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Home My WebLink AboutLUA16-000753_Report 1DEPARTMENT OF COM NITY ------•~Renton 0 AND ECONOMIC DEVELOPMENT PLANNING DIVISION TIER 2 TEMPORARY USE PERMIT PROJECT NUMBER: LUAlG-000753, TP PROJECT NAME: Renton Sobering Center Pilot Program PROJECT MANAGER: Angelea Weihs, Assistant Planner APPLICANT: Steve Knipp, St. Vincent de Paul 5950 4th Ave S Seattle, WA 98108 OWNER: Society of St. Vincent de Paul 575 Rainier Ave N Renton, WA 98057 LOCATION: 575 RAINIER AVE N DATE OF DECISION: November 14, 2016 DATE OF EXPIRATION : November 14, 2017 DESCRIPTION: The applicant is requesting a Temporary Use Permit in order to utilize approximately 800 square feet of the existing 14,049 square foot St. Vincent de Paul store, located at 5 75 Rainier Ave N, as a Sobering Center Pilot Program for a period of 9 months. The project site totals 39,822 square feet in area and is located within the Commercial Arterial (CA) zone. This pilot proposal is a collaboration of several key partners, including the Renton and Kent Fire and Police departments, the Cities of Kent and Renton 's Human Services, St. Vincent de Paul, King County's Department of Community and Human Services Tri-Med Ambulance, Valley Cities, REACH of Renton, Catholic Community and Housing Services of Western Washington, Renton Housing Authority, EMS Division of Public Health -Seattle & King County, and Valley Medical Center. Communities in King County are struggling with how to appropriately manage 9-1-1 responses to individuals with chronic alcohol intoxication and/or co-existing chemical dependency. Currently, the only option for first responders is to leave the patient at the scene or to transport to a nearby emergency department. In the communities of Renton and Kent, a project proposal seeks to implement a 9-month pilot Sobering Center to see if an integrated collaborative approach to patient care can have an effect on patient outcomes. The Sobering Center pilot project has three primary goals: 1) allow individuals with acute alcohol intoxication and/or co-existing chemical dependency a safe and secure place to sleep, 2) connect these patients to local community-based outreach programs, and 3) reduce the operational and financial impacts on first responders and emergency departments. The sobering center would have available space for 8 adult individuals with chronic substance abuse disorders. Responders to emergency medical calls for City of Renton Deportment of Commu ., & Economic Devefopment Renton Sobering Center Pifot Program Temporary use Permit Administrative Temporary Use Permit LUA16-000753, TP DECISION DATE: 11/14/2016 Page 2 of 3 acute intoxication will use established protocols to assess if further medical care is required. If no further care is needed, and the Sobering Center is open, responders will contact the pilot Sobering Center to provide a short report and call for ambulance transport to the Center. The Sobering Center will be staffec by two Emergency Medical Technicians (EMTs) experienced in working with this population during a 12-hour period (8PM-8AM), 7 days a week for 9 months starting December 1, 2016. In the morning, a cabulance will transport the Renton individuals to REACH for breakfast and outreach, and the Kent population to Valley Cities for outreach. Due to this being an overnight program, City of Renton Police Department recommends that a separate exit/entry door is used for participants and employees of this program, rather than using store access, in order to ensure security and reduce susceptibility to crime. The applicant's submitted floor plans indicate that the sobering center will have separate access. No exterior improvements are proposed to the existing structure. City staff recommend as a condition of approval that a code of conduct be enforced by the Sobering Center in order to promote safety and security for both the Sobering Center staff and clients. This code of conduct shall prohibit disruptive and aggressive behavior, loitering, and the use of alcohol, drugs, and tobacco products on premisses. City Staff also recommend and a condition of approval that approved smoke detection shall be added to the entire area of the new