HomeMy WebLinkAboutCivil Construction Permit Applicationrentonwa.gov/permitservices | developmentengineering@rentonwa.gov | 425-430-7240 2/8/2023 | Page 1 of 1
CITY OF RENTON Ι PERMIT SERVICES
CIVIL CONSTRUCTION PERMIT APPLICATION
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/Multifamily
Addition to Existing—Approx.
Value of Addition: $___________
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 Utility, list provider jurisdiction 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 jurisdiction (i.e. King County, WSDOT):
**If more than 1 acre, NPDES Permit Required EARTHWORK AND CLEARING
CUT/FILL (cubic yards): TOTAL SITE AREA (SF):
This application does not constitute a permit to work. Work shall not commence until a civil construction permit is
issued and the pre-construction meeting has been held.
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: