---

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

HVAC PACKETS (if no HER's)

PV SOLAR PACKETS

ROOF PACKETS (Waste Management Forms - see Part 12 below and Tare receipts now required for tear offs)

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