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S
AFER
H
OUSINGFOR
O
AKLAND
P
ROGRAM
(SHOP)
ProjectDescription
TheDesignfirmmustcompleteandsubmitthisformwiththeretrofitplansandcalculationstoSHOPattheemailor
addressabove.Anychangestotheprojectdesignmustbedocumentedbytheengineer/contractoronarevisedform.
1.
VisibleExteriorChanges:
Willanyvisibleexteriorchangesresultfromthisretrofitprojectoranyother
concurrent,non‐seismicactivities?
NO YES*
*Describeanyvisibleexteriorchangesbelowandensurethattheyareclearlydepictedintheschematics
anddrawings.Statewhetheranyrelevantrepairorreplacementwillbeperformedin‐kindand/or
whethervisiblechangeswillbereversible.
2.
RequiredSeismicActivities:
ArealltherequiredmeasuresdescribedinAppendixChapterA4ofthe
2016CEBCandsectionBoftheSHOPEngineeringRequirementsincludedinyourscopeofwork?
YES NO*

*Ifanyoftheabovearenotapplicabletoyourproject,explainwhy:
3. OptionalSeismicActivities:
Indicateanddescribeanyadditionalseismicmeasuresincludedinyour
scopeofworkbeyondtheminimumrequirementsofChapterA4.

D
EPARTMENT OF
H
OUSING AND
C
OMMUNITY
D
EVELOPMENT
R
ESIDENTIAL
L
ENDING AND
R
EHABILITATION
S
ERVICES
250
FRANK
H.
OGAWA
PLAZA,
SUITE
5313
OAKLAND,
CALIFORNIA
94612-2034
ResidentialLending@oaklandnet.com

/238‐3598
S
ITE
A
DDRESS
:  P
ROJECT
#: 
P
ROPERTY
O
WNER
:

D
ESIGN
F
IRM
: 
P
HONE
:
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4. Non‐SeismicActivities:
Willanynon‐seismicworkbeconductedatthesametimeastheretrofit?
NO YES*
*Clearlydescribenon‐seismicworktobeconductedconcurrentlywiththeretrofitunderaseparate
permit.Ifthebuildingismorethan45yearsold,includePlans,Schematics,andPhotographsforEHP
Reviewasaseparateattachment.
5. PermitApplicantCertification:
Mysignaturebelowconfirmsthefollowing:
Thedescriptionaboveincludesallworkthatwillbeconductedduringorconcurrentlywiththe
seismicretrofitofthisproperty.
Ifanynon‐seismicornon‐reimbursableworkisplanned,itwillbecoveredunderseparatepermit(s).
AnychangestothisscopeofworkwillbesubmittedtotheSHOPOfficeusingarevisedversionofthis
formandupdatedplans/drawings/picturesasisappropriatebeforeanyunapprovedactivitiesbegin.
NoadditionalactivitieswillbeconducteduntildesignrevisionsareapprovedbyFEMAandSHOP.
I/weunderstandthatanyactivitiesconductedwithoutSHOPapprovalpriortoSHOPreimbursement
andprojectclose‐outmayresultinpreviouslyeligiblecostsbeingdeniedreimbursement.
CompletedBy:
EngineerofRecord Contractor

