Application for Board of Appeals


The Board of Appeals hears issues involving interpretation of building and fire codes as adopted and amended by the City Council.​

To apply, fill the form below

Duties and Responsibilities

The Board of Appeals consists of five members appointed to alternating four-year terms. The Board of Appeals hears issues involving interpretation of building and fire codes as adopted and amended by the City Council.

Board of Appeal members must be at least 18 years of age, live within the City limits, and a registered voter.

The Board of Appeals meets on the first Thursday of March, June, September and December at 6:00 p.m. The meeting may be canceled if there is no business to be transacted.

Resolution No. 81-34 created the Board of Appeals under the Uniform Codes and reads, in part, as follows:

Section 1. A Board of Appeals is hereby established pursuant to the Uniform Building Code, the Uniform Code for the Abatement of Dangerous Buildings, the Uniform Mechanical Code, the National Electrical Code, the Uniform Administrative Code, the Uniform Fire Code, the Uniform Housing Code, the Uniform Plumbing Code, and the Uniform Swimming Pool Code (hereinafter “the Uniform Codes”). The Board of Appeals shall provide for final interpretations of the Uniform Codes, determine the suitability of alternative materials and methods of construction, provide reasonable interpretations of the Uniform Codes and hear appeals as provided for under the Uniform Codes.

Section 2. This Board shall consist of five persons who are not employees of the City of Rocklin and who are qualified by experience and training to pass upon matters pertaining to building construction. Members of this Board shall serve at the pleasure of the Council.


(First, last, middle)

(Street address, unit number)

Do you or any members of your immediate family:

Education / Training / Special Qualifications

(include the name(s) of the institution(s), area of study/major, type of degree or certificate)

(include date issued and registration number if applicable)

Employment History / Work Experience

Current or most-recent employer

Name and title of supervisor, phone, address of company.

(Employed from date, to date)

Previous Employer

Name and title of supervisor, phone, address of company.

(Employed from date, to date)


If your answer is “Yes” to either of the following questions, please give details in the space provided below. Attach additional sheets if necessary.

Ethnic Self-Identification Form


STATEMENT OF ECONOMIC INTEREST FORM 700: Per the State of California Fair Political Practices Commission, persons appointed to the Board of Appeals are required to file a Statement of Economic Interests (Form 700). This rule requires the disclosure of a variety of sources of income for public officials.

ETHICS TRAINING: All appointees are required to satisfy the local ethics training requirement mandated by Government Code Section 53234. Information for an online training resource will be provided by the City Clerk upon appointment.

Offers of Appointment are conditional upon successful completion of fingerprint clearance.


I understand that in connection with this application for appointment, an investigation of my personal and business background may be conducted. I hereby authorize the release of any and all information pertaining to me or businesses in which I participate, including information of a confidential or privileged nature in the possession of government or private agencies or individuals. I hereby release all such agencies or individuals who furnish such information from liability for damage, which may result from furnishing the information requested.

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