HomeMy WebLinkAbout160, 162MECHANICAL PERMIT (HVAC) APPLICATION
City of Hermosa Roach - 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
$ 43
QTY.
a
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
$ 33
Boiler/Compressor:
a. Up to 3 HP or 100,000 BTU
b. 3 to 15 HP or 100,001 to 500,000 BTU
$ 43
$ 43
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
Air Handling Unit/Air Conditioner (Including
Ducts)
1. Under 10,000 C.F.M.
2. Over 10,000 C.F.M.
Evaporative Cooler (Non -Portable)
Vent Fan/Single Duct
Mechanical Vent
Mechanical Suppression System and Exhaust
Hood
Repair, Alteration, Addition to Each Heating
Appliance, Refrigerator Unit, Comfort Cooling
Unit or System (Includes Controls)
$ 43
$ 98
$ 98
$ 54,
$ 54
$ 43
$ 33
$ 33
$ 33
$ 43
Any Equipment Regulated but not Included
Above (Includes Factory Fireplace)
MISCELLANEOUS
$110
SUPPLEMENTAL PERMIT FEE
$ 17
ISSUANCE FEE
$ 59
JOB ADDRESS:
140'40607 410/4elee
JOB DESCRIPTION:
OZ NSA► Sfry
PROPERTY OWNER(S) NAME:
c RA r
ADDRESS: J
1201 6 'Sid
CITY, STATE, ZIP:
1 . 70A6
PHO (9 37 2. eta
MECHANICAL CONTRACTOR:
d'
S004 / A4»
ADD:
SU1 5C64 --S%
CITY, STATE, ZIP:
Wkjci4-, 7oS?)
PHONE:
5ti°--3sgc
BUSINESS LICENSE NO.:0 1,77774
STATE LICENSE NO 6g6
TYPE OF BUILDING
NO. OF STORIES: 3
NO. OF METERS: oe
TOTAL FEE
*Please contact Public Works Department at (310) 318-0214
if work is going to be done in the public right of wav
(sidewalk or street).
NO. OF FAMILIES: 02
DATE ISSUED:
ISSUED BY:
PERMIT NO.:
174/3-00.
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.
1 further state that I am properly licensed as required by Section 7031.5 of the State License Business and
Professional Code (or claim exemption under Section 7044).
Signetiii"e of Co / actor Signature of Owner (If Owner/Builder)