HomeMy WebLinkAboutA_Master_Application_190621_v1DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT"
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1425-430-7200
www.rentonwa.gov
PROPERTYOWNER(S)
NAME: Public Hospital Distr. #1 King Co
ADDRESS: PO Box 50010
CITY. Renton
STATE:
WA
ZIP:
98058
PHONE NUMBER: (425) 656-4034
EMAIL ADDRESS*:david smith@valleymed.org
❑ I Erefer to receive all corres ondence via US Mail.
APPLICANT (if other than owner)
NAME: James Godfrey
COMPANY (if applicable) -
Valley Tower Associates
ADDRESS: 15029 - Woodinville -Redmond Rd. #20
CITY: Woodinville
STATE:
AWA
ZIP:
98072
PHONE NUMBER: (360) 654-1636
EMAIL ADDRESS*dim@chateaullc.com
❑ I Erefer to receive all corres ondence via US Mail.
CONTACT PRO
NAME: Joe Carlson
COMPANY (if applicable) -
Valley Tower Associates
ADDRESS: 15029 woodinville Redmond Rd. #200
CITY:
Woodinville
STATE:
Wa.
ZIP:
98072
PHONE NUMBER (206) 931-2886
EMAIL ADDRESS* JOe.carlSOn@chateaullc.com
❑ I refer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Chateau Valley Tower
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
4320 Davis Ave. S.
Renton, WA. 98055
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S).-
639180-0125
UMBER(S):639180-0125
EXISTING LAND USE(S):
Vacant
PROPOSED LAND USE(S):
Assisted Living Retirement Facility
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Commercial and Mixed Use. (CMU)
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
Commercial Office (CO)
PROPOSED ZONING (if applicable):
N/A
SITE AREA ('in square feet):
25,104
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) 127 du/ac
NUMBER OF PROPOSED LOTS (if applicable)
N/A
NUMBER OF NEW DWELLING UNITS (if applicable):
73
NUMBER OF EXISTINGDWELLING UNITS (if applicable):
0
PROJECT VALUE:
$15,000,000
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested,
PROJECT INFORMATION (CONTINUED)
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable):
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): 106,620
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable):
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE
NEW PROJECT (if applicable): 8 to 15
IS THE SITE LOCATED IN ANY TYPE OF
ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE
SQUARE
FOOTAGE (if applicable):
❑
AQUIFER PROTECTION AREA ONE
❑
AQUIFER 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 NE QUARTER OF SECTION 31 TOWNSHIP 23 N, RANGE 5 _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) YJ'Y# E- r �jr� �' declare under penalty of perjury u der the laws of the State of Washington that I
am (please check on wner of the property involved in this application or l the authorized representative to act for a
poration attach pr�and
thori tion) and that the foregoing statements and answers herein contained and the information
herewith are in all r is trorrec o the best of my knowledge and belief.
6, Z41F
Signature ol`6ulrn—e-r7epr Date Signature of Owner/Representative Date
STATE OF WASHINGTON ) V ) SS
COUNTY OF KING 1
I certify that I know or have satisfactory evidence that �},r1 _ rn > -rw signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and purpose mentioned in the instrument
la�Vl1°�
Dated
��•! L FF,S
�i o�:otARy
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Z NWX
blic in and kor the State of Washington
Notary (Print):
My appointment expires: 3 — 19 — .-) a