Fillable Application for GRADING PERMIT (City of DuPont)

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Application for GRADING PERMIT (City of DuPont)

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Application for GRADING PERMIT
BUILDING SERVICES DIVISION
1700 Civic Drive DuPont, WA 98327
P: (253) 912-5217 F: (253) 964-1455
www.dupontwa.gov
Permit Number:_______________________________
□ Engineered (5000 cubic yards or more) □ Non-Engineered (Less than 5000 cubic yards)
Project Address: Parcel Number:
Project Name / Owner: Phone Number: ( )
Address:
Applicant: Address:
Contact Person: Email: Phone Number:
Contractor: Contact Person:
Address: Phone Number:
State Contractor's License:
City Business License:
SCHEDULE OF FEES (OFFICE USE)
Grading Permit Plan Review Filing Fee:
Application will not be accepted without full payment
of plan review fee per Table A-33-A
(Note: Plan Review & Permit fees shall include any and all consultant
costs incurred by the City in administering the permit.)
Permit Fee $____________________
(Table A-33-B)
Plan Review Fee $____________________
(Table A-33-A)
SUBTOTAL $____________________
Deposit (if any) $__________ Rec’t________
TOTAL $____________________
I certify that I am the: □ Owner □ Contractor □ Agent
I hereby certify that I have read and examined this application and
state that the above information is correct. I agree to comply with all
City Ordinances and State Laws, whether specified herein or not.
***By leaving the contractor information section blank, I hereby
certify further that contractors (General or Subcontractors) will not
be hired to perform any work in association with this permit.
Signature of Applicant/Authorized Agent Date
PRINT NAME
Description of Work (be very specific):
Grading Quantities (cubic yards): Cut:____________ Fill:____________ Combined Total:__________
An Environmental Checklist is required for grading activities exceeding 100 cubic yards, unless otherwise exempt.
Environmental checklist filed with the City? Yes No
If yes, has the SEPA determination been rendered? Yes No
Land Use Approval
To Proceed __________
Engineered Grading
Engineer: Address:
Contact Person: Email: Phone Number:
0
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GRADING PERMIT FEE TABLE
TABLE A-33-A: GRADING PLAN REVIEW FEES (Plan Review Fees are based on larger of cut or fill)
50 cubic yards (3.8.2 m³) or less No Fee
51 to 100 cubic yards (40 m³ to 76.5 m³)……………………………………………………………………………….……. $23.50
101 to 1,000 cubic yards (77.2 m³ to 764.6 m³)………………………………………………………………………………$37.00
1,001 to 10,000 cubic yards (765.3 m³ to 76455 m³)………………………………………………………………………… $49.25
10,001 to 100,000 cubic yards (7646.3 m³ to 76 455 m³) $49.25 for the first 10,000 cubic yards (7645.5 m³), plus $24.50
for each additional 10,000 yards (7645.5 m³) or fraction thereof.
100,001 to 200,000 cubic yards (76 456 m³ to 152911 m³) $269.75 for the first 100,000 cubic yards (76455 m³), plus $13.25
for each additional 10,000 cubic yards (7645.5 m³) or fraction thereof.
200,001 cubic yards (15 2912 m³) or more $402.25 for the first 200,000 cubic yards (152 911 m³), plus $7.25 for each
additional 10,000 cubic yards (7645.5 m³) or fraction thereof.
Other Fees:
Additional plan review required by changes, additions or revisions to approved plans……………………………$50.50 per hour*
(minimum charge – one-half hour)
*Or the total hourly cost to the jurisdiction, whichever is the greatest. This cost shall include supervision, overhead, equipment,
hourly wages and fringe benefits of the employees involved.
TABLE A-33-B: GRADING PERMIT FEES¹ (Permit Fees are based on combined total of cut and fill)
50 cubic yards (38.2 m³) or less……………………………………………………………………………………………...$23.50
51 to 100 cubic yards (40 m³ to 76.5 m³)……………………………………………………………………………………$37.00
101 to 1,000 cubic yards (77.2 m³ to 764.6 m³) – $37.00 for the first 100 cubic yards (76.5 m³), plus $17.50 for each additional
100 cubic yards (76.5 m³) or fraction thereof.
1001 to 10,000 cubic yards (765.3 m³ to 7645.5 m³) – $194.50 for the first 1,000 cubic yards (764.6 m³), plus $14.50 for each
additional 1,000 cubic yards (764.6 m³) or fraction thereof.
10,001 to 100,000 cubic yards (7646.3 m³ to 76 455 m³) -- $325.00 for the first 10,000 cubic yards (7645.5 m³), plus $66.00 for
each additional 10,000 cubic yards (7645.5 m³) or fraction thereof.
100,001 cubic yards (76 456 m³) or more – $919.00 for the first 100,000 cubic yards (76 455 m³), plus $36.50 for each additional
10,000 cubic yards (7645.5 m³) or fraction thereof.
Other Inspections and Fees:
1. Inspections outside of normal business hours……………………………………………………………….$50.50 per hour²
(minimum charge – two hours)
2. Re-inspection fees assessed under provisions of UBC Section 108.8……………………………………… $50.50 per hour²
3. Inspections for which no fee is specifically indicated……………………………………………………….$50.50 per hour²
(minimum charge – one half hour )
¹The fee for a grading permit authorizing additional work to that under a valid permit shall be the difference between the fee paid for
the original permit and the fee shown for the entire project.
²Or the total hour cost to the jurisdiction, whichever is the greatest. This cost shall include supervision, overhead, equipment, hourly
wages and fringe benefits of the employees involved.
City of DuPont
Building Services Division
1700 Civic Drive DuPont, WA 98327
P: (253) 912-5217 F: (253) 964-1455
www.dupontwa.gov
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Application for GRADING PERMIT (City of DuPont)

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Completed 21 January 2021

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