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HomeMy WebLinkAboutReport 1-DEPARTMENT OF COMMUNITY , CITY OF
AND ECONOMIC DEVELOPMENT �., Renton Z`
PLANNING DIVISION
CERTIFICATE OF EXEMPTION
FROM CRITICAL AREAS REGULATIONS
EVALUATION FORM & DECISION
DATE: April 17, 2017
PROJECTNUMBER: LUA17-000207
PROJECTNAME: Royal Hills Grading License Critical Areas Exemption
PROJECT MANAGER: Alex Morganroth, Associate Planner
OWNER: Royal Hills Preservation
21515 Hawthorne Blvd
#390
Torrance, CA 90503
CONTACT: Andrew Phillips
SM R Architects
117SMain St
Ste 400
Seattle, WA 98104
LOCATION: 3000 SE Royal Hills Drive
DESCRIPTION: The applicant is requesting a Critical Areas Exception to perform grading work
at the apartment complex located at 3000 Royal Hills Drive. The applicant has
applied for a grading license (B16006795) for limited walkway and curb
replacement, as well as a complete parking lot overlay, for the Royal Hills
Apartments complex. The property is approximately 13.7 acres and is located
in the RMF, Residential Multi -Family zoning designation and Urban Design
District B. Access to the site is from internal drives located off of Royal Hills
Drive on the southern side of the site. The applicant is not proposing the
removal of any trees. Critical areas mapped on the site include a Moderate
Landslide Hazard, Wellhead Protection Area Zone 2, Sensitive Slopes (>25% &
E40%), and a High Erosion Hazard. A Temporary Erosion and Sediment Control
Plan has been approved as part of the grading permit application.
CRITICALAREA: Moderate Landslide Hazard, High Erosion Hazard, Sensitive Slopes, Wellhead
Protection Area Zone 2
Pagel of 3
City of Renton Department of Community & Economic Development Certrf?We of Exemption from Critical Areas Regulations
Royal Hills Grading License Critical Areas Exemption LOA17-WO207
EXEMPTION JUSTIFICATION: Renton Municipal Code 4-3-05U Critical Areas Regulations Subsection C.3.g.i
Remodeling, Replacing, Removing Existing Structures, Facilities, and Improvements.
FINDINGS: The proposed development is consistent with the following findings pursuant to
RMC section 4-3-050C.2.d:
i. The activity is not prohibited by this or any other provision of the Renton
Municipal Code or State or Federal law or regulation;
ii. The activity will be conducted using best management practices as specified
by industry standards or applicable Federal agencies or scientific principles;
iii. Impacts are minimized and, where applicable, disturbed areas are
immediately restored;
iv. Where water body or buffer disturbance has occurred in accordance with an
exemption during construction or other activities, revegetation with native
vegetation shall be required,-
v. If a hazardous material, activity, and/or facility that is exempt pursuant to
this Section has a significant or substantial potential to degrade groundwater
quality, then the Administrator may require compliance with the Wellhead
Protection Area requirements of this Section otherwise relevant to that
hazardous material, activity, and/or facility. Such determinations will be based
upon site and/or chemical -specific data.
DECISION: An exemption from the Critical Areas Regulations is herebyApproved with
Conditions'.
CONDITIONS:
1. All work must be done in accordance with an approved grading license (see
B15005795). The grading license is conditioned to require construction
inspector verification of final grade priorto landscape installation.
2. Work shall commence upon the end of appeal period.
t
Page 2 of 3
.City of Renton Department of Community & Econo...._,Development
Royal Hills Grading license Critical Areas Exemption
Certificate of Exemption from Critical Areas Regutations
LUA17.000207
SIGNATURE & DATE OF DECISION:
Jennifer Henning, Planning Director
April 17, 2017
Date
The above land use decision will become final if the decision is not appealed within the 14-day appeal
period(RCW 43.21.C.075(3), WAC 197-11-680).
APPEALS: An appeal of this administrative land use decision must be filed in writing together with the
required fee to the City of Renton Hearing Examiner, City of Renton,1055 South Grady Way, Renton, WA
980S7, on or before 5:00 p.m., on May 1, 2017. RMC 4-5-110 governs appeals to the Hearing Examiner and
additional information regarding the appeal process may be obtained from the Renton City Clerk's Office,
(425)430-6510.
RECONSIDERATION: Within 14 days of the decision date, any party may request that the decision be
reopened by the approval body. The approval body may modify his decision if material evidence not readily
discoverable prior to the original decision is found or if he finds there was misrepresentation of fact. After
review of the reconsideration request, if the approval bodyfinds sufficient evidence to amend the original
decision, there will be no further extension of the appeal period. Any person wishing to take further action
must file a formal appeal within the 14-dayappeal time frame.
EXPIRATION: Five (5) years from the date of decision (date signed).
Attachments: Site and Topography Plan (pgs 2-7), Neighborhood Map
Page 3 of 3
No. 6eie Description
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ISSUE DATE:
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DEPARTMENT OF COMP 4ITY CITY OF
AND ECONOMIC DEVELOPMENT Renton
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME. Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS:117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)ILO CATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028Sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Master Appllcation.doc Rev: 08/2015
DEPARTMENT OF CO....AUNITY
+CITY OFF gIIIIIIIII
AND ECONOMIC DEVELOPMENT
y�
11111G
SUBMITTAL REQUIREMENTS
• EXEMPTION FROM CRITICAL AREAS
REGULATIONS
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
PURPOSE: To allow certain activities to intrude into a critical area or required buffer subject to the City
providing a letter of exemption of any listed conditions or requirements.
FREE CONSULTATION MEETING: Prior to submitting an application, the applicant should informally
discuss the proposed development with the Planning Division. The Planning Division will provide
assistance and detailed information on the City's requirements and standards. Applicants may also take
this opportunity to request the waiver of the City's typical application submittal requirements, which
may not be applicable to the specific proposal. For further information on this meeting, see the
instruction sheet entitled "Submittal Requirements: Pre -Application."
COMPLETE APPLICATION REQUIRED: In order to accept your application, each of the numbered items
must be submitted at the same time. If you have received a prior written waiver of a submittal item(s)
during a pre -application meeting, please provide the waiver form in lieu of any submittal item not
provided. All plans and attachments must be folded to a size not exceeding 832 by 11 inches.
APPLICATION SCREENING: Applicants are encouraged to bring in one copy of the application package
for informal review by staff, prior to making the requested number of copies, colored drawings, or photo
reductions. Please allow approximately 45 minutes for application screening.
APPLICATION SUBMITTAL HOURS: Applications should be submitted to Planning Division staff at the
6th floor counter of Renton City Hall, 1055 South Grady Way, between 8:00 a.m. and 4:00 p.m. Monday
through Friday. Please call your assigned project manager to schedule an appointment or call 425-430-
7200 to reach the Planning Division. Due to the screening time required, applications delivered by
messenger cannot be accepted.
ADDITIONAL PERMITS: Additional permits from other agencies may be required. It is the applicant's
responsibility to obtain these other approvals. Information regarding these other requirements may be
found at http://apps.oria.wa.gov/opas/
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All Plans and Attachments must be folded to 8 Wby 11"
APPLICATION MATERIALS:
W 00%9P 1. Pre -Application Meeting Summary: If the application was reviewed at a "pre -application
meeting", please provide 5 copies of the written summary provided to you.
Ind 2. Waiver Form: If you received a waiver form during or after a "pre -application meeting",
please provide 5 copies of this form.
3. Land Use Permit Master Application Form: Please provide the original plus 11 copies of the
COMPLETED City of Renton Planning Division's Master Application form. Application must
have notarized signatures of ALL current property owners listed on the Title Report. If the
property owner is a corporation, the authorized representative must attach proof of signing
authority on behalf of the corporation. The legal description of the property must be
attached to the application form.
[ 4. Critical Areas Exemption Form (attached): Please provide 3 copies of the attached Critical
Areas Exemption form if the project consists of one of the listed activities eligible for SEPA
exemption.
5. Neighborhood Detail Map: Please provide 12 copies of a map drawn at a scale of 1" = 100' or
1" = 200' (or other scale approved by the Planning Division) to be used to identify the site
location on public notices and to review compatibility with surrounding land uses. The map
shall identify the subject site with a much darker perimeter line than surrounding properties
and include at least two cross streets in all directions showing the location of the subject site
relative to property boundaries of surrounding parcels. The map shall also show: the
property's lot lines, lot lines of surrounding properties, boundaries of the City of Renton (if
applicable), north arrow (oriented to the top of the plan sheet), graphic scale used for the
map, and City of Renton (not King County) street names for all streets shown. Please ensure
all information fits on a single map sheet.
Kroll Map Company (206-448-6277) produces maps that may serve this purpose or you may
use the King County Assessor's maps as a base for the Neighborhood Detail Map. Additional
information (i.e. current city street names) will need to be added by the applicant.
