Building Permit Application Building Permit Application Site Address:(Required)Parcel Number (Optional):Will 1 Acre or More be Cleared or Graded?(Required) Yes No Temporary Const. Trailer?(Required) Yes No Is the Property Within the Flood Area?(Required) Yes No Change of Occupancy?(Required) Yes No Description(Required)Fire Sprinklers:(Required) Yes No City Sewer:(Required) Existing New City Water:(Required) Yes No Fire Alarm:(Required) Yes No Septic System:(Required) Existing New Private Well:(Required) Yes No Total Square Footage:(Required)Construction Type:(Required)Estimated Cost of Construction:(Required)Occupancy Class:(Required)PROPERTY OWNERName:(Required) First Last Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) Signature(Required)Contractor Please Select if Contractor Business Name(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone:(Required)Email:(Required) License Number:(Required)Signature(Required)IF YOU ARE THE OWNER AND ACTING AS YOUR OWN CONTRACTOR, PLEASE COMPLETE THE FOLLOWING DECLARATION:SignatureI acknowledge that I am applying for a construction permit thru the Union Gap Community Development Department. I also acknowledge that I am not a licensed contractor, specialty or general, or that I am not acting as a contractor and wish to be exempt from the requirements of the Washington State Contractor’s act, per RCW 18.27.090, and will abide by all provisions and conditions of the exemption as stated. I agree that if I use the assistance of any person(s) to provide labor and/or assistance, I will retain only contractors registered and currently licensed as required under the laws of the State of Washington. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.DateMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920EmailThis field is for validation purposes and should be left unchanged.
