HomeMy WebLinkAbout0 (7)76 A364- CE BIB - 9 3 APPLICATION FOR PERMIT
n IT
HEATING - VENTILATING - AIR CONDITIONING rD
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
(PRINT OR TYPE ONLY)
NO. TYPE OF APPLIANCE OR EQUIPMENT PEE
ABSORPTION UNIT, BTU
AIR HANDLING UNIT, CFM
BOILER, 8TU � .� a y'•',i A
COMPRESSOR, BTU
VENTILATION SYSTEM
EVAPORATIVE COOLER
FURNACE: FAU—GRAVITY
FLOOR BTU
HEATER: SUSPENDED—
UNIT-WALL
P). dheck Fee 25 v of Nbo , See reverse. -
PERMIT ISSCING.FEL $ a 00
TOTAL FFK
PLAN CHECK APPLICANT
NAME I-¢�r, / /" /'
J
C'
ADDRESSirt`f�.-,l /--;e"i✓ �a'•.�'.'GG-
CITY IVLJ., t+ ')Ij/'///,jI TEL.NO*',.. j,7(,.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D STATE T THE ABOVE IS CDRR ECT NO GREE TO COMPLY
WITH ALL THAT
AND LAWS REGULATING HEATING, VENTI-
LATING, AIR CONDITIONING.
HEREBY CERTIFY THAT I AM NOT'ALTING IN VIOLATION
OF CHAPTER 9, DI YI$ION,.3 OF TM Et SU51NES AND PROFEBSIDNAL
CODE OF THE STAT[:Of CACI FOP NI [i.
SIGNATURE
OF PERMITTEE \Tr'•.,+" ",
BUILDING
ADDRESS '
�.
LOCALITY f�. ✓;� � }�
4
NEAREST
CROSS ST:
OWNER i?3,�.V
MAIL
ADDRESS ''•
CITY
TEL. NO. T
CONTRACTOR
ADDRESSR
CITY ^ �f,
TEL. NO.f�;.
STATE 77
LICENSENO{r'
LIC,
CLASS .G..- .S
DISTRICT N0.
GROUP
7
PROCESSED BY
INSPECTION RECORD
APPROVALS DATE INSPECTOR'S SIGNATURE
ROUGH
FINAL
PLAN I;HtCR VAL.IUAI IUN CR. M.D. —H
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
'ERMIT VALIDATION `4 CK: M.D. CASH
PLAID CHECK FEE REQUIREMENTS
t- Ordinance No. 9544 the Mechanical Code requires a plan check fee to be paid at the time of
sub-
mitting plans and specifications for the installation of comfort heating and cooling systems,
re
frigeration and ventilating systems and hoods for the following:
i_
1. Any Group A, B, C, D, or E Occupancy.
f 2. New buildings having an aggregate floor area of 15,000 square feet and over.
's 3. Installations other than those listed in items 1 and 2 above where the aggregate BTU
input
capacity for either c mfort heating or comfort cooling is 1,000,000 BTU and over, or installa-
tions containing a single comfort heating or comfort cooling air handling system with a capacity
of 10,000 cubic feet per minute or more. _
PERWT FEES -
[ For the installation, alteration o relocation of each refrigeration compressor o absorption
unit,
and for each fuel burning furnace, heater, boiler, and vented decorative appliance including
vents
t attached thereto:
EUp to and including 100,000 BTU ......... ............................$ 5.00
I More than 100,000 BTU to and including 500,000 BTU :......................
7.50
i
"- More than 500,00 BTU to and including 1,000,000 BTU ..... . ..................
10.00
More than 1,000,000 BTU to and including 2,000,000 BTU. . . . . . . . . ............
15.00
iMore than 2,000,000 BTU .............. .........................
25.00
I - For the installation, relocation or replacement of each appliance vent installed and not
i included in an. appliance permit ... ... .. .......... . ...................
2.00
_. For each air handling unit for air conditioning including ducts attached thereto:
Up to and including 2,000 CFM .................. ..... , ... , . , . ,
2.00
More than 2,000 CFM to and including 10,000 CFM ... . ............. ......
5.00
More than 10,000 CFM ........................... ................
10.00
NOTE: This fee shall not apply to an air handling unit which is a portion of a factory
assembled air conditioning appliance for which a permit is required elsewhere in
this code.
For each evaporative cooler other than portable type, ......................
3.00
i For each required ventilating fan .connected to a single duct ....................
2.00
For each required ventilating system ...................................
4.00
For the installation of each hood or spray booth served by mechanical exhaust, including
the fans and ducts attached thereto ................................. . ...
5.00
NOTE: For refrigerator system ratings one horsepower, one ton, or 12,000 BTU per hour
shall ..an the same quantity.