San Clemente, CA · Orange County
Request for Temporary Release of Utilities
Property owners or agents use this form to request temporary electrical or gas service release from the San Clemente Building Division.
What this form is
This form requests temporary release of electrical and/or gas service for a property and asks why temporary service is needed, along with the address and electrical and plumbing permit numbers. The owner or agent signs the request and agrees that the building will not be occupied before final inspection and issuance of a Certificate of Occupancy. An indemnification letter is required; a sample is included.
Who needs it
An owner or agent requesting temporary electrical or gas service release from the San Clemente Building Division needs to complete this form.
How to submit it
Submit it to the San Clemente Building Division at 910 Calle Negocio, Suite 100, San Clemente, CA 92673; the form lists telephone and fax numbers but no submission method.
About notarization
This request is signed and dated without a notary; its attached indemnification letter is signed and dated by the electrical contractor, with no notarization stated.
How to submit this form
- 1
Download The Form
Download the Request for Temporary Release of Utilities PDF.
- 2
Complete The Request
Enter the property address, reason for temporary service, permit numbers, and owner or agent details, then sign and date.
- 3
Prepare The Indemnification Letter
Complete the sample indemnification letter with the permit and job-site details; the electrical contractor signs and dates it.
- 4
Submit To The City
Submit the request to the Building Division at 910 Calle Negocio, Suite 100, San Clemente, CA 92673.
Frequently asked questions
- Who can request a temporary utility release?
- The form is for an owner or agent requesting temporary electrical and/or gas service release from the San Clemente Building Division.
- What must accompany the request?
- An indemnification letter is required. The form includes a sample letter for an electrical contractor to complete and sign.
- Do I need a notary for the Request for Temporary Release of Utilities?
- No. The request is signed and dated without a notary. The attached indemnification letter is signed and dated by the electrical contractor; the form does not state that notarization is required.
- How do I submit the Request for Temporary Release of Utilities?
- Submit it to the San Clemente Building Division at 910 Calle Negocio, Suite 100, San Clemente, CA 92673. The form does not specify a submission method.
Need something notarized?
This Request for Temporary Release of Utilities doesn’t need a notary — but if you have another San Clemente form that does, a commissioned online notary can help.