CITY OF PUYALLUP PERMITTING PORTAL

Building Division

* Final approval by the Building Official is required prior to occupancy. *Work shall not proceed until the inspector has approved the stages of construction. *Surface storm water shall be diverted from the building site and shall not drain onto adjacent properties. * I hereby acknowledge that I have read this Permit/Application, that the information given is correct: that I am the owner or the duly authorized agent of the owner; that plans submitted herewith are in compliance with all applicable city, county and state laws and that all construction will proceed in accordance with said laws. This permit shall expire if work is not commenced with 180 days or if the work is suspended for a period of 180 days. Once work has started (passed a required inspection) one inspection per year must be completed to keep active or it will formally expire and become null and void. Permits expire 2 years from issuance. * 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. ASBESTOS REMOVAL TO BE COMPLETED AS REQUIRED PER THE STATE OF WASHINGTON AND THE PUGET SOUND CLEAN AIR AGENCY.

Engineering Division

* I agree to call the Utility Notification Center at 1-800-424-5555 (811) before beginning any excavation. Call before you dig, it's the law. * I agree to cut and cap the sanitary sidesewer at property line. The existing sidesewer shall not be re-used. Call the inspection line at 253-445-4795 or 253-445-5092 to schedule this inspection PRIOR to backfilling. Enter the action code 9100 when prompted. * The applicant is responsible to decommission the existing septic system per P.C.H.D. requirements. A decommissioning certificate is required to be filed with P.C.H.D. and a copy submitted to the City of Puyallup. * The City water division shall perform the water service removal. Contact Perry Baird at 253-841-5512 to schedule. * The applicant is responsible to decommission the existing private well per P.C.H.D. requirements. A decommissioning certificate is required to be filed with P.C.H.D. and a copy submitted to the City of Puyallup. * If the existing private well is to be retained it will be necessary to install a RPBA on the domestic water service connection to the City's system. * I agree to call the inspection line at 253-445-4795 or 253-445-5092 to schedule a building final inspection. Enter action code 9800 when prompted for Building Inspection Final. I hereby acknowledge that I have read and understand the contents of this permit and I hereby state that the information I have supplied is true and correct. The Applicant shall defend, indemnify, and hold the City, its officers, employees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf out of issuance of this permit.

Engineering Division

Effective January 1, 2013 RCW 19.122 Before conducting any construction or excavation within 100 feet of a right-of-way or utility easement containing a transmission pipeline a person must notify the pipeline companies of the scheduled excavation through the one-number locator service 811. Notification must occur in a window of not less than 2 business days but not more than 10 business days before beginning the excavation. If a transmission pipeline company is notified that excavation work will occur near a pipeline, a representative of the company must consult with the excavator on-site prior to excavation.