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 ApplicationPART 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 407PART 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 formPART 5B (cool roof only)

Application Approval Signature of Other AgenciesPART 6

Asbestos Notification at Demolition of Building: PART 7A

Bond and Insurance Verification for Demolition PermitPART 7B

Lead Paint Notification Renovation Pre-1978PART 8

LPG, HVAC, Setback Supplement form: PART 9 (Provide a site plan drawing locating the item(s) that will be permitted).

Window Fenestration InformationPART 10A

Window Fenestration Prescriptive Residential Alterations California short formPART 10B

Domestic Water Heater DWH Information: PART 11A

Domestic Water Heater T-24 California VersionPART 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 informationPART 14

Encroachment application and informationPART 15

PV Solar submittal checklist – Residential only under 10 kwPART 16

Water and Sewer application informationPART 17

Single Family Dwelling submittal checklistPART 19


CARBON MONOXIDE AND SMOKE DETECTOR DECLARATION FORM

ACCESSIBILITY UPGRADE REQUIREMENTS 20% WORKSHEET

ALTERNATE MATERIAL REQUEST


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