6. Site Plan: Please provide 12 copies of a fully -dimensioned plan sheet drawn at a scale of
1"=20' (or other scale approved by the Planning Division). We prefer the site plan be drawn on
one sheet of paper unless the size of the site requires several plan sheets to be used. If you
are using more than a single plan sheet, please indicate connecting points on each sheet.
The Site Plan should show the following:
• Name of proposed project
• Date, scale, and north arrow (oriented to the top of the paper/plan sheet)
H.\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\critical Areas Exemption,doc Rev: 12/2015
• Drawing of the subject property with all property lines dimensioned and names of
adjacent streets
• Widths of all adjacent streets and alleys
• Location of all existing public improvements including, but not limited to, curbs,
gutters, sidewalks, median islands, street trees, fire hydrants, utility poles, etc., along
the full property frontage
• Location and dimensions of existing and proposed:
1. structures
2. setbacks
3. parking, off-street loading space, curb cuts and aisle ways
4. fencing and retaining walls
5. free-standing signs and lighting fixtures
6. refuse and recycling areas
7. utility junction boxes and public utility transformers
8. storage areas and job shacks/sales trailers/model homes
• Location and dimensions of all easements referenced in the title report with the
recording number and type of easement (e.g. access, sewer, etc.) indicated
• Location and dimensions of natural features such as streams, lakes, required buffer
areas, open spaces, and wetlands
• ordinary high water mark and distance to closest area of work for any project located
within 200-feet from a lake or stream
A legend/analysis of the following information MUST be included on the site plan:
• Total square footage of the site
• Square footage (by floor and overall total) for each individual building and/or use
• Total square footage of all buildings/structure footprints
• Total impervious surfacing. List the square footage of both existing impervious area to
remain plus new impervious areas to be installed, and the total square footage of
parking areas
• Percentage of lot coverage
• Square footage of all landscaping (total, interior of parking lot, and wildlife
habitat/natural areas)
• Allowable and proposed building heights
• All building setbacks required by code
• Proposed building setbacks
• Square footage of any on -site critical areas
• Parking analysis including the following:
1. Number of stalls required by Code (if more than one use/ratio show required
number for each use
2. Total number of stalls proposed (if less or more than total required attach a
request for a parking modification to the application package
3. Location and number of "ADA accessible" stalls, compact, employee
and/or guest parking stalls, and parking space dimensions
4. Sizes of various types of stalls proposed
5. Angle of stalls (if other than 90 degrees)
6. Location and size of curb cuts
3
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7. Traffic flow within the parking, loading, maneuvering areas, ingress and egress
8. Location of wheel stops
9. Loading space(s) location and dimensions
10. Number of stacking space(s) for any drive -up windows
11. Location and dimensions of any bicycle racks, bus shelters, carpool parking
spaces, or facilities designed to accommodate access to the site.
Sum
GS
7.
Topography Map: Please provide 4 copies of a plan showing the site's existing contour lines at
five-foot vertical intervals.
W W\� S.
Tree Retention/Land Clearing (Tree Inventory) Plan: Please provide 4 copies of a fully
dimensioned plan drawn by a certified arborist or a licensed landscape architect if ANY trees
or vegetation are to be removed or altered. The plan shall be based on finished grade, drawn
at the same scale as the project site plan with the northern property line at the top of the
paper, and clearly show the following:
• All property boundaries and adjacent streets, location and dimensions of rights- of -
way, utility lines, fire hydrants, street lighting, and easements;
• Location of all areas proposed to be cleared;
• Location, species, and sizes of trees on or immediately abutting the site. This
requirement applies only to trees with a caliper of at least six inches (6"), or an alder
or cottonwood tree with a caliper of at least eight inches (8"), when measured at fifty-
four inches (54") above grade;
• Clearly identify trees to be retained and to be removed;
• Future building sites and drip lines of any trees which will overhang/ overlap a
construction line. Where the drip line of a tree overlaps an area where construction
activities will occur, this shall be indicated on the plan;
* Show critical areas and buffers.
WAS V— 9. Arborist Report: Please provide 4 copies of an arborist report by a certified arborist or a
licensed landscape architect that correlates with the Tree Retention/ Land Clearing Plan and
addresses the following:
• Identification scheme used for each tree (e.g. tree number);
* Species and size of each tree (caliper measured at 54 inches above grade);
• Reason(s) for any tree removal (e.g. poor health, high risk of failure due to structure,
defects, unavoidable isolation (high blow down potential), unsuitability of species,
etc.) and for which no reasonable alternative action is possible (pruning, cabling, etc.);
• For trees proposed to be retained, a complete description of each tree' s health,
condition, and viability;
• For trees proposed to be retained, a description of the method(s)used to determine
the limits of disturbance (e.g., critical root zone, root plate diameter, or a case- by -
case basis description for individual trees);
• A description of the impact of necessary tree removal to the remaining trees, including
those in a grove or on abutting properties;
• The suggested location and species of supplemental trees to be used when required.
The report shall include planting and maintenance specifications;
4
H;\CED\Data\Forms-Templates\self-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
• An analysis of retained trees according to Priority of Tree Retention Requirements
specified in RMC 4-4-130H.1.b.
a\V � 10. Wetland Assessment: Please provide 12 copies of the map and 5 copies of the report if ANY
wetlands are located on the subject property or within 100 feet of the subject property. The
wetland report/delineation must include the information specified in RMC 4-8-120D.23. In
addition, if any alteration to the wetland or buffer is proposed, 5 copies of a wetland
mitigation plan is also required. See RMC 4-8-120D.23 for plan content requirements.
11. Standard Stream or Lake Study: Please provide 12 copies of a report containing the
information specified in RMC Section 4-8-120D.19. In addition, if the project involves an
unclassified stream, a supplemental stream or lake study is also required (12 copies). If any
alteration to a water -body or buffer is proposed a supplemental stream or lake study (12
copies) and mitigation plan (12 copies) are also required. See RMC 4-5-120D.19 for plan
content requirements.
LU t%1Vf 12. Flood Hazard Data: Please provide 12 copies of a scaled plan showing the nature, location,
dimensions, and elevations of the area in question; existing or proposed structures, fill,
storage of materials, and drainage facilities. Also indicate the following:
Elevation in relation to mean sea level of the lowest floor (including basement) of all
structures
• Elevation in relation to mean sea level to which any structure has been flood -proofed
• Certification by a registered professional engineer or architect the flood -proofing
methods criteria in RMC 4-3-050G.4.c have been met
• Description of the extent to which a watercourse will be altered or relocated as a result
of proposed development
I O,NEl- 13, Biological Assessment/Critical Areas Study: provide 12 copies if the project is located in a
designated floodplain. (RMC 4-8-120D.2)
1,lJGl.IV r7nl14. Habitat Data Report: If the project site contains or abuts a critical habitat per RMC 4-3-
050F.2 b please provide 12 copies of a report containing the information specified in RMC 4-
8-120D.8.
a4Uor-" 15. Geotechnical Report: Please provide 5 copies of a study prepared and stamped by a State of
Washington licensed professional engineer including soils and slope stability analysis, boring
and test pit logs, and recommendations on slope setbacks, foundation design, retaining wall
design, material selection, and all other pertinent elements.
16. letter of Understanding Geologic Risk: Please provide 5 copies of a letter from the applicant,
or the owner of the site, stating that he or she understands and accepts the risk of developing
in an unstable area and that he or she will advise, in writing, any prospective purchasers of
the site, or any prospective purchasers of structures or portions of structures on the site, of
the unstable potential of the area.
5
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
W 0A —17. Grading Plan, Detailed: Please provide 12 copies of a 22" x 34" plan drawn by a State of
Washington Licensed civil engineer or landscape architect at a scale of one inch to forty feet
clearly indicating the following:
• Graphic scale and north arrow
• Dimensions of all property lines, easements, and abutting streets
• Location and dimension of all on -site structures and the location of any structures
within 15-feet of the subject property or that may be affected by the proposed work
• Accurate existing and proposed contour lines drawn at two -foot, or less, intervals
showing existing ground and details of terrain and area drainage to include surrounding
off -site contours within 100-feet of the site
• Location of natural drainage systems, including perennial and intermittent streams and
the presence of bordering vegetation
• Setback areas and any areas not to be disturbed
• Finished contours drawn at two -foot intervals as a result of grading
• Proposed drainage channels and related construction with associated underground
storm lines sized and connections shown
• Finished floor elevation(s) of all structures, existing and proposed
General notes addressing the following (may be listed on a cover sheet):
• Area in square feet of the entire property
• Area of work in square feet
• Both the number of tons and cubic yards of soil to be added, removed, or relocated
• Type and location of fill origin, and destination of any soil to be removed from site
WCO UKT_� 18. Drainage Control Plan: Please provide 4 copies of a plan drawn to scale and stamped by a
Washington State licensed professional engineer and complying with the requirements of
RMC 4-6-030 and the King County Surface Water Management Design Manual, 2009 edition,
as adopted and amended by the City of Renton.
