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HomeMy WebLinkAbout3605 ROSEDALE HWY FMC BILLING APP 2015BILLING & PERMIT STATEMENT PERMIT tom;: _ /0c>0c .:Zcy USE B RSFMD, FARE DEPT, 8 JIM leg N116-D Prevention SeMces r 1600 Truxtun Ave Ste 401 rM�!1/ r Ba =sfield CA 93301 Tcl: (661) 326 -3979 • Fax: (661) 852 -2171 . ORIGINAL WHITE (to Trewuryr) 1- YELLOW (to Fik) 1 -13INK (to Customer) U GVG 1 %r WV. %Jwvr f LOCATiCN+I ofiOJECi .... PROPERTY OWNER 01\ STARTING DATE G'ilON DA NAME PROJECT NAME ADDRESS 3(06:s CITY STATE PHONE NO. PROJECTADDRESS ZIP CODE COAIIRAC7OR NAiuIE I 6A UCENSE NO. ' �kYlr1fic.S IR �c t-� $tJ°t SCE TYPE of LICENSE 0,41 VVQANA EMRATM DATE 30 .2of PHONEivo. '�' 2 —�4� b 71 CONTRACTOR COMPANY ,�:.�1 :..` . FAX N0- ADDRESS CITY ZIPcx�n� Almts rrws>t be re vreed3 $tamped, and approved PRIOR TO BEGINNING WORK ON THAT PRQJ' T. ❑ ' Alarms -New & Modifications - (Minimum Charge) $280.00 , ■ 98 ❑ Over 10,000 Sq. Ft. Sq. Ft x.028 = Permit file s 84 ❑ Sprinklers - New & Modifications - (Minimum Charge) $280.00 ; 98 98 ❑ Over 10,0010 Sq. Ft Sq: Ft x.028 =. Permit fee . ■ • 98 98 ❑ Minor S� Mod'if'ications (a 10 heads) $ 96.00 [lnspecdon Only] : 98 13 Commercial Hoods — New & Modifications $ 470.00 : 9988 ■ ❑ Additional Hoods $ Saw ; 98 t. ❑ Spmy Boolbp New & Modffiications $470.00 988� ❑ Aboveg°iDand Storage Tanks (InstallatiorVinsp: ld Time) $180.00 ' ' ❑ Additions/ Tanks $ 96.00 82 ,...... r=- ❑ Aboveground Storage Tanks (Removaflnspection) $109.00 i r ❑ Underground Storage Tanks (l staltationJinspection) $878.00 (per tank) e � ' " ! Underground Storage Tanks (Miadifcatton) . ` - :C�i -(mr siiae) w . 82"- ". ❑ Underground Storage Tanks (Minor Modificatl) $167.00 ' ❑ Underground Storage Tanks (RemovaQ $573.00 (per tank) ` ❑ 4llwell `(Instattation) $ 96.00 e 5 Mandated Leak Det efion .(Testing) / Fuel nit.Ce 13989. Note: $9800 for each type of test/ per Me fif-( aita f •� 'd ■ i � z , X �" 82 � -i�.- ,, � �r� ' '4 b 4 q L-;1 �z at the same time) . 13 Tents $ 96.00 (per tent) 84 ❑ Pyrotechnic - (Per.event, Pius Insp. Fee 0 $W per hour) $ 9fi.00 + (s his. mwL dandbyr fee nng ecow $- W6..00 84 ❑ After hodrs;nspecdon fee $121.00 84 ❑ RE- �EC'TI�ON(S) /FOLLOW -tlP 1NSPEG7ION(S) $96.00 (per hour) ■ 84 ❑ Portable LPG (Propane): NO. OF CAGES?:;" $ 96.00 ❑ E)Oosive sip $266.00 • ea ❑ Copying:& File Research (t=ile Research Fee :$50.00 per hr) 25o. per page ■ ❑ Miscellaneous . ORIGINAL WHITE (to Trewuryr) 1- YELLOW (to Fik) 1 -13INK (to Customer) U GVG 1 %r WV. %Jwvr f