HomeMy WebLinkAboutA_COMMERCIAL_BUILDING_190729_v1.pdfH:CED\Data\Forms-Templates\Self-HelpHandouts\Building\BuildingApplicaƟon-Commercial.pdfUpdated4/26/18
5. CONTRACTOR INFORMATION
DOINGWORKASOWNER/CONTRACTOR?Ifyes,theownerwillneedtofillouttheOwnerAffidavitForm.Includethisformwithyour
submittal.Tenantscannotdotheworkwithoutwrittenpermissionfromtheowner.
ALICENSEDCONTRACTORWILLBEDOINGTHEWORK.Fillouttheportionbelow.(Required):
NAME:_______________________________________________________________________________________________________________
STATEOFWASHINGTONCONTRACTORLICENSE:___________________________CITYBUSINESSLICENSE:_____________________________
6. TYPE OF WORK
ප AccessoryStructureපAdditionපExteriorAlterationපGarageපInteriorTenantImprovement
ප ModularපNewපPortableපWirelessFacilityපAwningපDockපRetainingWallපStorageRackingපStorm
VaultපPoolපSolarපOther__________________________
Thisapplicationmustbefilledoutcompletelyinordertobesubmittedforreview.Wewillnotacceptincompleteapplications.Thisapplicationis
goodforone(1)yearfromthesubmittaldate.Aone–timeextensionofone(1)yearcanberequestedatacostofhalftheplanreviewfee.Once
issued,thepermitisgoodforone(1)yearfromtheissuedate.Aone–timeextensionofone(1)yearcanberequestedatacostofhalfthe
permitfee.PleasefollowourElectronicFileStandardsifplanreviewisrequired.Thisapplicationmustbea.pdfandincludedinyoursubmittal.
BUILDING PERMIT APPLICATION
COMMERCIAL/MULTI-FAMILY
APPLICATION
Development Services Division
1055 S. Grady Way
Renton, WA 98057
(425) 430-7200
www.rentonwa.gov
FOR OFFICE USE ONLY:
PERMITNUMBER:______________________PROJECTNUMBER:_____________________LANDUSENUMBER:________________________
2. VALUATION
VALUEOFWORK:_______________________________________________________BOEINGJOB#(Ifapplicable):_______________________
KINGCOUNTYASSESSORSVALUE:$_________________________________________LENDER?Y/N________
LENDERNAME:____________________________ADDRESS:___________________________________PHONE:________________________
1. LOCATION INFORMATION
JOBADDRESS:_________________________________________________BLDG/SUITE#:___________PARCELNO:_____________________
DESCRIPTIONOFWORK:_________________________________________________________________________________________________
____________________________________________________TENANTNAME:____________________________________________________
3. OWNER INFORMATION
PROPERTYOWNERNAME:____________________________________________________PHONE:____________________________________
ADDRESS:________________________________________________ CITY:____________________ STATE:__________ZIP:______________
4. CONTACT INFORMATION
CONTACTNAME:______________________________________________________________PHONE:__________________________________
EMAIL:___________________________________________________________________________FAX:________________________________
2801 NE SUNSET BLVD #B 722790-0090
TENANT IMPROVEMENT, INTERIOR ALTERATIONS TO EXISTING SPACE ADDING COMMERCIAL
KITCHEN AND INTERIOR FINISHES RENTON DELI
$70,000
$908,500
Jim Hartner 503-810-9272
Nos Narin 206-322-4323
nos@catchstudio.com
X
TBD
N
X
7. LAND INFORMATION
Lot Size: Site Coverage %: # of Stories Building Height:
8. BUILDING INFORMATION
AUTOMATICSPRINKLERREQUIRED පYESපNO ALARMප YESපNO
QUICKRESPONSETHROUGHOUT ප YESපNO SMOKECONTROLප YESපNOIFYES,
HAZARDOUSMATERIAL ප YESපNO PLEASEPROVIDEANALYSISLETTER
CHANGEOFOCCUPANCY ප YESපNO
BASEMENTප YESපNO
NUMBEROFSTORIES_________
SPECIALCONDITIONS*ප YESපNO *IFYES,PLEASEEXPLAIN_______________________________________
9. BUILDING INFORMATION FOR PROPOSED WORK- PER IBC
LocaƟon**InteriorRemodel
(SF)
New/Added
(SF)
Typeof
ConstrucƟon
Proposed
Occupancy
#ofOccupantsNon-
Separated
Use?
Total
** Enter locaƟon by occupancy type (i.e. B, S-1,A,M, etc.) and by Ňoor or suite number
10. EXISTING BUILDING INFORMATION
ConstrucƟon Type Occupancy Group Square Footage Code Year
11.SUPPLEMENTAL INFORMATION
IsthispartofanongoingCodeEnforcementcase?Ifyes,pleaselistcodecasenumber:_____________________________________________
WasaStopWorkOrderplacedonsite?පYESපNO
IcertifythattheinformationonthisapplicationfurnishedbymeistrueandcorrectandthattheapplicablerequirementsoftheCityofRentonwillbemet.I
understandthatthisapplicationisvalidforone(1)yearfromtheapplicationdate.Ifapermitisnotissuedduringthistimeperiod,theapplicationwillbecome
void.Thisapplicationdoesnotconstituteapermittowork.Workisnottocommenceuntilthebuildingpermitispostedonpremiseswhereworkistobe
performed.Certificationisherebyrenderedthatnoworkistobedoneexceptasdescribed,andthatallworkshallconformtoapplicablecodes.Workinpublic
rights-of-wayand/orutilityeasementsarenotauthorizedunderthisapplication.Anyworkdonewithoutthebenefitofhavingabuildingpermitissuedis
subjecttodoublethepermitfeeaswellasaninvestigationfee.Feestobepaidatpermitintake.
APPLICANTSIGNATURE:_____________________________________________________DATE:_________________________
APPLICANTNAMEPRINTED__________________________________________________________________________________
120,219 SQ FT 12 FT21%
1
ts are not authorized under this app
well as an investigation fee.Fees to
________________________
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SUITE #B 1,169 SQ FT 0 SQ FT II B B 20 YES
II - B B 4250 2015
07/29/2019
Ngoc Dong
1,169 SQ FT