Attachment J01c CRIT Permit Requirements and Forms.pdf

CRIT Building & Safety Permit Application Requirements

Applies To:

• New Residential Construction

• New Commercial Construction

• Manufactured Mobile Home Placement

• Building/Room Additions

• Garage, Storage, Shed, Awning, Deck

• Vehicle Shade, Carport, Breezeway, Patio

• Swimming Pool, Spa

• Retaining Wall, Fence over 6 ft• Grading, Demolition

• Electrical, Plumbing, Gas Line, Mechanical Work

What You Need to Submit:

._ Completed Application Form

• Complete Site/Plot Plan

a) All parcel property lines (include all dimensions in feet), location of new dwelling/structure in relation to property lines), distance between all structures, property lines and neighbor's structures.

♦ Owner Builder Statement Owner Builder Statement signed by owner if applicable. Does not apply to leased land (must provide a copy of title deed or your notarized warranty deed).

OR

i Contractor Statement

a. Complete name of company, phone and license number

b. Copy of contract fee page

c. Contractor Building Statement signed by contractor and a listing of sub contractors

._ Two (2) sets of construction plans (plans need to be stamped by a licensed architect). One set will be returned to you (with the CRIT inspectors stamp) and your approved permit. Please Note: It is possible plan reviews will be completed by CRIT'S 3rd party plan reviewer, and if need be, you will be responsible for submittals and fees.

NOTE: Please allow 5-7 working days processing time for the issuance of your permit.

CRIT Building & Safety 26600 Unit D. Mohave Rd. Parker, AZ. 85344

(928) 575-1186, (928) 669-1294 Krystal.laffoon@crit-nsn.gov

Laura Fisher Typewritten Text

Laura Fisher

Laura Fisher Typewritten Text

Laura Fisher Typewritten Text

Laura Fisher Typewritten Text

Laura Fisher

* Park manager verification letter * Big River Development verification letter

DFarley Highlight

DFarley Highlight chcampos Highlight Complete Site/Plot Plan

a) All parcel property lines (include all dimensions in feet), location of new dwelling/structure in relation to property lines), distance between all structures, property lines and neighbor's structures.

J0BA00RESS

COLORADO RIVER INDIAN TRIBES

DEPARTMENT OF BUILDING & SAFETY

26600 MOHAVE RD• PARKER, ARIZONA 85344

(928) 669-1346 or 669-1294 • FAX (928) 669-1231

BUILDING PERMIT

1 LEGAL I LOT NUMBER I BLOCK I TRACT 0 (SEE ATTACHED SHEET)

0ESCR

2 OWNER MAIL ADDRESS ZIP PHONE

3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO

4 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO

5 ENGINEER MAIL ADDRESS PHONE LICENSE NO

6 LENDER MAIL ADDRESS BRANCH

7 USE OF BUILDING

B CLASS OF WORK: □ NEW 0 ADDITION 0 ALTERATION 0 REPAIR □ MOVE

9 DESCRIBE WORK

10 CHANGE OF USE FROM

CHANGE OF USE TO

11 VALUATION OF WORK: S

PLAN CHECK FEE PERMIT FEE

SPECIAL CONDITIONS

TYPE OF OCCUPANCY

CONST. GROUP

SIZE OF BLDG. N00F

IT0TALI SO. FT. STORIES

FIRE USE

APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: ZONE ZONE

NO. OF

DWELLING UNITS COVERED

NOTICE SPECIAL APPROVALS REQUIRED RECEIVED

SEPARATE PERMITS MAY BE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILAT- ZONING

ING OR AIR CONDITIONING. HEALTH DEPT

FIRE DEPT

THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT SOIL REPORT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABAN- OTHER (Specify)

00NED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED

I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE BUILDING INSPECTION APPROVALS

SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERN-

FOUNDATION SET BACK ING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT.

THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR FOOTINGS INSPECTION

CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING C0NSTRUC- REINFORCING

TI0N OR THE PERFORMANCE OF CONSTRUCTION. ROUGH PLUMBING (WATER TEST)

CONCRETE SLAB

FRAMING

INTERIOR LATHING OR DRYWALL

SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE

EXTERIOR LATHING

SIDING

ROOFING - NAIL INSPECTION

SIGNATURE OF OWNER (IF OWNER-BUILDER) DATE FINAL

WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT

PRINTING PLUS 1-800-760-7772

REV. 04114 WHITE - Inspector CANARY - Accounting PINK • Applicant

0 REMOVE

DIVISION

MAX

0CC. LOAD

FIRE SPRINKLERS

REQUIRED □YES □ NO

UNCOVERED

NOT REQUIRED

DATE INITIAL

JOB ADDRESS

1 LEGAL l LOT NUMBER

DESCR

2 OWNER

3 CONTRACTOR

4 ARCHITECT OR DESIGNER

5 ENGINEER

6 LENDER

7 USE OF BUILDING

8 GLASS OF WORK: 0 NEW

9 DESCRIBE WORK

COLORADO RIVER INDIAN TRIBES

DEPARTMENT OF BUILDING & SAFETY

ROUTE 1, BOX 23-B • PARKER, ARIZONA 85344

(520) 669-1346 or 669-1294 • FAX (520) 669-1231

MECHANICAL PERMIT

1 BLOCK 1 TRACT □ (SEE ATTACHED SHEET)

MAIL ADDRESS ZIP PHONE

MAIL ADDRESS PHONE LICENSE NO

MAIL ADDRESS PHONE LICENSE NO

MAIL ADDRESS PHONE LICENSE NO

MAIL ADDRESS BRANCH

0 AOOITION 0 ALTERATION 0 REPAIR 0 MOVE

TYPE OF FUEL: OIL □ NAT. GAS □

SPECIAL CONDITIONS PERMIT FEES

No. Type of Equipment

· FORGED AIR SYSTEMS·BTU/H M EA.

GRAVITY SYSTEMS-BTU/H M EA.

FLOOR FURNACES

WALL HEATERS

APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY: UNIT HEATERS

GAS-FIRED A.G. UNITS-BTU/H

AIR·GOND. UNITS-HP EA.

NOTICE REFRIGERATION UNITS-HP EA.

THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT BIOLERS-HP EA.

COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABAN-

AIR-HANGING UNIT- C.F.M.

DONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED EVAPORATIVE COOLERS

VENTII •TI0N FAN

I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE RANGE HOOD

SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERN- INCINERATOR

ING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. CLOTHES DRYERS

THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR

CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC-

TION OR THE PERFORMANCE OF CONSTRUCTION.

SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT DATE

PERMIT

SIGNATURE Of OWNER (If OWNER-BUILDER) DATE TOTAL FEE

WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT

PRINTING PLUS 1·800-760-7772

REV. 02101 WHITE - Inspector CANARY · Accounting PINK· Applicant

0 REMOVE

LPG □

Fee

JOB ADDRESS

DEPARTMENT OF BUILDING & SAFETY

26600 Mohave Rd • PARKER, ARIZONA 85344

(928) 669-1346 or 669-1294 • FAX (928) 669-1231

ELECTRICAL PERMIT

1lEGAL I LOT NUMBER ·I BLOCK I TRACT □ (SEE ATTACHED SHEEl)

DESCR

2 OWNER MAIL ADDRESS ZIP PHONE

3 CONTRACTOR MAIL ADDRESS PHONE LICENSE NO

4 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO

5 ENGINEER MAIL ADDRESS PHONE LICENSE NO

6 LENDER MAIL ADDRESS BRANCH

7 USE OF BUILDING

8 CLASS OF WORK: 0 NEW 0 ADDITION □ ALTERATION 0 REPAIR

9 DESCRIBE WORK

10 CHANGE OF USE FROM

CHANGE OF USE TO

11 VALUATION OF WORK: $ PERMIT FEES

SPECIAL CONDITIONS

RECEPTACLE TOTAL

LIGHT OUTLETS

SWITCH

APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FOR ISSUANCE BY:

LIGHTING TOTAL

FIXTURES FIXTURES

NOTICE RANGES CLO. DRYER WTR. HTR.

THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR- GARBAGE OISP. STA. COOK TOP

IZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS DISH WASH. CLOTHS WASH.

SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER SPACE HTR. STA APPL 1 HP MAX

WORK IS COMMENCED

I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND MOTORS: HP

KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND

ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH

WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT I NO. TRANS.

PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY SIGNS

I NO.LAMPS OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORM-

ANGE OF CONSTRUCTION. TEMP. POWER □ POLE □ UNDGD.

SERVICE

0-200A

0 NEW 201-1000A

SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE 0 CHANGE OVER 1DDDA

PERMIT ISSUING FEE

SIGNATURE OF OWNER (IF OWNER-BUILDER) DATE TOTAL FEE

WHEN PROPERLY VALIDATED (IN THIS SPACE) TH!S rs YOUR PERMIT Date Green Tagged Inspected By

WHITE - Inspector CANARY · Accounting PINK - Temporary

No. Each Fee s s

PRINTING PLUS 1·800-760-7772

REV. 4/14

DEPARTMENT OF BUILDING & SAFETY

ROUTE I, BOX 23-B • PARKER, ARIZONA 85344

(520) 669-1346 or 669-1294 • FAX (520) 669-1231

PLUMBING PERMIT

JOB AOORESS

1 LEGAL I LOT NUMBER I BLOCK I TRACT □ (SEE ATTACHED SHEET)

OESCR

20WNER MAIL ADDRESS ZIP PHONE

3 CONTRACTOR MAIL ADDRESS PHONE LICENSE ND

4 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE ND

5 ENGINEER MAIL ADDRESS PHONE LICENSE NO

6 LENDER MAIL ADDRESS BRANCH

7 USE OF BUILDING

8 CLASS OF WORK: □ NEW □ ADDITION □ ALTERATION □ REPAIR □ MOVE

9 DESCRIBE WORK

10 CHANGE OF USE FROM

CHANGE OF USE TO

11 VALUATION OF WORK: S PERMIT FEES

No. Type of Fixture or Item

SPECIAL CONDITIONS

WATER CLOSET (TOILET)

BATHTUB

LAVATORY /WASH BASIN\

SHOWER

APPLICATION ACCEPTED BY: PLANS CHECKED BY: APPROVED FDR ISSUANCE BY: KITHCEN SINK & DISP.

DISHWASHER

LAUNDRY TRAY

NOTICE CLOTHS WASHER

SEPARATE PERMITS MAY BE REQUIRED FDR ELECTRICAL, PLUMBING, HEATING, VENTILAT· URINAL

ING OR AIR CONDITIONING. DRINKING FOUNTAIN

THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT FLOOR· SINK DR DRAIN

COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION DR WORK IS SUSPENDED DR ABAN· SI np SINK

DONED FDR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED SEWER

I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE

CESSPOOL

SAME TO BE TRUE AND CORRECT. All PROVISIONS OF LAWS ANO ORDINANCES GOVERN· SEPTIC TANK & PIT

ING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. WATER HEATER THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR WASTE INTERCEPTOR

CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC·

TION OR THE PERFORMANCE OF CONSTRUCTION. WATER PIPING & TREATING EQUIP.

LAWN SPRINKLER SYSTEM

VACUUM BREAKERS

GAS SYSTEM: NO OUTLETS

SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE

PERMIT

SIGNATURE OF OWNER (IF OWNER-BUILDER) DATE TOTAL FEE

WHEN PROPERLY VALIDATED jlN THIS SPACE) THIS IS YOUR PERMIT

PRINTING PLUS 1·800-760-7772

REV. 02/01 WHITE - Inspector CANARY - Accounting PINK - Temporary GOLDENROD · Applicanl

□ REMOVE

Fee s chcampos Text Box IHS Note: IHS has already submitted the construction drawings which included a Plot or Site Plan for CRIT review. The contractor is still required to submit a Plot or Site Plan and add any needed information that CRIT may require to receive approval for construction.