apple valley town building permit application
APPLE VALLEY TOWN BUILDING PERMIT APPLICATION Job Address Tax Serial No. or Legal Description Owner .Contractor Electrical contractor
Mail Address
Zip
Phone
Mail Address
Phone
License No. License No.
(f
License No.
Plumbing Contractor Class of work:
0 New
0 Addition
0 Repair
0 Move
Use of building
REQUIREMENTS FOR PLAN SUBMITTAL Before submitting plans for a building permit, please check your plans and application to be sure the following items have been verified, sign the form and submit it with your plans for review. ❑
Two sets of complete plans and an 11 x 17 copy are required.
❑
Architectural approval required in most areas
❑
Homeowners/Builders must sign agreement
❑ ❑
Septic Permit from the Southwest Utah Public Health Department (168 North 100 East, St. George, Utah 84770 Phone# 435-6733528) Verification Of Water (stock certificate or hook-up fee receipt or quantityq'_ and quality of well)
❑
Provide a Model Energy Code Check (MEC check)
❑
If Conditional, Planning Approval
-
SITE PLAN ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
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Drawn to scale with scale indicated North Arrow Lot dimensions on all sides Size and location of easements on all sides Names and locations of adjacent streets Location and dimensions of proposed structures or additions Setback dimensions on all sides Show drainage plan Distance to closest fire hydrant Finished floor elevation based on site elevations Location of driveway and culvert for borrow ditch Elevation of flow line of culvert under driveway BUILDING PLANS Footing and foundation plan with all continuous and spot footings, location and reinforcing Floor plan layout and use of ALL rooms including future uses of unfmished area Dimensions for overall length and width of building Complete dimensions of all rooms, decks, porches, stairs, etc. Size and types of all doors and windows (safety glazing and egress) Fire separation between house and garage Stairway details (rise-run, headroom, landings, rails) Building elevations (all four sides) show finish grade Cross section drawn SPECIFICALLY for this structure, showing footing size depth below frost line, reinforcing, sill plates and bolting, wall material, stud size and spacing, wall sheeting, interior finish, weather barrier and exterior finish. Roofing material. Framing details, showing rafter size and spacing, spans, ties or truss layout, joist size, span and spacing. Size and material of all beams, headers and columns. Bearing wall construction and location. Braced wall panel details, materials connections hold downs and locations. Note: Professional architect's or engineer's wet stamp and signature on calculations for homes without adequate braced wall panels and do not qualify as conventional construction, and for homes of unusual shape and size.
INSULATION Provide a Model Energy Code Check (MEC Check) *Most insulation contractors have a program available to print out heat loss and gain calculations. Plans to show R value of insulation for walls, attics, and floors over unheated areas.
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ELECTRICAL All receptacle and switch locations all light and fan locations. GFCI's located interior, WP GFCI's exterior, all smoke detector locations. Electrical panel size and location. PLUMBING Location of all plumbing fixtures, including layout for future fixtures. Floor drains, water heater, clothes washer and dryer locations.
MECHANICAL Furnace location, combustion air location(s), working platform and catwalk indicated on plans, attic access. Poles or other barriers if equipment is located in garage.
My signature below indicates that I have carefully reviewed and verified that all of the above items have been included in my plans; I have checked each item or indicated N/A for items that do not apply, and have insured that my plans and application are complete. Signature
Date
Site Plan Requirements . elevation point
- elevation poi
property line distance
V setback
setback distance . elevation point arrows distance
Building Foot Print ^a)
Finish Floor Elevation =
---i^ distance
distance
drainage arrows
- elevation natural grade driveway distance
v setback
property line distance -4
.drainage flowline elevation road travel surface
r/w line
crown of road elevation
15" culvert elevation
'4
distance to fire hydrant Wage flowline elevation
- elevation point
street name Location of site bench mark and elevation Any easements' ^ across property? Any Yes No
crown of road elevation
Washington County Residential Construction Pre Building Permit Geotechnical Data Sheet Effective April 3, 2006 Contractor: License No.: Phone: Subdivision: Phase: Lot: Lot Address: Tax ID No.: Owner: Phone: Soils Engineering Company Providing Compliance: Geotechnical Report pertaining to Lot: By: Date Geotechnical report number or date: By: Site Requirements Soils/Geotechnical engineer shall be retained to provide excavation / grading recommendations, including exterior retaining walls, pad elevations, drainage and rock slopes to verify compliance with zoning standards and IBC Appendix K. Where a four foot or higher retaining wall is required, additional site design requirements shall apply prior to the issuance of a building permit. agrees to provide services during foundation sub grad / Preparation according to the 2003 IRC Section R 103 requirements and accepted engineering practices. Following completion of the services agreed upon, a foundation compliance report stamped by the professional engineer employed by the responsible firm, will be provided stating their professional opinion with regards to whether the work conducted is in compliance with the recommendations in the listed geotechnical report. Foundation Comments:
Log sheets from the engineer of record must be on site at the time each footing inspection. Log sheets must be current and signed before footing / pad inspection will be conducted. 1CC 1615.1.1-site class
A B C D E F'I
Engineers Wet Stamp
Call for inspections 24 HOUR NOTICE is required after work is completed and ready for inspection
(435) 634-5714 County Policy A 4 yard capacity dumpster with lid or cover must be located at the building site during all phases of construction. Said dumpster shall be serviced on a regular basis to avoid overloading. A sanitary facility "porta-pottie" device, shall be required at each construction site in Washington County. Said facility shall be maintained at the site until the construction is completed or until alternative facilities, through construction, can be made available.
