Plan Review Fees

Expected Review Time . . . . . . . . 32 Days

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Types of Fees

Plan Review Fees

Before review can begin, a Construction Review Services (CRS) application must be received with the appropriate fee based on the following services.

If this application is for Plan Review, the project is either:

New Construction or Alterations/Renovation – Fees are based on the initial project cost which includes all costs directly associated with the project.

After you have determined your estimated construction cost or value of existing construction (Excel) (building conversion) per WAC 246-314-990, use this table to calculate your plan review fee.

Fee Calculator (Excel)

Project Cost Project Review Fee
$0 to $999 $150
$1,000 to $1,999 $305
$2,000 to $2,999 $400
$3,000 to $4,999 $500
$5,000 to $9,999 $650
$10,000 to $19,999 $815
$20,000 to $29,999 $1,000
$30,000 to $39,999 $1,190
$40,000 to $49,999 $1,375
$50,000 to $64,999 $1,620
$65,000 to $79,999 $1,875
$80,000 to $99,999 $2,250
$100,000 to $124,999 $2,690
$125,000 to $149,999 $3,120
$150,000 to $199,999 $3,625
$200,000 to $249,999 $4,060
$250,000 to $324,999 $4,455
$325,000 to $449,999 $5,000
$450,000 to $574,999 $5,615
$575,000 to $699,999 $6,350
$700,000 to $849,999 $7,110
$850,000 to $999,999 $7,995
$1,000,000 to $1,249,999 $8,725
$1,250,000 to $2,499,999 $9,560
$2,500,000 to $2,999,999 $10,430
$3,000,000 to $3,499,999 $11,350
$3,500,000 to $4,999,999 $13,115
$5,000,000 to $6,999,999 $14,885
$7,000,000 to $9,999,999 $16,840
$10,000,000 to $14,999,999 $19,340
$15,000,000 to $19,999,999 $21,780
$20,000,000 to $29,999,999 $24,280
$30,000,000 to $39,999,999 $28,060
$40,000,000 to $59,999,999 $31,235
$60,000,000 and over $31,235 Plus 0.05% per dollar above 60 million

Building Conversion – Fees are based on the value of existing construction (per sq. ft.). A conversion is an existing non-licensed facility wishing to be licensed.

Flat Fees

Other applications that result in a flat fee include:

New Construction or Alterations/Renovations

Plan review fees for new construction or alterations/renovations are based upon the initial project cost as determined from the construction fee table in the "plan review fees" dropdown. The project cost must be based on all costs directly associated with the project except state sales taxes, architectural or engineering fees and land acquisition fees. These costs must include all building costs, all fixed and installed equipment in the project and contractor supervision, inspection and overhead (Chapter 246-314 WAC (Word).

Building Conversions

Building conversion fees will be based on the value of existing construction, which is based on the local area cost data. Project sponsors may submit specific cost data that accurately describes the estimated good faith value for the program's consideration. We generally find that the state average cost data is sufficient for most projects. This data was reviewed and updated in November 2014.

The project sponsor may use the following data to determine the value of the building:

Department of Health-Licensed Facilities

Hospital (acute care) – $250 per square foot

Psychiatric Hospital – $160 per square foot

Outpatient clinic (under hospital license) – $120 per square foot

Ambulatory surgery facility – $150 per square foot

Residential treatment facility – $110 per square foot

Other facility types – $ 90 per square foot

Department of Social and Health Services-Licensed Facilities

Nursing home – $160 per square foot

Assisted living facility – $130 per square foot

Enhanced services facility: Call CRS staff members at 360-236-2944 before submitting application and fee to determine the specific type of enhanced services license being requested.

Assisted living facilities – $130 per square foot Nursing homes – $160 per square foot Adult family homes –$110 per square foot.

Once the value of the building has been determined (by multiplying the costs above by the square footage of the licensed area) the fee is derived from the construction fee table located under the "plan review fees" dropdown.

Other facility types – $90 per square foot

Flat Fees

The program charges a flat fee for the review of the following projects:

Installation of Finishes - $150.00
  • These projects require no physical modifications and include the installation of finishes such as carpet, vinyl wall covering, wallpaper, exterior siding, or paneling applied to an existing surface as the exposed surface.
Change of Approved Use - $150.00
  • Change in the function of a room that does not alter the physical elements and construction is not required to meet the regulations for the intended use (i.e. patient room to office). The facility must be currently licensed.

Mobile Units - A separate fee is required for the mobile unit and the site installation of that mobile unit.

