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.
□ Commercial □ Multi-Family □ Residential □ Plumbing □ Mechanical □ Electrical
□ Grading □ Site Utilities □ Commercial Storage Racks □ Commercial PV Solar □ Cell Tower
□ Other (Specify) _________________________________________________________________________
□ New
□ Change of use
□ Tenant Improvement
□ Addition
□ Alteration
□ Accessory Structure
□ Building □ Planning □ Department of Public Utilities/Public Works □ Fire □ Structural □ Plumbing
□ Mechanical □ Electrical □ Grading □ Title 24 □ Residential □ Residential Electrical
□ 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)
Property Owner’s Name: (Required)
Type:
License #:
click to sign
signature
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