HAZARD SPECIFIC PERMIT APPLICATION

Please apply for your permit at least 4 weeks in advance.

SITE INFORMATION

1. Is this permit for a Business or Residence? *This question is required.

2. Parcel Number: This question requires a valid number format.

3. Site Address *This question is required.

4. City: *This question is required.

5. Zip: *This question is required. This question requires a valid number format.

6. Name of Applicable Business or Resident at site? *This question is required.

7. Property Owner: *This question is required.

8. Street Address: *This question is required.

9. City: *This question is required.

10. Zip: *This question is required. This question requires a valid number format.

APPLICANT INFORMATION

11. Applicant/Contact: *This question is required.

12. Phone Number: *This question is required.

13. Email: *This question is required. This question requires a valid email address.

14. Mailing Address: *This question is required.

15. City: *This question is required.

16. Zip: *This question is required.

ACTIVITY/PROJECT INFORMATION

17. Activity/Project Start Date (if applicable): This question requires a valid date format of MM/DD/YYYY.

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18. Activity/Project Start Time (if applicable):

19. Activity/Project End Date (if applicable): This question requires a valid date format of MM/DD/YYYY.

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20. Activity/Project End Time (if applicable):

21. Description: *This question is required.

SELECT PERMIT TYPE

OPERATIONAL and CONSTRUCTION PERMITS: Pierce County Code 17C.60 Permit Fees: A Fee as specified in Table 17C.60-1 shall be charged for each requires permit. Listed below are the most frequently requested permits. For a complete list of permits refer to Pierce County Code 17C.60.085.

22. Permit Types/Fees *This question is required.

23. Do you have an additional tank? *This question is required.

23. How many additional tanks? (each additional tank is $151.25) *This question is required.

23. Total Fees:
You will be e-mailed a link for payment from our staff after you have submitted this application. *This question is required.

ITEMS REQUIRED

SITE PLAN: Show building footprints, easements, property lines, setbacks, access roads, fire hydrants, dimensions, storage areas, use or activity for various areas, parking areas, etc. 1 electronic set or 2 paper sets required.

FLOOR PLAN: Show building footprint, room divisions, area uses, dimensions in feet, storage placement, aisle ways, exits, placement of furniture and fixtures and spacing dimensions, locations of fire extinguishers, etc. 1 electronic set or 2 paper sets required.

START/END DATE (if applicable, include start/end time)

24.

QUANTITIES

*This question is required.

24.

TYPE OF PRODUCTS

*This question is required.

INSURANCE CERTIFICATE FOR $1,000,000.00

MANUFACTURER’S CUT SHEETS

INSTALLATION DETAILS

24. Is the tank aboveground or underground? *This question is required.

DOCUMENT UPLOAD

Note: This submittal must be accompanied by sufficient information for a plan review to determine compliance with the International Fire Code. This will allow corrections to be made during the planning phase prior to the start of the activity or project. Such information may include site plans, floor plans, manufacturers’ information, type and quantity of hazardous materials, etc. Incomplete or inadequate information may delay the permit processing. Some flammable liquid permits may require a SEPA (environmental) review and/or a Health Department permit.

24. Upload Submittal Documents:

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25. Electronic Signature: *This question is required.

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