It is one of the oldest temples in Thrissur District. It is believed that the present temple was constructed almost 200 years ago. Lord Shiva is also known as the patron of the name of the god of Perakam village. The temple consists of Nalambalam, Thidapalli, Vatta Sreekovil and Mandapam. The temple has been constructed to make it a part of the medieval temples. The Perakam Shiva Temple faces west. There are three daily poojas (prayer rituals): Usha Pooja, Ucha Pooja, and Night Pooja.