Online Building Permit Application
Owner of Property
First Name
Last Name
Owner Phone Number
-
Area Code
Phone Number
Owner Mailing Address
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Owner E-mail
example@example.com
Are you the owner?
Yes
No
Applicant (if not owner)
Applicant Phone Number
-
Area Code
Phone Number
Applicant E-mail
example@example.com
Address Where Work is Being Done
Tax ID (Parcel) Number
GPS Coordinates (if applicable)
What work will you be doing?
Roof
Siding
Windows and/or Doors
Deck
Electrical
Mechanical
Other
Is the work that is going to be performed Residential or Commercial?
Residential
Commercial
Is the electrical for Commercial or Residential/Agricultural?
Commercial
Residential/Agricultural
What type of commercial electrical will you be doing?
Oil and Gas Related Electrical
New Meter
Commercial Solar PV Array
Other
What type of residential/agricultural electrical will you be doing?
New Meter
Meter Upgrade
Electrical service for agriculture (pivots, water pumps, etc.)
Residential Solar PV Array
Other
This application is for residential mechanical items only. What type of mechanical work will you be doing?
Propane to Natural Gas Conversion
Water heater change-out
Furnace change-out
Please give a detailed description of the proposed improvements
What is the Value of the work that will be done? (materials and labor)
*
($ Value)
If you are re-roofing, are you tearing off the old roof?
Yes
No
If you are not tearing off the old roof, how many existing layers of roofing are there
1
2 or more
If there are 2 or more existing layers you must tear them all off.
Who is doing the work?
Owner
Contractor
Contractor Name
Contractor License Number
Contractor Phone Number
-
Area Code
Phone Number
Contractor E-mail
example@example.com
Upload Your Plans, Engineering and Other Documents (a deposit may be required prior to the processing of your application)
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By checking the box and signing below I am stating that I understand and agree to the statements.
1) Proposed work is authorized by the owner of record and I have been authorized by the owner to make this application as his/her authorized agent and we agree to conform to all applicable laws of this jurisdiction. 2) All information listed on this application is true and accurate, to the best of my knowledge and any misrepresentation may result in the denial or revocation of this permit. 3) I hereby agree to provide new information in the event any changes are made, including any changes to the listed contractors. I shall inform the Community Development Department prior to any work commencing. 4) An approved inspection is required every 180 days from the date of issuance or permit will expire and be null & void. I may enquire with the Building Official for any request for extensions. 5) I may apply for a building permit refund up to 90 days after the approval date and prior to commencement of work. Maximum refund may be up to 80% of permit fee, and will be determined by the Building Official.
Signature
Date of Application
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Month
-
Day
Year
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