Subdivision Engineering Grading Permit Application & Checklist (Santa Rosa, California)

This is the official Subdivision Engineering Grading Permit Application & Checklist from City of Santa Rosa. You can fill it in its original layout in your browser or with an AI assistant, then download it to review, sign and submit to the agency.

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Form details

Issuer: City of Santa Rosa
Jurisdiction: Santa Rosa, California
Type: Building permits
Questions: 50
Last mapping review: 2026-10-01

Official blank PDF from City of Santa Rosa ↗

What this form asks

Engineer/Surveyor: Licence No.
Date Signed (date)
Location of Project (Address)
Name of Proposed Project
No. of Proposed Lots (number)
Applicant Name
Property Owner's Name
Name of Engineer/Surveyor
Assessor's Parcel Number(s)
Applicant Address
Property Owner's Address
Engineer/Surveyor: Address
Applicant's Phone: Area Code
Applicant's Phone: Prefix
Applicant's Phone: Line Number
Property Owner's Phone: Area Code
Property Owner's Phone: Prefix
Property Owner's Phone: Line Number
Engineer/Surveyor: Phone: Area Code
Engineer/Surveyor: Phone: Prefix
Engineer/Surveyor: Phone: Line Number
Required 1. Submit a set of approved (signed) subdivision improvement plans digitally in .PDF format (checkbox)
Required 2. Submit an Engineer's Cost Estimate of work to be performed (checkbox)
Required 3. Pay all invoices associated with the Subdivision Improvement Plan and Map, including inspection fees (checkbox)
Project Specific 1. Are you performing any work within the City's right-of-way? (checkbox)
Project Specific 1a. An encroachment permit is required prior to performing any work within the City's right-of-way (checkbox)
Project Specific 2. Are you disturbing one acre or more? (checkbox)
Project Specific 2a. Submit a copy of the State Water Resources Control Board letter acknowledging your Notice of Intent (provide WDID number) (checkbox)
Project Specific 3. Are you demolishing existing structures? (checkbox)
Project Specific 3a. Submit a copy of a City of Santa Rosa Demolition Permit issued by the Building Division (checkbox)
Project Specific 4. Are you exporting soil from the site? (checkbox)
Project Specific 4a. Submit the estimated quantity of export in cubic yards and location of the disposal site (checkbox)
Project Specific 4b. Submit copy of an approved City or County permit accepting the export of soil from the site (checkbox)
Project Specific 4c. Submit a letter from the geotechnical engineer approving soil to be placed at the disposal site (checkbox)
Project Specific 4d. Submit a haul route application for approval of export amounts in excess of 10,000 cubic yards or more (checkbox)
Project Specific 5. Are any retaining walls or sound walls proposed? (checkbox)
Project Specific 5a. Retaining walls and/or sound walls shall be shown on the Public Improvement Plans, including structural drawings (checkbox)
Project Specific (cont.) 1. Are you performing any work on Sonoma Water's property/right-of-way? (checkbox)
Project Specific (cont.) 1a. Submit a copy of a Sonoma Water Revocable License Agreement (checkbox)
Project Specific (cont.) 2. Are you performing any work on Caltrans property/right-of-way? (checkbox)
Project Specific (cont.) 2a. Submit a copy of a Caltrans Encroachment Permit (checkbox)
Project Specific (cont.) 3. Are you abandoning any existing well(s) and/or septic system(s)? (checkbox)
Project Specific (cont.) 3a. Submit a copy of a Permit Sonoma Destruction of Well and/or Septic System permit (checkbox)
Project Specific (cont.) 4. Are you performing work in channels, streams, or wetlands? (checkbox)
Project Specific (cont.) 4a. Submit a copy of a State of California Department of Fish & Wildlife Lake and Streambed Alteration (LSA) Agreement (checkbox)
Project Specific (cont.) 5. Are you excavating 5-feet or more in depth? (checkbox)
Project Specific (cont.) 5a. Submit a copy of the State of California Occupational Safety and Health Agency (CAL OSHA) Permit (checkbox)
Project Specific (cont.) 6. Is your project one (1) acre or more? (checkbox)
Project Specific (cont.) 6a. Submit a letter from the project's Qualified SWPPP Practitioner (QSP) that all BMP's are installed and the project is ready for grading (checkbox)
Project Specific (cont.) 7. All related environmental clearances shall be obtained prior to permit issuance (checkbox)

Review, sign and submit

PaperPorter fills the form but does not submit it or approve anything. Signatures, initials and staff-only areas are left for the right person. Confirm current fees, attachments and filing instructions with City of Santa Rosa.

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Frequently asked questions

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