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Rev 02/10 City of Puyallup Application for Mechanical Permit Building Division 333 S. Meridian Puyallup, WA 98371 Tel: (253) 864-4165 Fax: (253) 840-6678 MINIMUM SUBMITTAL REQUIREMENTS FOR COMMERCIAL PROJECTS: ONE SIGNED APPLICATION TWO SETS OF MECHANICAL DETAIL DRAWINGS TWO COPIES OF SITE PLAN IF MECHANICAL DEVICES ARE LOCATED OUTSIDE OF BUILDING PLAN REVIEW FEE REQUIRED AT TIME OF SUBMITTAL. ENGINEERING PLANS AND OR CALCULATIONS MUST BE PROVIDED WITH ORIGINAL STAMP/SIGNATURE. EQUIPMENT SCHEDULE REQUIRED ON ALL PLANS. EXTERIOR BUILDING ELEVATIONS AND SCREENING DETAILS PER PLANNING REQUIREMENTS PROJECT DESCRIPTION: Quantity Scheduled Description Permit Rate Per Unit Total Price 1 Permit Issuance 40.00 40.00 Supplemental Permit 9.60 AC Unit – Stand alone 19.55 Install Furnace / Burner up to 100,000 BTU 19.55 Install Furnace / Burner over 100,000 BTU 24.00 Install / Relocate Floor Furnace & Vent 19.55 Install / Relocate Recessed Wall Space Heater 19.55 Appliance Vent – Separate 9.60 Repair Heating / Cooling Unit 18.11 Heat Pump / Boiler / Compress 3 HP; up to 6 Tons; 100,000 BTU 19.40 Heat Pump / Boiler / Compress 3-15 HP or 500,000 BTU 35.95 Heat Pump / Boiler / Compress 15-30 HP or 1,000,000 BTU 49.28 Heat Pump / Boiler / Compress 30-50 HP or 1,750,000 BTU 73.30 Heat Pump / Boiler / Compress over 50 HP or over 1,750,000 BTU 122.48 Separate Air Handling Unit to 10,000 CFM 14.10 Separate Air Handling Unit over 10,000 CFM 23.92 Stationary Evaporative Cooler 14.10 Exhaust Vent Fan with Single Duct (Bath Fan) 14.10 Vent System Apart from Heating or AC 14.10 Mechanical Exhaust Hood / Duct (Range Hood) - Residential 14.10 Mechanical Exhaust Hood w/Make-up Air - Commercial 35.95 Commercial / Industrial Incinerator 24.00 Gas Piping: (1 - 4 outlets) (5 or more outlets / per outlet) 6.30 1.30 Unclassified Appliance or Equipment (Fireplace, etc) 14.10 Mechanical Duct Work: (1 – 5 Diffusers) (6 – 10 Diffusers) (11 or more Diffusers) 14.10 19.55 24.00 TOTAL: CONTRACTORS AFFIDAVIT: I HEREBY MAKE APPLICATION FOR A MECHANICAL PERMIT AND CERIFY THAT OUR BUSINESS IS REGISTERED AS A CONTRACTOR WITH THE STATE OF WASHINGTON AND THAT ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH ALL CODES AND ORDINANCES OF THE CITY OF PUYALLUP. 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 PRINT NAME Parcel Owner Phone Owner: Owner Address: City: Zip: Contractor Name: Contractor Phone Contractor Address: City: Zip: WA License Exp. Date: City Business License Contact Name: Email Address: Site Address: Contact Phone Fax