Civic Address(Street No. & Name)

Civic Address(Street No. & Name):

OFFICE USE ONLY:
Building Permit No.:______
Folio/Roll No.:______
Application Processing Fee Receipt #:______
Building Permit Issuance Fee(s) Receipt #:______
Applicant Notified that Permit Ready: DD / MM / YYYY
Is the proposed project on a serviced lot?☐Yes☐No
Is the Applicant/Owner in good standing with the District of Squamish?☐ Yes☐No / Application #:______
Application Date: [stampabove in document header]
☐ Scan to BPA Review Group (Engineering, Fire, Bus. Licence)
Reviews complete:Engineering (initial):______
Environment (initial):______
Fire Dept. (initial):______
Development Services’ Representative (initial):______

IMPORTANT:

Building Permits are only issued to projects where a General Contractor is registered with the Homeowner Protection Office (HPO) as a Licensed Builder, or an Owner Builder has received a Letter of Exemption from HPO.
Before you submit your application, you must ensure you have the appropriate (if any) Land Development Permit(s) and Service Agreements for your property. Contact the Development Services Department to confirm.
APPLICATIONS ARE NOT ACCEPTED UNLESS COMPLETE, WITH THE REQUIRED FEE & DOCUMENTS.

OWNERDETAILS:
Full Name:
Company Name:
Address – StreetNo. & Name:
City: Province: select provinceBCABMBNBNFNTNSONPEQCSKYTPostal Code:
Bus. Ph:Home Ph:Email (required):
GENERAL CONTRACTOR DETAILS(if different to Owner Builder):
Full Name:
Business Name: Bus. Licence #:
Address – StreetNo. & Name:
City: Province: select provinceBCABMBNBNFNTNSONPEQCSKYTPostal Code:
Bus. Ph:Home Ph: Email (required):
APPLICANTDETAILS (if different to Owner and/or General Contractor):
Full Name:
Business Name: Bus. Licence #:
Address – StreetNo. & Name:
City: Province: select provinceBCABMBNBNFNTNSONPEQCSKYTPostal Code:
Bus. Ph:Home Ph: Email (required):
APPLICATION TYPE:
Building Type(check onebox only):
Single Unit Dwelling / Accessory Building / Commercial
Single Unit Dwelling with Suite / Carriage House / Industrial
Two Unit Dwelling (Duplex) / Floating Building/Structure / Institutional
Multi-Unit Dwelling / Modular/Mobile Home
Project Type(check all relevant boxes):
New Construction / Water/Sanitary/Storm Service(Off-site) / Suite Installation
Addition / Plumbing Alterations / Relocation of a Building
Alteration / Tenant (Leasehold) Improvements / Demolition
Deck / Change of Occupancy
PROPERTY INFORMATION:
Legal Description (on Land Title Certificate):
Block No.:Plan No.:Parcel Identifier (PID): - -
Land District/Township (TWP):
Section No.:Lot No.:
Lot Description:
Estimated Value of Construction including labour (value may be validated by Building Official): $
Has a Land Development Permit been issued for this application: NoYes, LD Permit #
If applying for a Two Unit (Duplex) or Multi-UnitBuilding Permit, will the property be strata titled?YesNo
PLEASE READ CAREFULLY AND ANSWER ALL QUESTIONS:YesNoN/A

Is the Owner aware of this application?
Is there a Board of Variance appeal involved?
Is there any damage to your lot frontage or District property?
Does the site have an existing driveway from a street?
If yes, will this driveway be used for the new development or demolition?
Are you proposing a new driveway from the street?
Is this lot registered in Land Titles?
Is there an existing secondary suite in the principal building?
Is this application being submitted as requested by a Building Official in order
to legalize an existing secondary suite?
Will there be any alterations to existing fire separations?

