CONSTRUCTION PERMIT APPLICATION Date Received__________
Permit # _________________
City of Kingsburg
Building Department
1401 Draper Street Kingsburg, CA 93631
(559) 897-5328 Fax (559) 897-6558 Inspection (559)897-6526
SFR SQ FT
SOLAR
A/C
POOL
RE-ROOF
SPRINKLERS
RESIDENCE
# OF PANELS ______
TONS _________
GALLONS
TEAR-OFF
# OF HEADS
PATIO
MSP- NEW OR EXISTING
DUCTWORK _____
OVERLAY
BLDG SQ FT
GARAGE
BATTERY STORAGE
Valuation (cost of project): $______________Lot #_______ APN# ____________ Tract # ________
Residential Commercial:
___ New structure ___ Addition ___ Remodel __ Tenant Imp __Signs ___Fire Damage ___Fire Alarms
___ Electrical ___ Mechanical ___ Plumbing ___ Patio Cover ___ Fence Other _________________
Project Description: _________________________________________________________________
_________________________________________________________________________________
RTMF form given for
New Residential or Commercial
Addition to Commercial or Industrial
Applicant Statement: I certify that I have read this application and state that the above information is correct to the best of
my knowledge. I agree to comply with all city and county ordinances and state laws relating to building construction, and
hereby authorize representatives of the City to enter upon the above-mentioned property for inspection purposes. I (We)
agree to save, indemnify and keep harmless the City of Kingsburg against liabilities, judgments, costs and expenses which
may accrue against said City on consequence of the granting of this permit.
Contractor Authorized Agent Owner
P
rinted Name _________________________________________
Signature _____________________________________________________ Date___________________________
Demolition Management Plan completely and turn in all weight tickets in order to qualify for a return on deposits and to
avoid additional penalties. The waste hauler you use must be registered with the City and have a Franchise Agreement
and Business License.
Contractor License No______________________________
Contractor Name.: _________________________________
Mailing Address ___________________________________
City/State/Zip _____________________________________
Phone ___________________ E-mail__________________
CONTRACTOR
Project Address: ________________________________
Owner Name: __________________________________
City/State/Zip __________________________________
Phone __________________ Cell __________________
E-mail _______________________
OWNER/PROJECT INFORMATION
Name: _______________________________________
Phone: __________________________
E-mail ________________________________________
Company Name: _______________________________
License No. ___________________________________
Mailing Address ________________________________
CONTACT PERSON
ARCHITECT/ENGINEER
_______
_____
EXISTING
click to sign
signature
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CONSTRUCTION PERMIT APPLICATION Date Received__________
Permit # _________________
City of Kingsburg
Building Department
Plan Submittal Checklist
Please take a moment to compare your plan sets with this checklist. This form is to assist building permit applicants in
determining the adequacy of their submittal package. A complete submittal will expedite the plan check process. If the plans
and other construction documents are incomplete, the plan check process could be delayed. Check the items that are
included.
Residential buildings 1 full set of plans and calculations (to scale 1/4 = 1 foot). Include site plan and floor plan.
Commercial and Industrial buildings 3 identical sets (to scale 1/8” = 1 foot). Include site plan and floor plan.
Application must be filled out completely, correct owner’s name, project street number, direction, street, suffix and phone
number must be on plans. Contractor’s name, contractors license number, address and phone must be provided.
Electrical, Plumbing and Mechanical plan.
Complete detail plan sheet: Including irregular construction materials and methods.
Complete set of truss calculations: This will include layout, truss calculation sheets keyed to layout and size.
Structural analysis of non-conventional buildings (if applicable): Indicating load paths and shear transfer (UBC 2517)
Complete CCR energy analysis (Title 24 forms): Provide forms. CF-1R, MF-1R for residential and MECH, LTG, ENV, for
Commercial plans.
SUBCONTRACTORS LIST
COMPANY
TRADE
ADDRESS
PHONE
CONTRCTRS
LICENSE #
KB BUS
LICENSE #
PLUMBING
MECHANICAL
ROOFING
INSULATION
ELECTRICAL
PAINTING
CONCRETE
MASONRY
WASTE HAULER
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