Permit Submittal · City of Dublin
Mechanical Systems Description
Fill in the answers below, then download — your entries are stamped onto the City of Dublin’s official PDF form, ready for permit submittal.
Clear
VH Defaults
Preview
⬇ Download City PDF
Lot / Customer:
Loading jobs…
Job Address:
Contractor:
Type of Work:
New
Replacement
Heating, Ventilation & A/C
Furnace location
Basement
Garage
Attic
Other:
Water heater location
Basement
Garage
Attic
Other:
Condensing unit
Rear Yard
Side Yard
Left
Right
Furnace/WH capacity
BTU’s:
Fuel type
Natural Gas
LP
Elec
Geothermal:
Furnace AFUE rating
80%
90%
Ductwork type
Sheet metal
Ductboard
Other:
A/C capacity
Ton
A/C SEER rating
11
12
13
14
15
16
Gas meter location
Rear Yard
Side Yard
Other:
Vent terminations
Dryer
Rear Yard
Side Yard
Other:
Furnace
Rear Yard
Side Yard
Other:
Water Heater
Rear Yard
Side Yard
Other:
Plumbing Fixtures (counts)
Water Closet
Dishwashers
Sump Pumps
Lavatory Sink
Garbage Disposals
Bidets
Whirlpool Tub
Drinking Fountains
Laboratory Sinks
Hot Tub
Urinals
Hot Water Dispenser
Shower
Shampoo Bowls
Water Heaters
Floor Drains
Grease/Oil Intercept
Backflow Devices
Laundry Tubs
Floor Sinks
Washers Automatic
Building main drain
3”
4”
6”
Water service size
¾”
1”
1¼”
1½”
2”
Water service type
Copper
PVC/Plastic
Electric System
Service entry
Underground
Overhead
Phase
Single
Three
Service conductor size
Service conductor type
Aluminum
Copper
Grounding electrode size
Grounding electrode type
Aluminum
Copper
# of 120V circuits
# of 240V circuits
Service size
Service location
Approved by
Signature stays blank — sign the printed PDF by hand. Conductor types are circled on the city form.