RIPARIAN AREAS: Please indicate if your project applies to the following:
Watercourses, ditches, wetlands, or seasonal drainage pathways present on site or located within 30m of property*
* Refer to the Official Community Plan, Development Permit Area 11 for the Riparian Area Guidelines.
NATURAL ENVIRONMENT AREAS: Please indicate if your project is known to be in one of the following areas*:
Squamish Estuary Conservation AreaBrackendale Eagle Reserve
Baynes Island Ecological ReserveMamquam Blind Channel (upper reaches)
* Refer to the Official Community Plan, Development Permit Area 1, Schedule Cfor the Natural Environment Area Guidelines.
LIST OF PROFESSIONALS: Please complete the following information for each professional on your project. Each professional must have a valid Business Licence (BL) for the District of Squamish (provide each BL number below).
Professional / Company / Contact Name / Address / Phone/Cell / OFFICE ONLY Licence Check
Coordinating Registered Professional (CRP)*
BL#: / ☐
Architect
BL#: / ☐
Fire Suppression Engineer
BL#: / ☐
Geotechnical Engineer
BL#: / ☐
Structural Engineer
BL#: / ☐
BCLS Land Surveyor
BL#: / ☐
Electrical
BL#: / ☐
Plumbing
BL#: / ☐
*CRP only required for complex buildings and when there are four or more registered professionals on the project.
PROJECT DESCRIPTION: Describe in detail the nature of your project:

BUILDING SPECIFICATIONS: You must complete the following sections providing as much information as possible; information is available from various sources including the Official Community Plan, the Zoning Bylaw, and on your building plans.

SITE & SERVICE INFORMATION:
Do you have a Service Agreement with the District of Squamish? Yes No
If No, have you confirmed service locations for this property (water, sanitary, storm, dike)?Yes No
If your property is adjoined to another building(s), what is the use of the other building(s)?
ZONING INFORMATION(not required for plumbing-only alterations):
Zoning for your Property: (e.g. RS1)
SPECIFICATION / BYLAW REQUIREMENT OR VARIANCE / PROPOSED
Gross Floor Area (m2):
Floor Area Ratio (comparison of the floor area to the size of your lot) (%):
Front Yard Setback (m/ft):
Rear Yard Setback (m/ft):
Side Yard Setback (interior) (m/ft):
Side Yard Setback (exterior) (m/ft):
Existing Average Grade (provide calculations; refer to Site Plan):
Building Height (m/ft) (as per Zoning Bylaw, Section 1Interpretation):
Building Face Front (m/ft) (as per Zoning Bylaw, Section 1Interpretation):
Right Side Setback (m/ft):
Left Side Setback (m/ft):
Other Side Yard, if applicable (m/ft):
Lot Area (m2 /ft2):
Lot Coverage (%):
Frontage (m/ft):
No. Parking Spaces:
STRUCTURE INFORMATION (if applicable; check all relevant to your project):
No. Dwelling Units:
Accessory Suite? Yes No / Floor Area of Unit #1 (m2/ft2): / Floor Area of Unit #2 (m2/ft2):
Flood Construction Level (FCL) (m): / Steep Slope (equal to or >30 degrees): YesNo
Storeys: / 1 1 ½
2
More: / Construction: / Block
Frame
Other: / Foundation
Footings: / Engineered Concrete
Other:
Foundation Walls: / Eng’d Concrete
Other: / Exterior Walls: / 2” x 4”
2” X 6”
Other: / Exterior Wall Finish: / Vinyl Stucco
Hardy Plank Brick
Other:
Upper Floor: / N/A
2” X 10” – 16” oc
2” X 10” – 12” oc
TJI
Other: / Main Floor: / 2” X 10” – 16” oc
2” X 10” – 12” oc
TJI
Other: / Lower Floor: / N/A
Crawl Space
On Grade
Other:
Interior Walls: / 2” X 4”
2” X 6”
Other: / Roof Structure: / Truss
Hand Frame
Other: / Roof Finish: / Duroid /Composite
Tile Shake
Metal
Other:
Method of Heating/ Ventilation: / Baseboard
Forced Air
Heat Pump
HRV
Other: / Fireplace: / Gas
Wood
Electric
Other: / Type of Chimney: / Class 1
Masonry/Stone
Other:
Driveway Surface: / Concrete
Permeable material
Asphalt
Other: / Culvert Required: / Yes
No / Exterior Guardrails (deck): / Wood
Glass
Aluminum
Other:
PLUMBING PERMIT INFORMATION (if applicable):

Total number of Washrooms (Commercial/Tenant (Leasehold) Improvements only):
Total number of Accessible Washrooms (Commercial/Tenant (Leasehold) Improvements only):

