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TOWN Building Safety Department (Town of Paradise Valley)

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TOWN Building Safety Department
Of 6401 E Lincoln Dr
Paradise Valley, AZ 85253
PARADISE VALLEY (480) 348-3692
(480) 443-3236 Fax
Date: _____________________________ Application / Permit #: ________________________________
Job Site Information
Assessor Parcel Number (APN):_
_____-______-______ ____Address:________________________
__________
Subdivision Name:________________________ Lot#: _____ Zoning: ________ Hillside:(____) Yes (____) No
Property h
as:(____)
Variance? (____) Special Use Permit? (____) Group Home? (____) Assisted Living?
(____) Medical Marijuana? (____) Stop Work Order? Other:______________________
Owner Information □ check here if owner/builder (see pg 2)
Owner Name: Phone: __________________________
Address (if different): _________________________________________________________________________
City: State: Zip Code: __________________
Applicant Information
Applicant’s relationship to owner: □ Agent □ Architect/Designer □ Contractor □ Other: __________________
Applicant Name: Phone: __________________________
Email: _____________________________________________________________________________________
Address (if different): _________________________________________________________________________
City: State: Zip Code: __________________
Contractor Information
Company Name: Phone: __________________________
Email: _____________________________________________________________________________________
Address: ___________________________________________________________________________________
City: State: Zip Code: __________________
Contact Name: _____________________________________ Phone: ________________________________
ROC License No.: __________________________________ AZ Sales Tax ID: ________________________
I hereby certify that the above information is true and accurate. I further certify that I will comply with all
Federal, State, County and Town laws relating to building construction.
__________________________________________________ □ authorization letter for agent
OWNER OR AUTHORIZED AGENT SIGNATURE if value > $25,000
Type of Improvement: (__) New Residence (__) Remodel (__) Addition (__) Accessory (__) Other: ________
Specify work:
Value: $___________________________________ Permit Fee:
FCV: $ Plan Review Fee:
STAFF USE ONLY: Hillside Approval: Date: Review Fee:
Final Inspection Required: Yes / No Assurance Required: Yes / No Assurance Amount:
Building Permit Application
*Please download and submit in adobe or
download and email to
PVPermitSubmittal@paradisevalleyaz.gov
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-----
Submit Form
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A separate application is required for each type of structure (i.e. SFR, Guest House, Ramada, Fountain, Fence,
etc). Since permits are only valid for 180 days, not all applications should be made at the same time.
Owner/Builder projects must be solely for occupancy by the owner and not intended for and not intended for
sale or rent within one year after completion or issuance of a certificate of occupancy. (A.R.S. § 32-1121)
______ Engineering Requirements: A Grading and Drainage Plan sealed by a Civil Engineer registered in AZ
will be required on a SFR or where 1,000 sf or more of impervious area is added or if the value of the
work is greater than $500,000. Where the scope of work is 300 sf or more of impervious area a G&D
plan may be required. See separate Engineering Checklist.
______ Written authorization required for anyone acting as an agent for the owner of the property (Value >$25k).
______ Demolition Permit is required any time more than 12 linear feet of wall, fence, roof or slab is removed.
______ Contractor’s Bond Exemption Certificate for new SFR or MRRA > 25% of FCV.
______ Dust Control Plan (attached) is req’d if the area disturbed is equal to or less than 0.10 acre.
______ Dust Control Permit from Maricopa County Air Quality Department is req’d if disturbance > 0.10 acre.
Sewer
Options
□ Septic
Maricopa County permit/approval req’d for new SFR, new fixtures or bedrooms; or
□ Phoenix
City of Phoenix sewer fee receipt for new sewer service; or
□ Existing PV
Written verification of water meter size and installation date; or
□ New PV
Application/Information sheet to be filled out and sewer development fees paid.
______ Two sets of stapled plans are required at initial submittal. Two (2) sets of corrected plans and the originally
redlined plans are required at resubmittal. Minimum plan size is 24” x 36”. Plans must be drawn to scale
and include:
