Fillable Building Permit Application - Residential (City of Stephenville)

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Building Permit Application - Residential (City of Stephenville)

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The Building Permit Application - Residential (City of Stephenville) form is 6 pages long and contains:

  • 4 signatures
  • 34 check-boxes
  • 176 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Stephenville

BROWSE CITY OF STEPHENVILLE (TX) FORMS

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Building Permit #
_
_
RESIDENTIAL
BUILDING
PERMIT APPLICATION
CLASS OF WORK STRUCTURE USE
STRUCTURE USE WORK DESCRIPTION
NEW
Single Family
Storage
Wood Frame/Brick Veneer
Living Area: _ _#Units ft²
ADDITION
Duplex Carport
Wood Frame/Other Siding
Garage Area: _ _#Units ft²
Multi-Family
Patio
Concrete Block Additions: _ _#Units ft²
ALTERATION
Other:
Other:
Accessory: _ _#Units ft²
REPAIR
STRUCTURE
Primary Exterior Material:
Total Primary Ext. %:
DEMOLITION
Attached Detached Secondary Exterior Material:
Total Secondary Ext. %:
Mechanical Sub-Contractor’s Name Mechanical Contractor’s Phone # Mechanical Contractor’s Mailing Address Texas Contractor’s License #
Electrical Sub-Contractor’s Name Electrical Contractor’s Phone # Electrical Contractor’s Mailing Address Texas Contractor’s License #
Plumbing Sub-Contractor’s Name Plumbing Contractor’s Phone # Plumbing Contractor’s Mailing Address Texas Contractor’s License #
Other’s Name Other’s Phone # Other’s Mailing Address Texas Other’s License #
Architect Name Architect Phone # Architect Mailing Address Texas Architectural License #
Structural Engineer Name Structural Engineer Phone # Structural Engineer Mailing Address Texas Engineering License #
Mechanical Engineer Name Mechanical Engineer Phone # Mechanical Engineer Mailing Address Texas Engineering License #
Electrical Engineer Name Electrical Engineer Phone # Electrical Engineer Mailing Address Texas Engineering License #
Plumbing Sub-Contractor’s Name Plumbing Engineer Phone # Plumbing Engineer Mailing Address Texas Engineering License #
Civil Engineer Name Civil Engineer Phone # Civil Engineer Mailing Address Texas Engineering License #
INCLUDED WITH APPLICATION
(please refer to back page for reference)
CITY OF STEPHENVILLE USE ONLY
Site Plan
TDLR # MEP Plan
Landscaping Plan
Received / / .m.
Survey
COM check
Foundation Plan
Irrigation Plan
Approved / /
.m.
Building Plan
Asbestos Report Digital Plan
Civil Plan
Contacted / / .m.
Current Zoning Classification
Other:
NOTICE – PLEASE READ BEFORE SIGNING
A minimum 48-hour review period begins at 9:00 a.m. on the day following receipt of this application. No work shall be
performed, nor any accepted until a permit has been issued.
Development Services Residential – Building Permit Application Permits@Stephenvilletx.gov (254) 918- 1213 (254) 918- 1214
Physical Address/Intersection:
Name of Project:
Within a NFIP Floodway:
YES NO
Abstract/Addition:
Lot(s):
Zoning:
Applicant/Owner Phone Number:
Applicant/Owner: DRIVER LIC #
Applicant/Owner E-mail:
Mailing Address:
City:
State:
Zip:
Contractor’s Name
Contractor’s Phone Number
Contractor’s Mailing Address & Zip
VALUATION (PARTS AND LABOR)
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signature
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Building Permit #
Two (2) copies of the Form Board Survey are required to be submitted to the City of Stephenville prior to any foundation inspection
on all new structures.
Prior to issuance of a Building Permit, the following items should be submitted in the office of Community Development with
an Application for Building Permit. After receiving the necessary items, a review period shall begin.
(1)
A site plan containing the following:
(a)
All lot lines and lot dimensions
(b)
All existing and proposed buildings
(c)
Distances between lot lines and
buildings (existing and proposed)
(d)
Driveways with dimension
(e)
Neighboring Driveways
(f)
All existing and proposed utilities
FOUR (4) DWELLING UNITS AND BELOW
GENERAL LAYOUT OF THE SITE
(g)
All existing and proposed utility easements
and right of way with dimensions
(h)
Building set back lines with dimensions
(i)
Scale, North Arrow, Date, Contact information
(2)
A floor plan of the building containing the following:
(a)
All exterior walls and dimensions
(b)
All interior partitions
(c)
Location of all plumbing fixtures, HVAC units,
and electrical appliances
FIVE (5) DWELLING UNITS AND ABOVE
