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Forms &
Applications


Here you will find permits and applications available for all the divisions of Yakima County Public Services. Documents are listed in alphabetical order.

Most of the forms are in PDF format. They require that you have Adobe Acrobat Reader installed on your computer. If you do not already have Adobe Reader installed, you can download it by clicking on the Adobe Reader Icon. Adobe Reader Download

For each package, all the forms listed are required.

A | C | D | E | F | G | I | L | M | N | P | R | S | T | W | Z

Accessory Apartment

Additional Owners/Agents Submittal Supplemental

Address Change Request Form

All new and existing Addressable Structures or Units within unincorporated Yakima County shall have a Site Address in accordance with the applicable provisions of the currently adopted Building and Fire Codes.” This form alerts the address coordinator of changes, information requests, or creation of a new address on the applicant’s parcel(s) outside of city limits.

Administrative Adjustment

Ag Special Exception Lot

Aged and Infirmed Temporary

Agreement to Pay Fees

Appeal

Carport Permit

Carport Permit Development Assistance Brochure
Carport Permit Intake Checklist Instruction Sheet
Carport Permit Package
Carport Submittal Checklist

Class I Zoning Review

Class I Development Assistance Brochure
Class I Review Handout Package
Class I Policy & Procedure
Class I Review Internal Checklist
Handout Class I Review Checklist

Critical Areas Ordinance

Critical Areas Exemption Permit Packet
Shoreline & Critical Areas Application  (Form #PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form #PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form #PLN ENR 001 Q1-A)
CAO & Shoreline Exemption Form  (Form # PLN ENR 001 F1-A)
CAO Exemption Bulletin (Form # PLN ENR 001-B1-A)
Narrative Form (Form # PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form # PLN 011 SC3-A)

Shoreline Exemption Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001-F2-A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001-F2-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
CAO & Shoreline Exemption Form (Form # PLN ENR 001 F1 A)
Shoreline Exemption Bulletin (PLN ENR 004 B1-A)
Narrative Form (Form # PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Critical Areas Standard Development Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Shoreline Substantial Development Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Critical Areas Adjustment Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Critical Areas Adjustment Submittal Supplemental (Form PLN ENR 001-SS1-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Shoreline Variance Application Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Shoreline Variance Submittal Supplemental (Form PLN ENR 004 SS2-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Shoreline Conditional Use Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Shoreline Conditional Use Permit Submittal Supplemental (Form PLN ENR 004-SS1-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Minor Revisions to Approved Uses Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Minor Revisions to Approved Uses Form (Form # PLN ENR 001 SS2-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Reasonable Use Exception Permit Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Reasonable Use Exception Submittal Supplemental (Form #PLN ENR 001 SS5-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

Non-Conforming Uses and Facilities Packet
Shoreline and Critical Areas Application (Form PLN ENR 001 F2A)
Shoreline & Critical Areas Submittal Checklist (Form PLN ENR 001 SC1-A)
Shoreline and Critical Areas Questionnaire (Form PLN ENR 001 Q1-A)
Non-Conforming Uses and Facilities Submittal Supplemental (Form # PLN ENR 001 SS4-A)
Narrative Form (Form PLN 003-F7-A)
Critical Areas, Shoreline, & Floodplain Site Plan Submittal Checklist (Form PLN 011 SC3A)

SEPA
General Application Form (Form # PLN 003-F3-A)
Environmental Checklist (Form # PLN ENR 003-SS1-A)
Narrative Form (Form PLN 003-F7-A)

Deck Permit

Deck Permit Development Assistance Brochure
Deck Permit Intake Checklist Instruction Sheet
Deck Permit Package
Uncovered Deck Submittal Checklist

Demolition Permit

Demolition Permit Development Assistance Brochure
Demolition Permit Intake Checklist Instruction Sheet
Demolition Submittal Checklist
Demolition Permit Package

Development Regulation Amendment Request Packet

Early Assistance

Event Permit Application

(Bike Race, Running Event, and Mixed) A special event application form permitting the use of county roadways for “mass-user” activities that can conflict with vehicle traffic.  Regularly used for bicycle and running events in the unincorporated roadways of Yakima County.

