Plumbing Permit ApplicationH:\CED\Data\Forms‐Templates\Self‐Help Handouts\Building\2019 Forms-Fillable\Plumbing.pdf Updated 1/9/2019
Development Services Division
1055 S. Grady Way
Renton, WA 98057
(425) 430‐7200
www.rentonwa.gov
PLUMBING 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 from issue date. 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: _____________
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: _______________________________________ TENANT NAME: __________________ LOT#: ______
VALUE OF WORK: (Fair market value for time + materials) $______________ BOEING JOB # (If applicable): _________
DESCRIPTION OF WORK TO BE PERFORMED: ____________________________________________________________
2.OWNER INFORMATION
PROPERTY OWNER NAME: _____________________________________ PHONE: ___________________________
ADDRESS: _________________________________________ CITY: ______________STATE: ______ ZIP: ________
3.CONTACT INFORMATION
CONTACT NAME: _____________________________________________ PHONE: ___________________________
EMAIL: ______________________________________________________ FAX: _____________________________
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 work without written permission from the owner.
A LICENSED CONTRACTOR WILL BE DOING THE WORK. Fill out the portion below (Required):
NAME: ______________________________________________________ PHONE: __________________________
STATE OF WASHINGTON CONTACTOR’S LICENSE: ____________________________________________________
CITY OF RENTON BUSINESS LICENSE: ________________________________ UBI#: __________________________
PLUMBING PERMIT FEES
Base Fee Single Family
$52
Commercial /Multi-Family
$75
Fixtures Quantity Fee Per Fixture Quantity Fee Per Fixture
Bathtub $10 $15
Dishwasher $10 $15
Drinking Fountain $10 $15
Floor Drain $10 $15
Hose Bib $10 $15
Ice Maker $10 $15
Laundry Tray $10 $15
Other system not listed $10 $15
Shower $10 $15
Sink $10 $15
Sump/Trap $10 $15
Washer $10 $15
Water Closet $10 $15
Water Heater (Gas or Electric) $10 $15
Water Service- from meter to building $10 $15
Roof Drain / Rainwater System (per drain) $10 $15
Waste Interceptor N/A $15
Installation, alteration, or repair of water piping (Each
fixture)
$10 $15
Installation, alteration or repair of drainage or vent
piping (Each fixture)
$10 $15
Each Lawn Sprinkler system (includes backflow
device)
$10 $15
Each Vacuum breaker or backflow protection device
on tank, vats, etc.
$10 $15
Gas piping System (Up to 6 outlets) $20 $25
Medical gas piping System** (Up to 6 outlets) N/A $75
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 (1) 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:_______________________
APPLICANT NAME PRINTED: __________________________________________________________________________