HomeMy WebLinkAboutSams Receipt 10-11-21BILLING & PERMIT STATEMENT
F;PTER�MIT
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phnna• F, F,1-'�7F,-'�Q74 . Fair• �t;1-R�7_71 71
LOCATION OF PROJECT
PROPERTY OWNER
TYPE OF LICENSE
Sam's Club #4819 Gas Station
Sam's Club West, Inc.
Matt Jauregui
SCOPE OF WORK
NAME
6/30/2023
Replace Tank #1 Fill Spill Bucket
Attention Eric Burgess
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices)
PROJECT NAME
ADDRESS
Jauregui & Culver, Inc.
PHONE #
87 #T-1 Fill Spill Bucket Replacement
702 S.W. 8th St. Bentonville, AR
ADDRESS
479-277-7388
PROJECT ADDRESS
g� ���S�C � (_�
�'�
ZIP CODE
5625 Gosford Rd.,
CITY
STATE
93313
CONTRACTOR NAME
CA LICENSE #
TYPE OF LICENSE
EXPIRATION DATE
PHONE #
Matt Jauregui
708231
A B C36 HAZ
6/30/2023
760-743-0518
CONTRACTOR COMPANY NAME
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices)
$ 98/hr (2 hrs minimum) _ $196
FAX #
Jauregui & Culver, Inc.
❑
Sprinkler - New & Modification (minimum charge) FIRE
Over 10,000 sq ft
Sprinkler - Minor Modification (<10 heads)
760-743-0621
ADDRESS
CITY
$ 0 .028 x sq ft
ZIP CODE
959 West Mission Ave
Escondido
❑
92025
Please make checks payable to CITY OF BAKERSFIELD. NO CASH Please. Thank you.
M
•
❑
--
Alarm - New & Modification (minimum charge) FA
Over 10,000 sq ft
$ 288
❑
$ 0 .0288 x sq ft
❑
Alarm - Minor Modification (Add 1 device/Relocation of 2 devices)
$ 98/hr (2 hrs minimum) _ $196
84
❑
Sprinkler - New & Modification (minimum charge) FIRE
Over 10,000 sq ft
Sprinkler - Minor Modification (<10 heads)
$ 288
❑
$ 0 .028 x sq ft
❑
$ 98/hr (2 hrs minimum) = $196
84
❑
Commercial Hood (New & UL 300 Upgrade Modification) FHD
Additional Hood
$ 241
$ 59/hood
❑
Commercial Hood - Minor Modification (add/move nozzle)
$ 98/hr (2 hrs minimum) = $196
84
❑
Spray Booth (New & Modification) SB
$ 241
❑
Aboveground Storage Tank (1 inspection per installation) AST
$ 185/tank
❑
Each Additional Tank
$ 98/Tank
❑
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
$ 112/tank
❑
Underground Storage Tank (Installation/Inspection) NI
$ 900/tank
❑
Underground Storage Tank (Modification) MOD
$ 900/site
®
Underground Storage Tank (Minor Modification) MTM
$ 171/site
$171
❑
Underground Storage Tank (Removal) TR
$ 587/tank
❑
Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot.
NOTE: $98/hr for each type of test/per site/per UST system
even if scheduled at the same time TT
$ 98/hr (2 hrs minimum) _ $196
❑
Oil well (Installation, Inspection, or re -inspection) X
$ 98/hr
84
❑
Tent TENT
$ 98/hr
❑
After-hours inspection fee
$ 124/hr 2 hrs minimum = $248
❑
Pyrotechnic (1 permit per event, plus an inspection fee of
$98/hr during business hours) PYRO
NOTE: After hours Pyrotechnic event inspection is @ $124/hr
$ 98/hr + (5 hrs min standby fee/insp) _ $588
5 hrs min standby fee ins = 620
❑
Re-inspection/Follow-up Inspection
$ 98/hr
84
❑
Portable LPG (Propane): -# of Cages?
$ 98/hr
84
❑
Explosive Storage
$ 241
84
❑
Copying & File Research (File Research fee $51/hr)
$ 0.02/page
84
❑
Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle
Display/Motion Picture)
$ 98/hr
84
FD2021 (Rev 07/18)