Fillable NOTE: PLAN CHECK FEE DUE AT TIME OF (City of Huntington Beach)

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NOTE: PLAN CHECK FEE DUE AT TIME OF (City of Huntington Beach)

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A 6.0% Automation Fee will be added to all fees listed pursuant to Resolution 2016-59
G:BuildingAdmin/Web Documents/BuildingPermitapplication.doc Effective 01/09/2017
City of Huntington Beach
Department of Community Development
BUILDING PERMIT APPLICATION
2000 Main Street, Huntington Beach, CA 92648
Office: (714) 536 - 5241 Fax: (714) 374 - 1647
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
Please fill out completely except for shaded areas.
PERMIT #
MFD SFD Comm
Property Owners Name:
Address (Street #, Street Name, Unit #, City, State, Zip)
Email Address:
Phone Number:
Tenant Business Name:(Commercial Only)
Address (Street #, Street Name, Unit #, City, State, Zip)
Phone Number:
Contractor's City Business Lic. #
Contractor Phone Number:
Email Address:
New Area (sq. ft.)
Residential:
Commercial:
**NOTE: Residential Additions of 500 sq. ft.
& larger are subject to School Dist. Fees**
New Garage Area: (sq. ft.)
Residential (U1):
Commercial (S3, S4):
New Misc. Area (sq. ft.) or (lineal feet)
(e.g., patios, decks, porches, fences, etc.)
Building Usage- (e.g., assembly, retail, storage, parking, etc.):
No. Stories
Public Bldg.?
YES NO
Work
Description:
Primary Contact Name:
Primary Contact Phone #:
Primary Contact Email:
Valuation: $
Labor & Material
Architect/Engineer
State License Number
Phone Number:
Address (Street #, Street Name, Unit #, City, Zip)
Comments:
Occ. Group
Construction. Type
No. Parking Spaces
Zoning
Traffic Impact Fee
YES NO
Building Use
Occ. Load
Number of sheets to microfilm:
Entitlement
No.
Flood Certificate Req’d?
YES NO
Planning Appr. By
Date
Building Appr. By
Date
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NOTE: PLAN CHECK FEE DUE AT TIME OF (City of Huntington Beach)

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Completed 29 October 2021

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