HomeMy WebLinkAbout125MECHANICAL 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. 4tt-
2. Over 100,000 B.T.U.
QTY.
I_ f
$ 43
AMOUNT
(i3
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. 8 or More Outlets (Per Outlet)
$ 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 Ar -
t_42 $ 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
$
LEI
$ 98
Air Handling Unit/Air Conditioner (Including
Ducts)
1. Under 10,000 C.F,M.
2. Over 10,000 C.F.M.
1_
$ 54
Evaporative Cooler (Non -Portable)
$ 43
Vent Fan/Single Duct
S 33
JOB ADORES
JOB DESCRIPTION.
,G6,v r>r+/G ,i)ab .i (c 2 Q
PROPERTY OWNER(S) NAME.
ADDRESS:
/26 `-� n A/ v e) y,
CI , STATE, ZIP:
(Ve (,405,4 geg` k 9d7s'
PHONE:
MECHANICAL CONTRACTOR. _ CIN
EMAIL ADDRESS: n
'TWA) C- l✓UC C: 4c .cal
ADDRESS:
1s23c A04.1 4(r
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
ISSUANCE FEE
TOTAL FEE
$ 17
$ 59 ' /
CITY, STATE, ZIP:
4.0_tf 0,4 9e?6c7
PHONE: f
3 /d -erS5"c3136-
BUSINESS LICENSE
BUSINNSE bp j 2 3 /
STATE LICE SE NO. '697_3 9F_3
TY OF BUILDING:
60
20
'Please contact Public Work4 Department at (310) 318-0214
If work Is golna to be done In the public right of way
(sidewalk or Veal.
NO, OF STORIES
NO. OF METERS: /
NO. OF FAMILIES /
DATE ISSUED'
9/14-2-,
ISSUED BY:
7y
PERMIT NO..
13 -q -o
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.
State License Business and
I further state that I am properly licensed as required by Section 7031.5 o
Professional Code (or claim exemption under Section 7044).
Signature of Contractor Signature of Owner (If m4vnerlBullder)
F:b95\cd\loans-handouts\applcation4modunic 9/1111 Ravlsad 10.3-11
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