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1 City of Puyallup Application for Building Permit 333 S. Meridian Puyallup, WA 98371 Tel: (253) 864-4165 [EMAIL REDACTED] Parcel No: Site Address: Owner Name: Tel: Owner Address: City: Zip: Contractor Name: Tel: Contractor Address: City: Zip: WA State License: Exp Date: City Business License: Contact Name: Email: Contact Tel: Fax: Lender Name: Address: Tel: Project Description: If the project disturbs one acre or more, the applicant must apply for a NPDES Construction stormwater general permit from the Department of Ecology. For additional information visit DOE website www.ecy.wa.gov/programs/wq/stormwater/construction Building Permit Information COMMERCIAL OR RESIDENTIAL TYPE OF CONSTRUCTION OCCUPANCY TYPE FIRST FLOOR SQ. FT. OCCUPANCY LOAD SECOND FLOOR SQ. FT. # OF DWELLING UNITS BASEMENT SQ. FT. # OF BEDROOMS GARAGE SQ. FT. # OF BATHROOMS COVERED PORCH SQ. FT. BUILDING HEIGHT PATIO SQ. FT. ZONING DECK SQ. FT. LOT SIZE SQ. FT. HEAT TYPE LOT COVERAGE: CHANGE OF USE? IMPERVIOUS SURFACE SQ. FT. AIR CONDITIONED? PROJECT DISTURBED AREA SQ. FT. FIRE SPRINKLERS? SEWER OR SEPTIC LOCATED IN FLOOD PLAIN? WATER PURVEYOR VALUATION $ 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. SIGNATURE OWNER / AUTHORIZED AGENT PRINT NAME DATE REV 5/23 RC ---PAGE BREAK--- 2 MECHANICAL 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 19.55 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 1,750,000 122.48 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: ---PAGE BREAK--- 3 PLUMBING 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. Fruitland Mutual Water Co. – (253) 848-5519 / Valley Water Co. – (253) 841-9698 / Tacoma Water Co. – (253) 502-8600 ---PAGE BREAK--- 4 Plan Submittal Checklist for Single Family Residence ❑ A site plan, drawn to scale on minimum 8½" x 11". Details to include setbacks, easements, other structures & features, adjacent right-of-way, drive access, septic and/or utility lines, and contours of slopes over 15% grade at 2-foot intervals. ❑ Plans (Engineer or Architect Stamped on all sheets) ❑ Foundation Plan: footing size, wall height, section & reinforcing. ❑ Floor plan with room use identified Floor framing plan for each floor (post & beam or joist w/ size & spacing) Ceiling/roof framing plan or truss layout w/ reactions from truss manufacturer Truss layout with hanger and reactions for girder/carrier trusses Truss drawings for TJI's or BCI's Truss specifications packet Engineer Stamped ❑ Window & door sizes, header sizes, U-values ❑ Complete building sections - special sections (show floor, wall & ceiling height, insulation R-value of floors, walls & ceilings. Show sections through stairs - headroom) ❑ Constructions details (i.e. structural members, insulation, sheathing, siding, roofing, bracing, dimensions, etc.) ❑ Exterior porches & decks (resistance to decay including support footings) ❑ Special equipment (fireplace, woodstove, hydro-massage tub, etc.) ❑ Location of all smoke detectors ❑ Handrail/guardrail details for stairs, landings, decks ❑ Energy Worksheets: http://www.energy.wsu.edu/BuildingEfficiency/EnergyCode.aspx ❑ Engineering plans/calculations for special conditions – Engineer stamped Basement & retaining walls 4 feet and higher Beams supporting combined roof & floor loads Beams supporting other beams or girder trusses Shear walls when bracing not provided as required. ❑ If less than 2,000 square feet of new + replaced hard surface: submit a temporary sediment and erosion control plan per the 2014 update to the 2012 Stormwater Management Manual for Western Washington ❑ If greater than 2,000 square feet of new + replaced hard surface: submit a Stormwater site plan, report and temporary sediment and erosion control plan and report that satisfy the 2014 update to the 2012 Stormwater Management Manual for Western Washington and City standards ❑ Plan Review Fee Plan Submittal Checklist for Commercial Projects ❑ Site plan, drawn to scale on minimum 8½" x 11". Details to include setbacks, easements, soil reports, other structures & features, adjacent right-of-way, drive access, septic and/or utility lines, and contours of slopes over 15% grade at 2-foot intervals, Fire Department access and hydrants, and names of adjacent streets. ❑ Complete sets of plans including building, plumbing, and mechanical. (Engineer or Architect Stamped on all sheets) ❑ Set of structural calculations – Engineer Stamped ❑ Specifications – as applicable. ❑ Driveways, sidewalks, parking, and accessible routes ❑ Exterior elevations Complete building sections - special sections ❑ Building code summary Proposed use Construction Type Occupancy Group Classification Allowable Area Actual Area Dimension yard width on site plan where used for allowable area increase. ❑ Occupant load calculations and exiting, including exit width calculations ❑ Energy worksheets including envelope calculations, HVAC, and lighting budget ❑ Foundation plan including footing sizes, wall heights, cross-sections and reinforcing Floor plan with room use identified for each floor Floor framing plan each floor (slab, post & beam or joist) Ceiling/roof framing plan or truss layout with girder truss reactions ❑ Window & door sizes, header sizes, and U-Values ❑ Construction details (i.e. structural members, insulation, sheathing, roofing, diaphragms, shear walls) ❑ Handrail / guardrail / stair details (with headroom) for stairs and landings ❑ Smoke detectors, fire alarm, sprinkler system details (if required) ❑ Engineering for special conditions (truss, basement, retaining walls, shear walls, lateral bracing, load transfer etc.) ❑ Plumbing plans including layout and fixture count - Plumbing Fixture Worksheet is required with plumbing plans ❑ Special equipment (kitchen, HVAC, Boiler, fireplace, woodstove, etc.) ❑ Mechanical plans including layout, location and make/model of equipment ❑ Traffic Scoping Worksheet ❑ Plan Review Fee