Signature Date
SHOP STAFFUSEONLY
DateReceived:________________Reviewedby:______________________________Ext:_________
Approved?Y/NDate:_________________ApplicationSubmitted:_________________
Comments:_______________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
_________________________________________________________________________________________________
click to sign
signature
click to edit
Last updated 11-13-17
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.
TYPE OF PERMIT: (circle one) SCHOOL FEE (SF) ADDRESS FEE
BUILDING SIGN Commercial $0.56 $154.91
Residential $3.48 $56.23
Change of Address for Any Occupancy $403.92
TYPE OF WORK (circle one)
(1) NEW CONSTRUCTION (2) REPAIR (3) ADDITION (4) CELL SITE (5) ALTERATION /T.I.
(6) DEMOLITION ( _______ SF) (7) SOLAR PANELS (SE) (8) RETROFIT (9) C.O. /S.A. (10) CHANGE IN USE
IS THIS APPLICATION RELATED TO ANY OTHER
PERMIT? TO ANY OTHER COMPLAINT?
YES NO
IF YES, INDICATE PERMIT #, PLANNING CASE FILE #
OR COMPLAINT #:
SITE ADDRESS/JOB LOCATION ASSESSSOR’S PARCEL NO.
DESCRIPTION OF PROPOSED WORK
WORK IS VISIBLE FROM FREEWAY/BART NO YES
EXTERIOR WORK ON BUILDING NO YES (PHOTOS REQUIRED. PLEASE ATTACH)
VALUATION OF PROPOSED WORK
$
EXISTING # OF RESIDENTIAL UNITS
# OF STORIES:
_______________
PROPOSED # OF UNITS
FIRE SPRINKLER
YES NO
PROPERTY OWNER'S NAME
PROPERTY OWNER'S PHONE NUMBER
PROPERTY OWNER'S ADDRESS (street, city and zip code)
PERSON SUBMITTING PLANS / CONTACT PERSON 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
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
11/21/16
OBTAINING A PERMIT
In addition to submitting all appropriate plans, permit application forms, accessibility worksheet, Code
Enforcement Routing Slip and obtaining zoning approval or permits/approvals from other departments, the
following also need to be provided in order to obtain a permit:
Contractors
Contractors need the following when obtaining a permit:
A current State Contractor’s License in a classification that is appropriate for the type of work that the
contractor will be performing.
A current City Business License (If you need to obtain a license, the City Business License Office (510)
238-3704 is on the first floor of 250 Frank H. Ogawa Plaza). All business licenses expire on December
31
st
of each year.
All employees that are obtaining permits need to be authorized by the contractor to do so. This can be
done by either of two ways. The first is to have the contractor add their name to our agent list for the
company. The second way is for the employee to present an authorization letter to the permit center
each time they obtain a permit. Both authorization methods must be in writing, must be signed by the
contractor, and must be on the contractor’s letterhead.
Note: Contractors are required to update their contractor’s license information with the Contractor’s State
License Board when ever there is a change. It is also the responsibility of the contractor to obtain and
maintain a valid Certificate of Workers’ Compensation Insurance as required by state law.
Owners
When obtaining a permit, an owner must provide the following:
Proof of ownership by way of a recent property tax statement or a grant deed - Originals only.
If hiring someone to assist with the work, we require Workers’ Compensation Insurance.
(Note: Check with your homeowner’s insurance broker)
All agents for owners must have a current (within 180 days) notarized written authorization form from
the owner. This form can be found on our Planning & Building Department page of our City of Oakland
web page at www.oaklandnet.com
Planning and Building Department
250 Frank H. Ogawa Plaza
2nd Floor, Suite 2114
Oakland, CA 94612
Bureau of Building (510) 238-3891
Permit Center FAX: (510) 238-2959
www.oaklandnet.com
TDD: (510) 238-3254
Planning and Building Department
250 Frank Ogawa Plaza, 2
nd
Floor
Oakland, CA 94612
10/14/2015
Construction Plans Check List
(Minimum Required Data for Addition/ Alterations)
Address _____________________________________________________
Please check the boxes where items are included or needed. Included Needed
1. TITLE BLOCK
Address of Property
Designer/Contact person with daytime phone number
Page number
2. LIST BACKGROUND INFORMATION
Owner’s name
Occupancy Type, Construction Type
Zoning
Square footage of Existing; Square footage of Addition
Assessor’s Parcel Number
3. TITLE 24 ENERGY DOCUMENTATION
Forms to be printed on plans
Make certain all signatures are completed
4. SITE PLAN Scale 1/8” = 1’ or 1/10” = 1’
