Last updated 11-28-18
PLEASE COMPLETE ALL INFORMATION. APPLICANTS WITH INCOMPLETE WORKSHEETS MAY BE
ASKED TO GET A NEW NUMBER. INACCURATE INFORMATION MAY LEAD TO SUSPENSION OF THE
PERMIT. ADDITIONAL PERMITS MAY BE REQUIRED,
i.e., Electrical, Plumbing, Mechanical, Sewer, Obstruction.
SCHOOL FEE (SF) Commercial $0.56 Residential $3.48
ADDRESS FEE Commercial $154.91 Residential $56.23 Change of Address for Any Occupancy $403.92
TYPE OF PERMIT: (circle one)
BUILDING DEMOLITION (_________ SF) SOLAR SIGN CERTIFICATE OF OCCUPANCY
IS THIS APPLICATION RELATED TO ANY OTHER
PERMIT OR COMPLAINT?
YES NO
IF YES, INDICATE PERMIT #, PLANNING CASE FILE #
OR COMPLAINT #:
SITE ADDRESS/JOB LOCATION ASSESSSOR’S PARCEL NO.
DESCRIPTION OF PROPOSED WORK
VALUATION OF PROPOSED WORK
$
EXISTING # OF RESIDENTIAL
UNITS
NUMBER OF UNITS TO BE ADDED
# OF STORIES:
OCCUPANCY:
TYPE OF CONSTRUCTION:
OCCUPANT LOAD:
EXISTING FIRE SPRINKLERS:
YES NO
PROPERTY OWNER'S NAME PROPERTY OWNER'S PHONE NUMBER
PROPERTY OWNER'S ADDRESS (street, city and zip code)
PERSON SUBMITTING APPLICATION PHONE NUMBER EMAIL
ARCHITECT’S/DESIGNER’S NAME PHONE NUMBER EMAIL
CONTRACTOR'S LICENSE NUMBER
SIGNATURE OF APPLICANT DATE
I ACKNOWLEDGE THAT REFUNDS ARE LIMITED PER Section 107.6 of O.B.C.. ________ INITIAL _____________DATE
PERMIT APPLICATION
WORKSHEET
Planning and Building Department
250 Frank H. Ogawa Plaza
2
nd
Floor, Suite 2114
Oakland, CA 94612
Tel (510) 238-3443
Fax (510) 238-2263
Hours:
8 am-4pm M,Tu,Th,F
9:30 am-4 pm Wed
Select Type of Construction
click to sign
signature
click to edit
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