Development Real Estate Permit

Development Real Estate Permit

Applicant / Developer Information

Property Identification

Parcel / APN:     Lot Area:

Proposed Development

Proposed Use:     Number of Units (if residential):

Total Building Area (gross) (sf):     Number of Stories:     Parking Spaces Proposed:

Contractor / Design Professionals

Zoning, Approvals & Site Controls

Zoning District:     Overlay Districts / Special Designations:

Setbacks Proposed (Front/Rear/Side):

Environmental & Property Condition Disclosures

Lead-based paint present? Yes No

Located in FEMA floodplain? Yes No

Known wetlands or critical habitat? Yes No

Archaeological / historic resources affected? Yes No

Construction Schedule & Milestones

Proposed Construction Start Date:     Estimated Substantial Completion Date:

Fees, Bonds & Insurance

Permit Fee (estimate):     Performance / Surety Bond Required? Yes No

Attachments Checklist

Site plan (to scale)

Architectural plans / elevations

Landscape / tree protection plan

Geotechnical / soils report

Stormwater / drainage calculations

Terms, Conditions and Legal Acknowledgements

By submitting this permit application, Applicant certifies under penalty of perjury that all information contained herein and in accompanying exhibits is true, accurate and complete to the best of Applicant's knowledge. Applicant acknowledges that issuance of the permit pursuant to this application does not relieve Applicant of responsibility to obtain any other required permits, consents or approvals, nor to comply with all applicable codes, ordinances, regulations and permit conditions.

Permit Conditions: This permit, if issued, will be subject to conditions including but not limited to inspections, adherence to approved plans, payment of fees, posting of bonds, implementation of erosion and sediment control measures, mitigation for protected resources, and compliance with any mitigation monitoring or reporting program. Failure to comply may result in stop-work orders, permit suspension or revocation, civil penalties, restorative or remedial actions, and denial of future permits.

Indemnification: Applicant shall indemnify, defend and hold harmless the issuing authority and its officers, employees and agents from and against any claims, liabilities, losses, damages, costs or expenses (including reasonable attorneys' fees) arising out of Applicant's performance of work or operations authorized by the permit, except to the extent caused by the gross negligence or willful misconduct of the issuing authority.

Nontransferable; Expiration: Any permit issued is nontransferable without prior written approval. Unless otherwise specified, the permit shall expire if substantial work has not commenced within the time specified by condition. Extensions may be granted only in writing upon demonstration of good cause and payment of any applicable fees.

Severability and Governing Law: If any provision of this permit is held invalid, the remainder shall continue in full force and effect. This permit and any dispute arising under it shall be governed by the laws and courts of the jurisdiction in which the property is located.

Applicant Certification

I, the undersigned Applicant or authorized agent, declare that I am authorized to submit this application and that I agree to comply with all conditions and lawful requirements that may be imposed as part of the permit. I understand that application fees are non-refundable and that issuance of this permit does not authorize work in violation of private covenants or other third-party rights.

For Office Use Only (Do Not Complete)

Application Received By:     Date Received:

Permit No.:     Fee Paid:

Action (check one): Approved Conditionally Approved Denied

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