Full Text
Rev 07/10 City of Puyallup Application for Plumbing 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 PLUMBING DETAIL DRAWINGS (FIXTURE LAYOUT AND ISOMETRIC) WITH FIXTURE UNITS AND SIZES AS REQUIRED PLAN REVIEW FEE REQUIRED AT TIME OF SUBMITTAL EQUIPMENT SCHEDULE REQUIRED ON ALL PLANS PLUMBING FIXTURE WORKSHEET (IF REQUIRED) PROJECT DESCRIPTION: Quantity Scheduled Description Rate Per Unit Total Quantity Scheduled Description Rate Per Unit Total 1 Permit Issuance 40.00 40.00 GREASE TRAP/INTERCEPTOR RESIDENTIAL (1 & 2 DWELLINGS) Grease Trap 13.00 1 Bathroom 160.00 Grease Interceptor 13.00 2 Bathroom 200.00 BACK FLOW DEVICE 3 Bathroom 240.00 Per Unit 26.00 Alterations each fixture 13.00 MEDICAL GAS SYSTEM Water Heater 13.00 Medical Gas Piping System 80.00 ***COMMERCIAL Surgical Vacuum System 80.00 New Const. each fixture 13.00 Gas Piping: (1 - 4 outlets) (5 or more outlets/per outlet) 8.50 2.00 Alterations each fixture 13.00 Dental Chair or Unit 40.25 Drinking Fountain, Water Cooler, Ice Machine 40.25 OTHER (NOT LISTED) Sump,Sewage Ejector Pump 13.00 Garbage Disposal 13.00 Water Heater 13.00 SUB-TOTAL: SUB-TOTAL: TOTAL: ***COMMERCIAL PROJECTS: Please complete “System Development Calculation Sheet” A water availability/approval letter shall be submitted with this application for any property located outside the city's water service area. To confirm your water service area, please contact Development Services at (253) 841-5577. Fruitland Mutual Water Co. – (253) 848-5519 / Valley Water Co. – (253) 841-9698 / Tacoma Water Co. – (253) 502-8600 CONTRACTORS AFFIDAVIT: I HEREBY MAKE APPLICATION FOR A PLUMBING 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 Site Address: Owner: Owner Phone Owner Address: City: Zip: Contractor Name: Contractor Phone Contractor Address: City: Zip: WA State License Exp. Date: City Business License Contact Email: Contact Person: Contact Phone Fax