WaWa 19. Drainage Report: Please provide 4 copies of a report stamped and dated by a State of
Washington licensed engineer complying with the requirements of the City of Renton Drafting
Standards, RMC 4-6-030, the King County Surface Water Design Manual (KCSWDM), 2009
edition, and the City of Renton Amendments to the KCSWDM, Chapters 1 and 2 as adopted by
the City of Renton. The report shall contain the following:
• Table of Contents
• Technical Information Report (TIR) Worksheet
• Section 1: Project Overview
• Section 2: Conditions and Requirements Summary
• Section 3: Offsite Analysis
• Section 4: Flow Control and Water Quality Facility Analysis and Design
• Section 5: Conveyance System Analysis and Design
• Section 6: Special Reports and Studies
• Section 7: Other Permit
• Section 8: Construction Stormwater Pollution Prevention Plan (CSWPPP) Analysis and
Design
• Section 9: Bond Quantities, Facility Summaries, and Declaration of Covenant
H:\CED\Data\Forms-Templates\Self-Help Han douts\Planning\Critical Areas Exemption.doc Rev: 12/2015
• Section 10: Operations and Maintenance Manual.
20. Plan Reductions: Please provide one 8 %" x 11" legible reduction of each full size plan sheet
(unless waived by your Project Planner). The sheets that are always needed in reduced form
are: landscape plans, conceptual utility plans, site plan or plat plan, neighborhood detail map,
topography map, tree cutting/land clearing plan, critical areas plans, grading plan, and
building elevations. The quality of these reductions must be good enough so that a photocopy
of the reduced plan sheet is also legible. If your reduced plans are not legible once
photocopied, you will need to increase the font size or try a different paper type. Illegible
reductions cannot be accepted. Once the reductions have been made, please also make one
8 Y2" x 11" regular photocopy of each photographic reduction sheet. Some of the local Renton
print shops that should be able to provide you with reductions of your plans are Alliance
Printing 425-793-5474, Apperson Print Resources 425-251-1850, and PIP Printing 425-226-
9656. Nearby print shops are Digital Reprographics 425-882-2600 in Bellevue, Litho Design
206-574-3000 and Reprographics NW/Ford Graphics 206-624-2040.
[W/21. Digital Copy: Please provide a digital copy of each of the submittal items; this can be
submitted either on a CD, a USB portable (flash/hard) drive, other device or pathway as
approved by your assigned project manager.
All Plans and Attachments must be folded to S%" by 11"
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Critical Areas Exemption,doc Rev: 12/2015
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DEPARTMENT OF CC ALINITY owwwp�CITY QF
,T�
AND ECONOMIC DEVELOPMENT enton '�
CRITICAL AREAS EXEMPTION
(FOR SEPA EXEMPT ACTIVITIES)
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone:425-430-7200 1 www.rentonwa. ov
Applicant Name
Project Name
Phone Number
Renton Preservation LP
Royal Hills Apartments
(206) 623-1104
Parcel Number
Project Address
212305-9055
3000 S.E. Royal Hills Dr.
Brief Description of Project
Limited walkway & curb replacement; parking lot overlay
Type of Critical Area
Work Occurs in
❑ Work Occurs in
aquifer, steep slope, landslide
Critical Area
Buffer
PURPOSE: Exempt activities provided with a letter of exemption from the Development Services
Administrator may intrude into a critical area or required buffer (Subject to any conditions or
requirements provided by the Administrator).
APPLICABILITY OF EXEMPTIONS: The following is a general list of activities that may be exempt from the
critical areas regulations. More specific descriptions of the activities are contained in the Critical Areas
Regulations. Some of the listed activities may not be exempt in certain critical areas. The Planning
Division will evaluate your request according to the City of Renton Critical Areas Regulations in RMC 4-3-
OSOC, J, L, and N.
I AM REQUESTING A CRITICAL AREAS EXEMPTION FOR ONE OR MORE OF THE FOLLOWING ACTIVITIES:
Conservation, Enhancement, and Related Activities:
• Conservation or preservation of soil, water, vegetation, fish, and other wildlife
• Enhancement activities as defined in RMC 4-11
Any critical area and/or buffer restoration, or other mitigation activities that have been
approved by the City
Research and Site Investigation:
• Nondestructive education and research
Site investigative work necessary for land use application submittals such as surveys, soil
logs, etc.
H:\CED\Data\Forms-TemplatesNSelf-Help Han douts\Plan n ing\Critical Areas Exemption.doc Rev: 12/2015
r
❑ Agricultural, Harvesting, and Vegetation Management:
• Harvesting wild foods
• Existing/Ongoing agricultural activities
• Removal of dead, terminally diseased, damaged, or dangerous ground cover or hazardous
trees which have been certified as such by a forester, registered landscape architect, or
certified arborist
❑ Surface Water Alteration:
• New surface water discharges provided the discharge meets the requirements of the
Storm and Surface Water Drainage Regulations
• New or modified regional storm water facilities
• Flood hazard reduction
❑ Roads, Parks, Public and Private Utilities:
• Relocation of Existing Utilities out of Critical Area and Buffer
• Maintenance, operation, and repair of existing parks, trails, roads, facilities, and utilities
• Installation, construction, replacement, or operation of utilities, traffic control, and
walkways within existing improved right -if -way or easement
• Modification of existing utilities and streets by 10% or less
• Management and essential tree removal for public or private utilities, roads and public
parks
❑ Wetland Disturbance, Modification, and Removal:
• Any activity in small Category 3 wetlands
• Temporary disturbances of a wetland due to construction activities that do not include
permanent filling
Maintenance and Construction for Existing Uses and Facilities:
• Remodeling, replacing, or removing existing structures
• Normal and routine maintenance and repair of any existing public or private uses and
facilities where no alteration of the critical area and required buffer or additional fill
materials will be placed
• Construction activity connected with an existing single family residence or garage,
provided that no portion of the new work occurs closer to the critical area or required
buffers than the existing structure and/or the developed area of the site
• Existing activities which have not been changed, expanded or altered provided they
comply with the applicable requirements of RMC 4-10
❑ Emergency Activities:
• Removal of trees or ground cover by a City department, agency, public, or private utility in
an emergency situation
• Public interest emergency use, storage, and handling of hazardous materials by
governmental organizations in an Aquifer Protection Area
ADDITIONAL PERMITS: Additional permits from other agencies may be required. It is the applicant's
responsibility to obtain these other approvals. Information regarding these other requirements may be
found at http://apps.oria.wa.gov/opas/
H:`CED�Data\Forms-iemplates\5elf-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
I, the undersigned, declare under penalty of perjury under the laws of the State of Washington, that to
the best of my knowledge the above information is true and complete.
Applicant Signature: #L Date: 24 1=EBRUARY 2017
For City Use Only
❑ Exemption Granted ❑ Exemption Denied
Jennifer Henning, Planning Director Date
Department of Community & Economic Development
Conditions of Approval:
10
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
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DEPARTMENT OF CO[VI.AUNITY CITY OF
AND ECONOMIC DEVELOPMENT Renton
CRITICAL AREAS EXEMPTION
(FOR SEPA EXEMPT ACTIVITIES)
Planning Division
1055 South Grady Way -Menton, WA 98057
Phone:425-430-7200 1 www.rentonwa.go�
Applicant Name
Project Name
Phone Number
Renton Preservation LP
Royal Hills Apartments
(206) 623-1104
Parcel Number
Project Address
212305-9055
3000 S.E. Royal Hills Dr.
Brief Description of Project
Limited walkway & curb replacement; parking lot overlay
Type of Critical Area
Work Occurs in
❑ Work Occurs in
aquifer, steep slope, landslide
Critical Area
Buffer
PURPOSE: Exempt activities provided with a letter of exemption from the Development Services
Administrator may intrude into a critical area or required buffer (Subject to any conditions or
requirements provided by the Administrator).
APPLICABILITY OF EXEMPTIONS: The following is a general list of activities that may be exempt from the
critical areas regulations. More specific descriptions of the activities are contained in the Critical Areas
Regulations. Some of the listed activities may not be exempt in certain critical areas. The Planning
Division will evaluate your request according to the City of Renton Critical Areas Regulations in RMC 4-3-
050C, J, L, and N.
I AM REQUESTING A CRITICAL AREAS EXEMPTION FOR ONE OR MORE OF THE FOLLOWING ACTIVITIES:
❑ Conservation, Enhancement, and Related Activities:
Conservation or preservation of soil, water, vegetation, fish, and other wildlife
• Enhancement activities as defined in RMC 4-11
Any critical area and/or buffer restoration, or other mitigation activities that have been
approved by the City
❑ Research and Site Investigation:
• Nondestructive education and research
• Site investigative work necessary for land use application submittals such as surveys, soil
logs, etc.
