HomeMy WebLinkAboutA_Building_Permit_Application_Commercial_Neptune_Lobby_Restroom_TI_230230315_v1H:CED\Data\Forms-Templates\Self-Help Handouts\Building\Building Applicaon-Commercial
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 the 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.
BUILDING PERMIT
APPLICATION
COMMERCIAL/MULTI-FAMILY
Development Services Division
1055 S. Grady Way
Renton, WA 98057
(425) 430-7200
www.rentonwa.gov
FOR OFFICE USE ONLY:
PERMIT NUMBER:______________________PROJECT NUMBER:_____________________LAND USE NUMBER:__________________________
2. VALUATION
VALUE OF WORK: _______________________________________________________BOEING JOB #(If applicable)_________________________
KING COUNTY ASSESSORS VALUE: $_________________________________________LENDER? Y /N____________________________________
LENDER NAME:___________________________________ADDRESS:_______________________________PHONE:_________________________
1. LOCATION INFORMATION
JOB ADDRESS:_________________________________________________BLDG/SUITE#:___________ PARCEL NO:________________________
DESCRIPTION OF WORK:_________________________________________________________________________________________________
____________________________________________________TENANT NAME:____________________________________________________
3. OWNER INFORMATION
PROPERTY OWNER NAME:_____________________________________________________PHONE:_____________________________________
ADDRESS:__________________________________________________CITY:______________________STATE:__________ZIP:______________
4. CONTACT INFORMATION
CONTACT NAME:_____________________________________________________________PHONE:___________________________________
EMAIL:__________________________________________________________________________ FAX:_________________________________
5. CONTRACTOR INFORMATION
DOING WORK AS OWNER/CONTRACTOR? If yes, the owner will need to fill out the Owner Affidavit Form. Include this form with your
submittal. Tenants cannot do the work without written permission from the owner.
A LICENSED CONTRACTOR WILL BE DOING THE WORK. Fill out the portion below. (Required):
NAME:_______________________________________________________________________________________________________________
STATE OF WASHINGTON CONTRACTOR REGISTRATION:________________________________________________________________________
CITY BUSINESS LICENSE NUMBER:__________________________________________________________________________________________
6. TYPE OF WORK
□ Accessory Structure □ Addition □ Exterior Alteration □ Garage □ Interior Tenant Improvement
□ Modular □ New □ Portable □ Wireless Facility □ Awning □ Dock □ Retaining Wall □ Storage Racking
□ Storm Vault □ Pool □ Solar □ Other __________________________
7. LAND INFORMATION
Lot Size:
Site Coverage %: # of Stories Building Height:
8. BUILDING INFORMATION
AUTOMATIC SPRINKLER REQUIRED □ YES □ NO ALARM □ YES □ NO
QUICK RESPONSE THROUGHOUT □ YES □ NO SMOKE CONTROL □ YES □ NO IF YES,
HAZARDOUS MATERIAL □ YES □ NO PLEASE PROVIDE ANALYSIS LETTER
CHANGE OF OCCUPANCY □ YES □ NO
BASEMENT □ YES □ NO
NUMBER OF STORIES _________
SPECIAL CONDITIONS* □ YES □ NO *IF YES, PLEASE EXPLAIN________________________________________
__________________________________________
9. BUILDING INFORMATION FOR PROPOSED WORK- PER IBC
Locaon ** Alteraon
(Sq/Ft)
New /Added
(Sq/Ft)
Construcon
Type
Exisng
Occupancy
Proposed
Occupancy
# of Occupants
Occupancy Load
Total
** Enter locaAon by occupancy type (i.e. B, S-1,A,M, etc.) and by floor or suite number
10. EXISTING BUILDING INFORMATION
ConstrucAon Type Occupancy Group Square Footage Code Year
11. SUPPLEMENTAL INFORMATION
Is this part of an ongoing Code Enforcement case? If yes, please list code case number:_____________________________________________
Was a Stop Work Order placed onsite? □ YES □ NO
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 (1) 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 to double the permit fee as well as an investigation fee. Fees to be paid at permit intake.
APPLICANT SIGNATURE_______________________________________________________DATE__________________________
APPLICANT NAME PRINTED__________________________________________________________________________________