Real Estate Permit Application

REAL ESTATE PERMIT APPLICATION

Use this application to request review and issuance of a permit for work affecting real property. Complete all applicable sections, sign the certification, and attach required plans, specifications, and supporting documents. Submission does not constitute approval; permits are issued only after review and payment of applicable fees.

PERMIT TYPE

Select the type(s) of permit requested:

Permit Categories: Building   Electrical   Plumbing   Mechanical
Roofing   Demolition   Change of Occupancy   Alteration/Remodel
Other:

PROPERTY IDENTIFICATION

Property Address:

Parcel / APN Number:

APPLICANT / OWNER / CONTRACTOR

License Number:    Phone:

PROJECT DESCRIPTION & SCOPE

Estimated Construction Cost: $    Number of Residential Units Affected:

Existing Use:    Proposed Use:

Proposed Start Date:    Proposed Completion Date:

PLANS, REPORTS AND DOCUMENTS SUBMITTED

Check all documents submitted with this application:

Site plan   Building plans   Energy calculations   Structural calculations
Soil/geotechnical report   Environmental review / assessment   Historic preservation review
Other documents (list and attach):

DISCLOSURES & SPECIAL CONDITIONS

Indicate whether the following conditions apply to the property or proposed work:

Lead-based paint present?  Yes  No

Asbestos suspected or known?  Yes  No

Located in a designated flood zone?  Yes  No

Located in a historic district or subject to preservation review?  Yes  No

Previous structural damage or significant alteration?  Yes  No

Additional remarks regarding disclosures:

FEES & PAYMENT

Permit Fee (estimated): $    Deposit (if required): $

CERTIFICATIONS & ACKNOWLEDGEMENTS

By signing below, the applicant certifies under penalty of law that the information in this application and all supporting documents are true and correct to the best of the applicant's knowledge. The applicant agrees to comply with all applicable codes, ordinances, and conditions imposed as part of permit issuance, and understands that false statements are punishable by applicable penalties.

I certify that all information provided is true and accurate.

I agree to comply with all applicable codes, inspections, and correction notices.

I agree to indemnify and hold harmless the reviewing authority for liabilities arising from this application, except for willful misconduct.

I authorize access for required inspections during ordinary business hours with prior notice where feasible.

CONDITIONS, REVOCATION & REMEDIES

Permits issued are subject to compliance with all applicable laws and conditions specified in the permit. Issuance does not relieve the permit holder of responsibility to obtain approvals required by other governmental authorities. Failure to comply with permit conditions may result in revocation, stop-work orders, civil penalties, and corrective action requirements. Where work is commenced without an approved permit, additional penalties and corrective fees may apply.

The reviewing authority may require revisions to plans, additional supporting studies, or mitigation measures as a condition of permit approval. Any such conditions become part of the permit. If any provision of this application or resulting permit is held invalid, the remaining provisions shall remain in full force and effect.

NOTICES

Submission of this application constitutes consent to record retention and public disclosure as required by law. Additional permits or approvals (zoning, environmental, historic preservation) may be required prior to issuance. Work must not commence until a permit is issued and fees paid in full unless otherwise authorized in writing.

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