HomeMy WebLinkAbout708 (3)MECHANICAL PERMIT (HVAC) APPLICATION
City of Hormoca Boesch - Community Dov®lopmont Dopartmont
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
nT" ' AMOUNT
Floor Furnace, Including Vent
$ 54
Heater -Suspended, Recessed Wall or Floor
Mounted
Gas Piping System (Enter No. of Outlets):
a. 1-5 Outlets (Inclusive), Total Fee
b. 6 or More Outlets (Per Outlet)
$ 43
$ 33
$ 7
JOB ADDRESS: a
76 2
JOB DESCRIPTION:
/J7 StAi T'
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
PROPERTY OWNER(S) NAME:
frafird-Ai
ADDRESS:
CITY, STATE, ZIP:
PHONE:
MECHANICAL CONTRACTOR:
til 59AS
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
ADDR SS:
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
aI se.��$-
CITY, STATE, ZIP:
OL ?ate 3
PHO
re, 5'o -?s89
BUSINESS LICENSE NCO,/az y�
STATE LICENSEN0.•
.. 8y 7
TYPE OF BUILDING:_/
C�
NO. OF STORIES:
az
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.:
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 claim exemption under Section 7044).
Signature of Contrfor
Signature of Owner (If Owner/Builder)