HomeMy WebLinkAbout02-Master ApplicationCITY OF RENTON | PERMIT SERVICES
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
name: United Christian Church PHONE: 425-226-3080
MAILING ADDRESS: 15509 116th Ave SE, Renton WA 98058 EMAIL:
prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Kanon Kupferer COMPANY (if applicable): Ichijo USA Co Ltd
PHONE: 206-234-8115 EMAIL: kanon@ichijousa.com
MAILING ADDRESS: 1406 140th PI NE Ste. 104, Bellevue WA 98007
[ | | prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Margi Fosdick COMPANY (if applicable) Barghausen Consulting Engineers
PHONE: 425-251-6222 EMAIL: mfosdick@barghausen.com
MAILING ADDRESS: 18215 72nd Avenue South, Kent WA 98032
[| | prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME: Harmony Ridge Phase 1 Final Plat
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS: 15509 116th Ave SE / Parcel No 202305-9067
EXISTING LAND useE(s);Church and school PROPOSED LAND USE(S): Church and school/Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: Residential Medium Density
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable): N/A
EXISTING ZONING: R-8 PROPOSED ZONING: N/A
SITE AREA (in square feet): 271,429
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED: 0
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if applicable): N/A
NUMBER OF PROPOSED LOTS (if applicable): 2
NUMBER OF NEW DWELLING UNITS (if applicable): 0
NUMBER OF EXISTING DWELLING UNITS (if applicable):0 PROJECT VALUE: N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A
rentonwa.gov/permitservices | planningcustomerservice@rentonwa.gov | 425-430-7294 10/24/2023 | Page 1 of 2
LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):8,470
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): 8,470
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): No change from existing
1S THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable):
C1 AQUIFER PROTECTION AREA ONE [1 AQUIFER PROTECTION AREA TWO
[]_ FLOOD HAZARD AREA SQ.FT. [1 SHORELINE STREAMS & LAKES SQ. FT.
( GEOLOGIC HAZARD SQ.FT. [ WETLANDS SQ, FT.
C] HABITAT CONSERVATION SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE SE QUARTER OF SECTION 29 ,TOWNSHIP23 oN, RANGE_O5- EL
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OUERSHIP _ | Camera, | eLaugh LA
1, (Print Name/s) Lann ite Qari »_» declare under penalty of perjury under the laws of the State of
Washington that | 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 correc’to the best
of my knowledge/and belief. “(19-9075 —s a Nt Ol-09-2025 eS _i/2l2025 ee NT ss — 7
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) ss
COUNTY OF KING ) Lannette Saggent
| certify that | know or have satisfactory evidence that Zamereon Ie laugd/nsigned this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpiése mentioned in the instrument.
td / 7 /. AOAS __ on Eivcscock.
Notary Public in and for the State of Washington
LAVON PEACOCK L aven feacoe A- Notary Public State of Washington Notary (Print): Commission # 20103689 My Comm. Expires Mar 23, 2028
My appointment expires: Mar AS 202
rentonwa.gov/permitservices | planningcustomerservice@rentonwa.gov | 425-430-7294 10/24/2023 | Page 2 of 2