______ Site Plan (may be the G & D) with all existing ROW(s), washes & easements with dimensions.
______ Open Space Criteria Site Plan with Control Points and related Roof Elevations (if required).
______ Foundation Plan with details. Show sizes, depth and reinforcing bars.
______ Floor Plan with dimensions and square footage. Heating & cooling equipment per Manual S / J.
______ Elevations shown from LOWEST NATURAL GRADE (LNG), not from Finished Floor (FF).
______ Plumbing with isometrics (waste & vent, gas, water) & water fixture unit calcs (w/ meter size).
______ Electric Plan (may be on Floor Plan) with one line diagram and load calcs.
______ Attic ventilation calcs and locations unless attic/rafter space is within building thermal envelope.
______ Complete Roof and Floor (if applicable) Framing Plan.
______ One (1) set of truss calcs and truss layout or completed truss deferral form.
______ For all new SFR regardless of value and for projects with a value of $500,000 or greater;
______ Two (2) sets of Native Plant Preservation Plan with attachments.
______ A “Release and Indemnity Agreement” is required if the site is in an area of low water pressure.
______ One CD-R (non-rewritable format) or USB flash drive in Adobe Reader / PDF format of G&D,
floor plan, & exterior building elevations. (SUBMITTED WHEN PERMIT IS ISSUED)
Water Meter Size: _______________________ (Req’d if a new meter is installed or existing meter is upsized)
SETBACKS OF STRUCTURE(S) MEASURED FROM PROPERTY LINE
SFR Accessory Accessory Other
Front ___________ (N, S, E, W) ___________ ___________ ___________
Rear ___________ (N, S, E, W) ___________ ___________ ___________
Side ___________ (N, S, E, W) ___________ ___________ ___________
Side ___________ (N, S, E, W) ___________ ___________ ___________
Height ___________ ___________ ___________ ___________
FLOOR AREA RATIO = ___________% ZONING: ___________ MULTI-FRONTAGE? Y / N
-----
TOWN Building Safety Department
Of 6401 E Lincoln Dr
Paradise Valley, AZ 85253
PARADISE VALLEY (480) 348-3692
(480) 443-3236 Fax
*For disturbed areas greater than 4,356 sf (1/10
th
of an acre) a Maricopa County Earthmoving Permit is required.
Dust Control Plan
(for disturbed areas up t
o 4,356 square feet*)
Date: _________________________ Address: __________________________________________
Choose at least one measure per (lettered) category. (Must be done for the life of the project.)
EARTHMOVING
(It is always an option to cease operations to prevent dust.)
A) Grading / Demolition / Landscaping / Weed Control:
□ Conduct watering as necessary to minimize visible emissions (increase frequency in high winds).
□ Thoroughly wet the site to the depth of any cuts.
B) Trenching / Screening / Backfilling:
□ Mist dust cloud resulting from trenching (increase frequency in high winds).
□ Mist material after it drops from screen (increase frequency in high winds).
□ Use water truck or large hose dedicated to trenching & backfilling operations.
SITE STABLIZATION / DISTRUBED SURFACE AREA
A) Temporary Stabilization: (Including weekends & holidays)
□ Water all areas at least twice a day until a crusted surface is formed.
□ Apply chemical stabilizers.
□ Additionally use wind fences / barriers / berms (not allowed as a primary measure).
When active operations will not occur for more than 15 days:
□ Apply dust suppressants to all disturbed areas to maintain stabilization.
□ Water all areas at least twice a day until a crusted surface is formed.
□ Additionally install temporary coverings / enclosures (not allowed as a primary measure).
B) Final Stabilization: Within 8 months after active operations have ceased:
□ Pave the affected area. □ Stabilize with gravel and/or recycled asphalt. □ Stabilize with vegetation.
C) Open Storage Piles:
□ Apply chemical stabilizers.
□ Apply water to the surface of areas of all open storage piles on a daily basis.
□ Additionally install temporary coverings / enclosures (not allowed as a primary measure).
MATERIALS HANDLING / HAULING
A) Materials Handling:
□ Thoroughly wet material prior to handling or loading.
□ Water and/or mist material while loading to minimize visible emissions.
B) Hauling: □ All haul trucks must be effectively covered with a tarp or other suitable enclosure.
ROADWAYS / ACCESS POINTS
A) Unpaved haul / access roads / equipment paths: Restrict vehicle speed to 15 mph.
□ Stabilize with gravel and/or recycled asphalt.
□ Apply chemical dust suppressants to maintain surface stabilization.
□ Water all surfaces as needed to minimize visible emissions.
B) Access Points: Vacuum or wet broom daily all dirt or mud on paved road.
□ Install a stabilized construction entrance / coarse gravel pad (Required if any hauling on or off site).
□ Install a wheel washer.
□ Limit, restrict and/or reroute motor vehicle access.
WATER SUPPLY
A) Availability: □ Water storage tank □ Metered hydrant □ Hose bibb □ Other: __________________
B) Application: □ By water truck(s) #____ gal/truck ______ □ By hoses □ By sprinklers
I hereby certify that I am familiar with the operations presented above and agree to conduct all operations in
compliance with the above, with Maricopa County Rule 310 and with all applicable environmental regulations.