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\critical Areas Exemption.doc Rev: 12/2015
+ ❑ Agricultural, Harvesting, and Vegetation Management:
• Harvesting wild foods
• Existing/Ongoing agricultural activities
• Removal of dead, terminally diseased, damaged, or dangerous ground cover or hazardous
trees which have been certified as such by a forester, registered landscape architect, or
certified arborist
❑ Surface Water Alteration:
• New surface water discharges provided the discharge meets the requirements of the
Storm and Surface Water Drainage Regulations
• New or modified regional storm water facilities
• Flood hazard reduction
❑ Roads, Parks, Public and Private Utilities:
• Relocation of Existing Utilities out of Critical Area and Buffer
• Maintenance, operation, and repair of existing parks, trails, roads, facilities, and utilities
• Installation, construction, replacement, or operation of utilities, traffic control, and
walkways within existing improved right -if -way or easement
• Modification of existing utilities and streets by 10% or less
• Management and essential tree removal for public or private utilities, roads and public
parks
❑ Wetland Disturbance, Modification, and Removal:
• Any activity in small Category 3 wetlands
• Temporary disturbances of a wetland due to construction activities that do not include
permanent filling
❑+� Maintenance and Construction for Existing Uses and Facilities:
• Remodeling, replacing, or removing existing structures
• Normal and routine maintenance and repair of any existing public or private uses and
facilities where no alteration of the critical area and required buffer or additional fill
materials will be placed
• Construction activity connected with an existing single family residence or garage,
provided that no portion of the new work occurs closer to the critical area or required
buffers than the existing structure and/or the developed area of the site
• Existing activities which have not been changed, expanded or altered provided they
comply with the applicable requirements of RMC 4-10
❑ Emergency Activities:
• Removal of trees or ground cover by a City department, agency, public, or private utility in
an emergency situation
• Public interest emergency use, storage, and handling of hazardous materials by
governmental organizations in an Aquifer Protection Area
ADDITIONAL PERMITS: Additional permits from other agencies may be required. It is the applicant's
responsibility to obtain these other approvals. Information regarding these other requirements may be
found at http://apps.oria.wa.gov/opas/
9
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
1, the undersigned, declare under penalty of perjury under the laws of the State of Washington, that to
the best of my knowledge the above information is true and complete.
,ti �, t�
Applicant Signature: �•,� 2�_ _ Date: 24 FEBRUARY 2417
n
a
❑ Exemption Granted ❑ Exemption Denied
Jennifer Henning, Planning Director Date
Department of Community & Economic Development
Conditions of Approval:
10
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Critical Areas Exemption.doc Rev: 12/2015
Print Form Reset Form save Form
46.
DEPARTMENT OF CI 64UNITY CITY o�
AND ECONOMIC DEVELOPMENT
i ento"O
CRITICAL AREAS EXEMPTION
(FOR SEPA EXEMPT ACTIVITIES)
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
Applicant Name
Project Name
Phone Number
Renton Preservation LP
Royal Hills Apartments
(206) 623-1104
Parcel Number
Project Address
212305-9055
3000 S.E. Royal Hills Dr.
Brief Description of Project
Limited walkway & curb replacement; parking lot overlay
Type of Critical Area
Work Occurs in
❑ Work Occurs in
aquifer, steep slope, landslide
Critical Area
Buffer
PURPOSE: Exempt activities provided with a letter of exemption from the Development Services
Administrator may intrude into a critical area or required buffer (Subject to any conditions or
requirements provided by the Administrator).
APPLICABILITY OF EXEMPTIONS: The following is a general list of activities that may be exempt from the
critical areas regulations. More specific descriptions of the activities are contained in the Critical Areas
Regulations. Some of the listed activities may not be exempt in certain critical areas. The Planning
Division will evaluate your request according to the City of Renton Critical Areas Regulations in RMC 4-3-
050C, J, L, and N.
I AM REQUESTING A CRITICAL AREAS EXEMPTION FOR ONE OR MORE OF THE FOLLOWING ACTIVITIES:
❑ Conservation, Enhancement, and Related Activities:
• Conservation or preservation of soil, water, vegetation, fish, and other wildlife
• Enhancement activities as defined in RMC 4-11
• Any critical area and/or buffer restoration, or other mitigation activities that have been
approved by the City
❑ Research and Site Investigation:
• Nondestructive education and research
• Site investigative work necessary for land use application submittals such as surveys, soil
logs, etc.
H:\CED\Data\Forms-Templates\Self-Help Handouts\PlanningNCritical Areas Exemption.doc Rev: 12/2015
❑ Agricultural, Harvesting, and Vegetation Management:
• Harvesting wild foods
• Existing/Ongoing agricultural activities
• Removal of dead, terminally diseased, damaged, or dangerous ground cover or hazardous
trees which have been certified as such by a forester, registered landscape architect, or
certified arborist
❑ Surface Water Alteration:
• New surface water discharges provided the discharge meets the requirements of the
Storm and Surface Water Drainage Regulations
New or modified regional storm water facilities
• Flood hazard reduction
❑ Roads, Parks, Public and Private Utilities:
• Relocation of Existing Utilities out of Critical Area and Buffer
• Maintenance, operation, and repair of existing parks, trails, roads, facilities, and utilities
• Installation, construction, replacement, or operation of utilities, traffic control, and
walkways within existing improved right -if -way or easement
• Modification of existing utilities and streets by 10% or less
• Management and essential tree removal for public or private utilities, roads and public
parks
❑ Wetland Disturbance, Modification, and Removal:
• Any activity in small Category 3 wetlands
• Temporary disturbances of a wetland due to construction activities that do not include
permanent filling
0 Maintenance and Construction for Existing Uses and Facilities:
• Remodeling, replacing, or removing existing structures
• Normal and routine maintenance and repair of any existing public or private uses and
facilities where no alteration of the critical area and required buffer or additional fill
materials will be placed
• Construction activity connected with an existing single family residence or garage,
provided that no portion of the new work occurs closer to the critical area or required
buffers than the existing structure and/or the developed area of the site
• Existing activities which have not been changed, expanded or altered provided they
comply with the applicable requirements of RMC 4-10
❑ Emergency Activities:
• Removal of trees or ground cover by a City department, agency, public, or private utility in
an emergency situation
• Public interest emergency use, storage, and handling of hazardous materials by
governmental organizations in an Aquifer Protection Area
ADDITIONAL PERMITS: Additional permits from other agencies may be required. It is the applicant's
responsibility to obtain these other approvals. Information regarding these other requirements may be
found at http://apps.oria.wa.gov/opas/
H:\CED\Data\Forms-Templates\5elf-Help Han douts\Plan ning\Criti cal Areas Exemption.doc Rev:12/2015
I, the undersigned, declare under penalty of perjury under the laws of the State of Washington, that to
the best of my knowledge the above information is true and complete.
Applicant Signature: f ����-�' -�-�' �—� Date:
24 FEBRUARY 2017
For City Use Only
❑ Exemption Granted ❑ Exemption Denied
Jennifer Henning, Planning Director Date
Department of Community & Economic Development
Conditions of Approval:
10
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\CriticalAreas Exemption.doc Rev: 12/2015
ROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c,..,tlnued
PROJECT VALUE:
$6,064,000
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. I'll.
LEGAL DESCRIPTION OF PROPERTY
Attach legal descri tion on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) , declare Under penalty of perjury und%Lhq laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application orthe 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.
fe�� 7-t(y�r'7
Signature of Owner/Representative Dale Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal descri tion on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) , declare Under penalty of perjury und%Lhq laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application orthe 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.
fe�� 7-t(y�r'7
Signature of Owner/Representative Dale Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On 2w2017 before me, A,Williarns, Notary Public ,
Date Here Insert Name nd Title of the Officer
personally appeared CAI Q I g
I vo
Name(s) of
who proved to me on the basis of satisfactory evidence to be the person(a) whose name(&) is/are
subscribed to the within instrument and acknowledged to me that he/sHeftl;tey executed the same in
hisA4eRkI;eir authorized capacity{iesj, and that by his/bef*mir signature(&} on the instrument the
person(&}, or the entity upon behalf of which the persor*(S) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. 17VVIAM5 WITNESS my hand and ofkcial seal.
COMM. N 21 oy.125
Vi� • • NOTARY PUBLIC •CALIFOgN1A
! , LOS ANGE1 FS COUNTY n Signature
My Comm iss•on Expires
Apra 2 7 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item *5907
rrint rurrn Kesex rvrm aave rutrn
DEPARTMENT OFCOM- ANITY CITY
AND ECONOMIC DEVELUr-MENT Renton =�
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (i€ other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS:117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT ODEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION.
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Master Application.doc Rev: 08/2015
Ah
'ROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
ION cWtinued
PROJECT VALUE:
$6,064,000
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 following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
1, (Print Namels) , 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.
t�L__ -z-/ ( 'i / 1 -7
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:`CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
r
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County of Los Angles )
On i oA 2017 before me, A.Williams Notary Public ,
Date (j Here Insert Name and Title of the Officer
personally appeared L1 , ' g�
Name(s) of Sign r{sj
who proved to me on the basis of satisfactory evidence to be the persono whose name(&) is/am
subscribed to the within instrument and acknowledged to me that Ine/s4eAliey executed the same in
hisAaeAh& authorized capacity", and that by his/E w*reir signature(4 on the instrument the
person(e4, or the entity upon behalf of which the persor{* acted, executed the instrument,
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. WIt_uAMS WITNESS my hand and o cial seal.