Mail Address
Zip
Phone
Mail Address
Phone
License No. License No.
(f
License No.
Plumbing Contractor Class of work:
0 New
0 Addition
0 Repair
0 Move
Use of building
REQUIREMENTS FOR PLAN SUBMITTAL Before submitting plans for a building permit, please check your plans and application to be sure the following items have been verified, sign the form and submit it with your plans for review. ❑
Two sets of complete plans and an 11 x 17 copy are required.
❑
Architectural approval required in most areas
❑
Homeowners/Builders must sign agreement
❑ ❑
Septic Permit from the Southwest Utah Public Health Department (168 North 100 East, St. George, Utah 84770 Phone# 435-6733528) Verification Of Water (stock certificate or hook-up fee receipt or quantityq'_ and quality of well)
❑
Provide a Model Energy Code Check (MEC check)
❑
If Conditional, Planning Approval
-
SITE PLAN ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑ ❑ ❑ ❑ ❑ ❑
❑
❑ ❑
Drawn to scale with scale indicated North Arrow Lot dimensions on all sides Size and location of easements on all sides Names and locations of adjacent streets Location and dimensions of proposed structures or additions Setback dimensions on all sides Show drainage plan Distance to closest fire hydrant Finished floor elevation based on site elevations Location of driveway and culvert for borrow ditch Elevation of flow line of culvert under driveway BUILDING PLANS Footing and foundation plan with all continuous and spot footings, location and reinforcing Floor plan layout and use of ALL rooms including future uses of unfmished area Dimensions for overall length and width of building Complete dimensions of all rooms, decks, porches, stairs, etc. Size and types of all doors and windows (safety glazing and egress) Fire separation between house and garage Stairway details (rise-run, headroom, landings, rails) Building elevations (all four sides) show finish grade Cross section drawn SPECIFICALLY for this structure, showing footing size depth below frost line, reinforcing, sill plates and bolting, wall material, stud size and spacing, wall sheeting, interior finish, weather barrier and exterior finish. Roofing material. Framing details, showing rafter size and spacing, spans, ties or truss layout, joist size, span and spacing. Size and material of all beams, headers and columns. Bearing wall construction and location. Braced wall panel details, materials connections hold downs and locations. Note: Professional architect's or engineer's wet stamp and signature on calculations for homes without adequate braced wall panels and do not qualify as conventional construction, and for homes of unusual shape and size.
INSULATION Provide a Model Energy Code Check (MEC Check) *Most insulation contractors have a program available to print out heat loss and gain calculations. Plans to show R value of insulation for walls, attics, and floors over unheated areas.
❑
❑
❑
ELECTRICAL All receptacle and switch locations all light and fan locations. GFCI's located interior, WP GFCI's exterior, all smoke detector locations. Electrical panel size and location. PLUMBING Location of all plumbing fixtures, including layout for future fixtures. Floor drains, water heater, clothes washer and dryer locations.
MECHANICAL Furnace location, combustion air location(s), working platform and catwalk indicated on plans, attic access. Poles or other barriers if equipment is located in garage.
My signature below indicates that I have carefully reviewed and verified that all of the above items have been included in my plans; I have checked each item or indicated N/A for items that do not apply, and have insured that my plans and application are complete. Signature
Date
Site Plan Requirements . elevation point
- elevation poi
property line distance
V setback
setback distance . elevation point arrows distance
Building Foot Print ^a)
Finish Floor Elevation =
---i^ distance
distance
drainage arrows
- elevation natural grade driveway distance
v setback
property line distance -4
.drainage flowline elevation road travel surface
r/w line
crown of road elevation
15" culvert elevation
'4
distance to fire hydrant Wage flowline elevation
- elevation point
street name Location of site bench mark and elevation Any easements' ^ across property? Any Yes No
crown of road elevation
Washington County Residential Construction Pre Building Permit Geotechnical Data Sheet Effective April 3, 2006 Contractor: License No.: Phone: Subdivision: Phase: Lot: Lot Address: Tax ID No.: Owner: Phone: Soils Engineering Company Providing Compliance: Geotechnical Report pertaining to Lot: By: Date Geotechnical report number or date: By: Site Requirements Soils/Geotechnical engineer shall be retained to provide excavation / grading recommendations, including exterior retaining walls, pad elevations, drainage and rock slopes to verify compliance with zoning standards and IBC Appendix K. Where a four foot or higher retaining wall is required, additional site design requirements shall apply prior to the issuance of a building permit. agrees to provide services during foundation sub grad / Preparation according to the 2003 IRC Section R 103 requirements and accepted engineering practices. Following completion of the services agreed upon, a foundation compliance report stamped by the professional engineer employed by the responsible firm, will be provided stating their professional opinion with regards to whether the work conducted is in compliance with the recommendations in the listed geotechnical report. Foundation Comments:
Log sheets from the engineer of record must be on site at the time each footing inspection. Log sheets must be current and signed before footing / pad inspection will be conducted. 1CC 1615.1.1-site class
A B C D E F'I
Engineers Wet Stamp
Call for inspections 24 HOUR NOTICE is required after work is completed and ready for inspection
(435) 634-5714 County Policy A 4 yard capacity dumpster with lid or cover must be located at the building site during all phases of construction. Said dumpster shall be serviced on a regular basis to avoid overloading. A sanitary facility "porta-pottie" device, shall be required at each construction site in Washington County. Said facility shall be maintained at the site until the construction is completed or until alternative facilities, through construction, can be made available.
