Fillable Permit Application Form (City of Covina)

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Permit Application Form (City of Covina)

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CITY OF COVINA
Permit Application Form
125 E College St.
DATE:
_______________
Covina, CA 91723-2199
626-384-5460 www.covinaca.gov Email permits@covinaca.gov
Single-Family Residential Multi-Family Residential Commercial Industrial Demolition
Site Address APN#
Property Owner’s Name
Mailing address
Phone # Email:
Licensed Contractor License Class & Number
Mailing Address
Phone # Email:
Applicant Contact (If different from above)
Mailing Address
Phone # Email:
JOB VALUATION: Description of Work:
Structures
Sq.Ft.
Reroofs
Squares Qty
Signs
Sq.Ft.
NEW Comp. Shingle Wall
Addition Light Weight Tile Monument
Alter/Remodel Cement Tile Pole
Garage Built-up
Repairs
Carport Metal/Other Drywall/Insulation-(Ln Ft.)
Tenant Improvement Tear off?
Yes No Sandblast
Demolition Stucco/Siding
Accessory Structures
Walls/Fences
Ln.Ft Stone Veneer
Guest Room/Rec Room Masonry Aluminum Siding
Cabana Wood
Storage/Shed Wrought Iron
Flatwork
Reframe Roof
Pilasters w/ Wrought Iron Driveway
Other
Vinyl Walkway
Patios/Porches
Other/Temp Concrete Slab
Wood Cover
Change-Outs
Qty
Pools
Metal Cover Window-Replacement Vinyl
Enclosure Doors
Gunite/ Replaster
Awnings
Fireplaces
Fiberglass
Canopies Masonry
Spas
Qty
Decks Prefab Spa/Hot Tub
Balconies BBQ
Sauna
**Turn page over for Electrical, Mechanical, and Plumbing Information**
Electrical
QTY
Mechanical
QTY
Plumbing
QTY
Lights/Switches/Receptacles FAU/Heater (install, alter, relocate) Fixtures (install, alter, relocate)
Light Fixtures AC Residential Bathtub
Switches/Outlets ≤
50
Furnaces (FAU/FLOOR) Shower
Switches/Outlets ≥
50
Wall Heater Tub/Shower Combination
Appliance Vent/Chimney only Sink
Refrigeration Compressor
SERVICE METERS
Bidet
SINGLE PHASE
Boiler
≤
2
00,000 BTU’s
Urinal
100 Amps:
Boiler
≥ 2
00,001 BTU’s
Bar Sink
THREE PHASE Chiller Kitchen Sink
100Amps: Air Handling Units Dishwasher
Fan Coil Unit Garbage Disposal
Power Apparatus/Branch Circuits HEAT PUMP-Package Unit Washing Machine
Clothes Dryer HVAC w/Ducts ≤ 10,000 CFM Laundry Tub
Dishwasher HVAC w/Ducts ≥ 10,001 CFM
Electric Range
Miscellaneous
GAS METER or First outlet
Exhaust Fan (Kitchen or Bath)
Air Supplies & Returns
Gas outlets (additional)
Oven Duct work Sewer Connection SFR
Garbage Disposal Evaporative Cooler Grease Trap
Furnace Make-Up Aire System Interceptor/Pump
Water Heater Dryer /Moisture Exhaust Duct Backflow Preventer (first 5)
EV Charger Variable Air Vol Box w/Duct Backflow Preventer (≥ 6)
Welder, Transformer, Generator Ventilation System (single duct) Earthquake Gas Shut-Off Valve
Ventilation System Res Gas Piping Outlets
15-20 Amp Circuits to
10 each
Res Exhaust Kitchen Hoods Repair/ Alter Drain/ Vent Pipes
15-20 Amp Circuits ≥
10 each
Comm Hood: Type 1 Type 2 Roof Drain(s)-Rain water
30
-
4
0 Amp
Circuits
Non
-
Res. Incinerator
Water Heater
and/or Vent(s)
50
-
175
Amp
Circuits
Refrigerator Condenser Remote
Re
-
pipe System
-
each fixture
200
Amp
& Larger (
Circuits
)
Walk
-
in
-
Cooler/Refrigerator Coil
Water Service
-
MAIN
Temp Service Power Pole Gas Meter/Outlets Drain-Vent Repair/Alteration
Temp Sub-Pole Gas Meter additional/Outlets Drinking Fountain
Sign w/1 Branch Circuit Water Filtration Equipment
Swimming Pool
/SPA
LA County Permits
Miscellaneous
FIRE ALARM monitoring system SOLAR Water Heater
RES SOLAR
Photovoltaic 1
-
10Kva
Swimming Pool System
RES SOLAR Photovoltaic 10kva ≥
FIRE SPRINKLER
number of heads
Medical Gas
Generator Installations
Septic/ Private Installation or Alter
COMM SOLAR Photovoltaic KWH Sewer Cap, Disconnect,
Description of work continued
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
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Permit Application Form (City of Covina)

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Completed 10 August 2020

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