(1)
A scale drawn* site plan containing the following:
(a)
All lot lines and lot dimensions
(b)
All existing and proposed structures
(c)
Distances between lot lines and buildings (existing and proposed)
(d)
Distances between buildings
(e)
Finished floor elevations
(f)
Proposed routing of drainage water showing all drain ways, curbs, retaining walls, etc.
(g)
All required parking spaces and loading areas
(h)
Driveway approach
(i)
Neighboring Driveway Approach
(j)
All existing & proposed utilities
(2)
A scale drawn* plan of the building containing the following:
(a)
All exterior walls and dimensions
(b)
All interior walls and partitions
(c)
Location of all plumbing fixtures, HVAC units and electrical appliances
(d)
Engineered Mechanical, Plumbing, Electrical & Structural
(3)
Engineered drainage plan.
(4)
Landscape plan. Landscape plan is not required to be prepared by a registered or certified professional).
(5)
Was an asbestos survey performed in accordance with Texas Asbestos Health Protection Rules (TAHPR) and the National
Emission Standards for Hazardous Air Pollutants (NESHAP)? Yes No*
Date of survey: / / TDH Inspector License No.
*If the answer is No, then as the owner/operator of the renovation/demolition site, I understand that it is my responsibility to have this
asbestos survey conducted in accordance with Texas Asbestos Health Protection Rules (TAHPR) and the National Emission Standards for
Hazardous Air Pollutants (NESHAP) prior to a renovation/demolition permit being issued by the City of Stephenville.
(6)
Res Check report
(7)
TDLR – AB Registration Number:
(8)
Provide a digital format of a final site plan, floor plan and drainage plan on all commercial and multi-family structures.
Digital Submittal
a.
All electronic files are to be provided in AutoCAD 2009 dwg. file format or later versions.
b.
All external references files must be combined with the dwg submittal.
c.
CD-R may be 650MB, 700MB or larger, (NO ZIP or EXE files shall be submitted with drawings.)
NOTICE – PLEASE READ BEFORE ISSUING A PERMIT
Development Services Residential – Building Permit Application Permits@Stephenvilletx.Gov (254) 918- 1213 (254) 918- 1214
Contractor Acknowledgements
ONLY individual contractors should complete this form
MUST BE Signed by the **MASTER LICENSE** HOLDER
Construction Address:
General Contractor/Builder:
GC/Builders Address:
MASTER ELECTRICIAN’S STATEMENT
Cell #
Office Phone:
I, , do acknowledge that I will be doing the electrical work for the
Construction at the above stated address. I further acknowledge that the above stated
contractor will be obtaining the electrical permit for this project.
Date: Signature: License #
Company name, address & phone number:
MASTER PLUMBER’S STATEMENT
I, , do acknowledge that I will be doing the plumbing work for the
Construction at the above stated address. I further acknowledge that the above stated
contractor will be obtaining the plumbing permit for this project.
Date: Signature: License #
Company name, address & phone number:
MECHANICAL/HVAC STATEMENT
I, , do acknowledge that I will be doing the mechanical/HVAC work
for the Construction at the above stated address. I further acknowledge that the above stated
contractor will be obtaining the mechanical permit for this project.
Date: Signature: License #
Company name, address & phone number:
Development Services Residential Building Permit Permits@Stephenvilletx.Gov 254-918-1213 / 25-918-1214
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298 W. Washington – Stephenville, TX 76401 (254)918-1213/ (254)918-1214
Contractor Registration Form Updated: February 7, 2012
Contractor Registration Form
(Mechanical, Electrical, Plumbing, Irrigation, Backflow, and Sign)
Building Inspections
The following documents are required for initial registration or changes to a current registration
with the City of Stephenville (No form is needed for a renewal.):
This completed application (Fill in every spac. Incomplete form will not be recognized.)(PLEASE PRINT)
Copy Mechanical, Electrical, Plumbing, Irrigation, Backflow, and Sign license with the State of Texas
Copy of Driver’s License and current contractor’s insurance policy.
Copy of Irrigator’s current gauge calibration.
Authorized signers: You have two ways to add authorized signers to your registration. You can provide
either one.
1. On company letterhead, provide a letter indicating by name each person who has permission to pull
permits. The letter must be signed by the license holder and dated.
