CITY OF LONG BEACH
DEPARTMENT OF HEALTH AND HUMAN SERVICES
BUREAU OF ENVIRONMENTAL HEALTH
2525 Grand Avenue, Room 220, Long Beach, CA 90815 Phone: 562-570-4129 FAX: 562-570-4038
DEPARTMENT OF HEALTH AND HUMAN SERVICES
DEMOLITON PERMIT RELEASE
Section 8.08.192 of the Long Beach Municipal Code requires that before a demolition permit can be
issued, the owner must present to the Building Official written certification from the Health Officer that
the building is free from rat or vermin infestation.
This form must be presented to the Bureau of Environmental Health at the City of Long Beach
Department of Health and Human Services located at 2525 Grand Avenue, Room 220,
Long Beach, CA 90815 between the hours of 8:00 a.m. to 5:00 p.m. A Vector Control Specialist from
the Bureau of Environmental Health, Vector Control Program will contact you to schedule an
appointment within five (5) working days.
Date Company Name
Contact Name (Please Print) Phone Number
Address:
Description:
Received By Date Received
*RETURN THIS FORM AFTER OBTAINING HEALTH DEPARTMENT APPROVAL TO: *
LONG BEACH DEVELOPMENT PERMIT CENTER
333 W. OCEAN BLVD 4
th
Floor
LONG BEACH, CA 90802
*FEE REQUIRED: $170.00*
OFFICE USE ONLY
□ Approved □ Previously Demolished
□ Rodents/Vermin Infestation
Comments:
Vector Control Specialist (Please Print) Date Approved
