Fillable City of San Dimas Building Division Permit Application (City of San Dimas)

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City of San Dimas Building Division Permit Application (City of San Dimas)

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The City of San Dimas Building Division Permit Application (City of San Dimas) form is 2 pages long and contains:

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  • 34 check-boxes
  • 62 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of San Dimas

BROWSE CITY OF SAN DIMAS (CA) FORMS

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B
TYPE OF PERMIT:
COMBINATION BUILDING ELECTRICAL
MECHANICAL PLUMBING GRADING
SEWER SWIMMING POOL/ SPA
PROJECT ADDRESS:
APPLICANT NAME: PHONE #
APPLICANT RELATIONSHI
P
Owner Contractor Architect Other
PROPERTY OWNER'S NAME:
PROPERTY OWNER'S ADDRESS:
LICENSED DESIGN PROFESSIONAL (ARCHITECT / ENGINEER)
NAME LICENSE #
MAILING ADDRESS
CONTRACTOR INFORMATION
NAME PHONE #
ADDRESS:
CITY: ZIP CODE
LICENSE # LICENSE CLASS:
SAN DIMAS BUSINESS LICENSE #
SCOPE OF WORK:
VALUATION (Total value of labor and materials)
$
Square footage of improvement:
DESCRIPTION:
Rev 9/09
City of San Dimas Building Division
Permit Application
FILL OUT SPECIFIC DETAILS ON BACK
FIXTURES NUMBER TYPE
WATER CLOSET CIRCUIT BREAKERS
BATH TUB MOTORS < 3HP
SHOWER MOTORS 3 - 10 HP
LAVATORY NEW SERVICE ( ) AMPS
SINK SUB -PANELS
DISHWASHER TEMP POWER POLES
CLOTHES WASHER NUMBER OF SWITCHES
LAWN BACKFLOW NUMBER OF OUTLETS
WATER HEATER NUMBER OF FIXTURES
GAS SYSTEM OUTLETS OTHER
HOSE BIBB
SERVICE SIZE
RE-PIPE FIXTURES
FLOOR DRAINS
OTHER
NUMBER POOL SPA
FURNACE BTU SQUARE FOOTAGE
COMPRESSOR BTU HEATER BTU
AIR HANDLERS CFM
EXHAUST FANS
REGISTERS
DUCT SYSTEM ALTERATION CONNECT TO SEWER
OTHER CONNECT ADDITIONAL
ABANDON SYSTEM
OTHER
Will Project disturb surface area between Oct 15 - Apr 15? YES NO
At any time does project disturb 1 acre or more of surface area? YES NO
If yes, Notice of Intent Attached? YES NO
What is your Waste Discharge Identification Number
Is project a hillside property (25%+ grade)? YES NO
10+ unit homes (SFR, MFR, Condo, Apt) Single-family hillside (25%+ grade)
Ind/Comm Development disturbing 1+ acre soil Automotive service facility
Parking lot 5,000+ SF or 25+ spaces Retail Gasoline Outlet
Redevelopment: Add/replace 5000+ SF impervious surface Resturant
Environmentally Sensitive Area (ESA) YES NO
Likely to impact sensitive/species habitat? YES NO
Create 2,500+ SF impervious surface> YES NO
Type of Development (check all that apply)
ELECTRICALPLUMBING
TYPE
MECHANICAL
SEWER
PLEASE FILL OUT ALL THE APPROPRIATE INFORMATION
SWIMMING POOL
NUMBER
STORMWATER (NPDES) REQUIREMENTS
UPDATED 09/23/09 PAGE 2
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City of San Dimas Building Division Permit Application (City of San Dimas)

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Completed 16 July 2020

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