Building Division - Construction Permit Application Forms


Please note the Building Division's Plan submittal and Permit issuance times: 8:00 am – 10:00  am
(we will not issue permits or take in plan checks outside of this timeframe unless it is an emergency or you have set up an appointment)


RESIDENTIAL PACKETS ONLY
:  The packets below have been bundled together to insure you have all forms completed prior to submitting to the building department for your construction permit.

ADDITIONS/CONVERSIONS (Waste Management Forms - see Part 12 below and Tare receipts required)

HVAC PACKETS (if no HER's)

PV SOLAR PACKETS

ROOF PACKETS

WATER HEATER PACKETS

WINDOW PACKETS

SINGLE FAMILY DWELLINGS


CONSTRUCTION PERMIT FORMS LISTED BY PART NUMBER :  The forms listed below allow you to pick the forms that are specific to your construction needs.

PART 1 (pages 1-3) and PART 3 : Permit Application and Application and Permit Expiration

PART 2: Owner / Builder explanation cover sheet and Form (required if an owner or owner authorized agent will be submitting a permit application form). Explanation sheet Part 2B

PART 4: Water-Conserving Plumbing Fixtures per SB 407 (required if doing a remodel where plumbing is involved).

PART 5A: Re-roof and cool roof verification form (Residential only, Commercial must have CA State form)

PART 5B: Re-roof shortened Prescriptive Residential Alteration form (cool roof only)

PART 6: Application Approval Signature of Other Agencies

PART 7A: Asbestos Notification at Demolition of Building

PART 7B: Bond and Insurance Verification for Demolition Permit

PART 8: Lead Paint Notification Renovation Pre-1978

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

PART 10A: Window Fenestration Information

PART 10B: Window Fenestration Prescriptive Residential Alterations California short form

PART 11A: Domestic Water Heater DWH Information

PART 11B: Domestic Water Heater T-24 California Version

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

PART 13: Special Inspection and Testing Agreement

PART 14: Grading application and information

PART 15: Encroachment application and information

PART 16: PV Solar submittal checklist – Residential only under 10 kw

PART 17 : Water and Sewer application information


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

For general inquiries or to request an appointment: (530) 642-5240
To request an inspection 24 hours a day: (530) 642-5241
Fax: (530) 295-2510