CHIP Application

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Contractor Information

Name(Required)

First Last

Business Name(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Day Phone(Required)

Email(Required)

EIN #(Required)

Contractor License #(Required)

Business/Development Partner(s)

Property Information

Project Address(Required)

Street Address Address Line 2 City State ZIP Code

Parcel Identification Number(Required)

Land Bank Purchase(Required)

Yes

No

Please indicate if this property was purchased from the Pittsburg Land Bank.

Construction Information

Building Permit #(Required)

Permit Issue Date(Required)

Permit Expiration Date(Required)

Permit Valuation(Required)

Information provided above must match valuation listed on building permit application.

Construction Start Date(Required)

Construction Completion Date(Required)

Financial Information

Project cost estimates are required as part of the application process to evaluate eligibility and to calculate potential grant amount following project completion. Please complete the information below to the best of your ability.

Materials Cost(Required)

Labor Cost(Required)

Total Project Cost(Required)

The City of Pittsburg retains the right to request financial documentation verifying building costs before grant funds are released.

Program Guidelines & Acknowledgements

Prior to acknowledging terms and conditions below, download and read program guidelines as outlined in the CHIP Intergovernmental Agreement.

Program Guidelines – CHIP Intergovernmental Agreement

Promotional Code

CHIP Application Terms & Conditions(Required)

I have read Program Guidelines and agree to the terms and conditions above

CHIP Application Fee(Required)

Price:

Credit Card(Required)

Name on Card

Card Details

CHIP Application Fee

CAPTCHA

City Housing Incentive Program (CHIP) Application

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Contractor Information

Property Information

Construction Information

Financial Information

Program Guidelines & Acknowledgements

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