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Application Materials: Use Permit

Last modified: 4/17/2013 3:47 PM

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    Master Application Form

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14 Site Plans
1 Reduced Site Plan (8 1/2 x 11)
1 Project Description
11 Environmental Information Forms (CEQA)
1 Assessor's Parcel Map
1 Copy of Current Recorded Grant Deed
1 Evidence Showing Legal Creation of Lot
3 Landscape Water-Efficiency Checklist
2 Well Information Questionnaire
1 Hazardous Substance Sites List Questionnaire 
1 Acknowledgements and Agreements Form  

Plans must be legibly drawn to an appropriate scale, sheet size 18”x 24” minimum to 24”x36” maximum.  Plans (or stapled plan sets) shall be folded to 9 x 12 inch size.  When additional applications are concurrently being filed (e.g., ASA, grading permit), submittal items need not be duplicated.


  Use Permit Pre-Application  (Mandatory)
10 Site Plan 
1 Project Description
1 Assessor's Parcel Map
1 General Plan Conformance and Contiguity/ Annexation Form (if applicable)
Photos of Site
Fire Protection Information

 Additional Information and Materials that May be Required

General Plan Conformance and Contiguity/ Annexation Form  (1 copy)
Required if subject parcel is located within a city's urban service area and is deemed contiguous to city boundary (see instructions on form).

CEQA Exemption Form  (1 copy)
Certain classes of project may qualify for exemption from the environmental assessment (CEQA) process.  An additional fee is required. 

Geologic Report  (2 copy, plus pdf)
Consult with County Geologist prior to filing application to determine whether a geologic report will be required.  Submittal must include one wet-signed paper document and one electronic document in Adobe pdf format (on CD or DVD).  An additional fee is required for geologic report review.  See also geologic hazards page.

Septic System Plan

If a septic system is proposed, the site must be field-evaluated by a Department of Environmental Health (DEH) representative.  One copy of the site plan should be stamped and signed by the DEH representative.  See also DEH site.

Williamson Act Compatible Use Determination
Required if subject parcel is under a Willimson Act contract.  It is strongly suggested that this determination be applied for and resolved prior to ASA application submittal.  An additional fee is required. 

Identification of Potential Historic Resources (Part I and Part II forms)
If the project includes demolition of structures 50 years or older, submit a completed and signed Identification of Properties for Potential Historic Significance forms, a copy of the Santa Clara County Residential Unit Property Record (available from the County Assessor’s Office, 5th Floor) for the subject property and photographs of each elevation of the subject structure and any related structures or associated features. Please note that the 50-year age reference is a discretionary guideline; there are circumstances where a property less than 50 years old may be potentially significant.

Fire Protection Information
Include the following information (if applicable) on the site plan.  Indicate existing or proposed.
  • Type of construction per California Building Code of all existing and proposed structures.
  • Water source (name of water provider or on-site well).
  • If the source of water is on-site well, show the location and capacity of existing or proposed aboveground water tank(s), and means of delivering water at required pressure (e.g., fire pump or gravity).
  • Hydrants: Show type (wharf or standard) and location of closest available or proposed hydrant(s).
  • Private Access Road/Driveways: Show drivable width, vertical clearance, surface, load-bearing capacity, turning radii, percent grade, turnarounds, turnouts and bridges.

Clean Water Program Questionnaire​​
Pursuant to the Federal Clean Water Act, the NPDES Municipal Storm Water Discharge Permit issued by the Regional Water Quality Control Board and County Nonpoint Source Pollution Ordinance, the County requires storm water treatment measures and pesticide use reduction measures for certain types of projects. A CWP questionnaire is required if your project is both: (1) located within the San Francisco Bay Watershed, and (2) not an individual single family home. The questionnaire assists the Land Development Engineering Section in determining whether the project will require storm water treatment measures.

1 Set of Mailing Labels (See mailing labels handout for details)
Mailing labels are only required if your property is within 300 feet of a County boundary line.

Stanford University
Submit one copy of the Stanford University General Use Permit Project Checklist (8½ x 11) signed by a Stanford University LUEP Planner. Incorporate the completed checklist into the project plan set submittal.

Other Reports and Studies
Depending on location, development intensity and site characteristics, additional reports (e.g. arborist, biology, archaeology, noise) may be required.


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