Show building and addition distances to property lines
Show any accessory structures, retaining walls, sidewalks, streets, meters, contours, curb cuts, driveways, trees
Delineate between new and existing work
Show North arrow, scale
5. FLOOR PLAN- Minimum Scale: ¼” = 1’
Label all rooms (existing and new) & indicate new walls, existing walls, & walls to remain
Show all windows and doors; indicate sizes
Show dimensions of addition
6. ELEVATION(S) - Minimum Scale: ¼” = 1’
Show/indicate all finishes; new and existing
Show structure height; height of finished floor
Indicate roof slope
7. CONSTRUCTION SECTION
Show major section through area of work
Indicate all construction aerials
Delineate areas to show further detailing (See item 10)
8. FOUNDATION PLAN
Show dimensions
Show connections to existing & use detailing to show further information
9. FRAMING PLANS (for each floor and roof)
Show size and spacing of all joists, beams
10. DETAILS
Stairways, important connections should be detailed
Fascia, railings and other design details
11. STRUCTURAL CALCULATIONS
12. SURVEY
13. PHOTOS
14. OTHER
After completing the minimum required items for submittal, please include this form and three copies with your submittal package to the Building Services
Department for approval. NOTE: Plan check may require additional information after submission.
Received ______/_______/ ______ By ________
Planning and Building Department
250 Frank Ogawa Plaza, 2
nd
Floor
Oakland, CA 94612
10/14/2015
Recommended General Standards for Drawings
Submitted with Building Permit Applications
Requiring Plan Check
If these recommended standards are followed, it will speed the permit and plan check process, provide for more durable jobsite copies, aid the
department when adding standard sized City information sheets and reduce problems during construction.
NOT ACCEPTABLE
1. DRAWINGS LESS THAN 18” X 24” (or set with more than 4 sheets of 8 ½” x 11” or 11” x 17”. Smaller drawings make plan
checking more time consuming and difficult, are more easily lost or damaged, lack of room for borders results in poor copies and lost
information, and tendency to omit information if there is a lack of drawing space.) OR LARGER THAN 36” X 48” (too large to
handle in plan check cubicles).
2. XEROXED COPIES (not durable for job site).
3. ORIGINAL DRAWINGS (can be easily altered during permit issuance).
4. DIFFERENT SIZE SHEETS IN A DRAWING SET (except survey and/or plot plan may be different size from the other
drawings if they are the same size as each other).
5. DRAWINGS TAPED TOGETHER, OR SHEETS WITH SMALLER DRAWINGS TAPED, STAPLED, OR PASTED ON
(these are not durable and will tend to get torn or ripped off).
6. DRAWINGS WITH INFORMATION ADDED IN RED EXCEPT BY CITY STAFF.
7. DRAWING SHEETS WITHOUT BORDERS OR WITH INFORMATION CROSSING OVER BORDERS (information may
be lost due to misalignment when having copies made at the printer).
8. DRAWINGS WITH LETTERING LESS THAN 1/8 INCH HIGH OR ILLEGIBLE LETTERING (not suitable for
microfilming or making reduced size copies).
9. UNBOUND, UNSTAPLED DRAWING SETS
10. DRAWINGS WITHOUT TITLES, PERTINENT ADDRESS AND PHONE NUMBERS, OR WITHOUT PREPARER’S
WET SIGNATURE ON EACH SHEET
11. POOR QUALITY BLUELINE OR BLACKLINE COPIES WITH POOR CONTRAST OR DIRTY BACKGROUND.
REQUIREMENTS
ACCEPTABLE SHEET SIZE: 22” x 34” or 24” x 36” is preferred. 18” x 24” minimum, 36” x 48” maximum. Drawings should be
standard drawing size: 18” x 24”, 22” x 34”, 24” x 36”, 18” x 24”, 30” x 42”, or 36” x 48”. Sets of 4 or less 8 ½” x 11” or 11” x 17”
are not desirable, but will be taken in.
If drawings were done at a smaller size (11” x 17” or 8 ½” x 11”), applicant can “paste up” to a standard size and have a Xerox vellum
master run at a printing company. These can be used to make the bluelines or blacklines prior to submitting for permit.
Standard size bluelines of odd-sized originals are acceptable if all information is shown on the blueline.
BORDER REQUIREMENTS: 1 ½” minimum at left-hand bound edge, ½” minimum elsewhere; each sheet should have borderlines.
TITLE BLOCK REQUIREMENT: Each sheet shall have title block indicating (1) Project title and address; (2) Owner’s name,
mailing address, daytime phone and fax number; (3) drawing preparer’s name, address, daytime phone and fax number; (4) pertinent
Consultant’s name(s), mailing address, phone and fax number(s): (5) sheet number of total number or sheets (i.e.: 1 of 7, 2 of 7, etc.);
(6) revision number, and (7) indication of latest date of preparation, printing.