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BUILDING PERMIT APPLICATION

  1. BUILDING PERMIT APPLICATION

  2. PART A - IDENTIFICATION

  3. * REQUIRED INFORMATION

  4. CONTRACTOR INFORMATION

  5. Plans Submitted By:

  6. PART B - DESCRIPTION OF PROJECT

    IMPORTANT: FOR ANY PROJECT OVER $50,000, A COPY OF STATE OF AZ BONDING CERTIFICATE OR WAIVER MUST BE PROVIDED WITH PERMIT APPLICATION OR APPLICATION WILL BE REJECTED.

  7. Provide a copy of contract (total fee page only)

  8. THE FOLLOWING INFORMATION IS REQUIRED FOR COMMERCIAL, INDUSTRIAL AND MULTIFAMILY PROJECTS ONLY

  9. PROPOSED CONSTRUCTION TYPE

  10. EXISTING CONSTRUCTION TYPE

  11. WALLS:

  12. WALLS:

  13. ROOF STRUCTURE:

  14. ROOF STRUCTURE:

  15. IF THIS IS AN EXISTING BUILDING, DOES IT HAVE A FIRE SPRINKLER SYSTEM?

  16. FIRE ALARM SYSTEM?

  17. PERMIT DELIVERY PREFERENCE:

  18. Under penalty of intentional misrepresentation and/or perjury, I declare that I have examined and/or made this application and it is true and correct to the best of my knowledge and belief. I agree to construct said improvement in compliance with all provisions of the Ordinances of La Paz County. I realize that the information that I have stated heron forms a basis for the issuance of the Building Permit herein applied for and approval of any plans in connection therewith shall not be construed to permit any construction upon said premises or use thereof in violation of any provision of the La Paz County Code or any other ordinance, or to excuse the owner or his successors from complying therewith. I understand that the filing of an application containing false or incorrect information with the intent to avoid the licensing requirements of A.R.S. Title 32, is falsification pursuant to A.R.S. Section 13-2704 and is Class 2 misdemeanor.

  19. PART C - PROPERTY INFORMATION

  20. Is this property in a Subdivision?

  21. Is this property ina Mobile Home/RV Park?

  22. Do you currently have a septic system permit from the Community Development Department?:

      Please Note: Non recorded septic systems must be located and verified on the property by the La Paz County Community Development Department prior to issuance of construction or placement permits.

    1. If no, have you applied for a septic system permit from the Community Development Department?

          The issuance of this permit does not allow development of land uses not in compliance with the La Paz County Zoning Regulations. On State Highways and County roads, an encroachment permit may be required.

        1. PART D - LICENSING AND EXEMPTIONS

        2. I am currently a licensed contractor.

        3. Electronic Signature Agreement

          By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

        4. EXEMPTION FROM LICENSING - I am exempt from Arizona Contractors: license laws on the basis of the license exemptions contained in A.R.S. § 32-1121A namely:

        5. I UNDERSTAND THAT THE EXEMPTION PROVIDED BY A.R.S. §32-1121A.14 (THE HANDYMAN EXEMPTION) DOES NOT APPLY TO ANY CONSTRUCTION PROJECTS WHICH REQUIRE A BUILDING PERMIT AND/OR THE TOTAL COST OF MATERIALS AND LABOR ARE $750.00 OR MORE.

        6. I will be using the following licensed contractors on this project:

        7. Falsification of information on this document for the purpose of evading state licensing laws is a class 2 misdemeanor prsuant to A.R.S. §13-2704

        8. We require a Plot or Site Plan to be submitted along with this permit application. You may mail it, FAX it, bring it in personally or upload it with your online application.

        9. Supplying two copies of the Actual Plans to the Building Department will still be required for review.

        10. PLOT or SITE PLAN

          Plot or Site Plan must show the following information: I. All parcel property lines (include all dimensions in feet). II. Location of new dwelling?structure (in relation to property lines). III. All existing structures and distances between these structure. IV. Distance between all structures, property lines and neighbor's structure. V. Location of septic tank, leach field and reserve area. VI. All easements, washes, embankments, slopes etc. a. Affected roads, easements, and right-of-ways should be shown. Properties situated on State or County roads will need to furnish proof that the appropriate agency concurs or waives applicable permits, i.e. encroachment permits for ingress/egress on State and County highways.

        11. Leave This Blank:

        12. This field is not part of the form submission.