Attachment 32 - Plumbing Permit Application PT9 PLUMBING

PLUMBING PERMIT APPLICATION

PT9 PLUMBING

Property Description

Civic Address: ________________________________________________________ PID ____________________________

Project Description: ________________________________________________ Associated BP: _____________________

Project: □ New □ Repair □ Renovation □ Tenant Improvement □ Other: ______________________________________

Building Type: □ Commercial □ Residential □ Mixed Com/Res □ Institutional / Public □ Accessory □ Other ___________

Will the work require tree removal or impact the critical root zone (the area of land surrounding the trunk of the Tree that contains the bulk of the critical root system of the Tree, as defined by a Certified Arborist) of a protected tree? □ Yes □ No See Tree Protection Bylaw No. 1069, 2022. * if yes, please contact the Engineering Department regarding permit requirements.

OWNER

PLUMBER

Personal information collected on this form is collected for the purposes of processing, communication, administration, inspection, and enforcement for this application. The personal information is collected under the authority of the Local Government Act and pursuant to Section 26 of the Freedom of Information and Protection of Privacy Act. If you have any questions about this collection, contact the Building Department at 250-708-2256 or buildingpermits@viewroyal.ca

Please Indicate number of new or moved fixtures:

By signing below, you are agreeing with the terms and conditions set out in the Waiver, Release and Indemnification Agreement that may affect your legal rights. READ CAREFULLY BEFORE SIGNING.

Waiver, Release, and Indemnification Agreement

By submitting this permit application, you, or the party on whose behalf you act, are giving up certain legal rights, including the right to sue, and assuming certain obligations, such as the obligation to indemnify the Town of View Royal.

Please read the following provisions carefully. In consideration and as a condition of the Town of View Royal (the “Town”) granting the permit applied for, each of the Owner, the Owner’s Authorized Agent (for themselves and on behalf of and with instructions from the Owner and any other party on behalf of whom the Authorized Agent acts) and the Applicant (if not Owner of the Owner’s Authorized Agent), jointly and severally agree as follows:

1. Waiver – I/we hereby waive any and all claims whatsoever that I/we may have, or may have in the future, against the Town, its officers, employees, elected officials, agents, or contractors (collectively, the “Releasees”) as a result of the issuance of this permit or the occupancy permit or any work undertaken pursuant to this permit or for any inspection or other action undertaken as a result of this permit, due to any cause whatsoever, including but not limited to negligence or breach of any statutory or other duty of care.
2. Release – I/we hereby remise, release and forever discharge the Releasees from any and all claims, actions, demands, obligations, liabilities, costs, or expenses whatsoever, whether direct or indirect, including without limitation with respect to any damage to person or property or economic loss, that I/we may suffer or incur, due to any cause whatsoever including negligence or breach of any statutory or other duty of care, as a result of the issuance of this permit or any inspection or other action undertaken by the Town in relation to this permit.
3. Indemnity – I/we hereby agree to indemnify and hold harmless the Releasees from and against any and all claims, actions, demands, obligations, liabilities, costs or expenses whatsoever and howsoever arising, including arising out of or with respect to any damage to any person or property incurred by myself, the party for whom I act as agent, or any other party, which may in any way arise or accrue against the Releasees in relation to this permit.
4. No Representations, Warranties or Guarantees – The Town has not made any representations, warranties, or guarantees with respect to any matter relating to this permit or any work to be undertaken pursuant to this permit, including without limitation compliance with Town bylaws or any other provincial or federal enactments in force in the Town. I/we hereby agree that I/we will be solely responsible for ensuring that all work carried out pursuant to this permit is in compliance with all applicable Town bylaws and any other provincial or federal enactment in force in the Town. I/we further agree that I/we do not rely on the Town to notify me/us of any defects in this permit application or supporting documentation and that any inspection or other actions undertaken by the Town are not intended to ensure and will not ensure that any work complies with the applicable Town bylaws or any other provincial or federal act or regulation in force in the Town.
5. I agree to comply with all applicable requirements of Town of View Royal bylaws and all other applicable provincial or federal enactments in force in the Town.

Applicant(s) Acknowledgement and Agreement

If an applicant is not the owner, signature of the owner below means this document shall serve to notify the Town of View Royal that I am/we are the legal owner(s) of the property described above and do authorize the applicant to act on my/our behalf on all matters pertaining to this Permit Application, including the authority to endorse on my/our behalf application documents.

In consideration of the sum of $10.00 from the Town to me, and other good and valuable conditions, the receipt and sufficiency of which and hereby acknowledge, I/we have read and understood the Waiver, Release, and Indemnification Agreement included with this Permit Application form and I/we hereby agree to all the terms and conditions contained in this agreement.

I declare that the above information is correct. I understand the Building Inspector may request additional information or place conditions as part of the permit. I understand that the permit will be based on submitted plans and associated details except as limited or defined by Scope of Work as shown on the permit. I understand the permit is not deemed accepted until I receive notification from the Town of such acceptance. I have read the Building Bylaw and understand all the terms and fees and charges to which this permit is issued under.

I have read and understood the Waiver, Release and Indemnification Agreement included with this Permit Application form and I hereby agree to all the terms contained in that agreement.

Name: __________________________ Signature: ___________________________________ Date: / /

APPLICATION REQUIREMENTS

Incomplete application submissions will not be accepted. Applications must include all required information and documents in the following formats:

• 1 paper (hard) copy of the completed application form and any original wet stamped documents.
• 2 hard copies of complete drawing sets.
• 1 digital (pdf) copy of all required documents & drawings.

A fee of $100.00 will be applied if the required documents do not include all information as specified below.

REQUIRED DOCUMENTS:

ADDITIONAL DOCUMENTS:

((required for all works not undertaken by a certified professional))

NOTE TO OWNER/APPLICANT(S):

Please note that owner/applicant is responsible for ensuring compliance with the BC Heritage Conservation Act, including steps to determine if a site is an archaeological site. It is against the law to alter an archaeological site without first obtaining a permit to do so from the Archaeology Branch, Ministry of Forests.

Please contact the Engineering department ( engineering@viewroyal.ca ) for all new or changes to existing sewer and /or drainage connections as they may require separate connection permits and dye testing.