HomeMy WebLinkAboutCivil Construction Permit Applicationrentonwa.gov/permitƐĞƌǀŝĐĞƐ | developmentengineering@rentonwa.gov | 425-430-7240 2/8/2023 | Page 1 of 1
$*5:0'3&/50/ȡ1&3.*54&37*$&4
$*7*-$0/4536$5*0/1&3.*5"11-*$"5*0/
PROJECT INFORMATION
PROJECT NAME:PROJECT ADDRESS/PARCEL #:
DESCRIPTION OF PROJECT:
RELATED PERMITS: LUA: _____________ B: _______________ PRE: _______________
TYPE OF CONSTRUCTION:
Short Plat (≤ 9 lots)
Tenant Improvement
Subdivision (10+ Lots)
Clear and Grade & TESC
Only
Commercial/MulƟfamily
AddiƟon to ExisƟng—Approx.
Value of AddiƟon: $___________
APPLICANT INFORMATION
NAME:PHONE:
ADDRESS:EMAIL:
PROPERTY OWNER INFORMATION
NAME:PHONE:
ADDRESS:EMAIL:
ENGINEER INFORMATION
FIRM/CONTACT:ADDRESS:
EMAIL:PHONE:
PUBLIC IMPROVEMENTS
UTILITIES IMPROVEMENTS (check all that apply): WATER WASTEWATER STORMWATER
If not a City of Renton UƟlity, list provider jurisdicƟon and service (i.e. Soos Creek)
STREET IMPROVEMENTS (check all that apply): CURB/GUTTER
STREET LIGHTS
SIDEWALK
STREET TREES
PLANTER STRIP
ROADWAY
If any right-of-way is not owned by the City of Renton, list the jurisdicƟon (i.e. King County, WSDOT):
**If more than 1 acre, NPDES Permit RequiredEARTHWORK AND CLEARING
CUT/FILL (cubic yards): TOTAL SITE AREA (SF):
This applicaƟon does not consƟtute a permit to work. Work shall not commence unƟl a civil construcƟon permit is
issued and the pre-construcƟon meeƟng has been held.
I cerƟfy that the informaƟon on this applicaƟon is accurate to the best of my knowledge and I will be responsible for
any addiƟonal fees resulƟng from a different valuaƟon.
Print Name:Signature: Date:
Relocation of existing 12" Water Main
813-514-9193
permitting@iegroup.net
Ryder Truck Rental LC0549
Tarah_Winterfeld@Ryder.com
1208 E. Kennedy Blvd., Suite 230, Tampa, FL 336
813-514-9193
Tarah Ownby, PG 9/11/2025
Infinity Engineering Group, LLC.
1208 E. Kennedy Blvd., Suite 230, Tampa, FL 33602
Ryder Truck Rental, Inc.
Infinity Engineering Group, LLC.
6000 Windward Pkwy., Alpharetta, GA 30005
permitting@iegroup.net
362304-9062
970-817-4502
✔
✔