Enter the number of plumbing fixtures in your project next to each of the relevant items below:

Water Closets/Toilets:

Clothes Washers:

Kitchen Sinks:

Floor Drains:

Bathtubs(with or
without shower head):

Showers:

Hot Water
Tanks:

Drink Fountains:

Dishwashers:

Laundry Sinks:

Interceptors

Hose Bibs:

Irrigation:

Bathroom Sinks:

Sprinkler Heads:

/ Total Fixtures:

Other (describe fixture(s) & include quantities):

TOTAL Hydraulic Load (current BCBC):fixture units

Sump required for services (sanitary, storm)?
If Yes, include location and design of sump indicated on Detailed Design Drawings (DDDs).

/ Yes No N/A
SPATIAL SEPARATION CALCULATION:
IMPORTANT: If you are installing a fire suppression system, you need a Fire Suppression Engineer or Mechanical Engineer to size your service for the domestic fixture count listed and to ensure adequate volume for the fire suppression requirements. This may require the need for a service upgrade.
MORE INFORMATION: To assist with your Spatial Separation Calculation below, refer to the BC Building Code, Part 9.10.14.3;and, to confirm if your project is within 10-minute response time area, refer to the Squamish Fire Department 10 Minute Response Areas map on (under Discover Squamish | Maps & Data | Printed Maps).
Is your Side Yard Setback less than 3 metres?No (skip to next page) Yes - if Yes, provide calculations below

STEP 1:Enter the total square footage of all windows and doors (i.e. unprotected openings) located on walls that are less than 3 metres from the property line in the table provided below.
STEP 2: Enter the total square footage of the wall face(s) (i.e. exposed building face)(calculated from grade to the top of the top plate of all living space)in the table provided below.
STEP 3:Calculate your Spatial Separation Percentage (%) using the following formula and enter the percentage in the table provided below:

STEP 4: Use the Spatial Separation Allowable Percentage Table (%) below to determine your allowable limit and enter that value for each wall in the table below.

Left Wall / Right Wall / Rear Wall / Front Wall / Other

Unprotected Openings (total m2/ft2):

Exposed Building Face
(total m2/ft2):

Spatial Separation Percentage (%):

Spatial Separation Allowable Percentage (%):

SPATIAL SEPARATION ALLOWABLE PERCENTAGE TABLE (%)
Max. Area
of Exposed Building
Face
(m2/ft2) / Limiting Distance from Property Line (m/ft)
<1.2 / 1.2m/
4ft / 1.3 / 1.4 / 1.5 / 1.6 / 1.7 / 1.8 / 1.9 / 2.0 / 2.1 / 2.2 / 2.3 / 2.4 / 2.5 / 2.6 / 2.7 / 2.8 / 2.9 / 3.0
30m2 / 323 ft2 / 0 / 7 / 7.7 / 8.3 / 9 / 9.6 / 10.2 / 10.8 / 11.4 / 12 / 13.4 / 14.7 / 16.1 / 17.4 / 18.8 / 20 / 21 / 22 / 24 / 25
32 / 0 / 7 / 7.6 / 8.2 / 8.8 / 9.4 / 10 / 10.6 / 11.2 / 11.8 / 13.1 / 14.4 / 15.7 / 17 / 18.3 / 19 / 21 / 22 / 23 / 24
34 / 0 / 7 / 7.5 / 8.1 / 8.6 / 9.2 / 9.8 / 10.4 / 11 / 11.6 / 12.8 / 14.1 / 15.3 / 16.5 / 17.8 / 19 / 20 / 21 / 22 / 23
36 / 0 / 7 / 7.5 / 7.9 / 8.4 / 9 / 9.6 / 10.2 / 10.8 / 11.4 / 12.6 / 13.9 / 14.9 / 16.1 / 17.3 / 18 / 19 / 20 / 21 / 23
38 / 0 / 7 / 7.4 / 7.8 / 8.2 / 8.8 / 9.4 / 10 / 10.6 / 11.2 / 12.3 / 13.4 / 14.5 / 15.6 / 16.8 / 17 / 19 / 20 / 21 / 22
40 / 0 / 7 / 7.3 / 7.7 / 8 / 8.6 / 9.2 / 9.8 / 10.4 / 11 / 12.1 / 13.1 / 14.2 / 15.2 / 16.3 / 17 / 18 / 19 / 20 / 21
42 / 0 / 7 / 7.3 / 7.7 / 8 / 8.6 / 9.1 / 9.7 / 10.2 / 10.8 / 11.8 / 12.8 / 13.9 / 14.9 / 15.9 / 17 / 17 / 1 / 20 / 21
44 / 0 / 7 / 7.3 / 7.7 / 8 / 8.5 / 9 / 9.6 / 10 / 10.6 / 11.6 / 12.6 / 13.6 / 14.6 / 15.6 / 16 / 17 / 18 / 19 / 20
46 / 0 / 7 / 7.3 / 7.7 / 8 / 8.5 / 9 / 9.4 / 9.9 / 10.4 / 11.4 / 12.3 / 13.3 / 14.2 / 15.2 / 16 / 17 / 18 / 19 / 20
48 / 0 / 7 / 7.3 / 7.7 / 8 / 8.4 / 8.9 / 9.3 / 9.8 / 10.2 / 11.1 / 12.1 / 13 / 13.9 / 14.9 / 15 / 17 / 17 / 18 / 19
50 / 0 / 7 / 7.3 / 7.7 / 8 / 8.4 / 8.8 / 9.2 / 9.6 / 10 / 10.9 / 11.8 / 12.9 / 13.6 / 14.5 / 15 / 16 / 17 / 18 / 19
100* / 0 / 7 / 7 / 7 / 7 / 7 / 7 / 7 / 7 / 9 / 9 / 9 / 9 / 9 / 9 / 9 / 9 / 9 / 9 / 9

