Building Permit Application Form - Permit Service Center

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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
Scheduling Inspections: 510 981-7444 Building Inspectors: 510 981-7440
Email:
Planning@ci.berkeley.ca.us
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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 10.28.100
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
No
No
Is this a Residential Rental Unit:
Yes
If YES, does the tenant need relocating?
Yes
DESCRIBE SCOPE OF WORK:
Electrical
Mechanical
Plumbing
Other
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