  • Site Installation. The first submission for review and approval of the site installation of a mobile unit - $575.00
    Each additional submission of the same project - $285.00
  • Equipment Supplier. The first submission for review and approval of the equipment supplier of a mobile unit - $575.00
    Each additional submission of the same project - $285.00

Technical Assistance - Each eight staff hours or fraction thereof for technical assistance - $500.00

  • For technical assistance requiring travel, the program may increase the fee to include travel.
Fee Reductions

A request for a fee reduction* may be sent by email, fax 360-236-2321 or mail to Construction Review Services. The program will review the request and make a determination on the total reduction allowed by rule.

The project may qualify for a decrease in the project review fees, when:

  • Upon prior approval by the program, the project sponsor may exclude from the "project cost" the cost for fixed or installed technologically advanced clinical equipment such as but not limited to: Lithotripters, CT scans, linear accelerators, and MRIs. In your request, please include an itemized list of the equipment and their associated cost(s) that you would like to exclude from the estimated project cost. To assist in expediting the process, please include a copy of your equipment estimate.
  • The project is prepared by a state licensed architect or engineer when architectural or engineering services are not required by rule.
  • A facility is converted from another occupancy as defined by the state building code; a facility is converted from one license to another; or, a facility that is currently unlicensed, but was previously licensed through the Department of Health or Department of Social and Health Services, wishes to be reviewed for re-licensure. The amount of fee reduction will be determined by the estimated amount of systems review required to ensure that the rules have been met. 

* Fee waiver/fee reduction request form (Word) - Please include a copy of your equipment estimate to expedite the request process.


The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise:

  • "Certified" means facilities that must be certified to participate in Medicare or Medicaid programs and meet physical environment minimum standards as required in the Code of Federal Regulations.
  • "Change of approved use only" means a change in the function of a room that does not alter the physical elements.
  • "Finishes" includes, but is not limited to, products such as carpet, vinyl wall covering, wall paper, exterior siding, landscaping or paneling applied to an existing surface as the exposed surface.
  • "Licensed" means facilities licensed from the state Department of Health or state Department of Social and Health Services (DSHS) that must obtain approval from construction review services before licensure activity.
  • "Permit" means a recommendation to the licensing or certifying authority from construction review services indicating that a facility meets the physical environment rules and the plan review process is complete.
  • "Program" means the Washington State Department of Health, Construction Review Services.
  • "Project" means a change to a facility including new construction, replacement, alterations, additions, expansions, conversions, change of approved use, improvements, remodeling, renovating and upgrading of the following types of facilities:
    • "Ambulatory surgery center" defined as a facility that is required to be certified for participation in Medicare or Medicaid or ambulatory surgical facilities licensed under chapters 70.230 RCW and 246-330 WAC
    • "Birthing centers" (formerly maternity homes) and "childbirth centers" licensed under chapters 18.46 RCW and 246-329 WAC
    • "Assisted Living Facility" (formerly boarding homes) licensed under chapters 18.20 RCW and 388-78A WAC
    • "Correctional facilities" as defined under RCW 43.70.130(8)
    • "Hospice care center" licensed under chapters 70.127 RCW and 246-335 WAC
    • "Hospitals" licensed under chapters 70.41 RCW and 246-320 WAC
    • "Nursing homes" licensed under chapters 18.51 RCW and 388-97 WAC
    • "Private alcohol and chemical dependency hospitals" licensed under chapters 71.12 RCW and 246-324 WAC
    • "Private psychiatric and alcoholism hospitals" licensed under chapters 71.12 RCW and 246-322 WAC
    • "Residential treatment facilities" licensed under chapters 71.12 RCW and 246-337 WAC
    • "Temporary worker housing" licensed under chapters 70.114A RCW and 246-358 WAC
  • "Project cost" means all costs directly associated with the project, initially estimated and corrected by certification to the date of completion of the project and including all fixed and installed clinical equipment in the project and contractor supervision, inspection and overhead. This cost does not include:
    • Taxes
    • Architectural or engineering fees
    • Land acquisition fees
  • "Project sponsor" means the person, persons or organization, planning and contracting for the design and construction of facilities, generally the owner or the owner's representative.
  • "Technical assistance" means assistance provided by the program to facilities either at the program offices or at the project location including:
    • Information on the laws, rules and compliance methods and technologies applicable to the regulations
    • Information on methods to avoid compliance problems
    • Assistance in applying for permits, licensure or certification
    • Information on the mission, goals, and objectives of the program
    • Assistance to parties constructing projects not required to be licensed or certified and voluntarily wish to comply with rules or guidelines in the interest of safety or best practices
  • "Value of existing construction" means the value of an existing building or portion thereof at the time of project submission, based on the current market value of the structure as documented by the project sponsor, or, as determined by assigning a cost per square foot value.