* If your building face is more than 100 m2, spatial separation requirements are determined on an individual basis.

OFFICE USE ONLY: OCCUPANCY
Use / No. of Suites / Total Floor Area / Building Code Occupancy Classification
Major:
Minor:
IMPORTANT: /

Applicant must pay their Application Fee (also referred to as ‘Plan Processing Fee’) of $75.00 at the time of submission.
All contractors must have avalid District of Squamish Business Licence.
Changes to plans for a Building Permit Application that is already being processedmust be approved by a Building Official prior to permit issuance; new drawings may be required.

As owner and/or owner’s agent, I have verified that the information contained in this form and associated plans is correct, and describes the use, building or work which complies with all relevant bylaws and statues. I/we have attached to this application the documents required as noted in the Building Permit Document Checklist, along with the required fee(s), and hereby agree to submit further information deemed necessary for processing this application.

I acknowledge that the responsibility for bylaw and Building Code compliance rests with the owner and the owner’s employees, agents and contractors. I will indemnify and save harmless the District of Squamish, 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 ensuing permit, including negligence and/or the failure to observe all bylaws, Building Code, Acts or Regulations.

By signing below, I/we acknowledge I/we have read and understand the District Squamish Zoning Bylaw, Building Bylaw, Subdivision and Development Control Bylaw, and Watercourse Bylaw, including:

No excavation, construction, enlargement, alteration, repair, removal or demolition of any building or structure, or part thereof, shall be commenced or undertaken without a permit being first obtained from the District of Squamish.
Thou shall not occupy a building or premise until a Building Official at the District of Squamish grants occupancy.
Every owner to whom a permit is issued shall be responsible for the cost of repair to any damaged District property.
No permit for construction of any residential, commercial or industrial building shall be issued unless the following essential services are provided: road, water, sewer, and storm drainage.

This project will be constructed in conjunction with the Wildlife Attractant Bylaw 2053, 2009, and in accordance with Bear Aware best practices.

I understand that personal information contained in this form will not be released to the public except as required by law.For questions about the collection and use of this information, I acknowledge that I may contact the Information and Privacy Coordinator at the District of Squamish on 604.815.5006 or email .

______DD / MM / YYYY

Full Name of ApplicantSignature of ApplicantDate

______DD / MM / YYYY

Full Name of Owner #1Signature of Owner #1Date

______DD / MM / YYYY

Full Name of Owner#2Signature of Owner #2Date

All Property Owners must sign this application before submission.