2. In place of a letter, you can fill out the section below for authorized signers and sign.
Contractor Type :
(Please Circle )
Mechanical
Plumbing
Backflow
Electrical
Irrigator
Sign
License Holder Name:
Texas License#: Exp. Date:
Exp Company Name:
Mailing Address:
Physical Address:
City:
State:
Zip Code:
Phone Number
2
nd
Phone Number
Emergency #
Fax #
Company Owner’s Legal Name:
Email Address:
List of persons who are authorized to pull permit in name of contractor:
(If no one else is authorized but the license holder please label “license Holder”)
License Holder’s Name Print:
License Holder’s Signature:
Issued ID: _____________________
(City Personnel Only)
General
Contractor
Email: permits@stephenvilletx.gov
(254)918-1213/(254)918-1214 Grading and Excavation February 8, 2012
Commercial
Industrial
Alteration
SOIL
EXCAVATION
SIDEWALK
REMOVAL
ASPHALT
REMOVAL
OTHER______________
Electrical Power Distribution
Water Distribution
(Blue)
Irrigation
(White)
Alteration
GRADING & EXCAVATION
APPLICATION
Application Date:
G & E Permit No:
START Date: COMPLETION Date:
Abstract/Addition:
Acres/Block:
Lot(s):
Physical Address:
Applicant/Owner:
Name of Project:
Mailing Address:
City:
State:
Zip:
Phone Number:
Fax Number:
E-mail:
Within a NFIP Floodway:
YES NO
TASK (check appropriate areas)
Location, Depth and Description of Work: (Site drawings required)
INVESTIGATION RESULTS
1) Provided a set of plans, specification and pre-site picture of the proposed construction? ( ) YES ( ) NO
2) Is any additional information required? ( ) YES ( ) NO
If so, please state:
3) Were any other federal, state or local permits submitted? ( ) YES ( ) NO
If so, please state:
Applicant/Spotters Comments:
Applicant Signature:
Applicants Name (Print):
Date:
Subdivision
Placement of Fill
Other:
Natural Gas Distribution
(Yellow)
Electrical Power Distribution
(Red)
Storm Drain Lines
(Purple)
Sanitary Sewer Lines
(Green)
Communication
(Orange)
Television Cable
(Orange)
(254)918-1213/(254)918-1214 Grading and Excavation February 8, 2012
Permit Conditions:
1. This permit is task specific (Identified on page 1 of this application and approved plans).
2. This permit is required for each excavation activity over 12 inches or any excavation beneath concrete
sidewalks or asphalt.
3. This permit is valid from the proposed start date to the proposed completion date. The Excavator is
responsible for maintaining spotter’s marks after permit is issued. Request a Re-spot if spotter’s marks
are not clearly visible.
4. This permit and all attachment shall be kept at the excavation site during excavation activities.
5. This permit is not intended to be a complete work release document. Other documents or attachment
may be required prior to work.
6. This permit is not intended for the installation of utility lines and foundations.
General Requirements:
A Grading and Excavation Permit is required for the following activates:
1. Digging, saw cutting, drilling, coring or trenching into soil, concrete sidewalks, or asphalt to a depth
greater than 12 inches or into soil beneath concrete sidewalks or asphalt.
2. Excavation into subsurface soil in buildings beneath slabs greater than two inches.
3. Scraping, blading or excavation of any area previously undisturbed or that appears to be undisturbed,
such as areas covered with native vegetation, and blading or improvements to previously unimproved
roads or paths.
4. Any additional fill material introduced to the site for development.
Suspending Work!
Any and all individuals working under this permit are authorized and required to stop any work activity if:
Conditions differ from those that have been investigated.
Unusual odors are discovered during earth work activities.
Soils are stained
Buried debris or visible signs of contaminations are observed.
There is any question about the validity of this permit or accuracy of the spotting or utility location.
Any utility line located, not identified by the site plan and/or spotter.
Pre-Site Picture:
System Contacts:
In the event of an EMERGENCY:
Dial 911
Utility
Phone No.
Electrical, Gas, Communication
Dig Tess - Dial 811
Water and Sanitary Sewer
City of Stephenville - (254)918-1257
Cable Television
Northland Cable (254) 918-4189
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Building Permit Application - Residential (City of Stephenville)

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Completed 24 January 2021

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