HomeMy WebLinkAboutA_Land_Use_Master_Application_210416_v2DEPARTMENT OF COMMUNITY
AND ECONOMIC DEVETOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 | 42543O-12OO
www.rentonwa.gov
PROPERTY OWNER{S)
NAME Rivendell Homes LLc
ADoREss''11007 slater Ave NE
ciry ,.. , ,l\trKtano STATE:ZIP:
98033
PHoNE NUtliBER: (425) 94.1_6442
FVAII qDDRESS' Brian@bensonmaxwell.comu l pre'e' to re(eive o I corresoondenc \ a -S tvtart
APPLICANT (if other than owner)
NAME, _ , -Paul Goertz
COMPAN! lfa.o[.rble,BensonMaxwell L LC
ADDRESS'11007 srater Aue NE
clfr Kirkrand STATE:ZIP:
98033
PHo^t'UMBER
i2o6y 960-9324
E[4AlL ADDRFSS' paul@bensonmaxwell.com
Ll lp'ererlo rele !e al coreeoondenc€ vra US Ma
CONTACT PERSON
NAME Paul Goertz
COMPANY f aoDlr.rb el' BensonMaxwell LLC
ooo^ESS'11007 srater Are NE
clrY'Kirkrund STATE:ZIP:
98033
PHoNE NUi/BER (206) 960-9324
FVAIL AoDRtss' Paul@bensonmaxwell.com
LJ rp,e e-to recerve al colesoonderce va us Majl
PROJECT INFORMATION
PROJECI OR DEVELOPMENT NAt\,lE:
My Precious Home
PROJECT/ADDRESS(S)/LOCATTON AND Zrp CODE
12xx N 37lh Si Renlon, Wa,98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
3628600007
EXISTING LAND USE(S)
Vacant
PROPOSEO LANO USE(S):
Sinqle Familv Residence
EXISTING COMPREHENSIVE PLAN [,{AP DESIGNATION:
PROPOSED COMPREHENS]VE PLAN I''AP
DESIGNATION (if applicable) RMD
EX]STING ZON]NG:
R-6
PROPOSED ZON,NG {,i applicable):
R-6
SITE AREA (n sqlarc reel):
5286
SOUARE FOOTAGE OF PR]VATE ACCESS EASE]\,4ENTS
0
SOUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED O
PROPOSEO RESIOENT|AL DENSITY IN UN]IS PER NET
ACRE (fappli."be)
NUMBER OF PROPOSED LoTs (irappllcable)
NUMBER OF NEW DWELLING UN1TS (ifapprcabre)
1
NUMBER OF EXISTING DWELLING UNLTS (r app cable)
0
PROJECT VALUE:
$1,150,000
LAND USE PERMIT MASTER APPLICATION
*BY completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents ln digital format via email unless otherwise reqLtested,
RECEIVED
04/20/2021 BGillia
PLANNING DIVISION
PROJECT INFORMATION (CONTINUED)
SOUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable) 3,70g
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILOINGS TO REMAIN (if applieble): 0
SOUARE FOOTAGE OF PROPOSED NON.RESIDENTIAL
BUILDINGS (if applicable)rO
SQUARE FOOTAGE OF EXISTING NON-RESLDENTIAL
BUILDINGS TO REMAIN (ifapp cable) O
NET FLOOR AREA ON NON.RESIDENTIAL BUILDINGS {if
apPricabb): o
NUIVBER OF EI\IPLOYEES TO BE EI\,4PLOYED BY THE
NEW PROJECT (ifapplicab e)l
LEGAL DESCRIPTION OF PROPERTY
I descriDtion on seDarate sheet with lhe followidq informatlon incl
SITUATE IN THE NW OUARTER OF SECTION 32 , TOWNSHIP 24 N, RANGE W
-,W
M. IN THE CIry
OF RENTON, KING COUNTY WASHINGTON
IS THE SITE LOCATED IN ANYTYPE OF
ENVIRONI'TtENTALLY CRITICAL AREA. PLEASE INCLUDE
SQUARE FOOTAGE (if applicable):
E AQUIFER PROTECTION AREA ONE
FI AOUIFER PROIECTION AREA TWO
E FLOOD HAZARDAREA
E GEOLOGIC HAZARD
D MBITAT CONSERVATION
f] SHORELTNE STREAMS & I.AKES
E WETTANDS
_ sq. fi.
AFFIDAVIT OF OWNERSHIP
l, (Pdnt Neme/s) Brian Goertz '*.. -*, Ft "k;t;,"
""de
pen.r, o' op lu v i1de, he rws o' r-e siare o,wash iq on r-a'
am (please check one) fltne current ovtilerl& tre propedy invoived in this applicarion or @ the alrhorized rcpresenlative lo aci tor a
coryoralion (please altach proof ol authonzation) and that the foregoing siatemenls and answ€rs herein contained and the infomation
herewilh are in all rcspects lrue and conecl to lhe besl of my knowledge and beliei
Sionature oi Owner/Representative Dale
lcedify that lknow or have sal sfactory evidenc€ lhal (t(1,t ,A.^/ 6"-t l, t .,
signed this inslrumeni and
acknowledge it to be his/her,lhe r free and vo untary acl for ihe lses a nd purpfse menlioned n the nslrument
t/r[/ tr *-+<F
Nolary Publac in and tor lh€ Sble ofwasltinglon
l.lo .rv Q'y / i
HONG L]
Notary Public
State of W.lhlryton
Commierioh , 96t56
Ly Comm. Expf€r F.b tl. 202,r
Notery (Prin0l
My appohtnent expires:t2ft3 lz"t7
STATE OF WASHINGTON ))ssCOUNTYOFKING )