Farm Building

Farm Building Development Assistance Brochure
Farm Building Permit Package
Farm Building Submittal Checklist Instruction Sheet
Farm Building Submittal Checklist

Fence Permit

Fence Permit Development Assistance Brochure
Fence Permit Intake Checklist Instruction Sheet
Fence Submittal Checklist
Fence Permit Package

Financial Segregation

Flood Plain / Critical Area Site Plan Supplemental

Franchise Application Form

In accordance with Chapter 36.55 of the Revised Code of Washington (RCW), Yakima County maintains legal authority to grant franchises to interested parties. A franchise is an agreement of understanding between an authorized jurisdiction (Yakima County), and a prospective applicant that defines the rights and responsibilities of both the county and the individual or business in placing utilities in county right-of-way. The franchise sets forth the conditions of placement.  The approving of a franchise shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in RCW 36.55.

Garage Permit

Garage Permit Development Assistance Brochure
Garage Permit Package
Garage Submittal Checklist Instruction Sheet
Garage-Storage Submittal Checklist

General

Grading Permit

Grading Development Assistance Brochure
Grading Permit Intake Checklist Instruction Sheet
Grading Permit Supplemental Application
Grading Submittal Checklist
Grading Permit Package

Interpretation Form

Land Use Application Intake Bulletin

Land Use Fee Schedule

Fees for Land Use Applications

Land Use Information

Long Plat

Major Home Occupation

Manufactured Home Permit

Manufactured Home Permit Package
Manufactured Home Submittal Checklist
MHP Development Assistance Brochure
MHP Permit Submittal Checklist Instruction Sheet

Mechanical Permit

Mechanical Permit Development Assistance Brochure
Mechanical Permit Intake Checklist Instruction Sheet
Mechanical Submittal Checklist
Mechanical Supplemental Application
Mechanical Permit Package

Minor Rezone

Modification

Modification 15A

Narrative Form

Narrative

Non-Conforming Use

Non Conforming Use - Urban Area

Patio Cover Permit

Covered Patio Submittal Checklist
Patio Cover Permit Development Assistance Brochure
Patio Cover Permit Intake Checklist Instruction Sheet
Patio Cover Permit Package

Permit Extension

Request For Building Permit Extension

Plan 2015 Text Amendment Request Packet

Plumbing Permit

Plumbing Permit Development Assistance Brochure
Plumbing Permit Intake Checklist Instruction Sheet
Plumbing Permit Supplemental Application
Plumbing Submittal Checklist
Plumbing Permit Package

Pool Permit

Swimming Pool Submittal Checklist
Requirements
Supplemental Application
Development Assistance Brochure
Pool Permit Package (All the above items & General Application)

Property Owner Statement of Restrictions Request

Public/Private Road Name Request Form

A public petition form enabling public participation in the road naming process for: 1) newly created public or private roads; prior to approval of the final subdivision containing said roads and/or issuance of any building permit; 2) existing private roads that provide legal access to five or more addressable structures or units; 3) Re-naming existing roads with confusing or inconsistent road names that may adversely impact the efficient delivery of services by Law Enforcement, Fire or Emergency Medical responders, the US Postal Service or other private service providers. (Ord. 4-2007 § 6, 2007).  The renaming of existing named roads, both public and private, shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in RCW 36.32.120(7).

Residential Addition Permit

Residential Addition Permit Intake Instruction Sheet
Residential Addition Example
Residential Addition Permit Development Assistance Brochure
Residential Addition Permit Intake Package
Residential Addition Submittal Checklist

Residential Alteration Permit

Residential Alteration Intake Checklist
Residential Alteration Permit Development Assistance Brochure
Residential Alteration Permit Intake Instruction Sheet
Residential Alteration Permit Package

Residential Building Permit

Application
Assistance Handout
Intake Checklist
Residential Submittal Checklist
Residential Building Permit Package
Single Family Residential Checklist
Single Family Residential Permit Development Assistance Brochure
Single Family Residential Review Checklist
WSEC & VIAQ Residential Prescriptive Compliance Form

