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***COMMERCIAL PROJECTS: Please complete Demolition System Development Worksheet for possible System Development Credit. Rev 02/10 City of Puyallup Application for Demolition Permit Building Division 333 S. Meridian Puyallup, WA 98371 Tel: (253) 864-4165 Fax: (253) 840-6678 Description of Demolition Project: Any demolition project over 4000 sq ft is required to go through the SEPA process. SEPA Permit Demolition Permit Information TYPE OF CONSTRUCTION ***COMMERCIAL / RESIDENTIAL ZONING FIRST FLOOR SQ. FT. # DWELLING UNITS SECOND FLOOR SQ. FT. SEWER YES / NO SEPTIC YES / NO DWELLING UNIT VACANT – YES/NO CITY WATER YES / NO OTHER WATER: VALUATION (including dump fees) $ For the maintenance of health and sanitation the City of Puyallup makes the collection removal and proper disposal of solid waste by the City’s contractor mandatory. (PMC 6.12.030) D.M. DISPOSAL INC. - SOLID WASTE (253) 414-0347 - RECYCLABLES (253) 377-1926 Parcel Site Address: Owner: Phone Owner Address: City: Zip: Contractor Name: Phone Contractor Address: City: Zip: WA License Exp. Date: City Business License Contact Name: Contact Email: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. BY LEAVING THE CONTRACTOR INFORMATION SECTION BLANK, I HEREBY CERTIFY FURTHER THAT CONTRACTORS (GENERAL OR SUBCONTRACTORS) WILL NOT BE HIRED TO PERFORM ANY WORK IN ASSOCIATION WITH THIS PERMIT. I ALSO CERTIFY THAT IF I DO CHOOSE TO HIRE A CONTRACTOR (GENERAL OR SUBCONTRACTOR) I WILL ONLY HIRE THOSE CONTRACTORS THAT ARE LICENSED BY THE STATE OF WASHINGTON. DATE: SIGNATURE OWNER / AUTHORIZED AGENT PLEASE PRINT NAME Contact Phone Contact Fax ---PAGE BREAK--- City of Puyallup BUILDING DEPARTMENT DEMOLITION REQUIREMENTS Demolition permits are required to insure that the structure is removed from the assessor’s files and the site is left in a safe and sanitary condition. The following information is required at the time you apply for your demolition permit. Submittal Requirements: • COMPLETED & SIGNED APPLICATION • SITE PLAN: 3 (three) copies of a site plan, drawn to scale on 8½"X11" paper. Details to include: easements, other structures & features, adjacent right-of-ways, septic and/or utility lines. • ASBESTOS PS CLEAN AIR NOTIFICATION RECEIPT: It shall be presumed that all buildings to be demolished may contain “friable asbestos.” Therefore, prior to the issuance of a demolition permit, we will require a copy of the online notification by the Puget Sound Air Pollution Control Agency (www.pscleanair.org/asbestos) that all requirements pursuant to Washington Law (WAC 173-400-075) have been met. General Requirements: • GENERAL REQUIREMENTS: Remove all floors, foundations, footings, basements and retaining walls. All concrete or asphalt shall be removed to an approved landfill or to a recycling company site. Any and all fill will be of an inorganic material. • DUMP SITES: Please contact D.M. Disposal for dumpster delivery and hauling. SOLID WASTE (253) 377-1926 and RECYCLABLES (253) 414-0347. THE CITY REQUIRES THAT ALL SOLID WASTE AND RECYCLABLES BE HANDLED BY D.M. DISPOSAL. • UTILITIES: All utilities must be paid current, prior to any disconnect • WATER SERVICES: The Water Department shall cut the water service at the meter before demolition commencing. Contact Perry Baird at [PHONE REDACTED] to schedule the work. • SEWER LINES AND SEPTIC SYSTEMS: THE CITY REQUIRES ALL NEW CONSTRUCTION TO PROVIDE A NEW SANITARY SEWER ALL THE WAY TO THE MAIN. The existing trench shall be used and the old sanitary sewer stub removed. Sewer lines are to be cut and capped per City Standards. Contact city inspector Mike Guy at (253) 377-2376 for the necessary inspection. Septic systems shall be abandoned per Pierce County Heath Department regulations. • RIGHT OF WAY PERMIT: Traffic control/Right of Way permit may be required if demolition work consist of closing the sidewalk/street. • BURNING COMBUSTIBLE WASTE: BURNING OF ANY NATURE IS NOT ALLOWED IN THE CITY OF PUYALLUP. Cutting and welding operations: shall have approved type of fire extinguisher and it shall be kept on location where welding and cutting is being done. A fire watch shall be on hand to make sure the fire extinguishing if welding or cutting is done above or within (10) feet of combustible construction or material, and a fire watch shall be maintained for at least ½ hour after completion of cutting or welding operations. • UNDERGROUND STORAGE TANKS: Will be removed by licensed and bonded individuals or companies recognized by the Washington State Department of Ecology. • ACCESS: Access for Fire Department apparatus shall be provided and maintained. • AUTOMATIC SPRINKLER PROTECTION: Such systems shall not be rendered inoperative without approval of the Fire Code Official. • FIRE GUARDS: When, in the opinion of the Fire Code Official, the demolition of the building is of a hazardous nature, the Fire Code Official may require qualified personnel to serve as on-site fire guards. The sole duty of such fireguards shall be to watch for the occurrence of fire. • FIRE HOSE: Fire hoses as required by the Fire Code Official shall be maintained at the demolition site. Such hoses shall be connected to an approved source of water and in a manner so as not to impede Fire Department use of hydrants. • WATER SUPPLY: When connections to a fire hydrant for dust control and wash down are made a double check valve with meter shall be utilized. Access to fire hydrants shall not be obstructed. • PLANS AND SCHEDULES: The building Official or Fire Code Official may require plans and schedules of all work to be completed.