Permit Service Request Form

Permit Service Request Form

Please fill out this form to request Residential, Commercial Permit Services.
Applicant*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Applicant Email Address*
Communication will be made here
Type of Permit Service Requested*

Residential PermitCommercial Permit
Are you:*

Owner(Owner Builder)Contractor
Contractor CSLB Number*
If Owner Builder put "OB"
Job Site Address*

Street Address

Street Address Line 2
CityStateZip Code
Owner Name*

First NameLast Name
Owner Phone Number*
Please enter a valid phone number.
Owner Email*
example@example.com
Please provide details about your permit request (for Business License provide Federal Tax ID, FEIN)*
Include Complete Scope of work with as much detail as possible.
Job Valuation*
Job Price / Contract Price
File Upload*

Site / Floor Plans, Specification Sheets, Calculations, Full Plans, etc. for notary service add blank sheet.
Cancelof

My Products

Residential - Permit Service Request

Residential - Permit Service Request. (If there is multiple trades and or addresses this will constitute Multiple Permit Request)

$75.00 Quantity
Item subtotal:$0.00

Commercial - Permit Service Request

Commercial - Permit Service Request (If there is multiple trades and or addresses this will constitute Multiple Permit Request)

$95.00 Quantity
Item subtotal:$0.00

Permit Closure

Permit Closure. 3 attempts Per Permit.

$65.00 Quantity
Item subtotal:$0.00

Business License

Obtaining / Renewing Business License

$30.00 Quantity
Item subtotal:$0.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

ACH Bank Transfer