HomeMy WebLinkAboutA_Compton_Lumber_Demolition_20190528_v1.pdf131OO _Development Services Division
1055S.GradyWay
Renton,WA 98057 1
(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.We require
one (1)demolition permit application per structure.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 determined by the Building Official.Once issued,the permit is good for one (1)year from issue date.A
one-time extension can be reque5ted at a cost determined by the Building Official.One application per building.Please follow our Electronic
File Standards when you are ready to apply.
FOR OFFICE USE ONLY:
PERMIT NUMBER:PROJECT NUMBER:SEWER CAPPING:________________
.O I
pjq oooDEMOLITIONPERMIT
APPLICATION
1.LOCATION AND VALUATION INFORMATIONiAnoccc.)O !t%1 PARCEL NO:COT#:__________
VALUE OF WORK:(Fair market value for time +materials)S Ib 0 BOEING JOB If (If applicable):_____________
DESCRIPTION OF WORK TO BE PERFORMED:)%)e -L I T’i /1 ..-
2.DEMOLITION TYPE
Fees *(Public Works disconnection/capping fees are separate):Single Family:$122.00 Commercial/Multi-Family:$265.00
*Add State Code Fee and 5%Technology Surcharge to Calculated Fee
Square Footage of structure being demolished?3 1 00 Each structure needs its own application.
If structure to be demolished is over 4,000 sq.ft.-Environmental Checklist and review is required.
Will any trees be removed during Demolition?V/N ,tj/.If yes,tree removal needs to be approved by the Planning Dept.
3.BUILDING INFORMATION
WATER SUPPLY CONTACT NUMBERS
Water meter to be removed or remain in place?,A..7O Development Engineering (425)430-7266
SANITARY SEWER/SEPTIC
Sewer is to be capped at the property line.
Septic System?Y/N_______King County Public Health (206)477-8050
ELECTRICITY
Electricity to be shut-off and meter removed?V/N /“Puget Sound Energy (888)225-5773
GAS /FUEL
Gas to be shut-off and meter removed?YIN .)Puget Sound Energy (888)225-5773
Remove fuel or oil tanks?(Complete a RFATank Removal PermitAnotication)Renton Fire Authority (425)-430-7000
FOUNDATION
Foundations destroyed and removed?i’1/,L_All debris to be removed and site is to be restored to original condition.
H:\CED\Data\Forms-Templates\Self-Help Handouts\Building\2019 Forms-Fillable\Demolition.pdf Updated 1/14/19
RECEIVED
05/29/2019
kjpeterson
BUILDING DIVISION
B19002780 / PR19-000118 / PR19-000229 V.1
OBTAIN CUT AND CAP
.:,.‘..f r ‘,A S
“,0 ..,..I •-i d
4.CONTACT INFORMATION
CONTACT NAME;
EMAIL;
1PHONE:79’3 ‘
fAX:
6.CONTRACTOR INFORMATION
5.OWNER INFORMATION
PROPERTY OWNER NAME;v-p.1 --k PHO5:2 -So-/
ADDRESS;j CIW;ATE:i/$ZIP:_______
DOING THE WORK AS THE BUILDING/HOME OWNER.If yes,please fill out the Owner Affidavit and include it with this
document.Tenants cannot do the work without written permission from the owner.
J—A1:iED OR IILLBED2 H/ORK.Fill out the portion below;/4-57j’--4
NAME;PHONE;O6 c 3
CITY OF RENTON BUSINESS LICENSE;____________-
STATE OF WASHINGTON CONTACTOR’S LICENSE:..j451O g0 81 H -)UBI U 0]2
—l
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 Ill 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 atvrized under thi(liation Any work done without the benefit of having a building permit issued is subject
double the permit fee as well as an investig4 Fees to be p iJermit intaig.
APPLICANT SIGNATURE DATE /7 1
)
7.SUBMITTAL REQUIREMENTS
You will need one application pet structure.The items below are required at submittal and should follow our Electronic File
Standards.-)wqIvecj b Cra%//‘?1.Site Plan-Show the lot dimensions and the I tion of the ucture being demolis ed.Show tree protection and erosion
control measures taken to control any erosion or debris that may leave the property during demolition.For example,show
your silt fencing,dirt stockpile and construction entrance etc.on the site plan.A separate Erosion Control Plan will also be
accepted.
2.A copy of the Asbestos Abatement Report performed by an approved asbestos remediation company.
3.Sewer and Water capping permit will be issued with the Demolition Permit if you are in Renton’s Utility District.If you are in a
different Utility District,make sure to contact them about sewer and water capping permits.Submit proof of permits from the
Utility District with the Demolition Application.If on septic,provide a copy of the septic tank decommissioning for the
inspector on site.
OTHER THINGS TO CONSIDER:
Check to see if Puget Sound Clean Air Agency requires notification prior to proceeding with demolition.
Construction debris is to be taken to an approved disposal facility.See King County Solid Waste for information.If you have
questions about disposing of asbestos,check with Puget Sound Clean AirAgency regarding requirements.
The Lot is to be restored to original condition.
APPLICANTNAME PRINTED________I A
RECEIVED
05/29/2019
kjpeterson
BUILDING DIVISION
B19002780 / PR19-000118 / PR19-000229 V.1