HomeMy WebLinkAboutA_Civil Construction Permit Application_171103_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
CONSTRUCTION PERMIT APPLICATION
Planning Division | Development Engineering Section
Phone: (425) 430-7200 | www.rentonwa.gov
☐ New Building ☐ Addition to Existing ☐ Tenant Improvement
Project Address:
Work Description:
King County Tax Assessor Number:
Legal Description:
Square Footage of Entire site Impervious Area
Property Owner:
Address:
City/State/Zip: Phone/Fax:
Applicant:
Address:
City/State/Zip: Phone/Fax:
When applying for redevelopment, credit
Water meter size: Account No:
Information provided by Utility Billing (425) 430-6852
This application does not constitute a permit to work.
Work is not to commence until a construction permit is issued.
I certify that the information on this application is accurate to the best of my knowledge and I will be
responsible for any additional fees resulting from a different valuation.
Print Name Signature Date
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DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
DEVELOPMENT ENGINEERING CONSTRUCTION PERMIT INSPECTION/APPROVAL
FEE CALCULATION WORKSHEET
50% INSPECTION/APPROVAL FEES PER ORDINANCE NO. 4345
PROJECT NAME:
1.Estimate the total cost of offsite and onsite improvements for water lines (for City of Renton water
service), sewer lines (for City of Renton sewer service), stormwater facilities, and roadway improvements
for your project. Enter estimated costs in items (A) through (D) below.
(A) Water $
(B) Sewer $
(C) Stormwater $
(Includes On-Site Pavement)
(D) Roadway $
(Street, sidewalks, street lighting, etc.)
(E) Total Improvements $
(A) + (B) + (C) + (D) = (E)
2.Calculate 50% inspection/approval fee for total improvements, as follows:
(F) 3% of First $150,000 of (E) $
(G) 2.5% of over $150,000 but $
less than $300,000 of (E)
(H) 2% of over $300,000 of (E) $
(I) Total 50% Inspection/Approval $
Fee: (F) + (G) + (H) = (I)
3.Breakdown of 50% Inspection/Approval Fees is performed as follows:
(J) 50% Water Fee $
((A) ÷ (E)) x (I) = (J)
(K) 50% Sewer Fee $
((B) ÷ (E)) x (I) = (K)
(L) 50% Stormwater Fee $
((C) ÷ (E)) x (I) = (L)
(M) 50% Roadway Fee: $
((D) ÷ (E)) x (I) = (M)
4.Check: Make sure (J) + (K) + (L) + (M) = (I)
H:\CED\Data\Forms-Templates\Self-Help Handouts\Public Works\Construction Permit Application.docx 08/2015
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