use, prior to occupancy. The Temporary Use Permit is hereby Approved with Conditions • and subject to the following conditions. *CONDITIONS OF APPROVAL: 1. An interior code of conduct sign shall be installed and enforced by the Sobering Center. The code of conduct sign shall be submitted and approved by the Current Planning Project Manager, Angelea Weihs, prior to operations. The code of conduct shall contain the following requirements at a minimum i. When checked in, use of and possession of alcohol, drugs or prescription medication is prohibited. ii. Smoking and chewing tobacco not allowed iii. You are responsible for your behavior while in the center. Physical violence, threats of violence, or other criminal activity is not allowed. iv. Do not disturb other clients who are trying to sleep. v. No loitering in the surrounding neighborhood. 2. Approved smoke detection shall be added to the entire area of the new use, prior to occupancy. SIGNATURE: I I It l/ ( ).t/ l Date City of Renton Department of CommL .... , & Economic Development Renton Sobering Center Pilot Program Temporary Use Permit DECISION DATE: 11/14/2016 Administrative Temporary Use Permit WA16-000753, TP Page 3 of 3 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 or fact, After review of the Reconsideration request, if the approval body finds 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-day appeal time frame. APPEALS: Appeals of the permit issuance must be filed in writing on or before 5:00 p.m. on November 28, 2016. Appeals must be filed in writing together with the required fee with Hearing Examiner c/o City Clerk, City of Renton, 1055 S Grady Way, Renton, WA, 98057. Appeals to the Examiner are governed by City of Renton Municipal Code Section 4-8-110. Additional information regarding the appeal process may be obtained from the Renton City Clerk's Office, 425-430-6510. EXPIRATION: A Temporary Use Permit is valid for up to one year from the effective date of the permit, unless the Community & Economic Development Administrator or designee establishes a shorter time frame or an applicant can request that a permit be valid beyond the one year expiration, for up to five years at the time of application or prior to permit expiration. EXTENSIONS: Extension requests do not require additional fees and shall be requested in writing prior to permit expiration to the Department of Community & Economic Development Administrator. Application Project Narrative Temporary Use Permit City of Renton Planning Division 1055 South Grady Way Renton, WA 98057 EXHIBIT 1 St. Vincent de Paul of Seattle/King County is proposing leasing to the City a space within our Rainier store for 8 adult individuals with chronic substance abuse disorders at our building at 575 Rainier Ave N, Renton, WA 98057. We are seeking a temporary Use Permit from the City of Renton for a Sobering Center for a period of 9 months. The program per requirement of the City hereby certifies that there are no special features (wetlands, water bodies, etc.) and there will be no on-site physical improvements except the construction of an inside wall to separate the Center from the retail store. There will be no offsite improvements, no construction, no trees either planted or removed at the site. The program further certifies that there will be no construction of any type or excavation of any type. £ '5A-,MO • .\-e_,o\ :::,\.,,,1f·+ ·"' <'",. · ·.) 1'\Jc"J ember \ :::.\--7 c:i 11 - I ..._ ',(;.) ~ The property is accessible via Rainier Ave N. Op .z.r, 1··11:.:i...sf"S . cs f '"' -<: "" ,Y\ S~bmitted bt,:(, ,. /~~d?~ Ned Delmore Executive Director St. Vincent de Paul Introduction: SOBERING CENTER PILOT PROGRAM SUMMARY COMMUNITIES OF KENT AND RENTON Communities in King County are struggling with how to appropriately manage 9-1-1 responses to individuals with chronic alcohol intoxication and/or co-existing chemical dependency. Currently, the only option for first responders is to leave the patient at the scene or to transport to a nearby emergency department. In the communities of Renton and Kent, a project proposal seeks to implement a 9-month pilot Sobering Center to see if an integrated collaborative approach to patient care can have an effect on patient