HomeMy WebLinkAbout1246 (5)MECHANICAL PERMIT (HVAC) APPLICATION
City of Hermosa Reach - 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
Floor Furnace, Including Vent
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)
Appliance Vent Only
$ 43
$ 54
QTY.
d
AMOUNT
$ 43
$ 33
$ 7
Boiler/Compressor:
a. Up to 3 HP or 100,000 BTU
b. 3 to 15 HP or 100,001 to 500,000 BTU
$ 33
$ 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.
$ 43
$ 98
$ 98
Evaporative Cooler (Non -Portable)
Vent Fan/Single Duct
Mechanical Vent
$ 54
$ 54
$ 43
$ 33
$ 33
Mechanical Suppression System and Exhaust
Hood
$ 33
Repair, Alteration, Addition to Each Heating
Appliance, Refrigerator Unit, Comfort Cooling
Unit or System (Includes Controls)
Any Equipment Regulated but not Included
Above (Includes Factory Fireplace)
$ 43
$110
MISCELLANEOUS
SUPPLEMENTAL PERMIT FEE
$ 17
ISSUANCE FEE
$ 59
JOB ADDRESS:
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JOB DESCRIPTION:
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PROPERTY OWNER(S) NAME:
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ADDRESS:
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CITY, STATE, ZIP:
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PHONE:
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ME A ICAL CONTRACTOR:
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ADDR S:
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CITY, STATE, ZIP:
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PHONE:
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BUSINESS LICEWF Ist
®11127776
STATE LICENSE NO.:
6
TYPE OF BUILDING:
NO. OF STORIES:/
NO. OF ME I ERS:
/
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.:
MIH-oo1os
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
Professignal Code (or claim exemption under Section 7044).
Signature o/-ontractor Signature of 9wner (If Owner/Builder)