INCOMPLETE APPLICATION WILL NOT BE ACCEPTED COMPLETE ALL INFORMATION BELOW. Construction Value: $
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1 CITY OF PORT ORCHARD Permit Center Office located at 720 Prospect Street Mailing address: 216 Prospect Street Port Orchard, WA (360) COMMERCIAL or MULTI-FAMILY BUILDING PERMIT APPLICATION APPLICATION TYPE: NEW BUILDING ADDITION ALTERATION OTHER (describe): (check all that apply) TENANT IMPROVEMENT NEW MULTI-FAMILY INCOMPLETE APPLICATION WILL NOT BE ACCEPTED COMPLETE ALL INFORMATION BELOW Area Sq. Ft. New Alteration Fence or retaining wall: Lin ft 1 st Floor Bldg / Fence / Wall height: ft 2 nd Floor Lot size: Sq ft 3 rd Floor Total hard surfaces on site: Garage (structures, driveways, walkways, parking areas, etc., existing & new) Deck Lot coverage (%): % Covered Porch Basement, unfinished Basement, finished Storage (list type): Other (list): Total all areas sq. ft.: Excavation: (other than for basement, footings, utilities) # of Stories: # of Dwelling Units: # of Parking Spaces: Type of Construction: Occupancy Group: Sq ft Cu yd Construction Value: $ TENANT INFORMATION Businesses engaging in food service preparation or sales must have a Health District approval letter before beginning a Tenant Improvement (buildout, remodel, or equipment change). Contact Kitsap Public Health District prior to submitting this application. Name of Business: Business Owner Name: Type of Business: Business Mailing Address: Phone: City Business License #: Yes (Apply online at: bls.dor.wa.gov) UBI #: Are there plumbing fixtures within the occupied space? Yes Target move-in date: Tenant space square footage: Is the business a restaurant or bar with seating? Yes: Number of seats: Are signs proposed for this business? Yes (Separate applications and fees are required for signage.) Business Description (be specific): Form 081B Commercial / Multi-family Permit Application (4/3/18) Page 1 of 3
2 Construction Loan Information: Any construction project costing more than $5,000 is required to include Lender s information. RCW This project has a construction loan which meets the threshold amount in RCW (2)(d): Yes Lender Name: Lender Address: Phone: SUBMITTAL REQUIREMENTS (check the box for each one included with this application): THE MASTER PERMIT APPLICATION FORM with original signature(s). One Master covers all applications that are included with this submittal. No additional copies are required. The original completed Commercial Building Permit Application (this form). Design Standards Project Information: The Design Standards found in POMC apply to all development within Port Orchard except for SFRs and Duplexes; projects located at the Old Clifton Industrial Park; projects within other Industrial areas when waived by the Director; TI s or other interior work that does not change the footprint or exterior of the building. If Design Standards apply, all drawings (construction, elevation, and site) are required, and must show the supplemental submittal requirements on the plans. 2 copies of the Design Standards Supplemental Submittal Requirements Checklist (Attached). Check each of the items submitted with this application. 3 copies of building plans (Sized so all information is legible; 11 x 17 minimum): Must be drawn to scale and show dimensions. For additions or remodels, existing and proposed work must be clearly designated. 3 copies of elevation drawings (Sized so all information is legible; 11 x 17 minimum): 4 copies of site plan, unless waived by the Department. (Sized so all information is legible; 11 x 17 minimum). Use the Site Plan Checklist for a list of all requirements. At a minimum, you must show: Property lines and dimensions. rth arrow and site plan scale. Contour lines: every 2 unless slopes exceed 15%; then show every 5. Arrows showing the direction of natural drainage. Distance from all existing and proposed structures in relation to property lines, other structures and any critical areas on site. Temporary erosion control measures to be used during construction. Any grading included in the proposed project not otherwise covered by a separate valid Land Disturbing Activity Permit (LDAP). 2 copies of a Landscape plan, unless submitted/approved with a Land Disturbing Activity Permit application. Include: Plant list Planting details Irrigation plan 2 copies of structural engineering. 1 copy of Form #085, Site Plan Checklist. 1 copy of the Energy Code NREC Calculations and Lighting. A Storm Drainage Permit is required for all construction unless your project is an interior remodel/repair with no changes to the hard surfaces on the site. (See the Storm Drainage Permit application form for submittal requirements.) For all permits and/or reviews checked on the Master Permit Application Form: submit the specific application form. Include the required documentation and number of copies as listed on the form for each permit/review type. Form 081B Commercial / Multi-family Permit Application (4/3/18) Page 2 of 3
