Building Permit Application
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Permit Service Center
2120 Milvia Street, Berkeley, CA 94704
Main Tel: 510.981.7500 TDD: 510.981.7474 Fax: 510.981.7505
Schedule Inspections: 510.981.7444 Building Inspectors: 510.981.7440
Clear Form
Email:
Planning@ci.berkeley.ca.us
BUILDING PERMIT APPLICATION
SHADED AREAS FOR STAFF USE ONLY
Please note:
Electrical, Mechanical, and Plumbing elements require separate applications.
APPLICATION #
APN #
Use Permit#_____________________
_______________________
_____________________________
STREET ADDRESS/ UNIT #(
)
if applicable
TOTAL PROJECT SQUARE FEET
VALUATION ($)
The valuation used in computing the Building Permit fee shall be the total replacement value of all construction work for which the permit is
issued, as well as all finished work, painting, roofing, electrical, plumbing, heating, air conditioning, elevators, fire extinguishing systems and
any other permanent equipment.
BMC SECTION 19.28.100
APPLICATION GROUP:
NEW
ADD
DEMO>DEM
REMODEL>REM
REPAIR>REP
SEISMIC
GRADING
OTHER (Describe below)
Fire Zone: 1
2
3
Alquist Priolo: Yes
No
Flood Zone: A
B
C
Liquefaction Zone:
Yes
No
Landslide Area: Yes
No
Creek on the Parcel: Yes
No
Work in the Right of Way: Yes
No
DESCRIBE SCOPE OF WORK:
Additional Permits Required:
Electrical
Mechanical
Plumbing
Other_________________
Construction Type
Occupancy Code
Square Footage
#Residential Units
# Stories
EXISTING
PROPOSED
Property Owner Name
Phone#
Applicant/Contact Person
Phone#
Address
Address
City, ST
Zip Code
City, ST
Zip Code
Contractor’s Company Name
State Lic#
Bus Lic#
Address
Phone#
City, ST
ZIP Code
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Parent category: Legal