Mechanical Permit ApplicationSTATE OF WASHINGTON CONTACTOR’S LICENSE: ________________________________________________________________
CITY OF RENTON BUSINESS LICENSE: __________________________________________ UBI#: __________________________
H\CED\Data\Forms-Templates\Self-Help Handouts\Building\2019 Forms-Fillable\Mechanical.pdf Updated 12/5/2019
MECHANICAL PERMIT
APPLICATION
Development Services Division
1055 S. Grady Way
Renton, WA 98057
(425) 430-7200
www.rentonwa.gov
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 the permit is 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.
FOR OFFICE USE ONLY:
PERMIT NUMBER: _______________________ PROJECT NUMBER: ___________________ LAND USE NUMBER: ___________
1.LOCA TION INFORMATION
JOB ADDRESS: ______________________________________ TENANT NAME: __________________________ 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: ________________________________________________________________________________________________
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: ______________________________________________________________________________________
4.CONTRACTOR INFORMATION
DOING THE WORK AS THE BUILDING/HOME OWNER. If yes, please fill out the Owner Affidavit and include it with this form.
Tenants cannot do the work without written permission from the owner.
A LICENSED CONTRACTOR WILL BE DOING THE WORK. Fill out the portion below (Required):
NAME: _________________________________________________________ PHONE: _________________________________
MECHANICAL PERMIT FEES
Base Fee Single Family
$52
Commercial /Multi-Family
$75
Fixtures Quantity Fee Per Fixture Quantity Fee Per Fixture
Installation, alteration, addition or relocation of each:
•Heating Systems (Furnace, heat pump, suspended heater,
fireplace, wood stove
•Cooling Systems (air conditioner, chillers, refrigerant
piping)
•Air Handling Unit (VAV Including ducts, vents, controls,
grills and diffusors )
For an existing heating system, choose 1 per system.
How many of these units are on the roof?* ________
If any, please list the weight of the unit/s __________
Rooftop units over 400 lbs require plan Review.
$20.00 $35
Installation or relocation of boiler or compressor $20 $75
Installation of Commercial refrigeration system N/A $75
Installation, alteration or repair of ventilation system/
exhaust fans
$20 $35
Installation of a commercial hood vent system served by
mechanical exhaust, including the ducts. Type I hoods*
require plan review.
N/A $75
Installation or relocation of each commercial incinerator N/A $100.00
Each appliance or piece of equipment regulated by the code
but not classified in any other appliance category or for which
no other fee is listed
$20 $35
Gas Piping (each gas system up to 6 outlets) $20 $35
Re-inspection Fee $125 $125
* Plan Review required. 40% of permit fee
Additional 5% technology surcharge to calculated fee
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 as well as an investigation fee. Fees to be paid at permit
intake.
APPLICANT SIGNATURE_______________________________________________________DATE__________________________
APPLICANT NAME PRINTED__________________________________________________________________________________