3 New development or development which creates additional impacts must provide documentation of water, sewer, and transportation capacity. Check the appropriate boxes for your project for the two statements below: This project is new development: Yes This project creates additional impacts on water, sewer or transportation systems: Yes If you checked yes to either statement above, submit one of the following options: (Check the box that applies to your project and include the documentation with this submittal) 1. Capacity Reservation Certificate (CRC) application for Water, Sewer and Transportation. Use CRC Application form for submittal requirements. 2. Previously issued and unexpired City CRC for Water, Sewer and Transportation. 3. Water and/or Sewer availability letters issued by the appropriate Utility District, or Building Clearance Approval from the Health District, and either 1. or 2. above for Transportation and any City utilities. 2 copies of the Design Standards Departures Supplemental Checklist along with 2 copies of a statement supporting your request, if departures are requested. (POMC ) If the property has septic or a well on the property, submit approvals from Kitsap Public Health District as applicable. 1 electronic copy of all submitted materials provided in high resolution PDF format. NOTE: electronic copies of building, elevation, and site plans must be scalable when printed 24 x 36. Other documentation may be required other than what is listed above. STAFF USE - DO NOT WRITE BELOW THIS LINE VERIFIED CONTRACTOR INFO: Contractor s License: UBI: Business License: initial initial initial VERIFIED TENANT INFO: UBI: initial Business License: initial PERMIT # s FOR RELATED PROJECTS: PERMIT # FEES: RECEIPT # DATE ISSUED: Form 081B Commercial / Multi-family Permit Application (4/3/18) Page 3 of 3
4 CITY OF PORT ORCHARD Permit Center Design Standards Supplemental Submittal Checklist Permit No.: Project Name: Check all elements included with your submittal: Block Frontage Standards. (POMC ; Article II, ) Identify the block frontage type(s) applicable to the development. A site plan and/or other plans illustrating proposed improvements and how the block frontage standards are being met, including (where applicable): Building envelope location and setbacks/dimensions. Site elevation/topography at minimum two-foot intervals. Parking location and vehicular access design. Percentage of street frontage that is occupied by parking areas and garage entries. Weather protection elements and dimensions/percentages. Façade transparency elements and dimensions/percentages. Storefront interior dimensions, including floor to ceiling height and storefront depth. Landscaping elements (common or scientific name and size) and design (layout and location). Right-of-way improvements and dimensions (including planting strip and sidewalk). Undeveloped areas, including critical areas and associated buffers). Site Planning Standards. (POMC , Article III, ) A site plan and/or other plans illustrating proposed improvements and how the site planning standards are being met, including (where applicable): Building envelope location and setbacks/dimensions. Site elevation/topography at minimum two-foot intervals. Building elevations of all façades, including the location of doors, windows, and balconies. The location and height of adjacent structures within 25 feet of the property proposed for development. n-motorized circulation elements, including materials, dimensions, and necessary details. Parking location and vehicular access design, including materials, curb edge, lane configurations, dimensions, and other relevant details to support compliance. Existing and proposed pedestrian-oriented space, usable residential open space, and other recreational features, including design elements, materials, and necessary details. Location, design, and configuration of service areas and mechanical equipment. Landscaping elements (common or scientific name and size) and design (layout and location). Right-of-way improvements and dimensions (including planting strip and sidewalk). Form 081C Design Standards Supplemental Checklist (4/1/18) Page 1 of 2
5 Building Design Standards. (POMC , Article III, ) Graphics illustrating proposed improvements and how the building design standards are being met, including (where applicable): Building elevations showing: Exterior materials. Doors and windows and associated design details. Roofline design and dimensions. Details on proposed exterior materials and finish. Blank wall treatment details. Building plan view drawings showing: Façade articulation and dimensions. Entry locations and design. Three dimensional graphics emphasizing: Building massing and articulation. How the development (proposed improvements) fit within the surrounding context. The graphic must illustrate the general massing of buildings within 50 feet of the site. Departures. (POMC ) If any departures are requested, such elements must be clearly identified in the above materials. YES: Departures are requested. Must include: Departures Supplemental Checklist. Documentation to support how such proposed departures meet the applicable approval criteria. Form 081C Design Standards Supplemental Checklist (4/1/18) Page 2 of 2
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