HomeMy WebLinkAbout36 (2)MECHANICAL PERMIT (HVAC) APPLICATION
City of Hermosa Beach - Community Development Department
Forced -Air or Gravity -Type Furnace, Includes
Ducts and Vents:
1. Up to 100,000 B.T.U.
2. Over 100,000 B.T.U.
$ 43
1
$ 43
AMOUNT
Floor Furnace, Including Vent
$ 54
Heater -Suspended, Recessed Wall or Floor
Mounted
$ 43
Gas Piping System (Enter No. of Outlets):
a. 1-5 Outlets (Inclusive), Total Fee
b. 6 or More Outlets (Per Outlet)
$ 33
$ 7
Appliance Vent Only
Boiler/Compressor:
a. Up to 3 HP or 100,000 BTU
b. 3 to 15 HP or 100,001 to 500,000 BTU
$ 43
a
$ 33
$ 43
JOB ADDRESS:
36 15TH STREET
JOB DESCRIPTION:
CUT IN NEW A/C & FURNACE C/O
PROPERTY OWNER(S) NAME:
36 15TH STREET
ADDRESS:
HERMOSA 90254 sC(P`Gg f
CITY, STATE, ZIP:
Absorption System:
1. 15 to 30 HP or 500,001 to 1,000,000 BTU
2. 30 to 50 HP or 1,000,001 to1,750,000 BTU
3. Over 50 HP or Over 1,750,000 BTU
$ 43
$ 98
$ 98
Air Handling Unit/Air Conditioner (Including
Ducts)
1. Under 10,000 C.F.M.
2. Over 10,000 C.F.M.
$ 54
$ 54
505-331-2088
PHONE:
COLE SERVICES
MECHANICAL CONTRACTOR:
EMAIL ADDRESS:
10652 TRASK AVE.
Evaporative Cooler (Non -Portable)
$ 43
Vent Fan/Single Duct
$ 33
Mechanical Vent
$ 33
Mechanical Suppression System and Exhaust
Hood
$ 33
ADDRESS:
GARDEN GROVE, CA 92843
CITY, STATE, ZIP:
714-741-8390
Repair, Alteration, Addition to Each Heating
Appliance, Refrigerator Unit, Comfort Cooling
Unit or System (Includes Controls)
$ 43
Any Equipment Regulated but not Included
Above (Includes Factory Fireplace)
$110
MISCELLANEOUS
PHONE:
BUSINESS LICENSE NO.:
718978
STATE LICENSE NO.:
SUPPLEMENTAL PERMIT FEE
$ 17
ISSUANCE FEE
$ 59
TOTAL FEE
TYPE OF BUILDING:
NO. OF STORIES:
*Please contact Public Works Department at (310) 318-0214
if work is going to be done in the public right of wait
(sidewalk or street).
NO. OF METERS:
NO. OF FAMILIES:
DATE ISSUED: 11 r r/( 7
ISSUED BY:
PERMIT NOH: t
Of[ - 2tij T
I hereby certify that I have read and examined this application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
No person shall be allowed to perform work under this permit in violation of the labor code of the State of California.
I further state that I am pro• - ' ' ensed as required by Section 7031.5 of the State License Business and
Pro essio I Code (or mption under Section 7044).
Signature -Of C ractor
Signature of Owner (If Owner/Builder)
F:b95\cd\forms-handouts\application\mechanic 9/1/11 Revised 10-3-11