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BILLING & PERMIT STATEMENT 6/30/2014
BILLING & PERMIT STATEMENT BAKERSFIELD. FIRE DEPT. rAjrg'jrYAF T n Prevention Services PERMIT NO.: FIRE 1600 Tnmdun Ave Ste 401 r Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 LOCATION OF PROJECT STARTING DATE PROPERTY OWNER MPLETI N DATE NAME PROJECT NAME .- � �nor � ADDRESS PH NE NO. PROJECT ADDRESS MA- R �. 1� CITY STATE ZIP CODE • ' CONTRACTOR NAME t CA LICENSE NO 401111101 •- TYPE OF LICENSE. EXPIRATION DATE PHONE NO. CONTRACTOR COMPANY NAME ' 30 2 o f L G ip, A % �} FAX NO. ADDRESS � cITY ZIP _ Alt Permits mast be reviewed+; stamped, and approved PRIOR TO BEGINNING WORK ON THAT .PROJECT ■ � . __..� ON ❑ Alarms - New & Modifications - (Minimum Charge) CALCULATION FEE TOTAL TREASURY DUE ACCT NO $280.00 � 84 ❑ Over 10,000 Sq. Ft. ■ gg Sq. Ft. x .028 = Permit fee 84 ❑ Sprinklers - New & Modifications - (Minimum Charge) „ $280.00 ° 98 ■ 84 ❑ Over 10,000 Sq. Ft. ° 88 Sq. Ft, x.028 = Permit fee ■ 84 ❑ Minor Sprinkler Modifications (< 10 heads) 98 $ 96.00 [Inspection Only] ■ 84 ❑ Commercial Hoods — New & Modifications ° 98 $ 470.00 ■ 84 ■ 98 $ 5800 84. Additional Hoods ■ ■ 98 ❑ Spray Booths - New & Modifications $470.00 84 ■ ■ 98 $180.00 ❑ Aboveground Storage Tanks (InstallatioNlnsp.-10 Time) ❑ Additional Tanks ■ 82 _ ■ _ $_96.00 ■ ❑ Aboveground Storage Tanks (RemovaUlnspection) $109.00 ❑ Underground Storage Tanks (InstallafionAnspection) 82 A $878.00 (per tank) � _... _... _ 0 Underground Storage Tanks (Modification ■ 82 -- '$879.0g-(per site) - -- . _- Underground Storage Tanks (Minor Modification) ■ 82 167.00 ❑ Underground Storage Tanks (Removo ■ 82 0 (per tank) ■ ❑ Oilwell (Installation) 84 $ 96.00 ■ ❑ Mandated Leak Detection (Testi ng) / Fuel Monit.CerU813989. Note: $96.1X) $�36.ID&{pe 11 , PyZ. 1 � e 82 for each type of test /per site (even if scheduled at the same time) ' ■ $ 96.00 (per tend ■ 84 echnic - (Per event, Plus insp. Fee a $96 per hour) $ 96.00 + (5 hrs. min. standby fee Anspection)- $576..00 After hours inspection fee Ot � 84 $121.00 ■ NSPECTION(S) /FOLLOW -UP /NSP ECT/ON(S) $ 96.00 (per hour) ble LPG (Propane): NO.OF CAGES? a $4 $ 96.00 sive Storage ■ 84 $266.00 ■ , ❑ Copying & File Research (File Research Fee $50.00 per hr) 84 250 per page ■ ❑ Miscellaneous ° 84 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer) 1`S i BIL I Gi & PERMIT STATEMENT BAKERSFIELD FIRE DEPT. B B S F> n prevention SeMces FIRE 1600 Txuxtun Ave Ste 401 P M NO.: , ARrr r Bakersfield CA 93301 Tel.: (661) 326 -3979 • Fax: (661) 852 -2171 LOCA PROJECT PROPERTY OWNER • STARTING DATE MPLET ■ Modifications L1C #8;09850 x643 BRQOKS 'T BAKERSFIELD, CA 93,308 3;T08 TE (661) 392 8687 DA.. 00 JPIUl B organ.Chase ank, N.A ' 1 N DATE NAME JP�a�F PROJECT NAME PROJECT ADDRESS � -^ ADDRESS � � � PH NE NO. �M : -�; AUTW:O fZEl7 SfG ATURE q�FCG9 �LJ� -- �0 5 7. x non CITY STATE ZIP CODE 6 CONTRACTOR NAME jRM rc-;-s _R ,c CA LICENSE NO. TYPE OF LICENSE. �d� S^C� EXPIRATION DATE PHONE NO. CONTRACTOR COMPANY NAME t �411�4 3G 2af c) 2 _ 1: 110 °.kz,rground FAX Nn. ADDRESS �� r CITY 523---l's ZIP ewe.. �} $87g:0�(persite) J C� e4ll r�ermits must be revieWed. stamped, and approved PRIOR TO BEGINNING WORK ON THAT PROJECT. � rground Storage Tanks (Minor Modification) ■ Modifications L1C #8;09850 x643 BRQOKS 'T BAKERSFIELD, CA 93,308 3;T08 TE (661) 392 8687 DA.. 00 JPIUl B organ.Chase ank, N.A ' JP�a�F Bakersfield CA;93308 'P� G'�F i ,F.OR �M : -�; AUTW:O fZEl7 SfG ATURE q�FCG9 �LJ� -- �0 5 7. 1: 110 °.kz,rground Storage Tanks (M6diflcatl0tfi) $87g:0�(persite) rground Storage Tanks (Minor Modification) ■ 82 167.00 rground Storage Tanks (Removal) 0 (per tank) , 82 ■ 1!0 il (Installation) ji 84 ■ $ 96.00 ted Leak Detection (Testing) / Fuel Monit.Cert/SB989. 96 00 for each type of test l per site (even if scheduled , 82 ame time) �� �"'' ■ ■ $ 96.00 (per tent) ❑ Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $ 96.00 + (5 hrs. min. standby fee /Inspection) = $576.,00 84 a ❑ After hours inspection fee $121.00 84 ■ ❑ RE- INSPEC77ON(S) /FOLL0 W- UP/NSPEC77ON(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 $50.00 per hr) 250 per page 84 ■ ❑ Miscellaneous 7 84 84 FD 2021 (Rev. 06/07) 1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1 -PINK (to Customer)