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City of Puyallup I Engineering Services 333 S Meridian I Puyallup I WA 98371 Tel: (253) 864-4165 I Fax: (253) 840-6678 www.cityofpuyallup.org Rev: 4/17 *If the project disturbs one acre or more, the applicant must apply for an NPDES Construction Stormwater General Permit from the Department of Ecology. For additional information, reference Department of Ecology’s website at www.ecy.wa.gov/biblio/ecy02085.html CERTIFICATION: I certify that I have read this application and declare under penalty of perjury that the information contained herein is correct and complete. I am either the owner of the property described or I represent the owner as signified above and am acting with the owner’s full knowledge and consent. Signature of Applicant: Date City of Puyallup I Engineering Services CIVIL CONSTRUCTION PERMIT APPLICATION APPLICANT Name: Address: City St Zip: Contact No: Email: OWNER Name: Address: City St Zip: Contact No: Email: Plans Submitted Include: On-site Improvements Off-site Improvements Other Plans Submitted Include: (check all that apply) Water Sewer Storm Street Curb/Gutter Street Lights Traffic Lights Channelization & Signage Underground Fire Line Fire Hydrant Grease Interceptor Oil/water separator Clear, Fill & Grade # of cubic yards Clear & Grub ENGINEER/ARCHITECT Name: Address: City St Zip: Contact No: Email: CONTRACTOR Name: Address: City St Zip: Contact No: Email: SITE ADDRESS: PARCEL NO: ZONING: Project Submitted: Plat Short Plat Multi-Family Commercial/Retail Medical other: SIGN ---PAGE BREAK--- City of Puyallup I Engineering Services 333 S Meridian I Puyallup I WA 98371 Tel: (253) 864-4165 I Fax: (253) 840-6678 www.cityofpuyallup.org Rev: 4/17 CHECKLIST FOR CIVIL CONSTRUCTION PERMIT APPLICATION In order to review an application for a civil construction permit, the City of Puyallup Engineering Services requires the following information: ❏ 1 completed Application Form – signed and dated. ❏ 8 sets engineering designed drawings as per City Standards Section 2.0 General Plan Requirements. ❏ 1 CD of the designed drawings in pdf format. ❏ 2 sets Technical Information Reports (TIR), which may include: � Storm drainage calculations � Soils engineering reports � Geotechnical reports ❏ 2 sets landscape plans overlayed with the proposed utility plan (if applicable) ❏ Wetland Reports / Delineation Plans (if applicable) REVIEW FEES Commercial / Multi-Family Projects / Major Plat / Short Plat: ❏ Plan review and record drawing review fee: $670.00 Off-site – water/sewer/storm main extension / grease interceptor / oil water separator: ❏ Plan review and record drawing review fee: $560.00 Clear, Fill and Grade: Plan review plus $200 record drawing review fee: ❏ Clearing only - $70.00 ❏ 0-50 cubic yards - $130.00 ❏ 51-100 cubic yards - $240.00 ❏ 101-1,000 cubic yards - $510.00 ❏ 1,000-10,000 cubic yards - $760.00 ❏ 10,001-100,000 cubic yards - $1,000.00 ❏ 100,001 cubic yards and up - $1,240.00