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Home My WebLink AboutA_Building Permit Application_Van Flander_20221205_V1H:\CED\Forms‐Templates\Self‐Help Handouts\Building Permit ApplicaƟon ResidenƟal.pdf Updated 4/26/18 2.WORK TYPE: CHOOSE THE DESCRIPION THAT BEST FITS: *NEW SFR GARAGE RE‐ROOF 2 FENCE OR RETAINING WALL DETENTION POND OR VAULT ADDITION CARPORT DECK POOL/SPA MANUFACTURED/ MOBILE HOME INTERIOR REMODEL SHED OVER 200 SQ FT COVERED DECK OR PATIO PHOTO‐VOLTAIC OTHER ______________ BUILDING PERMIT APPLICATION‐RESIDENTIAL Development Services Division 1055 S. Grady Way Renton, WA 98057 (425)430‐7200 www.rentonwa.gov This application must be filled out completely in order to be submitted for review. We will not accept incomplete applications. This application is good for one (1) year from the submittal date. A one–time extension of one (1) year can be requested at a cost of half the plan review fee. Once issued, the permit is good for one (1) year from issue date. A one–time extension of one (1) year can be requested at a cost of half the permit fee. Please follow our Electronic File Standards if plan review is required. This application must be a .pdf and included in your submittal. FOR OFFICE USE ONLY: PERMIT NUMBER:______________________ PROJECT NUMBER: ___________________LAND USE NUMBER: ________________ 1.LOCATION INFORMATION JOB ADDRESS: __________________________________________ LOT #: _________ PARCEL NO: _________________________ VALUE OF WORK: (Fair market value for time + materials) $___________________ The applicant for a permit shall provide an estimated construction value at time of application. Valuations shall include total value of work, including materials and labor, for which the permit is being issued, such as electrical, gas, mechanical, plumbing equipment and permanent systems. If, in the opinion of the building official, the value is underestimated on the application, the permit shall be denied, unless the applicant can show detailed estimates to meet the approval of the building official. New construction will be based on The City’s established per square foot cost. DESCRIPTION OF WORK: _____________________________________________________________________________________ _________________________________________________________________________________________________________ WAINS NUMBER (If applicable): __________________ INTERIM CONSTRUCTION LENDER: (If applicable): ____________________ 3.BUILDING INFORMATION: LIST ALL NEW AND EXISTING SQUARE FEET: LOT SQ FT NEW SQ FT – LIVING NEW SQ FT COV’D PATIO OR PORCH STORY COUNT SITE COVERAGE % NEW SQ FT – GARAGE NEW UNFINISHED SQ FT TYPE OF CONSTRUCTION REMODEL SQ FT NEW SQ FT – DECK BUILDING HEIGHT OCCUPANCY GROUP FIRE SPRINKLER? CRITICAL AREAS (MINES, WETLANDS, STEEP SLOPES) X RECEIVED 12/05/2022 striplett BUILDING DIVISION B22006281 4.OWNER INFORMATION PROPERTY OWNER NAME: _________________________________________________PHONE: ___________________________ ADDRESS: _____________________________________ CITY: ____________________ STATE: ________ ZIP: _______________ 5.CONTACT INFORMATION (This person will be the sole point of contact for this application) ___________________CONTACT NAME: _______________________________ PHONE: __________________________________ EMAIL: __________________________________________________________________ FAX: _____________________________ 6.CONTRACTOR INFORMATION* I AM DOING THE WORK AS THE HOMEOWNER. If yes, please fill out the Owner Affidavit and include it with this document. I AM HIRING A LICENSED CONTRACTOR. Fill out the portion below: NAME: _______________________________________________________ PHONE: ___________________________________ STATE OF WASHINGTON CONTACTOR’S LICENSE: _________________________________________________________________ CITY OF RENTON BUSINESS LICENSE: ___________________________________________________________________________ *Sub‐contractor information is required at issuance of new single family residence permits. Complete the Sub‐Contractor Information Form to list Mechanical, Electrical and Plumbing contractors. 7.SUPPLEMENTAL INFORMATION Is this part of an ongoing Code Enforcement case? If yes, please list code case number: __________________________________ Are there existing structures on the parcel? If yes, what are they? ____________________________________________________ Do you have a finaled Demolition Permit? If yes, list the Demolition Permit number here: _________________________________ Will any trees be removed? ___________if yes, tree removal requires approval from The Planning Department. Please inquire. Is this home on public sewer, private septic or well? _________________ You may need to complete a Water and Sewer Availability Form. Please inquire. I certify that the information on this application furnished by me is true and correct and that the applicable requirements of the City of Renton will be met. I understand that this application is valid for one year from the application date. If a permit is not issued during this time period, the application will become void. This application does not constitute a permit to work. Work is not to commence until the building permit is posted on premises where work is to be performed. Certification is hereby rendered that no work is to be done except as described, and that all work shall conform to applicable codes. Work in public rights‐of‐way and/or utility easements are not authorized under this application. Any work done without the benefit of having a building permit issued is subject double the permit fee. Fees to be paid at permit intake. APPLICANT SIGNATURE: _____________________________________________________DATE:__________________________ PRINT NAME: ____________________________________________________________________________________________ Allie Braatz (262) 227-3842 permitting@pugetsoundsolar.com 4 Puget Sound Solar LLC 206-706-1931 PUGETSS920RH 32737 N/A N/A N/A N/A N/A Allie Braatz Allie Braatz