Grading Permit ApplicationH:\CED\Data\Forms-Templates\Self-Help Handouts\Building\Gradingl Permit Application.docx Updated 3/29
4. CONTRACTOR INFORMATION
I AM DOING THE WORK AS THE HOMEOWNER. If yes, please fill out the Owner Affidavit and include it with this document.
I AM HIRING A LICENSED CONTRACTOR. Fill out the portion below:
NAME:_________________________________________________________PHONE:____________________________________
STATE OF WASHINGTON CONTACTOR’S LICENSE:___________________________________________________________________
CITY OF RENTON BUSINESS LICENSE:_____________________________________________________________________________
Development Services Division
1055 S. Grady Way
Renton, WA 98057
(425) 430-7200
GRADING PERMIT
APPLICATION
This application must be filled out completely in order to be submitted for review. We will not accept incomplete applications. This application
is good for one (1) year from the submittal date. A one –time extension of one (1) year can be requested at a cost of half the plan review fee.
Once issued, the permit is good for one (1) year. A one –time extension of one (1) year can be requested at a cost of half the permit fee. Please
follow our Electronic File Standards if plan review is required. This application must be a .pdf and included in your electronic files submittal.
FOR OFFICE USE ONLY:
PERMIT NUMBER:_______________________PROJECT NUMBER:______________________LAND USE NUMBER:______________
ASSOCIATED BUILDING PERMIT NUMBER (REQUIRED):_____________________________________________________________
This number is required if your work is associated with work being done under a Building Permit. The Building Permit could belong
to someone else, but we still need the number to keep all associated permits tied together. You may need to contact the Building
Permit owner.
Description of work:
1. LOCATION AND VALUATION INFORMATION
JOB ADDRESS:________________________________________PARCEL NO.____________________________LOT #:___________
VALUE OF WORK: (Fair market value for time + materials) $____________________ BOEING JOB #(If applicable):_____________
2. OWNER INFORMATION
PROPERTY OWNER NAME:_______________________________________________PHONE:______________________________
ADDRESS:______________________________________________CITY:______________STATE:___________ZIP:_______________
3. CONTACT INFORMATION
CONTACT NAME:_______________________________________________________PHONE:______________________________
EMAIL:__________________________________________________________________FAX:_______________________________
Tier Grade /Fill Qty. Cleared/Disturbed Area New/Replaced Hard Surface Review/Intake Fee Issuance/Inspection Fee
1* < 50 cy < 7,000 sf <2000sf N/C N/C
2* 50 cy - 499 cy 7,000 sf - < 3/4 acre 2,000sf – 4999 sf $466.00 $444.00
3* 500 cy - 4,999 cy 3/4 ac - < 1 ac 5,000sf - <1ac $621.00 $887.00
4* 5,000 cy - 49,999 cy 1 ac - < 2.5 ac 1ac -<2.5 ac $932.00 $1,183.00
5* 50,000 cy - 99,999 cy 2.5 ac - < 5 ac 2.5ac -<5ac $1,242.00 $2,366.00
6* 50,000 cy - 99,999 cy 2.5 ac - < 5 ac 5 ac and Larger $1553.00 $3,550.00
*+ 5% Technology Fee Assessment
GRADING PERMIT INFORMATION
5. GENERAL INFORMATION
Number of total cubic yards to be excavated:____________________________________________________________
Number of total cubic yards to be filled:________________________________________________________________
Note: Excavation and/or fill in excess of 500 cubic yards require Environmental Review with the Planning Department.
Please contact Development Services at 425-430-7200 for an application and information on requirements and procedures.
Brief Description of proposed activity:_________________________________________________________________
•Will fill be brought on site?_______________________________________________________________________
•Where does the fill originate from?________________________________________________________________
•Is this located near the shoreline of Lake Washington or associated wetlands?_____________________________
•Is the project site located within an identified 100 -year flood plain?______________________________________
•Please specify if there are any regulated trees (RMC 4-11-20) to be removed?______________________________
APPLICANT NAME PRINTED
DATE
I certify that the information on this application furnished by me is true and correct and that the applicable requirements of the City of Renton
will be met. I understand that this application is valid for one year from the application date. If a permit is not issued during this time period,
the application will become void. This application does not constitute a permit to work. Work is not to commence until the building permit is
posted on premises where work is to be performed. Certification is hereby rendered that no work is to be done except as described, and that
all work shall conform to applicable codes. Work in public rights-of-way and/or utility easements are not authorized under this application.
Any work done without the benefit of having a building permit issued is subject double the permit fee. Fees to be paid at permit intake.
APPLICANT SIGNATURE__________________________________________________________________________
___________________________________________________________________________________
SUBMITTAL REQUIREMENTS:
•A site plan showing proposed graded location, topography and erosion control measures.
•Plans drawn by a licensed civil engineer.
•Fill Source Statement is required for projects located within an Aquifer Protection Area. If the project will involve importing fill in
excess of 50 cubic yards, please provide five (5) copies of a source statement certified by a professional engineer. A source
statement will be required for each source location from which imported fill is obtained.