Commercial Building Permit Application - City Of Auburn - 2016 Page 2
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1
2BUILDING/FIRE
Yes No
Zoning Designation:________________
Modular Building
Type of Construction (IA, IB, IIA, IIB,
IIIA, IIIB, IV, VA, VB):_______________
Change of Use (Y/N): Yes No
Parking:
Number of Stories:_________________
Yes No
Number Required:_______________
Vacant Site (Y/N):
Building Height:___________________
Number Provided:_______________
Fire:
Building/Tenant Sq. Footage:________
Sprinklers Required: Yes No
Accessible Spaces:______________
Conditioned Space Footage:_________
Number of Dwelling Units:__________
Sprinkled Area Sq. Footage: _______
Yes No
Natural Gas to Site?
Yes No
Yes No
Power to Site?
Fire Alarms:
Mixed Occupancy (Y/N): ______________
Will there be a change in use (Y/N):______________
Occupancy Classification ________, _______________ Sq. Ft.
If yes, Existing Use:_________________________
Occupancy Classification ________, _______________ Sq. Ft.
If yes, Proposed Use: _______________________
Occupancy Classification ________, _______________ Sq. Ft.
Proposed Occupancy Load:____________________
Occupancy Classification ________, _______________ Sq. Ft.
SPECIAL TESTING AND/OR INSPECTIONS
Yes No
Will this project require any special testing or inspections:
If yes, please include the City of Auburn “Agreement for Testing and Special Inspection” form which is available at
ADDITIONAL INFORMATION
HALF STREET IMPROVEMENTS:
Required Half Street Improvements have already been completed.
Required Half Street Improvements have not been completed and are proposed to be completed as part of this
development.
Required Half Street Improvements have not been completed and are proposed to be deferred to a later time.
USE OF OTHER PROPERTIES:
Yes No
Does the proposed development activity rely upon the use of other properties (e.g. easements across another
property). If you check yes, please provide a copy of the legal document that indicates that the other property may be used to
serve the proposed development. Also, please depict this information on any site plan drawings that are attached to this
application.
IS THE PROPERTY WITHIN A FLOOD HAZARD AREA? Yes No
APPLICANT REPRESENTATIVE
If not listed on Page 1
(
)
Owner
Contractor
Architect
Engineer
On behalf of:
Company Name:__________________________________ Representative Name: ______________________________
Address: ________________________________________ City: ___________________ State: ______ Zip: __________
Phone: _____________________ Fax: ________________ E-mail: ____________________________________________
I certify that I have read this application and declare under penalty of perjury that the information contained herein is correct and
complete. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby
authorize representatives of this city to enter upon the above mentioned property for inspection purposes. I am either the owner
of the property on this permit application, the Washington State registered contractor for the work, or I represent the owner or
contractor as signified above and am acting with the owner’s/contractors full knowledge or consent.
Signature: _________________________ Printed Name: _____________________________ Date: __________________
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