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Combination Permit Application.Doc Effective 08/17/09

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Combination Permit Application.Doc Effective 08/17/09 City of Huntington Beach Department of Community Development COMBINATION PERMIT (RESIDENTIAL ONLY) 2000 Main Street, Huntington Beach, CA 92648 Office: (714) 536-5241 Fax: (714) 374-1647 PERMIT NO: C20 CONSTRUCTION VALUATION __________ (Labor & Material Cost) JOB ADDRESS: Existing Area (sq. ft.) New Area (sq. ft.) PROPERTY OWNER: ADDRESS: New Garage Area (sq. ft.) New Porch/Patio (sq. ft.) TELEPHONE: Number of Stories: Num of New Bedrooms EMAIL ADDRESS: New Misc. Area (sq. ft. or linear feet) Circle applicable use below CONTRACTOR: (eg. Roofing Squares, Fences, Blockwalls, Decks, Balcony, etc.) CITY LICENSE NUMBER: ■ _____________ ■ _____________ ■ _____________ ADDRESS: TELEPHONE: DESCRIPTION OF WORK: _____________________________________ EMAIL ADDRESS: __________________________________________ ARCHITECT/ENGINEER: ADDRESS: __________________________________________ STATE LICENSE NO: __________________________________________ TELEPHONE: PRIMARY CONTACT: __________________________________________ TELEPHONE: ELECTRICAL ELECTRICAL (cont’d) PLUMBING FEE LINE ITEMS QTY. FEE LINE ITEMS QTY. FEE LINE ITEMS QTY. E645 Residential Area $0.12 sq. ft E678 Time Clock $16.00 PHB Hose Bibb $14.00 (in lieu of listed Items ) WARE 8 Switches & Outlets E654 Garbage Disposal Unit $16.00 P613 Urinal $28.00 (1 - 50) $2.50 WARE 8 Switches & Outlets P617 Washing Machine $28.00 E655 Trash Compactor $16.00 (over -50) $1.25 or Laundry Sink $28.00 WARE 6 Number of Fixtures P625 Rain Water/ $28.00 E656 Unit – Heater $16.00 (1 - 50) $2.50 Room Drain WARE 6 Number of Fixtures P627 Floor Drain/ $14.00 E657 Range $16.00 (over 50) $ 1.25 Floor Sink (inc. trap primer) .75 WARF9 Genrtr/Motor/Transfrmr E658 Washer $16.00 Disc .0 - 2 H $16.00 PMIS Misc. Plumbing $28.00 WARH9 Genrtr/Motor/Transfrmr E659 Dryer $16.00 Disc. 3 – 10 HP $30.00 PSH Shower (each head) $28.00 E690 Meter Size (amps) E660 Dishwasher $16.00 PSW Building Sewer $55.00 $..62 per amp ($30.45) minimum WARO9 Track Multiple Outlet WARR9 Water Heater $28.00 E661 Water Softener $16.00 Section $8.00 and/or Vent WARS9 Water Softener/ $28.00 E662 Water Heater/Insta Hot $16.00 E692 Sub-Panel each $30.00 Water Treatment Equipment WART9 Water Piping Antisiphon E800 Photovoltaic $ 0.00 E663 Microwave $16.00 Backflow $55.00 WARU9 Bathtub with or $28.00 E664 Furnace $16.00 MECHANICAL Without Shower Head MMIS Misc. Mechanical $31.00 WARW9 Kitchen Sink or $28.00 E665 Vacuum System $16.00 Misc. Appliances Service Sink WARQ9 Installation or $60.00 WARX9 Lavatory, Bar Sink $28.00 E666 Oven/Oven Hood $16.00 Relocation of ea furnace (ducts & vents) or Drinking Fountain WAUZ9 Relocation or $26.00 WARY9 Gas Piping $25.00 E667 Garage Door Opener $16.00 replacement of each appliance vent under 0.5 psi WAVZ9 HVAC Ducts; new, extensions WASZ9 Water Closet $28.00 E668 Kitchen Island Ctr. $16.00 or relocation 1 – 10 units $38.00 (toilet or bidet) Over 10 units $3.19 each WKAZ9 A/C Units < 5 Tons $65.00 PSP Sump Pumps $28.00 E669 Air Conditioner (window) $16.00 (sewage or rain water) E670 Ceiling/Exhaust Fan $16.00 WBZZ9 Vent, Fan (single duct) $16.00 (inc resid cooking hoods & bath fans EMIS Misc Electrical $30.00 WJZZ9 Factory Built Fireplace $31.00 Zoning: _______________ Flood Zone: _______________ ______________________________ ____________ _____________________________ ____________ Planning Dept. Approved by: Date: Building Dept.Approved by: Date: A 4.0% Automation Fee will be added to all fees listed pursuant to Resolution 2009-32 G:BuildingAdmin/Web Documents/Combination Permit application.doc Effective 08/17/09 .
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