HomeMy WebLinkAboutA_1602_Master Application_230516_v1.pdfCITY OF RLNTON I PLRMITCLNILR
PROPERTY OWNERS)
NAME: B.H. 1602 Raymond Avenue, LLC PHONE: (424) 320-8603
MAILING ADDRESS: PO Box 49993, LA, CA 90049 EMAIL: bill.hardy@bhproperties.com
❑ I prefer to receive all correspondence via US mail.
APPLICANT (if other than owner)
NAME: Ben Newton COMPANY (if applicable): University of Washington
PHONE: (425) 223-6950 EMAIL. benewton@uw.edu
MAILING ADDRESS: Campus Box 352210, Seattle, Washington 98195
❑ I prefer to receive all correspondence via US mail.
CONTACT PERSON
NAME: Ben Newton COMPANY (if applicable): University of Washington
PHONE. (425) 223-6950 EMAIL. benewton@uw.edu
MAILING ADDRESS. Campus Box 352210, Seattle, Washington 98195
❑ 1 prefer to receive all correspondence via US mail.
PROJECT INFORMATION
PROJECTOR DEVELOPMENT NAME: UW 1602 Raymond
Renovation
PROJECT/ADDRESS(ES) AND PARCEL NUMBERS: 1602 Raymond
Ave
SW, Renton, WA,
98057-2651; Parcel #: 3340404003
EXISTING LAND USE(S): Daycare Center
PROPOSED LAND
USE(S): Medical Testing Lab
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION. CO
- Commercial Office
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable):
N/A
EXISTING ZONING: CO - Commercial Office
PROPOSED ZONING:
N/A
SITE AREA (in square feet): 52,590 sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE DEDICATED:
N/A
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET ACRE (if
applicable):
N/A
NUMBER OF PROPOSED LOTS (if applicable): N/A
NUMBER OF NEW DWELLING UNITS (if applicable). 0
NUMBER OF EXISTING DWELLING UNITS (if applicable): 0
PROJECT VALUE:
$1 ,5003000000
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable):
N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO
REMAIN
(if applicable): N/A
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LAND USE PERMIT MASTER APPLICATION
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if
applicable): N/A
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable):
N/A
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS
(if applicable):
rj 863 Sf
NUMBER OF EMPLOYEES TO BE EMPLOYED
BY THE NEW PROJECT
(if applicable): 20
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. ❑
SHORELINE STREAMS
& LAKES
SQ. FT.
❑ GEOLOGIC HAZARD
SQ. FT. ❑
WETLANDS
SQ. FT.
❑ HABITAT CONSERVATION
SQ. FT.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE INI TH E SW
QUARTER OF SECTION 1 9 ,TOWNSHIP 23 N, RANGE 05
W.M IN THE CITY OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) ,declare under penalty of perjury under the laws of the State of Washington that I am (please
check one) the current owner of the property involved in this application or the authorized representative to act for a
corporation (please attach proof of authorization) and that the foregoing statements and answers herein contained
and the information herewith are in all respects true and correct to the best of my knowledge and belief.
Signature of Owner/Representative
STATE OF WASHINGTON )
COUNTY OF KING
Date Signature of Owner/Representative Date
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
piQase
Notary Public in and for the State of Washington
See GfifiH C Pe d A
Notary (Print):
My appointment expires:
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2/16/2023 I Page 2 of 2
ACKNOWLEDGMENTS
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 )
F
On of 5, befgre me, , a Notary Public, personally
appeared %t who proved to me on the basis of satisfactory evidence to be
the perso(�)"whose name(is/,are"subscribed to the within instrument and acknowledged to me
that he/she/th'ey executed the same in his/their authorized capacity ), and that by
his/%ef/their signature,(s) on the instrument the persons-), 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.
WITNESS my hand and official seal.
Signature
nu�a�yruvu� • �au�vinia
Los Angeles County