The forms listed below are part of APCD's air pollution process. If you do not know which forms you will need, or need additional information, please contact the APCD Engineering Division by telephone at (805) 645-1401, or by email at firstname.lastname@example.org.
Before submitting any of the forms below, all applicants should schedule a pre-submittal meeting with the APCD Engineering Division by calling (805) 645-1401. At the pre-submittal meeting, you can speak with APCD staff, who can explain the permit application requirements and procedures. By scheduling a pre-submittal meeting, you can save considerable time and avoid permit processing delays.
Authority to Construct or Permit to Operate without Authority to Construct
This form is for projects that need or failed to obtain a required Authority to Construct.
Special Cover Forms
Permit to Operate - Authority to Construct Previously Issued (with
This form is for projects that have an Authority to Construct and are applying for a Permit to Operate.
Administrative Change (with instructions)
This form is to transfer ownership of a Permit to Operate for an existing facility with no proposed changes to equipment, processes, or air pollution permit conditions, or for other administrative changes such as name changes or address changes.
Certification of Statewide Compliance Form
This form is to certify that all major sources owned or operated by permit applicants in California are in compliance with all applicable emission limits and standards.
Equipment Summary Instructions
These instructions are for equipment and processes that require an APCD air pollution permit but for which the APCD does not have specific supplementary permit application forms.
Abrasive Blasting Form (with instructions)
This form is for unconfined abrasive blasting operations using compressed air as the propelling force, as well as compressor engines rated at 50 BHP or greater.
Automotive Coating Form (with instructions)
This form is for motor vehicle and mobile equipment coating operations, or any part of a vehicle or mobile equipment, whether or not it is attached.
Backup Utility Generator Engine Form (with instructions)
This form is only for diesel-fired backup utility generator engines at interruptible facilities. This form cannot be used if the engine uses another fuel or serves some other function.
Boilers, Steam Generators, and Process Heaters Form
This form is for boilers, steam generators, and process heaters rated at 1 MMBTU/hr or greater.
Conveyerized Charbroiler Form
This form is for conveyorized charbroilers.
Crude Oil Form (with instructions)
This form is for oil storage tanks, oil wells, and crude oil loading racks.
Degreaser Form (with instructions)
This form is for solvent degreasers.
Diesel or Gasoline Engine Form (with instructions)
This form is for stationary gasoline or diesel-fueled internal combustion engines with a maximum continuous horsepower rating of 50 or greater.
Diesel Engine Supplement (with instructions)
This form is for stationary diesel-fueled internal combustion engines with a maximum continuous horsepower rating of 50 or greater. This form is in addition to Form Engine 002 for stationary gasoline or diesel engines and Form Engine304 for diesel-fired emergency engines.
Diesel-Fired Emergency Engine Form (with instructions)
This form is only for diesel-fired emergency standby engines installed and operated to provide electrical power or mechanical work during an emergency. This form cannot be used if the engine uses another fuel or serves some other function.
Gasoline Dispensing Facility Form
This form is only for gasoline dispensing facilities. Diesel fuel or waste oil tanks do not require air pollution permits.
Graphic Arts Form (with instructions)
This form is for graphic arts operations including packaging gravure, publication gravure, flexographic printing, letterpress, ink jet printing, lithographic printing operation, or any coating or laminating operation manufacturing converted flexible packaging materials or the packaging industry. Do not use this form for screen printing operations.
Screen Printing Form (with instructions)
This form is for screen printing operations only. For all other graphic arts operations please refer to the Graphic Arts Form.
Natural Gas Engine Form (with instructions)
This form is for natural gas-fired engines with a maximum continuous horsepower rating of 50 or greater.
Oilfield Flare Form
This form is for all flares rated at 1 MMBtu/hr or greater.
Petroleum Dry Cleaner Application Form (with instructions)
This form is only for petroleum dry cleaning operations. This form cannot be used for dry cleaning operations that use perchloroethylene.
Solvent Cleaning Form (with instructions)
This form is for cleaning operations in which solvents are used to remove loosely held uncured adhesives, inks, coatings, resins, or other contaminants that include, but are not limited to, dirt, soil, lubricants, coolants, moisture, grease, and fingerprints from parts, products, tools, machinery, equipment, or general work areas.
Surface Coating Form (with instructions)
This form is for coatings that will be applied to aerospace components, including raw material, partial or completed fabricated parts, assembly parts, or completed units of any aircraft, helicopter, missile, or space vehicle, including mockups and prototypes. Do not use this form for automotive coating operations.
Vapor Extraction System Application
This form is for organic vapor extraction operations from soils contaminated with gasoline, diesel fuel, jet fuel, and other soil contaminants.
AB3205 (both pages) is to notify the APCD about your business or facility prior to issuance of your Certificate of Occupancy permit. State law (AB3205) prohibits a city or county agency from issuing a building permit or Certificate of Occupancy unless APCD air pollution requirements are met.
Notification of Demolition or Renovation Form
This form is for demolition and asbestos abatement contractors who must notify APCD of pending demolition or renovation activities involving asbestos
Asbestos Notification Revision Form
These form is only for demolition and asbestos abatement contractors, who must notify APCD of pending demolition or renovation activities involving asbestos.