HomeMy WebLinkAboutUST-BILLING/PERMIT 6/30/2014BILLING & PERMIT STATEMENT
PERMIT NO.:
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EFIR MWO am., 1 W
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. 14
14*4-0*
BAKERSFIELD FIRE DEPT.
Prevention� Services 1
1600 TruxtLm Ave Ste 401
Bakersfield CA �93301
Tel.: (661) 326-5979 • Fax: (661) 852-2171
SITE INFORMATION
LOCATION OF PROJECT M P
PROPERTY OWNER
STARTING DATE L ION DATgm N
PROJECT NAME " A
1
PHONE NO. Z
PROJECT ADDRESS C
CITY TATS /,4 Z
ZIP CODE
CONTRACTOR I
INFORMATION
PHONE
CONTRACTOR COMPANY NAME F
FAX NO.
ADDRESS C
CITY Z
ZIP "Uut
Aft Permits must be review&4 stamped. and approved PRIOR TO BEGINNING WORK ON T
I
84
98
❑ 9
Over 10,000 Sq. Ft. S
Sq. Ft. x.028 Permit fee ■
■ 8
84 ■
98
❑ - S
Sprinklers - New & Modifications - (Minimum Charge) $
$280.00 ■
■ 8
84
98
❑ O
Over 10,000 Sq. Ft. S
Sq. Ft x. 028 =Permit fee ■
■ 8
84 9
98
❑ M
Minor Sprinkler Modifications (< 10 heads) $
$ 96.00 [Inspection Only] ■
■ 8
84 9
98
❑ C
Commercial Hoods – New & Modifications $
$470.00 9
■
84
98 8
❑ A
Additional Hoods $
$58.00 8
■ 9
84
98
❑ S
Spray Booths - New & Modifications $
$470.00 ■
■ 8
84
98
❑ A
Aboveground Storage Tanks (InstallafibrAnsp.-1 $'Time) $
$180-00 8
82
❑ A
Additional Tanks $
$96.00 ■
■ 8
82
❑ A
Aboveground Storage Tanks (RemovallInspection) $
$109.00 ■
■ 8
82
❑ U
Underground Storage Tanks (Installation.lInspection) $
$878.00 (per tank) ■
■ 8
82
❑ U
Underground Storage Tanks (Modification) $
$878.00 (per site) •
• 8
82
❑ U
Underground Storage Tanks (Minor Modification) $
$167.00 ■
■ 8
82
❑ U
Underground Storage Tanks (Removao $
$573.00 (per tank) 8
84
❑ O
Oilwell (Installation) $
$96.00 i
i 8
84
82
❑ T
Tents $
$ 96.00 (per tent) ■
84
❑ P
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour) $
$ 96.00 + (5 hrs. min. standby fee /Inspecfi�n)=$576_00
■ 8
84
❑ R
RE-INSPECTIONS) / FOLLOW-UP INSPECTION(S) $
$ 96.00 (per hour) 8
84
❑ P
Portable LPG (Propane): NO. OF CAGES? $
$96.00 ■
■ 8
84
❑ E
Explosive Storage $
$266-00 8
84
❑ C
Copying & File Research (File Research Fee $50.00 per hr) 2
250 per page 8
84
❑ M
Miscellaneous 8
84
v_ , %, 1— - I
1 - ORIGINAL WHITE (to Treasury) 1- YELLOW (to File) 1-PINK (to Customer)
BILLING & PERMIT STATEMENT
' ''; --V --
I a 'Amd 41 "'ErR S F AL D
FIRE "
4 V, A R T N J I-
PEFRMIT NO.:
1 4 wlb�
LOCATION OF PROJECT PROPERTY OWNER
STARTING DATE COMPLETION DATE NAME
BA"RSFIELD FIRE DEPT.
Prevention Services
1600 Truxtun Ave Ste 401
Bakersfield CA 93301
Tel.: (661) 326-3979 • Fax: (661) 852-2171
PHONE NO.
01
PROJECT ADDRESS
CITY STATE
0,
ZIP CODE
❑
CONTRACTOR INFORMATION
Sq. Ft. x .028 Permit fee
CONTRACTOR NAME
CA LICENSE NO. I TYPE OF LICENSE. EXPIRATION DATE
S09 SCE
PHONE NO.
CONTRACTOR COMPANY NAME
FAX NO.
n ALM E k
40zc�- 7go
ADDRESS L I -p
CITY
C-R
ZIP L'uut
AN Apex its must be reviewed sfamoed,, and ap.proved FMOR TO BEGINNING WORK ON THAT PROJECT. ■ OFFICE USE
E, 161U1 V --
PERMIT TYPE
❑ Alarms - New & Modifications 7m7nimum Charge)
FEE CALCULATION
$280.00
TOTAL TREASURY
DUE ACCT •
■ 84
■ 98
❑
Over 10,000 Sq. Ft.
Sq. Ft. x .028 Permit fee
■
■
84
98
❑
Sprinklers - New & Modifications - (Minimum Charge)
$280.00
------- 1W
■
■
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
■
n
84
98
❑
Aboveground Storage Tanks (InstallationlInsp.-l" Time)
$180.00
82
❑
Additional Tanks
$96.00
812
❑
Aboveground Storage Tanks (RemovaNnspection)
$109.00
82
❑
Underground Storage Tanks (Installation. /Inspection)
$878.00 (per tank)
■
82
❑
Underground Storage Tanks (Modification)
$878.90 (per site)
82
❑
Underground Storage Tanks (Minor Modification)
$167.0 2 :�!
■
82
❑
Underground Storage Tanks (RemovA
$573.00 (per tank)
84
❑
Oilwell (Installation)
$96.00
84
❑
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)
■
■
82
❑
Tents
$ 96.00 (per tend
■
84
❑
Pyrotechnic - (Per event, Plus Insp. Fee @ $96 per hour)
$ 96.00 + (5 hrs. min. standby fee /Inspection)=$576-00
a
84
❑
After hours inspection fee
$121.00
84
❑
RE-INSPECTION(S) / FOLL 0 W-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 $50.00 per hr)
250 per page
84
❑
Miscellaneous
FD 2021 (Rev. 06/07)
1 - ORIGINAL WHITE (to Treasury) 1-YELLOW (to File) 1-PINK (to Customer)