time) . $• "I'per-,site).. f �, ,c' : ■ ■ 82 ❑ Tents $ 96.00 (per tent) ■ 84 • Pyrotechnic - (Per event, Plus Insp. Fee 0 $96 per hour) $ 96.00 + (5 hrs. min. standby fee /inspection)-_$576..00 ; 84 ❑ After hours inspection fee $121.00 : 84 • RE-INSPECTION(S) /FOLLOW -UP 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 x$50.00 per hr) 250 per page ; 84 ❑ Miscellaneous 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)