Building Permit Application Form Record Number: _________________
Date: _________________
Charles Clark, MBA, CBO
Building Services Manager
Planning and Development Department
Please complete the information listed below that applies. This form is to be filled out COMPLETELY to begin the plan
check process.
Application Type:
Commercial Multi-Family Residential Plumbing Mechanical Electrical
Grading Site Utilities Commercial Storage Racks Commercial PV Solar Cell Tower
Other (Specify) _________________________________________________________________________
Project Address:
Project Description:
Type of Project:
New
Change of use
Tenant Improvement
Addition
Alteration
Accessory Structure
Type of Construction:
Occupancy Group(s):
Total Square Footage:
Cut and Fill Grading:
SFR Garage Sq. Ft:
SFR Patio Sq. Ft:
SFR Total Sq. Ft
Trades Affected:
Building Planning Department of Public Utilities/Public Works Fire Structural Plumbing
Mechanical Electrical Grading Title 24 Residential Residential Electrical
Residential Solar
Residential Solar:
Adding to existing PV system: _____YES/NO_____
De-Rating Panel: _____YES/NO_____
Adding MPU _____YES/NO_____
Battery _____YES/NO_____
EXPRESS ___________YES/NO______________
Roof Type: ______________________________________
Number of Panels: ________________________________
DC KW: ________________________________________
Reverse Tilt or Ground Mount _______YES/NO__________
Applicant/Contact Person Name: (Required)
Address:
Phone:
Email: (Required)
Property Owner’s Name: (Required)
Address:
Phone:
Email: (Required)
Contractor’s Name:
License
Type:
Contractor’s State
License #:
Phone:
Address:
Email:
Applicant Signature:
click to sign
signature
click to edit