Over The Counter Permit Application

First Name:
Last Name:
Address 1:
Address 2:
City:
State: -- AL AK AR AS AZ CA CO CT DC DE FL FM GA GU HI ID IA IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip Code:
Primary Phone:
(555-555-5555)
Secondary Phone:

First Name:
Last Name:
Address 1:
Address 2:
City:
State: -- AL AK AR AS AZ CA CO CT DC DE FL FM GA GU HI ID IA IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip Code:
Telephone:
(555-555-5555)
State Law requires that, if the permit is being issued to a contractor, the Planning Department must verify Worker's Compensation coverage. Staff will check your Worker's Compensation information using the State Contractor's License Board web page. Owner builders or contractors may be exempt from this requirement. Please select one below.
Do you have a current Workers Compensation Certificate?
Yes No
Are you the contractor ?
Yes No

An assessors parcel number is required for your inspection to be processed. If you are unaware of your parcel number, click here to determine it.

Parcel Number: (no dashes)
Address 1:
Address 2:
City:
State: -- AL AK AR AS AZ CA CO CT DC DE FL FM GA GU HI ID IA IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY
Zip Code:

Please check one:
Reroof Electrical
Plumbing Mechanical

Please provide detailed information on the scope of your work. For example, depending on your permit type, remember to include details such as ugrades to service, repairing or replacing, amperage, type of reroof class, type of material used etc. List any equipment which will be installed as part of this work. If the description is lacking sufficient information the planning department may deny your request.

Please check one:
Single Famliy Dwelling
Condominium / Townhouse
Apartment
Detatched Garage
Attatched Garage
Other
If other, please describe:

NOTE: U.S. Mail delivery options are only available for those with pre-established accounts with the Planning Department. Accounts are typically created by contractors who apply for several permits per month and are discouraged for homeowners or one-time applicants. In order to set up an account please contact 454-3250. Once an account is established, the Planning Department will accept credit cards as a means of payment.

Email Address:
Pick up in person at one of our permit centers during Building Counter hours
Do you have an account already established?
Yes No