HomeMy WebLinkAboutA_Construction_Permit_Application_171109_v1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Page 2 of 5 | Published: 01/24/2017
CIVIL CONSTRUCTION PERMIT APPLICATION
Applicant Information
Name:
Address:
City: State: Zip:
Phone:
Email:
Engineer Information
Firm:
Address
City: State: Zip:
Contact:
Phone:
Email:
Earthwork and Clearing
Earthwork Volumes (cubic yards)
Cut: Fill: Total:
Total Site Area (SF):
Area of Site
Disturbance
Acres: SF:
(If more than 1 acre, NPDES Permit Required)
Property Owner Information
Name:
Address:
City: State: Zip:
Phone:
Email:
Public Improvements
Utilities Improvements (check all that apply):
☐ Water ☐ Wastewater ☐ Stormwater
If not a City of Renton Utility, list provider jurisdiction and
service (i.e. Soos Creek Water & Sewer District):
Streets Improvements (check all that apply):
☐ Curb/Gutter ☐ Sidewalk ☐ Planter Strip
☐ Street Lights ☐ Street Trees ☐ Roadway
If any right-of-way is not owned by the City of Renton, list the
jurisdiction (i.e. King County, WSDOT):
Project Name:
Project Address/Location:
Parcel #(s):
Description of Project:
Related Permit(s): LUA#: B#: PRE#:
Type of Construction:
☐ Short Plat (9 or fewer lots) ☐ Subdivision (10+ Lots) ☐ Commercial / Multi-Family
☐ Tenant Improvement ☐ Addition to Existing - Approximate Value of Addition: $
☐ Clear and Grade & TESC Only
Planning Division | 1055 South Grady Way, 6th Floor | Renton, WA 98057 | 425-430-7200
Website: rentonwa.gov