COMM. #I 2t-09425 -I
o NOTARY PUBLIC -CALIFORNIA 0
LOS ANGfFI FS COUNTY Q Signature I. /
~ MyComm�ss-onExpires
April 2= 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer -- Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item 45907
rrint rorm nesez rorm save rorm
DEPARTMENT OF COM_ -- -NITY CITY QF
AND ECONOMIC DEVELwr-MENT Rento 1 ---R
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME --Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
FAPPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP'
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS. 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S).
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:�CED\Data\Forms-Templates\5elf-Help Handouts\Planning\Master Applicatlon.doc Rev: 08/2015
'ROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 850D
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): $500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
ION c tinued
PROJECT VALUE:
$6,064,000
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑ AQUIFIER PROTECTION AREA ONE
0 AQUIFIER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA
sq. ft.
El 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 following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , 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 0 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.
T z. 14�f 7
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
6
H:\CED\Data`Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev.08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California }
County of Los Anaetes
On 2W)dY l 2017 before me, A.Williams Notary Public ,
Date Here Insert Name pnd Title of the Officer
personally appeared N1 . Q �'1 ti UYIL�
Name(s) of Sign N
who proved to me on the basis of satisfactory evidence to be the person(* whose name(s) is/am
subscribed to the within instrument and acknowledged to me that he/she hey executed the same in
h1sA4eW #i& authorized capacity#es), and that by hlsA4@W1heir signature(4 on the instrument the
person, or the entity upon behalf of which the person(s) acted, executed the instrument,
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and a 'cial seal.
A. WILLIAMS 1
r'
COMM. # 2109124% -{ 1
' NOTARY PUBLIC -CALIFORNIA
LOS ANGEL FS COUNTY () ! /
My COMM'ss•on Expires Signature
Apnr 27 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capac'rty(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.Nationa[Notary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907
rrins corm ►reset rorm save rurm
DEPARTMENT OF COM NITY c,TY op
AND ECONOMIC DEVELUrMENT Rento11 D
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS: 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
,(206) 623-9 1 04
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECTJADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS.
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CFD\Data\Forms-Templates\5elf-Help Han douts\Pla nning\Master Application.doc Rev: 08/2015
IROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable); NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable), 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c Jnued
PROJECT VALUE:
$6,064,000
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 following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
1, (Print Namels) , 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 L�j 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.
'v— At
Signature of Owner/Representative Date Signature of Owner/Representative F Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING }
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated !Votary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:\CED\Data\Forms-Templates\5elf-Help Han douts\Plan ning\Master Application.doc Rev: 08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
1, (Print Namels) , 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 L�j 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.
'v— At
Signature of Owner/Representative Date Signature of Owner/Representative F Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING }
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated !Votary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:\CED\Data\Forms-Templates\5elf-Help Han douts\Plan ning\Master Application.doc Rev: 08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL, CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Anjeles )
On 4 IF S 2017 before me, A.Williaims, Notary Public
Date i` Here Insert !Name and Title of the Officer
personally appeared I V Y (A O
Name(s) of
who proved to me on the basis of satisfactory evidence to be the personN whose name(&•) isfare
subscribed to the within instrument and acknowledged to me that he/sheAhey executed the same in
his el; authorized capacity(les), and that by his/berfthreir signature(4 on the instrument the
person(s), or the entity upon behalf of which the personN acted, executed the instrument,
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. WILLIAMS WITNESS my hand Signature an~d o eial seal.
r COMM_ # 2t09125 Aim
U NOTA14Y PUBLIC•CALIFORNIA()
�'}#„ LOS ANGE1 FS COUNTY t7 g i
~ My Commss an Esipnes nature
Apm 2 } 20, a Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee © Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
@2016 National Notary Association • www.NationalNotery,org - 1-800-US NOTARY (1-800-876-6827) Item 45907
rant rorm Keset rorm nave rorrn
DEPARTMENT OF COM- -' INITY CITY OF
AND ECONOMIC DEVELy�MENT Renton -R
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
FAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd, #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (ifother than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS. 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECTOR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECTIADDRESS(S)ILOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
10
H:\CED`Data�Forms-Template s\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
'ROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c tinued
PROJECT VALUE:
$6,064,000
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.
CI GEOLOGIC HAZARD sq, ft.
❑ HABITAT CONSERVATION sq. ft.
ID SHORELINE STREAMS & LAKES sq. ft.
❑ WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on se arate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE SE , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
I, (Print Namels) , declare under penalty of perjury under he laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application or L_J 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.
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on se arate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE SE , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
I, (Print Namels) , declare under penalty of perjury under he laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application or L_J 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.
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California )
County
poyf, ---Jos Angeles
ty
On �_l � 1,A %i OA 1 � t'� 2d17_ before me, A.Williams Notary Public
Date ; r Here Insert Name and Title of the Officer
personally appearedl1G' tiV17J
Name(s) of Sign r(s)
who proved to me on the basis of satisfactory evidence to be the person(e) whose name(&) lsmi�e
subscribed to the within instrument and acknowledged to me that he/s#eAkey executed the same in
hisA49W4he4 authorized capacity", and that by his/Iae641reir signature(s), on the instrument the
person(s), or the entity upon behalf of which the person{sj acted, executed the instrument.
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. WILLIAMS
WITNESS my hand and o cial seal.
COMM. # 210912$
NOTARY PUBLIC -CALIFORNIA
LOS ANGEI ES COUNTY 0
My Cornmss on Expires Signature
AP"' 27 2o'g Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www, National Notary. org - 1-800-US NOTARY (1-800-876-6827) Item #5907
print corm preset rorm aave warm
DEPARTMENT OF COM" "' INITY 'II oI
AND ECONOMIC DEVEL_. MENT Rento '1 ;
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS:117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S),
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\Self-Help Han douts\Planning\Master Application.doc Rev: D8/2Qf5
'ROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (f
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c tinued
PROJECT VALUE:
$6,064,000
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
Ul FLOOD HAZARD AREA sq_ ft.
❑ GEOLOGIC HAZARD sq. ft.
❑ HABITAT CONSERVATION sq. ft.
❑ SHORELINE STREAMS & LAKES sq. ft.
ID WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on se arate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 11 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
1, (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 or0 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.
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1 certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
F1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08J2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on se arate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 11 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
1, (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 or0 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.
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
1 certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
F1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08J2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL. CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los An eles
On 2017 before me, A.Willianis, Notary Public_
Date i, , Here Insert Nameignd Title of the Officer
personally appeared
Name(s) of
who proved to me on the basis of satisfactory evidence to be the person(e) whose name(g) is/afe
subscribed to the within instrument and acknowledged to me that he/s4e4hey executed the same in
his/herfth& authorized capacity#e5), and that by his/berAtmir signatureis), on the instrument the
person(s), or the entity upon behalf of which the person (* acted, executed the instrument.
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. INII_LIAMS WITNESS my hand and o cial seal.
COMM. # 21 r,9.125
r
NOTARV PUBLIC •CALIFOANIA0 �1a:—
V f ' LOS ANGEL ES COUNTV (? g
My commiss-on Expires Signature
April 2, 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner --- ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association - www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
rrinz rorm Kesez rorm nave rurm
DEPARTMENT OFCOM NITY CITvaF
AND ECONOMIC DEVELMENT Renton 99
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS: 21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS:117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECTOR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\aata�Forms-Templates\Self-Help Handouts\Planning\MasterAppiication.doc Rev:08/2015
ROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 850()
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
ION c rinued
PROJECT VALUE:
$6,064,000
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
❑ AQUIFIER PROTECTION AREA ONE
0 AQUIFIER PROTECTION AREA TWO
❑ FLOOD HAZARD AREA
sq. ft,
El GEOLOGIC HAZARD
sq. ft.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
sq. ft.
❑ WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach fecial description on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 29 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
AFFIDAVIT OF OWNERSHIP
1, (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 0 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.
tN�� 7—/
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print);
My appointment expires:
6
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL_ CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On ) m V, 17 _ before me, A.Wifliams, Notary Public
Date (, Here Insert Name,and Title of the Officer
personally appeared
Name(s) of
who proved to me on the basis of satisfactory evidence to be the person#e whose names) isfare
subscribed to the within instrument and acknowledged to me that he/s4elt#ey executed the same in
his theW authorized capacity", and that by his/laeo4hreir signature(4 on the instrument the
person(a), or the entity upon behalf of which the person o acted, executed the instrument.
A. I'LIAN
COMM. #1 210EH25
NOTARY PUBLIC -CALIFORNIAO
U
LOS ANGE1 FS COUNTY O
My commrss'on Expires
Apnl27 2019
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and oAchial seal.
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document ar
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner -- ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer is Representing:
02016 National Notary Association - www.NationaiNotary.org - 1-800-US NOTARY (1-800-876-6827) Item #5907
rnric rurm newt rorm Wive rurm
DEPARTMENT OF COM' -" 1N1TY CITY 4F
AND ECONOMIC DEVEL_.'MENT Rentoll (D
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS.21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS: 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data`Forms-Templates\5elf Help Handouts\Planning\MasterApplicatlon.doc Rev:08/2015
IROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL_
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): $500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
T]ON c tinued
PROJECT VALUE:
$6,064, 000
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 following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Namels) , declare under penalty of perjury and r the laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application orthe 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.
- - 2/( ql 1-7
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
6
H:\CED\Data`Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev, 08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Namels) , declare under penalty of perjury and r the laws of the State of
Washington that I am (please check one) the current owner of the property involved in this application orthe 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.
- - 2/( ql 1-7
Signature of Owner/Representative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
6
H:\CED\Data`Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev, 08/2015
CALIFORNIA+ . 11; .
w .v, .w .w _ .gin .w .a .n w
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document,
State of California )
County of i os Angeles j
On IA( 3 V � 2017 before me, A Willia>rks, Notary Public
Date I Here Insert Namerpnd Title of the Officer
personally appeared
Name(s) of Sig» r(s)
who proved to me on the basis of satisfactory evidence to be the personks) whose name(&) isAve
subscribed to the within instrument and acknowledged to me that he/s#eA ey executed the same in
his eix authorized capacity(+e*, and that by his/E�eOiteir signature(&). on the instrument the
person{&), or the entity upon behalf of which the person* acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
r
A. WILLIAMS WITNESS my hand and o 'cial seal.
COMM. # 21r,9.125
NOTARY PUBLIC•CALIFORNIAO
0- LOS ANGEI FS COUNTY 0
H My Comm,ss on Expires Signature
Apr" �' 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer -- Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.NationalNotary.org - 1-800-US NOTARY (1-800-876-6827) Item 115907
mint rorm Keset corm save rurm
DEPARTMENT OF COME " 'NITY 4000wom CITY OF
AND ECONOMIC DEVEL_ _ MENT Rent n Q9
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if ogler than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS: 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ,ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
RHD applicable)
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Tempiates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
'ROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8600
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
ION c tinued
PROJECT VALUE:
$6,064,000
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, ff.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
sq. ft.
❑ WETLANDS
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , 1N 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.
V`--- Zlry/()
Signature of Owner/Representative Date Signature of Owner/Representative ` Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplicatlon.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
- - - - - - amass
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On 2017 before me, A.Williams, Notary Public
Date I.J! Here Insert Name pnd Title of the Officer
personally appeared �Ulo� ti `% _Nu
Name(s) of Sign6r(s)
who proved to me on the basis of satisfactory evidence to be the person(e) whose name(e) isfare
subscribed to the within instrument and acknowledged to me that he/s4eAliey executed the same in
hisA4er #t& authorized capacity(�es , and that by his/4@FAI*r signature(4 on the instrument the
person(s), or the entity upon behalf of which the persons) acted, executed the Instrument,
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. WILLIAMS WITNESS my hand and ofkpial seal.
COMM. # 21-789125 -� r
I
V NOTARY PUBLIC•CALIPOgNIAO
±'} LOS ANGEI ES COUNTY n Signature
My Commiss•on Expires
Apnr 27 20iQ Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or "type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity{ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s)
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ individual ❑ Attorney in Fact
❑ Trustee 171 Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item i#5507
mint rorm neset rorm nave rut
r
DEPARTMENT OF COME "'LAITY CITY OF
AND ECONOMIC DEVEL_. MENT Ren ton ---R
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESs:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS: 117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)ILOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Plann1ng\Master Application.doc Rev:08/2015
"ROJECT INFORMAT
ION (c tinued
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 850()
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
PROJECT VALUE:
$6,064,000
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 se crate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Narne/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 0 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.
A,� 7—/
Signature of Owner/Representative Date Signature of OwnerlRepresentative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:\CED\Data\Forms-Templates\Self-Help Han douts\Planning\MasterApplication.doc Rev:08/2015
CALIFORNIA
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document,
State of California }
County of Los Angeles }
On _F_ rIA J OA I Y f14 2017__ before me, A.Wilhams, Notary Public_
Date (1 Here Insert Namel find Title of the Officer
personally appeared '� ii
Name(s) of Sign r(s)
who proved to me on the basis of satisfactory evidence to be the persona} whose name(&) isA"
subscribed to the within instrument and acknowledged to me that hels4eMiey executed the same in
hisA4erhe4 authorized capacity(ies), and that by hls/berffi !r signature(# on the instrument the
person, or the entity upon behalf of which the person(o acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. INiLLIAMS WITNESS my hand and o cial seal.
r COMM. 4021 �9-123
ya NOTARY PU13LIC•CALIFORNIAo
F '! LOS ANGEL FS COUNTY p Signature , r
My commissIrl EXprres
Aprri 27 20, a Signature of Notary Public
Place Notary Sea! Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing.
02016 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #t5907
Print corm Keser corm aave rurm
DEPARTMENT OF COMP —'LAITY CiTy of
AND ECONOMIC DEVEL_. MENT genton
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS:21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
APPLICANT (if ether than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS:117 S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
E20,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication,doc Rev:08/2015
ROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c Inued
PROJECT VALUE:
$6,064,000
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
0 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.
Q WETLANDS sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the followinginformation included
SITUATE IN THE north half QUARTER OF SECTION 29 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
1, (Print Namels) 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.
zj t LJ
Signature of OwnerlRepresentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING }
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:`CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the followinginformation included
SITUATE IN THE north half QUARTER OF SECTION 29 , TOWNSHIP 23N , RANGE 5E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
1, (Print Namels) 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.
zj t LJ
Signature of OwnerlRepresentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING }
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:`CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL_ CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los An etes )
On 2Ar 20i7 before me, A.'Williams, Notary_ Public
Date Here Insert Name,ond Title of the Officer
personally appeared
Name(s) of
who proved to me on the basis of satisfactory evidence to be the personk whose name(&) isAw
subscribed to the within instrument and acknowledged to me that he/sey executed the same in
hisA#arfth& authorized capaclty(iea , and that by his/4en4h,eir signature(4 on the instrument the
person(s), or the entity upon behalf of which the personfs) acted, executed the instrument.
A. WILLIAM'S
U COMM. Al 2 1 49125
' NOTARY PUBLIC -CALIFORNIA 0
LOS ANGFI FS COUNTY 0
My Com"-pss on Expires
Aprn 2> 2o19
I certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and ofkcial sea).
Signature
Signature of Notary Public
Place Notary Beal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner — ❑ limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner --- ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
El Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.Nationa[Notary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
rrint rvrm reset rorm nave rurm
f
DEPARTMENT OF COM' " *NITY
AND ECONOMIC DEVEL_. MENT Renton 0
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton Preservation Limited Partnership
ADDRESS, 21515 Hawthorne Blvd. #390
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
FAPPLICANT (if other than owner)
NAME:
COMPANY (if applicable):
ADDRESS:
CITY: ZIP:
TELEPHONE NUMBER:
CONTACT PERSON
NAME: Andrew Phillips
COMPANY (if applicable): SMR Architects
ADDRESS: 1 1 % S. Main St. #400
CITY: Seattle ZIP: 98104
TELEPHONE NUMBER AND EMAIL ADDRESS:
(206) 623-1104
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
PROJECT/ADDRESS(S)ILOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
EXISTING LAND USE(S):
multi -family residential
PROPOSED LAND USE(S):
multi -family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
RHD
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
RHD
EXISTING ZONING:
RM-F
PROPOSED ZONING (if applicable):
same
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
NA
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable)
Existing 20/acre
NUMBER OF PROPOSED LOTS (if applicable)
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
H:\CED\Data\Forms-Templates\5elf-Help Handouts\Planning`MasterApplication,doc Rev:08J2015
ROJECT INFORMA
NUMBER OF EXISTING DWELLING UNITS (if applicable):
284
SQUARE. FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 8500
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
TION c inued
PROJECT VALUE:
$6,064,000
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 following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , 1N THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
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 0 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.
Signature of QwnerlRepresentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:`CED\Data\Forms-Templates\Self-Help Han douts`Planning\MasterApplication.doc Rev, 08/2015
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE north half QUARTER OF SECTION 21 , TOWNSHIP 23N , RANGE 5E , 1N THE CITY
OF RENTON, KING COUNTY, WASHINGTON
E
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 0 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.
Signature of QwnerlRepresentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument.
