Building Division - Forms
Email your application forms to: pville.building@gmail.com
AGENCY APPROVAL FORM - Agency Ackowledgement and Verification Signatures (i.e., Fire District, Water Supplier, Environmental Management, Air Quality Management, Police Department, Engineering Department, Planning Division, Building Division) required prior to final and issuance of a Certificate of Occupancy.
CONSTRUCTION PERMIT FORMS LISTED BY PART NUMBER : The forms listed below allow you to pick the forms that are specific to your construction needs.
Permit Application: PART 1 (pages 1-3) and PART 3
Owner / Builder explanation cover sheet and Form (required if an owner or owner authorized agent will be submitting a permit application form): PART 2. Explanation sheet: Part 2B
Water-Conserving Plumbing Fixtures per SB 407: PART 4: (required if doing a remodel where plumbing is involved).
Re-roof and cool roof verification form: PART 5A (Residential only, Commercial must have CA State form)
Re-roof shortened Prescriptive Residential Alteration form: PART 5B (cool roof only)
Application Approval Signature of Other Agencies: PART 6
Asbestos Notification at Demolition of Building: PART 7A
Bond and Insurance Verification for Demolition Permit: PART 7B
Lead Paint Notification Renovation Pre-1978: PART 8
LPG, HVAC, Setback Supplement form: PART 9 (Provide a site plan drawing locating the item(s) that will be permitted).
Window Fenestration Information: PART 10A
Window Fenestration Prescriptive Residential Alterations California short form: PART 10B
Domestic Water Heater DWH Information: PART 11A
Domestic Water Heater T-24 California Version: PART 11B
PART 12
A: Waste Management for Commercial Projects
B: Waste Management for Residential Projects
Section C. Materials Waste Management Plan
Section D. Materials Waste Management Company
Section E. Waste Stream Reduction Alternative (low rise residential)
C: Waste Management Supplement Anticipated Tables
D: Waste Management Supplement Actual Tables
Special Inspection and Testing Agreement: PART 13
Grading application and information: PART 14
Encroachment application and information: PART 15
PV Solar submittal checklist – Residential only under 10 kw: PART 16
Water and Sewer application information: PART 17
Single Family Dwelling submittal checklist: PART 19
CARBON MONOXIDE AND SMOKE DETECTOR DECLARATION FORM
ACCESSIBILITY UPGRADE REQUIREMENTS 20% WORKSHEET
Development Services Department , Building Division
City Hall, Second Floor
3101 Center Street
Placerville, CA 95667
Email: pville.building@gmail.com
For general inquiries or to request an appointment: (530) 642-5240
To request an inspection 24 hours a day: (530) 642-5241