Resubmittal Request

Right of Way User Permit Information Form

A Franchise Permit grants the applicant access to county right-of-way, and a Right-of-Way Use Permit documents “HOW” the work will be performed.  The applicant can begin the Right-of-Way Use (RWU) Permit process at the same time as the franchise request; however, a RWU Permit will not be approved without a granted franchise. The applicant is required to submit a completed RWU Information Form and an approved traffic control plan for review by county staff. This permit request will be reviewed for location and construction specific information. Upon staff approval of the RWU Permit, traffic control plan, and granting of franchise, a Right-of-Way Use Permit will be issued.

Road Approach Permit

Per YCC 10.08, road approach permits (providing access to the county road system) are issued for either commercial or non-commercial purposes for the protection and preservation of the health and safety of the public.  Permits may be granted for any location, except on designated limited access roads, that will not conflict with the safety and free movement of road traffic.  The construction and maintenance of these approaches are subject to the design and construction controls described in the county code.

Road Closure Request Form (See Event Permit Application Form)

Road Improvement District / Local Improvement District (LID)

A public petition form seeking county action to make certain improvements to stated roadways / corridors.  Note:  It is understood that existing structure/utilities are moved and appropriate right-of-way must first be secured by (at not cost to) Yakima County prior to any projects being approved.  The scheduling of road improvements shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in RCW 36.81.121.

Road Name Request

Public/Private Road Name Request Form

A public petition form enabling public participation in road naming process of newly created public or private roads; prior to approval of the final subdivision containing said roads and/or issuance of any building permit, or existing private roads that provide legal access to five or more addressable structures or units, Existing roads with confusing or inconsistent road names that may adversely impact the efficient delivery of services by Law Enforcement, Fire or Emergency Medical responders, the US Postal Service or other private service providers may be renamed. (Ord. 4-2007 § 6, 2007).  The renaming of existing named roads, both public and private, shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in RCW 36.32.120(7).

SEPA

On-Line Service Request Form

This form is used to report problems involving county roads and/or signs. A downed sign, clogged culvert forcing water over the roadway, debris on the roadway, vegetation blocking views at an intersection are examples of general service requests reportable on this form.  If the location of the problem is within city limits, please contact the respective municipality.

Short Plat

Short Subdivision Exemption

Site Plan Minimum Requirements and Supplementals

Site-Specific Plan Amendment Application Packet

Site Visit Request Form for Critical Areas and Shorelines

Small Works Roster Questionnaire (on-line)

The Small Works Roster (SWR) is a listing of State of Washington licensed contractors who have applied for and been placed on the roster.  The SWR is used for projects under $200,000, makes it easier for contractors to compete for public works projects, and helps reduce the cost of bidding small projects.  Candidate contractors for Yakima County projects may complete this online SMALL WORKS ROSTER QUESTIONNAIRE or view the current SMALL WORKS ROSTER

Speed Limit Change Request

A public petition form seeking county action to alter (increase or decrease) the speed limit on roadway(s) stated on the application.  The petition is reviewed by Yakima County Public Services for traffic, safety, and vehicle movement issues.  The altering of speed limits shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in (YCC 9.36.032)

Special Motor Vehicle (Over-Legal) Moving Permit Checklist

Used for moving over weight or over sized loads.

Stop Sign Change Request

A public petition form seeking county action to install stop signs at an intersection stated on the application.  The petition is reviewed by Yakima County Public Services for traffic, safety, and vehicle movement issues. The installation of traffic control devices shall be done only by a resolution of the Board of Yakima County Commissioners and only after a Public Hearing on the matter is held by the Board in the manner prescribed in (YCC 9.14.020)

Stormwater and Drainage

Street Light Change Request

Temporary Water Use Permit

Time Extension Policy Bulletin (Land Use Only)

Type I Class 1

Type I Resource Setback

Type II Class 2

Type 2 Resource Setback

Type III - Class 3 Application

Water or Waste Water Service

Zoning Variance