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BILLING & PERMIT STATEMENT �! BAKERSFIELD FIRE DEPARTMENT
,; ,, k ,a.,,�, ► Prevention Services
PERMIT # Apr�,,�y 2101 H Street
Bakersfield, CA 93301
All l Must be reviewed, stampede and approved, R Y f,,d PiP411%,"43
❑
Alarm - New & Modification (minimum charge)
SITE INF •
RMATION
LOCATION OF PROJECT
Bakersfield Memorial Hospital
PROPERTY OWNER
Bakersfield Memorial Hospital
STARTING DATE COMPLETION DATE
NAME Joshua Sharp
PROJECT NAME BMH New Kitchen /Shell Space
ADDRESS 420 34th Street
PHONE # 661-327-4647
PROJECT ADDRESS
CITY >Ak',E5TRSF1eL_D STATE (�'/�
ZIPCODE933O1
CONTRACTOR INFORMATION
Jill
CONTRACTOR NAME Travis Simmons CA LICENSE # 4H1053
IN
TYPE OF LICENSEA B HAZ EXPIRATI 10/31/13 ON DATE
PHONE # 661 -634 -9950
CONTRACTOR COMPANY NAME
Kern County Construction, Inc.
FAX # 661- 634 -9233
ADDRESS P.C. Box •6096
CITY Bakersfield
ZIP CODE 93386
All l Must be reviewed, stampede and approved, R Y f,,d PiP411%,"43
❑
Alarm - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft
$0 .028 x sq ft
•
Sprinkler - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft '
$0 .028 x sq ft
•
Sprinkler - Minor Modification ( <10 heads)
$ 96( inspection only)
84
❑
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
$470
58 hood
•
Commercial Hood - Minor Modification (add /move nozzle)
$ 96 (inspection only)
84
•
Spray Booth (New & Modification)
$470
98
D
Aboveground Storage Tank (1 inspection per installation) AST
$180 /tank
82
❑
Additional Tank ATI
$ 96 /tank
82
•
Aboveground Storage Tank (Removal, Mod,or Inspect`n) ATR
$109 /tank
82
•
Underground Storage Tank (Installation /Inspection) NI
$878 /tank
82
•
Underground Storage Tank (Modification) MOD
$878 /site
82
•
X1
Underground Storage Tank (Minor Modification) MTM
Underground Storage Tank (Removal) TR
$167 /site
$573 /tank 61.1 ,� �. f ;.�'` °' )y
l..il� J g f 9 1F F J
&�
82
84
❑
Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot.
i•� #� : F,, tl�ir :'`i
NOTE:
.' @ ":fi .. C,. 'r'3 ( t: (�ss�.�:ti :w " ^: l.i-�:'.. ........ "•. �: �.31�::: ?
$ 96 /hr (2 hrs minimum) _ $192
82
❑
Oil well (Installation, Inspection, or re- inspection) X
$ 96 /hr
82
❑
Tent #
$ 96 /tent
84
❑
After -hours inspection fee
$121 /hr (2 hrs minimum) = $242
❑
Pyrotechnic (1 permit per event, plus an inspection fee of
$96 /hr during business hours) Py
NOTE: v ii i
$ 96 /hr + (5 hrs min standby fee /insp) _ $576
' h Fs in" $64..)
84
•
Re- inspection /Follow -up Inspection
$ 96 /hr
84
•
Portable LPG (Propane): # of Cages?
$ 96 /hr
84
•
Explosive Storage
$266
84
•
Copying & File Research (File Research fee $50 /hr)
$0.25 /page
84
❑ 1
Miscellaneous
84
BILLING & PERMIT STATEMENT BAKERSFIELD FIRE DEPARTMENT
.... �.H.a........ Prevention Services
J
PERMIT # IRE 2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 •Fax: 661- 852 -2177
SITE •'
•R
LOCATION OF PROJECT
Bakersfield Memorial Hospital
PROPERTY OWNER
Bakersfield Memorial Hospital
STARTING DATE COMPLETION DATE
NAME Joshua Sharp
PROJECT NAME BMH New Kitchen /Shell Space
ADDRESS 420 34th Street
PHONE # 661- 327 -4647
PROJECT ADDRESS
cn-Y STATE CA
ZIP CODE 93301
CONTRACTOR INFORMATION
Over 10,000 sq ft
$0 .028 x sq ft
CONTRACTOR NAME CA LICENSE #
Travis Simmons 481053
TYPE OF LICENSE EXPIRATION DATE
A, B, I 10/31/13
PHONE #
661 - 634 -9950
CONTRACTOR COMPANY NAME
Kern County Construction, Inc.
FAX # 661- 634 -9233
ADDRESS P.O. Box 6096
r ITY Bakersfield
ZIP CODE 93386
All permits must be reviewed, st mp ¢ and approved PRIOR -1-0 WJUKK.
❑
Alarm - New & Modification (minimum charge)
$280
❑
Over 10,000 Sq ft
$0 .028 x sq ft
❑
Sprinkler - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft
$0 .028 x sq ft
•
Sprinkler - Minor Modification ( <10 heads)
$ 96 (inspection only)
•
Commercial Hood (New & UL 300 Upgrade Modification)
Additional Hood
$470
58 hood
❑
Commercial Hood - Minor Modification (add /move nozzle)
$ 96 (inspection only)
❑
Spray Booth (New & Modification)
$470
❑
Aboveground Storage Tank (1 inspection per installation) AST
$180 /tank
❑
Additional Tank ATI
$ 96 /tank
•
Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR
$109 /tank
•
Underground Storage Tank (Installation /Inspection) NI
$878 /tank
•
Underground Storage Tank (Modification) MOD
$878 /site
•
$I
Underground Storage Tank (Minor Modification) MTM
Underground Storage Tank (Removal) TR
$167 /site
$573 /tank
❑
Mandated UST Testing: Fuel Mont Cert /SB989 /Cath. Prot.
NOTE: x`6/ 11i.' for each type of to wr'pe -i�,vper .jsr i:y��e nl
; c- //. ued at the :',ra 3 e tin ke
$ 96 /hr (2 hrs minimum) = $192
❑
Oil well (Installation, Inspection, or re- inspection) X
$ 96 /hr
❑
Tent #
$ 96 /tent
❑
After -hours inspection fee
$121/hr (2 hrs minimum) = $242
❑
Pyrotechnic (1 permit per event, plus an inspection fee of
$96 /hr during business hours) PY
NOTE: After hours Pyr rtechink; event, insned.,io : is @ x,1.21 /hr
$ 96 /hr + (5 hrs min standby fee /insp) _ $576
(5 fits min standib; y fe-e/ nsp) X605
,
•
Re- inspection /Follow -up Inspection
$ 96 /hr
•
Portable LPG (Propane): # of Cages?
$ 96 /hr
❑
Explosive Storage
$266
❑
Copying & File Research (File Research fee $50 /hr)
$0.25 /page
❑
Miscellaneous
84
84
98
82
82
82
82
82
82
84
82
82
84
84
84
84
84
84
84
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