_____________________________________________ _______________________________________
OWNER OR AUTHORIZED AGENT SIGNATURE Printed Name & Title
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TOWN Building Safety Department
Of 6401 E Lincoln Dr
Paradise Valley, AZ 85253
PARADISE VALLEY (480) 348-3692
(480) 443-3236 Fax
Washes, Retention Basins or Drainage Easements
Date: _________________________________________________________________
Address: ______________________________________________________________
Owner or Authorized Agent Name: __________________________________________
Type of structure: □ Single Family Residence
□ Guest House
□ Detached Accessory Structure
□ Fence
□ Retaining Wall
□ Swimming Pool (> 18” deep)
□ Spa
□ Pond (< 18” deep)
□ Water Fountain/Feature
□ Mailbox
□ Barbeque
□ Bench Seat
□ Fireplace
□ Firepit
□ Sports Courts
□ Batting Cage
□ Other: _____________________________________________
No excavation, filling, grading, dumping or building is allowed in a wash, retention basin
or drainage easement.
I hereby certify that the proposed structure will not be located in any washes, retention
basins or drainage easements.
__________________________________________________
OWNER OR AUTHORIZED AGENT SIGNATURE □ authorization letter for agent
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signature
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TOWN Building Safety Department
Of 6401 E Lincoln Dr
Paradise Valley, AZ 85253
PARADISE VALLEY (480) 348-3692
(480) 443-3236 Fax
Authorization Letter
An Authorization Letter is required when the work is valued at greater than $25,000 and
the owner wishes to use an agent.
Date: _____________________________________________________________________
Job Site Address:
Owner’s Name: _____________________________________________________________
Owner’s Address: ___________________________________________________________
Agent’s Name: _____________________________________________________________
Agent’s company name (if applicable): ___________________________________________
Type of construction: □ Single Family Residence □ Guest House
□ Remodel
□ Addition
□ Retaining Wall
□ Spa
□ Pool Deck
□ Driveway/Parking
Area
□ Bench Seat
□ Firepit
□ Batting Cage
□ Sport Court
□ Detached Accessory Structure
□ Demolition
□ Fence
□ Swimming Pool (> 18” deep)
□ Pond (< 18” deep)
□ Water Fountain/Feature
□ Mailbox
□ Barbeque
□ Fireplace
□ Tennis Court
□ Basketball Hoop Stanchion
□ Other:
I her
eby certify That the above information is true and accurate. I further certify that I
authorize the agent named above to obtain demolition and/or building permit(s) on
my behalf for the work specified above.
_________________________________________
OWNER’S SIGNATURE
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TOWN
Of
Building Safety Department
6401 E Lincoln Dr
Paradise Valley, AZ 85253
(480) 348-3692
(480) 443-3236 Fax
PARADISE VALLEY
Home Owners Associations (HOAs) & HOA Codes,
Covenants and Regulations (CC&Rs) Acknowledgment
Date:
Address:
Owner or Authorized Agent Name:
Subdivision covenants, conditions and restrictions (CC&Rs) may govern some of these
items even though they are not regulated by the Town. It is the applicant’s responsibility
to check with your homeowners’ association and/or assure compliance with applicable
CC&Rs before proceeding.
I hereby certify that I acknowledge that the subject property may be governed by a HOA
and may be subject to HOA approval(s).
OWNER OR AUTHORIZED AGENT SIGNATURE □ authorization letter for agent
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Square Footage Calculation Sheet
GRADING WORK
Cut CY Fill CY
Material to be hauled onto or off of the site: CY
NEW RESIDENCE
Livable SF Garage/Storage SF
Patio/Porch/Carport SF TOTAL NEW SF
REMODEL / ADDITION OF MAIN RESIDENCE
New Livable SF Existing Livable Remodel SF
New Garage/Storage SF Existing Garage Remodel SF
New Patio/Porch/Carport SF Garage to Livable Conversion SF
TOTAL NEW SF Carport to Garage Conversion SF
DETACHED ACCESSORY STRUCTURE (i.e. GUEST HOUSE, GARAGE, RAMADA)
New Livable SF Existing Livable Remodel SF
New Garage/Storage SF Existing Garage Remodel SF
New Patio/Porch/Carport SF Garage to Livable Conversion SF
New Gazebo/Ramada SF Carport to Garage Conversion SF
TOTAL NEW SF NEW IMPERVIOUS SURFACES
FENCE / SITE WALLS Uncovered Patio, Pool Deck, Driveway, Sport
TOTAL NEW LF & Tennis Court, Sidewalk, etc SF
DETACHED STRUCTURE CALCULATION
Detached Structures SF Ground Area of SFR SF
(Ground Area of SFR = First Floor Livable
Detached/SFR Ratio % + Covered Patios + Attached Garages)
(Detached Structures ÷ Ground Area of SFR = Detached/SFR Ratio)
FLOOR AREA RATIO (FAR) CALCULATIONS*
EXISTING SF
NEW SF
TOTAL SF (Existing + New)
Main Residence*
Detached Structures*
Total (Main Residence
& Detached Structures)
(* in determining the Floor Area Ratio, all the area under the roof, including overhangs, must be used)
Total Existing & New SF Total Lot Size SF
Floor Area Ratio % (Total Existing & New ÷ Total Lot Size = Floor Area Ratio)
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Completed 24 January 2021

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