Irvine, CA · Orange County

No notary required

New Residential Revision Supplemental Questionnaire

This questionnaire records proposed residential plan revisions for applicants submitting a Permit Revision/Deferred Submittal Application for a new single- or multi-family dwelling.

What this form is

Applicants must include this questionnaire with a Permit Revision/Deferred Submittal Application (Form 65-33B) for a new single- or multi-family dwelling. It asks for the plan check number, revision number, product name, tract, a brief description of the changes, and whether revisions affect phases, plan types, and architectural or structural work. A copy must be given to the construction superintendent for the inspector to inspect the field change.

Who needs it

Anyone submitting a Permit Revision/Deferred Submittal Application for a new single- or multi-family dwelling must include this questionnaire.

How to submit it

Submit it with the Permit Revision/Deferred Submittal Application (Form 65-33B) to Community Development Building and Safety. Give a copy to the construction superintendent.

About notarization

No notary is required; the form does not mention a notarized or sworn attachment, and it does not specify a signing or dating step.

How to submit this form

  1. 1

    Download The Questionnaire

    Download the New Residential Revision Supplemental Questionnaire PDF.

  2. 2

    Complete The Questionnaire

    Fill in the plan and revision details, describe the changes, and answer the questions about phases, plan types, and affected work.

  3. 3

    Gather The Application

    Include the completed questionnaire with Permit Revision/Deferred Submittal Application Form 65-33B.

  4. 4

    Submit And Give A Copy

    Submit the materials to Community Development Building and Safety and give a copy of the questionnaire to the construction superintendent.

Frequently asked questions

What is the New Residential Revision Supplemental Questionnaire for?
It describes proposed revisions for new single- or multi-family dwellings and accompanies a Permit Revision/Deferred Submittal Application (Form 65-33B).
What information does the questionnaire ask for?
It requests the plan check number, revision number, product name, tract, a brief revision description, and details about affected phases, plan types, and architectural or structural work.
Do I need a notary for the New Residential Revision Supplemental Questionnaire?
No. The form does not mention a notarized or sworn attachment, and it does not specify a signing or dating step.
How do I submit the New Residential Revision Supplemental Questionnaire?
Submit it with Permit Revision/Deferred Submittal Application Form 65-33B to Community Development Building and Safety. Give a copy to the construction superintendent.

Need something notarized?

This New Residential Revision Supplemental Questionnaire doesn’t need a notary — but if you have another Irvine form that does, a commissioned online notary can help.