Dated
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:`CED\Data\Forms-Templates\Self-Help Han douts`Planning\MasterApplication.doc Rev, 08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
County of Los Angeles
On g 2017 before me, A.Wiilianis, Notary Public
Date ( Here Insert Namelpnd Title of the Officer
personally appeared Q 1 1 i wiC)
Name(s) of
who proved to me on the basis of satisfactory evidence to be the person(a) whose name(&) ismre
subscribed to the within instrument and acknowledged to me that he/s4eA ey executed the same in
hisXeW414e4: authorized capacity(ies), and that by his/beW+eir signature(4 on the instrument the
person(&), or the entity upon behalf of which the person{,-;) acted, executed the instrument.
certify under PENALTY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
A. 1NIt_u,4rvtS WITNESS my hand and official seal.
COMM. # 21 09.125 l� 1
NOTARY PUBLIC -CALIFORNIA it
LOS ANGEL ES COUNTY (�
i" My COmmss-on Expires Signature
npni 27 2019 Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document, -
Document Date:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
❑ Corporate Officer — Title(&):
❑ Partner --- ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
Number of Pages:
Signer's Name:
❑ Corporate Officer — Title(s):
❑ Partner -- ❑ Limited ❑ General
❑ Individual ❑ Attorney in Fact
❑ Trustee ❑ Guardian or Conservator
❑ Other:
Signer Is Representing:
02016 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907
DEPARTMENT OF CAM- "' 'LAITY cliY OF
AND ECONOMIC DEVEL,,,MENT �enton '
WAIVER OF SUBMITTAL REQUIREMENTS
FOR LAND USE APPLICATIONS
Planning Division
1055 50
uth Grady Way -Renton, WA 98057
Phone:425-430-7200 1 www.rentonwa.gov
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
Arborist Report4
AU
rovi':W r5o 't-rvz4- C'emcU41
+-o
Biological Assessment 4
Calculations i
Colored Maps for Display 4
Construction Mitigation Description 2AND4
Deed of Bight -of -Way Dedication 1
Density Worksheet 4
Drainage Control Plan 2
Drainage Report a
Elevations, Architectural 3AND 4
Environmental Checklist 4
Existing Covenants (Recorded COPY) IAND 4
Existing Easements (Recorded Copy) 3AND4
Flood Hazard Data 4
Floor Plans 3AND4
Geotechnical Report 2AND 3
Grading Elevations & Plan, Conceptual 2
Grading Elevations & Plan, Detailed 2
Habitat Data Report 4
w
Improvement Deferral 2
Irrigation Plano
PROJECT NAME: /ITCjVq I Al As sz4mU jam,
DATE:
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Waiversubmittairegs.docx Rev: 08/2015
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
King County Assessor's Map Indicating Site 4
WAIVED
BY:
MODIFIED
BY:
--..
COMMENTS:
Landscape Plan, Conceptual4
Landscape Plan, Detailed,
Legal Description 4
Letter of Understanding of Geological Risk 4
Map of Existing Site Conditions4
Master Application Form
- �-
Pro
Monument Cards (one per monument) 1
Neighborhood Detail Map 4
Overall Plat Plan 4
Parking, Lot Coverage & Landscaping Analysis 4
I
Plan Reductions (PMTs) 4
Post Office Approval Z —
Plat Name Reservation 4
Plat Plan 4
Preapplication Meeting Summary 4
Public Works Approval Letters
Rehabilitation Plan 4
Screening Detail 4
Shoreline Tracking Worksheet 4
Site Plan 2AN04
Stream or Lake Study, Standard
Stream or Lake Study, Supplemental
Stream or Lake Mitigation Plan 4
Street Profiles 2
Title Report or Plat Certificate 1AND 4
Topography Map
Traffic Study Z
Tree Cutting/Land Clearing Plan 4�
Urban Design RegulationsAna[ysis4
Utilities Plan, Generalized Z
Wetlands Mitigation Plan, Final 4
Wetlands Mitigation Plan, Preliminary 4
2
H:\CED\data\Fcrms-Templates\SeJf-Help Handouts\Planning\Waiversubmittalregs.docx
loVtGZ�--f1� rCAL, r�rti"lOV0.�r
iS ro�O�Gj .
Rev:08/2015
LAND USE PERMIT SUBMITI ;EQUIREMENTS: WAIVED MODIFI COMMENTS:
BY: BY:
Wetlands Report/Delineation a
Wireless:
Applicant Agreement Statement 1 AND `
Inventory of Existing Sites
Lease Agreement, Draft 2AND 3
Map of Existing Site Conditions 2AND 3
Map of View Area 2AND 3 -
Photosimulations 2AND 3 l
This Requirement may be waived by:
1. Property Services
2 Development Engineering Plan Review
3 Building
4 Planning
3
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Waiversubmittalregs.docx Rev: 08/2015
DEPARTMENT OF COMP"UNITY
AND ECONOMIC DEVE 'MENT
-1
Rent11
on 0"R
WAIVER OF SUBMITTAL REQUIREMENTS
FOR LAND USE APPLICATIONS
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone:425-430-7200 1 www.rentonwa.gov
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
ArboristReport 4
r-(-bv"d'-t r7o �` rY►oV�1<
ro easusdd
Biological Assessment 4
Calculations
Colored Maps for Display 4
Construction Mitigation Description 2AND 4
Deed of Right -of -Way Dedication 1
Density Worksheet 4
Drainage Control Plan a
Drainage Report z
Elevations, Architectural3AND4
Environmental Checklist 4
Existing Covenants (Recorded Copy) IAND4
Existing Easements (Recorded Copy) 1AND4
Flood Hazard Data 4
Floor Plans 3AND4
Geotechnical Report 2AND 3
Grading Elevations & Plan, Conceptual Z
Grading Elevations & Plan, Detailed
Habitat Data Report 4
),r]
Improvement Deferral z
Irrigation Plan4
PROJECT NAME: ii G4gui/1ar CA'E
r
DATE: A
1
H:\CED\Data\Eorms-Templates\5elf-Help Handouts\Planning\Waiversubmittalregs.docx Rev: 08/2015
LAND USE PERMIT SUBMITTAL. REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS: Y
King County Assessor's Map Indicating Site
Landscape Plan, Conceptual
Landscape Plan, Detailed4
Legal Description
Letter of Understanding of Geological Risk
Map of Existing Site Conditions4
Master Application Form4
Monument Cards (one per monument) 1
Neighborhood Detail Map 4
Overall Plat Plan 4
Parking, Lot Coverage & Landscaping Analysis 4
—�
Plan Reductions (PMTs) 4
Post Office Approval z
Plat Name Reservation 4
Plat Plan 4
Preapplication Meeting Summary 4
Public Works Approval Letter,
Rehabilitation Plan 4
Screening Detail 4
Shoreline Tracking Worksheet 4
Site Plan 2AND 4
Stream or Lake Study, Standard 4
A(,3
Stream or Lake Study, Supplemental 4
Stream or Lake Mitigation Plan 4
Street Profiles 2
Title Report or Plat Certificate IAND4
Topography Map
'k
Traffic Study 2
Tree Cutting/Land Clearing Plan 4
Urban Design Regulations Anal054
Utilities Plan, Generalized z
Wetlands Mitigation Plan, Final 4
Wetlands Mitigation Plan, Preliminary 4
H:\CED\Data\Forms-Templates\Self-Help Handouts\Pfanriing\Waiversubmittalregs.docx Rev: 08/2015
+LAND USE PERMIT5UBM11 REQUIREMENTS; WAIVED MC►DI
_ BY: ! BY::
Wetlands Report/Delineation 4
Wireless: --
Applicant Agreement Statement 2 ANg3
Inventory Df Existing Sites 2 AND 3
Lease Agreement, Draft 2AND 3
Map of Existing Site Conditions 2AN03
Map of View Area 2AN❑3
Photosimulations 2AND 3
This Requirement may be waived by:
1. Property Services
2 Development Engineering Plan Review
3 Building
4 Planning
3
H:\CED\Data\Farms-Tempiates\5eif-Help Handouts\Planning\Waiversubmittafregs.docx
I
COMMENTS:
Rev:C8/2015
GfPARTMENT OF COMMUNITY
AND ECONOMIC DEVE 'MENT
RentCITYon Ao""'
WAIVER OF SUBMITTAL REQUIREMENTS
FOR LAND USE APPLICATIONS
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone: 425-430-7200 1 www.rentonwa.gov
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
Arborist Report 4
T-�v�6'tj
ro
Biological Assessment 4
Calculations 1
Colored Maps for Display 4
Construction Mitigation Description 2.ANd4
Deed of Right -of -Way Dedication 1
Density Worksheet 4
Drainage Control Plan z
Drainage Report
