Fillable APPLICATION FOR BUILDING PERMIT City of Hemet Department (City of Hemet)

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APPLICATION FOR BUILDING PERMIT City of Hemet Department (City of Hemet)

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The APPLICATION FOR BUILDING PERMIT City of Hemet Department (City of Hemet) form is 2 pages long and contains:

  • 4 signatures
  • 13 check-boxes
  • 55 other fields

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File type: PDF

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City of Hemet
Department of Building and Safety
APPLICATION FOR BUILDING PERMIT
NOTE: 3 sets of plans and specifications for residential construction or 5 sets of plans and specifications
for commercial construction must be submitted. A copy of the signed contract between the owner and
the contractor for proposed work is also required.
Property Address: Date:
Assessor Parcel Number: Lot Number: Valuation:
Description of Work:
Construction Type: SFR Mobile Home Multi-Family: ___ # Units Commercial
Property Owner: Applicant:
Address: Address:
City: State: Zip: City: State: Zip:
Telephone: Telephone:
CONTRACTOR INFORMATION: LICENSED DESIGN PROFESSIONAL:
Name: Name:
Address: Address
City: State: Zip: City: State: Zip:
Telephone: Telephone:
Fax: ( ) - License Number: Expiration Date:
Contact Person: Telephone: Email:
State License Number: Type: Expiration Date:
Contractor’s Workers Comp. Ins. Carrier: Number: Exp. Date:
Contractors City Business License Number: Expiration Date:
By my signature below, I certify to each of the following: I am the property owner or authorized to act on the
property’s behalf. I have read this application and the information I provided is correct. I agree to comply with all
applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this
city or county to enter the above-identified property for inspection purposes. Check, Sign and Date applicable line.
Property Owner: _________________________________________________ Date: ___________________
Contractor: ______________________________________________________ Date: ___________________
Authorized Agent Signature: ________________________________________ Date: ___________________
Print Name Signed Above: ___________________________________________________________________
Plan Check #:
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PlanCheck‐Checklist
PlanCheck#:___________________________
Expires:_______________Initial:___________
IN ALIGNMENT WITH
2016 California
Building Code
City of Hemet
Building Division
445 E. Florida Ave.
Hemet, CA 92543
Phone
(951) 765-2475
www.cityofhemet.org
Date:________________________
JobAddress:___________________________________________________________________
Pleasecheckeachitembelow:
Iagreetopayallplancheckfeerequiredforthisprojectwiththeunderstandingthatthis
payment is not a guarantee that a permit will be issued and that this fee is not
refundableoncetheplancheckhascommenced.IfmultipleplanreviewsarerequiredI
maybeaskedtopayadditionalplancheckfeesfortheadditionaltimespent.
I understand that I may request and “Accelerated Plan Check” at an additional cost to
me.Theacceleratedplancheckisforthefirstreviewonly.
Iunderstandthattheprojectvaluationmaybereviewedandthatsaidvaluationmaybe
adjusted up or down, if determined by the building official, the valuation is
underestimated on the application.The California Building Code Section 109.3 states
“Finalbuildingpermitvaluationshallbesetbythebuildingofficial.”
IunderstandthatImustsubmitseparateplans,applicationsandplancheckfeesforthe
followingprojects:
Walls&Fences
TrashEnclosures
Landscaping
I understand that prior to issuance of building permit I may be required to obtain
approval from the City of Hemet Planning Commission, Hemet City Council, Eastern
Municipal Water District, Riverside County Health, South Coast Air Quality, Southern
California Edison, Southern California Gas, Lake Hemet Municipal Water District and/or
Caltrans and I will do the due diligence necessary to have their approvals prior to the
permitissuanceorexpirationoftheplancheck.
I understand that from the date of plan check submittal my plan check is good for a
period of six months.At which time I can request one (1) six month extension.If
approvedattheendoftheextension,theCaliforniaCodeofRegulations,asamendedby
the City of Hemet does not allow any additional extensions and Iwill need to resubmit
myplansforreviewandIwillberesponsiblefortheadditionalplancheckcosts.Delayby
anyagency,includingtheCityofHemet,willnotextendthistimeperiod.
ApplicantorAgentSignature:
Applicant’sSignature:____________________________________________________________
PrintName:____________________________________________________________________
TelephoneNumber:____________________Email:___________________________________
CityofHemet
BuildingDivision
COMPLETEONLYIFPLAN
REVIEWISREQUIRED
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APPLICATION FOR BUILDING PERMIT City of Hemet Department (City of Hemet)

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Completed 3 August 2020

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