Loomis, CA · Placer County
Hazardous Materials & Emissions Questionnaire
Businesses seeking a commercial building permit in Loomis use this questionnaire to report hazardous-material handling, potential air emissions, and proximity to a school.
What this form is
This questionnaire accompanies a commercial building permit application in Loomis and records information about a business or facility’s hazardous materials, air emissions, and proximity to a school. The form asks for permit and parcel details, business and contact information, yes-or-no responses, and a company representative’s signature and date. It also directs applicants with specified hazardous-material or emissions concerns to the relevant Placer County agencies.
Who needs it
Businesses applying for a commercial building permit in Loomis should complete the questionnaire for the proposed business or facility.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This questionnaire is signed and dated without a notary; the company representative signs it, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download The Questionnaire
Download the Hazardous Materials & Emissions Questionnaire for the Loomis commercial building permit application.
- 2
Complete The Form
Enter the permit, parcel, business, and contact details; answer the questions about materials, emissions, and school proximity.
- 3
Check For Attachments
The questionnaire lists no required attachments; contact the relevant Placer County agency if your answers indicate a review is needed.
- 4
Submit To The City
Submit the completed questionnaire to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Hazardous Materials & Emissions Questionnaire ask?
- It asks about hazardous-material handling, storage or transport, potential air emissions, and whether the facility is within 1,000 feet of a school.
- Who completes this questionnaire?
- A business applying for a commercial building permit provides the business, contact, permit and parcel information, answers the questions, and has a company representative sign and date it.
- Do I need a notary for this questionnaire?
- No. The company representative signs and dates this questionnaire; it lists no notarized attachment or sworn step.
- How do I submit the questionnaire?
- Submit it to the city department named on the form; check the city website for current contact details.