Fillable Building Application Form Development and / or

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Building Application Form Development and / or

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Country of origin: CANADA
File type: PDF

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PLANNING AND DEVELOPMENT
SERVICES
Mailing Address:
453 West 12
th
Avenue, Vancouver BC V5Y 1V4
tel: 604.873.7611
Development and / or
Building Application Form
To help expedite submission of your application, please fill out BOTH sides of this information sheet prior to attending the Application Preview counter
located in the Development and Building Services Centre, Ground Floor, 515 West 10th Avenue (West Annex, City Hall).
JOB LOCATION (Correct and complete addressing is important. Complete this section carefully.)
Address: Specifics:
Floor Level: Suite No
:
Legal Description:
Lot(s) Block(s) District
Lot(s) Plan Number(s)
Are you aware of the presence of any contaminated soils on the subject property?
Yes No
Are you aware of the existence of any contaminated soils studies, reports, soil agreements, or Ministry of Environment
orders or letters with respect to the subject property?
Yes No
Is the building being converted to strata-title ownership?
Yes No
Note: I
f you intend to convert an existing building to strata title ownership, please contact Subdivision and Strata Title
staff at 604.871.6627 for information on the strata conversion process in advance of the issuance of any permits.
This area must be completed by the person signing the application form
Your Name: You are the:
01
Property Owner
Mailing Address: 02
Contractor
03
Certified Professional
City: Postal Code: 04
Design Professional
05
Tenant
E-mail Address: 06
Agent for Owner
07
Agent for Tenant
Phone Number: Fax Number: 08
Consultant
09
Non-profit Association
Company Name: Cert. No:
10
Civic Department
Business License
Account Number: 98 Other
Note: Contractors/design professionals/consultants MUST have a valid Business License to do work in the City of
Vancouver. You may obtain current business license account numbers from the Business License Counter.
Complete the following for ALL applications
Property Owner’s Name:
Address:
City:
Postal Code:
Phone Number:
Is the owner aware of this application? Yes
No
Contractor’s Name:
Address:
City:
Postal Code:
Phone Number:
Business License Account Number:
Tenant’s Name:
Address:
City:
Postal Code:
Phone Number:
Job Contact:
Address:
City:
Postal Code:
Phone Number:
Please continue application on reverse
Qualified Professional Contact Name (required for Salvage & Abatement):
Address:
City: Postal Code:
Phone Number:
Business License Account Number:
City of Vancouver Development and/or Building Permit Form continued
This application is to: (Check applicable boxes)
001 Construct a new building(s)
002 Add to an existing building
003 Alter the interior/exterior
004 Add to a building and alter the existing portion
005 Add to a building and change the use
006 Add to the building, alter existing portion and change
use
007 Interior/exterior alterations and change of use
008 Enclose an area of an existing building (balcony
enclosures)
011 Project/Site Permit
014 Change of use
015 Retain use
016 Alter grade (raise or lower grade)
022 Alterations to legalize a suite
023 Alterations for a new suite
026 Demolish
Commercial
Fire damaged building
Non-rental one-family dwelling
Heritage building
Residential rental building
028 Temporary tents
030 Construct a garage/carport
031 Add/alter/demo garage/carport
038 Construct partial - framing, etc.
040 Excavate - valid for project address et al.
041 Move building from another site
042 Move building on the same site
043 Install a pool, fence, tennis court, boat ramp, sign, or
similar
044 Upgrade seismic and/or sprinkler
045 Mechanical kitchen exhaust, roof top unit, satellite dish
046 Prefabricated structure placed on site
047 Fire damage repair
048 Flood damage repair
050 Landscape only
053 Building envelope repair
Is this a new tenant? Yes No
What is the ex
isting use?
What is the pro
posed use?
How many sto
reys?
How many levels of underground parking?
How many new rooftop units?
Describe wor
k to be done:
(Complete ca
refully, Your application will be based on your
written description.)
What is the value of the work proposed? (Include cost of
plans, material and labour)
$
Will any of
the following be altered/repaired/installed?
Select all that apply:
Electrical Gas Drain Tile
Plumbing Sprinkler Fire Alarm
Sprinkler C
ontractor’s Name:
Note: If the sprinkler contractor noted on this application
changes, please notify the City of Vancouver in writing
within 24 hours.
Special Sprinkl
er Inspection Number SP
Office Use Only
Office Use Onl
y Invoice #
BU
DE
Complete the following for all residential buildings
Existing Pro
posed
Total number of dwelling units:
Total numbe
r of housekeeping units:
Total number of sleeping units:
Office Use Only
BU ( WWOP? ) _______________________________________
DE ________________________________________________
DT ________________________________________________
BG ____________________ f/m _______________________
ENV. PROT. Site
Profile ______________________________
SUBTOTAL __
________________________________________
SP ________________________________________________
TOTAL _____________________________________________
Complete the following related permit information
Development
Permit/Application Number DE
Minor Amen
dment Number DE
Building Permit/Application Number BU
Board of Varia
nce Appeal Number Z
Combined Per
mit Application Number DB
As owner or owner’s agent, I have verified that the information contained within this document and associated applications and plans is correct, and
describes a use, a building or a work which complies with all relevant by-laws and statutes. I understand that personal information contained in this form
will not be released to the public except as required by law; however, all associated applications and plans will be made publicly available during the
development or building application process. I acknowledge that responsibility for by-law compliance rests with the owner and the owner’s employees,
agents and contractors. I will indemnify and save harmless the City of Vancouver, its officials, employees and agents against all claims, liabilities and
expenses of every kind, in respect to anything done or not done pursuant to this application or fact sheet or ensuing permit, including negligence and/or
the failure to observe all by-laws, acts or regulations.
SIGNED AT VANCOUVER, B.C. THIS DAY OF 20
SIGNATURE OF APPLICANT
DOC/2016/081493 (Revised March 2016)
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Completed 3 February 2022

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