Post on 19-Jul-2020
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DECLARATION BY PERMIT APPLICANT
COMMUNITY DEVELOPMENT DEPARTMENT PERMIT CENTER SERVICES
345 NORTH EL DORADO STREET STOCKTON, CA 95202-1997
PH: (209) 937-8561 FAX: (209) 937-8893
Permit #
Date
APPLICATION FOR PERMIT
Project Location: Address:______________________________________________________________________________ Suite #:________________
Subdivision:_________________________________________ Lot #:_______________ Parcel # (APN):__________________________________________
Property Owner: Name:________________________________ Phone:_____________________ Email:______________________________________
Mailing Address:_______________________________________________ City:____________________________ State:_________ Zip:______________
Licensed Contractor: Name:_______________________________ Phone:__________________ Email:_____________________________________
Mailing Address:_______________________________________________ City:____________________________ State:_________ Zip:______________
Contractor State License #:_______________________________ City Business License #:______________________ Ex. Date:______________________
Architect/Engineer: Name:________________________________ Phone:___________________ Email:_____________________________________
Mailing Address:_______________________________________________ City:____________________________ State:_________ Zip:______________
Project Contact: Name:__________________________________ Phone:___________________ Email:______________________________________
Mailing Address:_______________________________________________ City:____________________________ State:_________ Zip:______________
Permit Holder: Property Owner* Contractor** To-be-determined (plan review requests only)
* Completed and signed owner/builder form required **”Authorized to Sign” form required if other than contractor applies
Plan Review Process: Standard Paper Submittal Electronic Plan Check
Applicant is: Property Owner Contractor Architect/Engineer Other: ________________________
BY MY SIGNATURE BELOW I CERTIFY TO EACH OF THE FOLLOWING STATEMENTS:
I have read this application and the information I have provided is correct. I agree to comply with all applicable City and County ordinances,
rules, regulations, and State laws relating to building construction, and with any and all conditions of this permit. I authorize representatives
of the City of Stockton to enter the above mentioned property for inspection purposes.
Applicant’s Signature____________________________________ Print Name_________________________________________ Date__________________
This section to be completed by City staff: DISCIPLINE ROUTING (check all those that apply)
□ Building □ Fire Prevention □ Planning □ Public Works/Engineering □ Municipal Utilities □ Other_____________________
Project Type: Commercial Residential Master Plan Production Home — Template #____________________
New Construction Addition Tenant Improvement Alteration Demolition Other:___________________________________
State Licensed Facility? _____Yes _____No If yes, OSHPD-III Certification Required? _____Yes _____No Flood Zone: ______________________
Construction Type:_________ Occupancy Type:_____________ Existing Use:____________________ Proposed Use:______________________
Is Building Sprinklered? _____Yes _____No Is Building Conditioned? _____Yes _____No # of Stories:________ # of Dwelling Units:_______
Area Determination:
1st Floor:_____________sf 2nd Floor:_____________sf 3rd Floor:_____________sf 4th Floor:_____________sf Total Bldg:_____________sf
Garage:______________sf Patio/Porch:_____________sf Deck/Balcony:_____________sf Other:_____________________ _____________sf
SCOPE OF WORK:
The applicant shall provide an estimated permit value at time of application. Permit valuations shall include total value of work, including materials and labor. Valuations shall be based on FAIR MARKET VALUE for labor and materials, even if performing the work yourself. Final building permit valuation shall be set by the building official. New construction will be based on City established per square foot cost.
VALUATION: $
Applicant RESIDENTIAL SUBMITTAL CHECKLIST City Staff
Yes No Items Yes No
Planning Division Approval:
Project complies with all setback requirements and has been approved by Planning to submit for building permit.
Project has received approval of any required planning permits and the building permit plans reflect all conditions from that process. (Design Review, Site Plan Review, etc)
Required Documentation:
One completed Application for Permit
Three (3) complete sets of construction drawings, signed by the designer. Minimum 18” x 24” size paper to include:
1. Site plan drawn to scale showing property lines, north arrow, easements, and all development.
2. Floor plans showing existing and proposed layouts.
3. Building elevations (north, south, east, and west views).
4. Foundation plan with representative details.
5. Roof plan with representative details.
6. Framing sections and other details necessary to construct the project.
Two (2) copies of truss layout and calculations, signed by the truss designer. (if applicable)
Two (2) copies of engineering calculations, signed by the architect/engineer-of-record (if applicable)
1. Engineering calculations will be required for any unusual design which deviates from substantial compliance
with conventional framing requirements for woodframe construction found in the California Residential Code.
2. All engineering plans and calculations shall be stamped and signed by a California licensed architect or
engineer.
Two (2) copies of energy code compliance calculations (if applicable)
Two (2) copies of FEMA Flood Elevation Certificate (if applicable)
Two (2) copies of City of Stockton 200-Year Flood Elevation Certificate (if applicable)
Plan check deposit
Applicant COMMERCIAL SUBMITTAL CHECKLIST City Staff
Yes No Items Yes No
Planning Division Approval:
Project complies with all setback requirements and has been approved by Planning to submit for building permit.
Project has received approval of any required planning permits and the building permit plans reflect all conditions from that process. (Design Review, Site Plan Review, etc)
Required Documentation:
One completed Application for Permit
Five (5) complete sets of construction drawings. Two of the sets must be signed by the architect or engineer. Minimum
18” x 24” size paper to include:
1. Cover sheet indicating scope of work, applicable codes, type of construction, occupancy, etc.
2. Site plan drawn to scale showing property lines, north arrow, easements, and all development. Site utility plan
showing all points of connection to city sewer, storm drain, and water.
3. Floor plans showing existing and proposed layouts, room usage, occupancy, etc.
4. Structural plans and representative details as required.
5. Plumbing and mechanical plans.
6. Electrical plans including a complete one-line diagram of the service.
7. Energy code compliance forms imprinted on full size plan sheets.
8. Accessibility compliance
Two (2) copies of truss layout and calculations, signed by the truss designer. (if applicable)
Two (2) copies of engineering calculations, signed by the architect/engineer-of-record (if applicable)
One completed Air Pollution Control District (APCD) Compliance form
One completed Hazardous Materials Disclosure form (OES form)
Two (2) copies of FEMA Flood Elevation Certificate (if applicable)
Two (2) copies of City of Stockton 200-Year Flood Elevation Certificate (if applicable)
One completed Accessibility For Existing Buildings Compliance form (if applicable)
Plan check deposit