HomeMy WebLinkAboutA_Wingstop Renton BLDG TI Application_20240111_v1H:CED\Data\Forms-Templates\Self-Help Handouts\Building\2019 Forms-Fillable\Building-Comm'l.pdf Updated 5/2/19
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):
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 __________________________
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: ________________________________
NAME: ______________________________________________________________ UBI#: _____________________________
STATE OF WASHINGTON CONTRACTOR LICENSE: _________________________ CITY BUSINESS LICENSE: __________________
□
7. LAND INFORMATION
Lot Size: Site Coverage %: Dwelling Units Proposed 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
LocaƟon ** Alteration
(SF)
New/Added
(SF)
ConstrucƟon
Type
xŝƐƚŝŶŐ Proposed
Occupancy
Total
** Enter locaƟon by occupancy type (i.e. B, S-1,A,M, etc.) and by floor or suite number
10. EXISTING BUILDING INFORMATION
ConstrucƟon 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__________________________________________________________________________________
Occupancy
# of Occupants Occupancy Load
Total # of Project Dwelling Units:# of Permit Dwelling Units: