APPENDIX 3
OCCUPANCY REVIEW FORM
1. | Fill in information as requested on the first and second sheet. |
2. | The second and third sheet must be completed by the following: |
Washington City Community Development Department 111 North 100 East 8:00 a.m. to 5:00 p.m. – Monday through Friday | |
3. | After the occupancy review form has been preliminarily approved by the zoning administrator/building inspector, bring the completed form to the business license department. |
4. | Washington City Business License Department 111 North 100 East 8:00 a.m. to 5:00 p.m. – Monday through Friday |
5. | Please be advised that the issuance of a business license does not authorize occupancy or use of a building for business operations until: |
a. All building permits have been finalized. b. Fire Department final approval is obtained. c. Community Development & Police Department final approval is obtained as noted. |
ADDRESS OF BUILDING:
WASHINGTON CITY
OCCUPANCY REVIEW FORM
OWNER OF PROPERTY
OWNER'S ADDRESS
OWNER'S PHONE #
NAME OF PROPOSED BUSINESS
BUSINESS CONTACT PERSON
BUSINESS CONTACT PHONE #
DESCRIPTION OF BUSINESS INCLUDING EQUIPMENT USED AND MATERIALS TO BE USED OR SOLD:
Please Check Yes or No Below
YES | NO | ||
Warehouse/Wholesaling | |||
Flammable liquids | |||
Dust producing operation | |||
Plastic (storage, handling, use) | |||
Compressed gas | |||
High piled combustible storage (over 8 feet) | |||
Vehicle repair or maintenance facilities | |||
Proposed storage of vehicles | |||
Public assembly or education facility | |||
Proposed building alterations or additions | |||
Will any of the following products or services be sold or provided: Adult films, tapes, books or magazines, drug paraphernalia, noncontrolled drugs, massages, tattoos, adult motel, fortune telling, dancing, live entertainment, taxi, limousines, firearms or refuse collection?
YES NO
EXPLANATIONS OF YES ANSWERS:
APPLICANT'S SIGNATURE
DATE
OFFICE USE ONLY
ZONING DEPARTMENT
Property's current zoning:
Property's general plan designation:
Is use principally permitted?
Conditional use permit required?
Parking requirements for use:
Number of spaces provided:
Approved for use and location ,
Zoning Administrator Date
Denied
Reason for denial
Zoning Administrator, Date
Building/Safety Department
Change of occupancy, applicant must submit detailed plans showing compliance with all current code requirements for occupancy.
Need further classification of proposed use. Submit fully dimensioned plans showing existing conditions, all alterations and proposed uses for all areas.
Occupancy, inspection permit application must be completed, occupancy permit fees paid, and all complied with prior to approval and occupancy.
Continuing use of existing building. No conditions.
Gas Electric Water service has been disconnected. A courtesy safety inspection is required.
Fire department approval required?
Other Comments
BUILDING AND SAFETY APPROVAL
Building Inspector, Date
Denied
Reason for denial
(2007 Code; amd. Ord. 2012-02, 2-8-2012)