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2 OAK STREET (6)
~II.LYNG & PERiyII°T STATEIMEiV7' PERMIT # /~(D~ rat•~-ZD ~ -- IOCATION OF PRO7ECf -}~ ~ 2 ~' ~ }~- S I •~" BAKEftSFIELD ~I~tE DEP~1i~ThBENT ~ 6 a 5 P~a'~~ Prevention Services F/RE ~ AR7M ~ 1501 Truxtun Avenue, lst FLR Bakersfield, CA 93301 . . PROPERTY OWNER G~V ~ n~-( ~ T~~U ~ J Yw-+~- 1 STARTTNG DATE ~~ A I~ ~, PROJECENAME / (~ v4l< ~~-7~ ~~i ( PRO]ECi ADDRESS ~ ~ f /C ~~ 7T _ NAME Wl o ~L AODRESS~ ~ ~K ~ f PHON~ a S ' ~~ ^ ~ d cm g~kbC,ERS~I ELD STATE C~ ZIP CODE (~ ~q~ ~/ ~ 7 , CONTRACiOR NAME CA LICENSE # TlPE OF LICENSE EXPIRATION DATE PHONE R t~lL~ ~iuv~~~sn~+ ~~~~so A~fo~-caYo HAZ s-3,~~01o Cc4~-3ria-8(o'~r7 FAX # CONTRACfORCOMPANY NAME ~i ,~ ~' ~1 -- 3~}a-D~p o`~ + '~jV`f"W ~, \ ZIP C^OD?E f~" ADDRESS ~~ t' ~ g~IQS G I ~~-~I~S~IEL~! % J~~~+ 't All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK. •' O Alarm - New & Modification (minimum charge) $280 0 Over 10,000 sq ft $0 .028 x sq ft O Sprinkler - New & Modification (minimum charge) $280 ^ Over 10,000 sq ft $0 .028 x sq ft 84 ^ Minor Sprinkler Modification (<SO heads) $96 (inspedion only) ~ Commercial Hood (New & Modification) $470 ^ Additional hood ~58 ~ O Spray Booth (New & Modification) $470 98 ^ boveground Storage Tank (1 inspedion per installation) AST $180/tank 82 ~ Additional Tank ATI $96/tank 82 ^ Aboveground Storage Tank (Removal, Mod,or Inspect'n) ATR $109/tank 82 O Underground Storage Tank (Installation/Inspection) NI $878/tank 82 ~ Underground Storage Tank (Modification) MOD $878/site 82 O Underground Storage Tank (Minor ModiFlcation) MTM $167/site 82 ^ Underground Storage Tank (Removal) TR $573/tank 84 ^ Mandated Leak Detection (test)/Fuel Mont Cert/58989 $96/hr (2 hrs minimum)=$192 8~ NOTE: $96/hr for each type of test/per site even if cheduled at the same time ~ 82 Oil well (Installation, Inspection, or re-inspection) X$96/hr ' ~ O Tent # $96/tent 84 ^ After-hours inspedion fee $121/hr (2 hrs minimum)=$242 p Pyrotechnic (1 permit per event, plus an inspection fee of $96/hr +(5 hrs min standby fee/insp)=$576 84 $96/hr during business hours) PY NOTE: After hours P rotechnic event ins ection is @ 121 hr 5 hrs min standb fee ins = 605 ^ Re-inspection/Follow-up Inspection 96 hr $ ~ 84 ^ Portable LPG (Propane): # of Cages? _. $96/hr 84 0 Explosive Storage ~266 84 ^ Copying & Fle Research (Fle Research fee $SO/hr) $0.25/page 84 COMPI.EfION DATE / J m /G /~ .,,,'' , ;j''~ ~; , Y City af<Bakersxie!d ~;t~I~~TQ~iER RECEIGT ~t+~ per: ~tA~.iMFORD ; T.Ype: OC D Q rawe- . I , , I-ute:t :..7l21T@~f! 0i Receapt no~ :. 1~946: ~fescrz~~ion [i~ran~k~~y" . Aeaun~ : ~ . Fk yl'Uk+~6f. TRt4K ~~~IIT ` .i.~; ; ~A/8.~0 7end~r ~ietail ' , 3~457 Gi; ~rIEGK :~. f876 43~ :,= , . , fofal'ten~iered - ~:: ,. ~ f8r8 ~@:; ~Tntal pay~.ent ;iA78.0Q~ , Trans Ca~e:_ 7/~1lt~q Ti~e :1,S:s4 2? : : ~, "HR~PY. aPRI~i,~: ~ , ~