HomeMy WebLinkAboutA_Master_application_180214_v1DEPARTMENT OF COMMUNITY --1011111111100001 CITY OF
-wi
AND ECONOMIC DEVELOPMENT i .enton
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S) I
NAME: Seco Development, Inc.
ADDRESS: 1083 Lake Washington Boulevard N. Suite 50
CITY: Renton, WA ZIP: 98056
TELEPHONE NUMBER: (425) 282-5833 ext. 324
0
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CH Y: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
I Ii
i NAME: David Ketchum I
COMPANY (if applicable): Airsafe
ADDRESS: PO Box 287
CITY: Greenbank, WA ZIP: 98253
TELEPHONE NUMBER AND EMAIL ADDRESS:
(360) 678-0345
David@airsafeheliports.com
1
PROJECT INFORMATION
FOJECT OR DEVELOPMENT NAME:
outhport Office Helipad
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
1101 Lake Washington Boulevard N 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
0823059216
EXISTING LAND USE(S):
Office complex - under construction
PROPOSED LAND USE(S):
Office complex - helipad on roof
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Commercial Mixed Use (CMU)
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
EXISTING ZONING:
Urban Center (UC)
PROPOSED ZONING (if applicable):
i SITE AREA (in square feet): i
I 900 SF
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: Not Applicable
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
Not Applicable
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) Not Applicable
NUMBER OF PROPOSED LOTS (if applicable)
Not Applicable
NUMBER OF NEW DWELLING UNITS (if applicable):
Not Applicable
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PROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
Not Applicable
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): Not Applicable
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): Not Applicable
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): Not Applicable
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): Not Applicable
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): Not Applicable
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): Not Applicable
ION (continued
I PROJECT VALUE:
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the followinq information
SITUATE IN THE NW QUARTER OF SECTION 8 , TOWNSHIP 23 , RANGE 5 , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) ❑ the
current owner of the property involved in this application or 'the authorized representative to act for a corporation (please attach proof
of authorization) and that the foregoing statements and answers herein contained and the information herewith are in all respects true
and correct to the best of my knowledge and belief.
Sig. ature of Owner/Representative ate Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that 1 know or have satisfactory evidence that Y_'/L'A k_ -Tl m roo yl5 Signed this instrument and
acknowledge ii to be his/her/their free and voluntary aci for the uses and purpose mentioned in the instrument.
Dated �E V�4Irf�
�v !
p� �OTAR�A�prt%
N
l�1�tt�pF WAS\-\'�.,
is in and for the State of Washington
A61 L VI l (� V(j V► D� P41'1
Notary (Print):
My appointment expires:
2
E:\external drive\AirSafe\Projects\Southport\Southport\City process\masterapp (1).doc Rev: 08/2015
$40,000 (est)
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE
FOOTAGE (if applicable):
❑
AQUIFIER PROTECTION AREA ONE
❑
AQUIFIER PROTECTION AREA TWO
❑
FLOOD HAZARD AREA
sq. ft.
❑
GEOLOGIC HAZARD
sq. ft.
❑
HABITAT CONSERVATION
sq. ft.
❑
SHORELINE STREAMS & LAKES
sq. ft.
❑
WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the followinq information
SITUATE IN THE NW QUARTER OF SECTION 8 , TOWNSHIP 23 , RANGE 5 , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) , declare under penalty of perjury under the laws of the State of Washington that I am (please check one) ❑ the
current owner of the property involved in this application or 'the authorized representative to act for a corporation (please attach proof
of authorization) and that the foregoing statements and answers herein contained and the information herewith are in all respects true
and correct to the best of my knowledge and belief.
Sig. ature of Owner/Representative ate Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that 1 know or have satisfactory evidence that Y_'/L'A k_ -Tl m roo yl5 Signed this instrument and
acknowledge ii to be his/her/their free and voluntary aci for the uses and purpose mentioned in the instrument.
Dated �E V�4Irf�
�v !
p� �OTAR�A�prt%
N
l�1�tt�pF WAS\-\'�.,
is in and for the State of Washington
A61 L VI l (� V(j V► D� P41'1
Notary (Print):
My appointment expires:
2
E:\external drive\AirSafe\Projects\Southport\Southport\City process\masterapp (1).doc Rev: 08/2015