HomeMy WebLinkAbout158MECHANICAL 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
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
$ 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
Evaporative Cooler (Non -Portable)
$ 43
Vent Fan/Single Duct
$ 33
Mechanical Vent
$ 33
Mechanical Suppression System and Exhaust
Hood
$ 33
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
SUPPLEMENTAL PERMIT FEE
$ 17
ISSUANCE FEE
$ 59
JOB ADDRESS:
/ Sg mo, ere i+�p
JOB DESCRIPTION:
1 SitLr'i17'
PROPERTY OWNER(S) NAME:
C' tl/ OtSgek
ADDRESS:
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CITY, STATE, 41e:
/�,*v . c4.70266
Diptslk
(0,) ?7,01.-2000
MECHANICAL CONTRACTOR:
me-Atfy
7ADD SS:
Sc:odi sdL
CITY, STATE, ZIP:
ToM' ' e7 ck. ?ere
PHONE:
BUSINESS LICENSE N°bJ 'nQ Q/
b O
STATE LICENSE NO.: 56
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TYPE OF BUILDING:
OCo �b
5:111--7
NO. OF STORIES:
NO. OF METERS: /
TOTAL FEE
*Please contact Public Works Department at (310) 318-0214
if work is going to be done in the public right of way
(sidewalk or street).
NO. OF FAMILIES:
DATE ISSUED:
ISSUED BY:
PERMIT NO.:
p1/368'O?f
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 properly licensed as required by Section 7031.5 of the State License Business and
Professional Code (or clai ► exemption under Section 7044).
Signature *F ContractSignature of Owner (If Owner/Builder)