City Forms

2. Applicant/Contractor Information
4. Owner(s)
5. Business Name
7. Contractor's License No.
8. Expiration Date
   Expiration Date
10. Mailing Address
12. City
13. State
14. Zip Code
16. Phone Number
17. Email Address
19. Licensed Design Professional Information
21. Name(s)
23. Mailing Address
25. City
26. State
27. Zip Code
29. Phone Number
30. Email Address
32. Permit Information
34. Name of Owner(s)
36. Phone Number
37. Email Address
39. Property Address*
41. Mailing Address
43. City
44. State
45. Zip Code
47. Assessor's Parcel Number
48. Tract No.
49. Lot No.
51. Project Description (Scope of Work)*
53. Building Information
55. Project Total Valuation
56. Square Footage
58. Residential Information
60. Construction Type
61. Occupancy
63. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
65. Electronic Signature*
Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit Submit and Print

* indicates a required field