Elevations, Architectural3AND4
Environmental Checklist 4
Existing Covenants (Recorded Copy) IAND4
Existing Easements (Recorded Copy) 1AND4
Flood Hazard Data4
Floor Plans 3AND 4
Geotechnical Report2ANo3
Grading Elevations & Plan, Conceptual z
Grading Elevations & Plan, Detailed z
Habitat Data Report 4
Improvement Deferral z
Irrigation Plano
PROJECT NAME: _ DV �.. i IIS u ins CA4E
DATE: t5
H:\CED\Data\Form5-Templates\5elf-Help Handouts\Planning\Waiversubmittairegs.docx Rev_ 08/2015
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
King County Assessor's Map Indicating Site4
Landscape Plan, Conceptual
Landscape Plan, Detailed4
Legal Description
Letter of Understanding of Geological Risk 4
Map of Existing Site Conditions4
Master Application Form 4
Monument Cards (one per monument) 1
Neighborhood Detail Map 4
Overall Plat Plan 4
Parking, Lot Coverage & Landscaping Analysis 4
Plan Reductions (PMTs) 4
Post Office Approval z
Plat Name Reservation 4
Plat Plan 4
Preapplication Meeting Summary 4
Public Works Approval Letter
Rehabilitation Plan 4
Screening Detail 4
Shoreline Tracking Worksheet 4
Site Plan 2AND 4
Stream or Lake Study, Standard
k3
Stream or Lake Study, Supplemental
Stream or Lake Mitigation Plan 4
Street Profiles 2
Title Report or Plat Certificate 1AND4
Topography Map
fo0 0-& n D �� r erh0ggj
Traffic Study z
Tree Cutting/Land Clearing Plan 4
10�
Urban Design Regulations Analysis4
-
w
Utilities Plan, Generalized z
Wetlands Mitigation Plan, Final 4
Wetlands Mitigation Plan, Preliminary 4
H:\CEDIData�Eorms-Templates\Seff-Help Handouts\Planning\WaiversubmiMlregs.docx Rev: D8/2015
LAND USE PERMIT SUBM17 REQUIREMENTS:
Wetlands Report/Delineation 4
Wireless:
Applicant Agreement Statement 2 AND
Inventory of Existing Sites 2AND 3
Lease Agreement, Draft 2AND 3
Map of Existing Site Conditions 2AND 3
Map of View Area 2 AND 3
Photosim ulations 2 AND 3
This Requirement may be waived by:
J. Property Services
2 Development Engineering Plan Review
3 Building
4 Planning
WAIVED MODIF
BY: BY:
3
COMMENTS:
H:\CED\Data`Form5-Templates\5elf-Heip Handouts\planning\Waiversubmittalregs,docx Rev: 08/2015
DEPARTMENT OF COM""UNITY R
���`��
AND ECONOMIC DEVE 'MENT
(D
WAIVER OF SUBMITTAL REQUIREMENTS
FOR LAND USE APPLICATIONS
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone:425-430-7200 1 www.rentonwa.gov
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
ArboristReport4
r'mv� `'t rro �`` remov-6l
ro
Biological Assessment 4
Calculations,
Colored Maps for Display 4
Construction Mitigation Description 2ANo4
Deed of Right -of -Way Dedication I
Density Worksheet 4
Drainage Control Plan z
Drainage Report 2
Elevations, Architectural 3AN❑4
Environmental Checklist 4
Existing Covenants (Recorded COPY) 1.A1YD4
Existing Easements (Recorded Copy)1 AND a
Flood Hazard Data 4
Floor Plans 3AND4
Geotechnica! Report Z AND 3
Grading Elevations & Plan, Conceptual x
Grading Elevations & Plan, Detailedz
Habitat Data Report 4
W
Improvement Deferral z
Irrigation Plano
PROJECT NAME: b Vq I
DATE:---
1
H:\LED\Data\rorms-Templates\5elf-Help Handouts\Planning\Waiversubmittairegs.docx Rev: C8/2a15
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
King County Assessor's Map Indicating Site
Landscape Plan, ConceptUa14
Landscape Plan, Detailed4
Legal Description
Letter of Understanding of Geological Risk 4
Map of Existing Site Conditions4
Master Application Form 4
Monument Cards (one per monument)
Neighborhood Detail Map 4
Overall Plat Plan 4
.j
i
Parking, Lot Coverage & Landscaping Analysis 4
Plan Reductions (PMTs) 4
Post Office Approval Z
Plat Name Reservation 4
Plat Plan 4
Preapplication Meeting Summary 4
Public Works Approval Letter2
}
Rehabilitation Plan 4
Screening Detail 4
Shoreline Tracking Worksheet 4
Site Plan z AND 4
Stream or Lake Study, Standard 4
Stream or Lake Study, Supplemental
Stream or Lake Mitigation Plan 4
Street Profiles 7
Title Report or Plat Certificate IAND4
Topography Map
Traffic Study z
Tree Cutting/Land Clearing Plan 4
Urban Design Regulations Analysis 4
Utilities Plan, Generalized 2
Wetlands Mitigation Plan, Final 4
Wetlands Mitigation Plan, Preliminary 4
H:jCED\Data\Forms-Templates\Self-Help Handouts\Planning\W,3iversubmittalregs.docx Rev_ 08/zo15
40
LAND USE PERMIT SUBMII REQUIREMENTS: � WAIVED l MODIF
BY: BY:
Wetlands Report/Delineation aAOJ
Wireless:
Applicant Agreement Statement 2AND3
Inventory of Existing Sites z AND 3 A
Lease Agreement, Draft 2AND 3
Map of Existing Site Conditions 2AND 3 J
Map of View Area p IND 3
Photosim ulations ? AND 3
This Requirement may be waived by:
1. Property Services
2 Development En&eering Plan Review
3 Building
4 Planning
3
H:\CED\Data\Forms-Templates\5eif-Help Hand0uts\Planning\Waiver5ubmittalregs.docx
COMMENTS:
Rey: 08/2015
DEPARTMENT OF COM""UNITY
AND ECONOMIC DEVE }MENT
i��Y1tCITY OF .991111b�
OI1 y
WAIVER OF SUBMITTAL REQUIREMENTS
FOR LAND USE APPLICATIONS
Planning Division
1055 South Grady Way -Renton, WA 98057
Phone:425-430-7200 1 www.rentonwa,aov
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
Arborist Report 4
�fbu� r trot- re�+oval
Its wro
Biological Assessments
Calculations 1
Colored Maps for Display 4
Construction Mitigation Description 2AND4
Deed of Right -of -Way Dedication j
Density Worksheet 4
Drainage Control Plan 2
Vq-
Drainage Report
Elevations, Architectural 3AND 4
Environmental Checklist 4
Existing Covenants (Recorded COPY) 1AND 4
Existing Easements (Recorded Copy) IAND 4
Flood Hazard Data 4
Floor Plans 3AND4
Geotechnical ReportZAND3
Grading Elevations & Plan, Conceptual 2
Grading Elevations & Plan, Detailed 2
Habitat Data Report 4
Improvement Deferral 2
Irrigation Plans
PROJECT NAME; 9611& j � I�S____ll � V i
DATE:
1
H:\CED\Data\Forms-Templates\Self-Help Han douts\PIan ning\Waiversubmittalregs.docx Rev: 08/2015
LAND USE PERMIT SUBMITTAL REQUIREMENTS:
WAIVED
BY:
MODIFIED
BY:
COMMENTS:
King County Assessor's Map Indicating Site,
Landscape Plan, ConceptUa14
Landscape Plan, Detailed4
Legal Description4
Letter of Understanding of Geological Risk 4}
Map of Existing Site Conditions4
Master Application Form 4
Monument Cards (one per monument)
Neighborhood Detail Map 4
Overall Plat Plan 4
Parking, Lot Coverage & Landscaping Analysis 4
Plan Reductions (PMTs) 4
Post Office Approval 2
Plat Name Reservation 4
Plat Plan 4
Preapplication Meeting Summary 4
Public Works Approval Letterz
Rehabilitation Plan 4
f
Screening Detail
Shoreline Tracking Worksheet 4
Site Plan a AND 4
Stream or Lake Study, Standard 4
Stream or Lake Study, Supplemental
Stream or Lake Mitigation Plan 4
Street Profiles 2
Title Report or Plat Certificate 1AN04
Topography Map 3
Traffic Study z
Tree Cutting/Land Clearing Plan 4
Urban Design Regulations Analysis 4
Utilities Plan, Generalized Z
Wetlands Mitigation Plan, Final 4
Wetlands Mitigation Plan, Preliminary4
H:\CED\Data\Forms-Tempiates\5elf-Help Handouts\Planning\Waiversubmittalregs.docx Rev: 08/2015
LAND USE PERMITSUBMI' REQUIREMENTS: f WAIVED MDDII
BY: BY:
Wetlands Report/Delineation 4AW
Wireless:
Applicant Agreement Statement 2 AND 3
Inventory of Existing Sites 2AND 3 _
Lease Agreement, Draft 2AND 3
Map of Existing Site Conditions 2AND 3 _
Map of View Area 2AN0 3
Photosimulations 7..n a 1
This Requirement may be waived by:
1. Property Services
Z Development Engineering Plan Review
3 Building
4 Planning
3
H:\cED\Data\Forms-Templates\SeIf-Help Handouts\Pianning`Waiversubmittalregs.docx
LUIV11VitIN I J:
Rev: 08/2015