HomeMy WebLinkAboutGrading Permit Application
rentonwa.gov/permitcenter | permittech@rentonwa.gov | 425-430-7215 2/12/2024 | Page 1 of 2
CITY OF RENTON Ι PERMIT CENTER
GRADING PERMIT APPLICATION
INSTRUCTIONS:
Application must be filled out completely and signed in order to be submitted for review and acceptance. This application is good
for one (1) year from the application acceptance 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 eighteen (18)months from the issue date. A one –time extension of eighteen
(18) months can be requested at a cost of half the permit fee. Follow our Electronic File Standards when plan review is required.
This application must be a .pdf and included in your submittal.
LOCATION AND VALUATION INFORMATION
JOB ADDRESS:
PARCEL NUMBER: LOT NUMBER:
VALUE OF WORK (Fair market
value for time + materials): BOEING JOB NUMBER
(If applicable):
FOR OFFICE USE ONLY PERMIT #________________ PROJECT #___________________ LUA #_________________
OWNER INFORMATION
NAME: PHONE:
ADDRESS:
CONTACT INFORMATION (This person will be the sole point of contact for this application)
NAME: PHONE:
EMAIL:
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: _______________________________________________________________________________________________________
CONTRACTOR INFORMATION
DOING THE WORK AS THE HOMEOWNER. If yes, please fill out the Owner Affidavit and include it with this
document.
A LICENSED CONTRACTOR WILL BE DOING THE WORK. Fill out the portion below.
NAME: PHONE:
STATE OF WASHINGTON CONTRACTOR’S LICENSE:
CITY OF RENTON BUSINESS LICENSE:
rentonwa.gov/permitcenter | permittech@rentonwa.gov | 425-430-7215 2/12/2024 | Page 2 of 2
GRADING PERMIT APPLICATION
GRADING PERMIT 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 IDENTIFIED 100-YEAR FLOOD PLAIN?
PLEASE SPECIFY IF THERE ARE ANY REGULATED TREES (RMC 4-11-20) TO BE REMOVED?
SUBMITAL 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.
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:___________________________________________________DATE:_____________________
PRINT NAME:______________________________________________________________________________________
TIER GRADE/FILL QTY. CLEARED/
DISTURBED AREA
NEW/REPLACED
HARD SURFACE REVIEW/INTAKE FEE ISSUANCE/
INSPECTION FEE
1* < 50 cy < 7,000 sf < 2,000 sf N/C N/C
2* 50 cy—499 cy 7,000—< 3/4 acre 2,000 sf-4,999 sf
FEES: Refer to the Current City of Renton Fee
Schedule
*+5 Technology Fee Assessment
3* 500 cy—4,999 cy 3/4 ac—< 1 ac 5,000 sf—< 1 ac
4* 5,000 cy—49,999 cy 1 ac—< 2.5 ac 1 ac–< 2.5 ac
5* 50,000 cy—99,999 cy 2.5 ac—< 5 ac 2.5 ac—< 5 ac
6* 50,000 cy—99,999 cy 2.5 ac—< 5 ac 5 ac and Larger