21630 11th Avenue South, Suite D
Des Moines, WA 98198
Multi-family / Commercial
Plumbing Permit Application
Project Name: Project Address:
Complex/Park Name: Unit/Space Number:
Address: City: State: Zip:
WA Contractor License #:
Des Moines Business License #:
Scope of Work:
Type Cost per unit Number of units Total per line
Permit Fee (insert project valuation in the box) See Permit Fee Table Valuation
Plan Review Fee (put a check in the box if plan review is required)
See Permit Fee Table check if required
Automation Fee (Required) - See Automation Fee Schedule
Total Permit Fee
I hereby certify that I have read and examined this application and know the same to be true and correct, and agree to comply with City ordinances and State laws
regulating the performance of construction. I certify that I am either the owner of the property described on this permit application, the Washington State licensed
Contractor responsible for the work, or I represent the owner or contractor as signified above, and am acting with the owner's/contractor's full knowledge or consent.
Print name of Applicant Applicant's signature
Application expires 180 days from date of application
Permit expires 180 days from date of issuance or last inspection
Plumbing plan review is required for all new or altered commercial and multi-family plumbing projects.
A complete submittal for plan review requires the following items:
1. A completed and signed Plumbing Permit application.
2. Two sets of plans containing the following information:
a) Floor plans showing location of all existing and proposed added plumbing and fixtures.
b) A fixture unit calculation and sizing for the water service piping
c) A fixture unit calculation and sizing for the waste and vent.
d) A complete isometric diagram of the installation
e) A complete diagram of gas piping included sizing calculations.
f) Any other information required by the Building Department
For all work done within the City of Des Moines, please use Location Code 1709 in reporting and/or remitting to the State all related sales and use taxes
Permit fees for all commercial projects are valuation based. Please be prepared to provide a copy of your bid.