outcomes. In addition, we hope to learn more about the needs of the population, and what impact an alternative option might have on limited local health care resources. This pilot proposal is a collaboration of several key partners, including the Renton and Kent Fire and Police departments, the Cities of Kent and Renton's human services, St. Vincent de Paul, King County's Department of Community and Human Services, Tri-Med Ambulance, Valley Cities, REACH of Renton, Catholic Community and Housing Services of Western Washington, Renton Housing Authority, EMS Division of Public Health -Seattle & King County, and Valley Medical Center. Purpose: The Sobering Center pilot project has three primary goals: 1) Allow individuals with acute alcohol intoxication and/or co-existing chemical dependency a safe and secure place to sleep. 2) Connect these patients to local community-based outreach programs. 3) Reduce the operational and financial impacts on first responders and emergency departments. 11/6/16 Pilot Proposal: Responders to emergency medical calls for acute intoxication will use established protocols to assess if further medical care is required. If no further care is needed, and the Sobering Center is open, responders will contact the pilot Sobering Center to provide a short report and call for ambulance transport to the Center. The Sobering Center will be staffed by two Emergency Medical Technicians (EMTs) experienced in working with this population during a 12-hour period (8PM-8AM), 7 days a week for 9 months starting December 1, 2016. In the morning, a cabulance will transport the Renton individuals to REACH for breakfast and outreach, and the Kent population to Valley Cities for outreach. Conclusion: This proposal is based upon the premise that some individuals with chronic alcohol intoxication and/or co-existing chemical dependency do not need to be transported to the emergency department. Fire and police departments desire a more appropriate option to ensure these patients remain safe and have opportunities to engage with social services where needed. This pilot project will enable us to better understand the specific needs of the population and build an integrated and collaborative approach to addressing those needs. 11/6/16 575 Rainier Ave Sobering Center Notes Nono M,-.;.,"'-~'-"--< .. ~ ~ "'··-----~ 256 0 0 128 256 '"" City of ReiftOfl- Finan,e & IT Division City and County Boundary °""' Addre,ses Parcels Zoning R~A,n•JU>l,,Jl J (l,1 ,ic Rs.Pe~<d!.l~.;,;:iJ ~ OU''\<: lttfomwron Tech~oiogy. fJiS Ren1QOMapStJpr,vt.-d)R\'1d1)f',wa fJCJ'I 9120/2016 EXHIBIT 2 AMF,Rn~I M,Jlt>-F,.,...111 a rlMH-Ae,ti:1e,r:~ M,lt'\,f~1e1 MQ,nei Cf'.comtne<tc.at H(;Qhbcfllood CV.Cv,1tt V,cl,19• • CA-C()ITI1t1•ri;;;il M411al ii ue.urc,n Ce!\Ctr • co.c~ter~ CCR .COl'MltlCl.11 Otfiu~n•dtrlt!tl fl CO.CCNM:etQal Office it.·lr..::!ust1ia, • ~hi THIS MAP tS NOT TO aeusEO FOR NAVIGATION EXHIBIT 3 EXHIBIT4 _J_ • --I I ff:i N .... I J .. 5 ~ Jhd ii ~~ -,~ • .,. Proposed Sob_:ing Center Floor~.an Space 575 Rainier Ave N 3.5' 6' \ 'Ol doo,wav interior wall 0) -(l) C: :0 (1) 0 -~ C: -12' bathroom U) Hallway 1----'-------..,...---"s\ 0/,,, Separate Room co N "· '-}',' " "'o ' ,.. it,, <;,/," .. --·doorway Main Center Space -----14.5' ---- [--···--~ -·····------·-outside wall ______ E:ntr_a=n.;..:c=e _ __, outside wall Not to scale Measurements are approximate DEPARTMENT OF COML _ .\JITV AND ECONOMIC DEVELOPMENT -----~~---------Renton® PLANNING DIVISION TIER 2 TEMPORARY USE PERMIT PROJECT NUMBER: LUA16-000753, TP PROJECT NAME: Renton Sobering Center Pilot Program PROJECT MANAGER: Angelea Weihs, Assistant Planner APPLICANT: Steve Knipp, St. Vincent de Paul 5950 4th Ave S Seattle, WA 98108 OWNER: Society of St. Vincent de Paul 575 Rainier Ave N Renton, WA 98057 DATE CONC~RENCE 11,r:J I ZDI {, NAME INITIAL/0, Jennifer T. Henning )'n \•.(I 4- Vanessa Dolbee N) ll/]/ Sabrina Mirante ' Jennifer Cisneros TE ((., L LOCATION: 575 RAINIER AVE N November 04, 2016 Angelea Weihs D.w Ii /Z /7;, ' ' , DATE OF DECISION: DATE OF EXPIRATION: November 04, 2017 DESCRIPTION: The applicant is requesting a Temporary Use Permit in order to utilize · approximately 800 square feet of the existing 14,049 square foot St. Vincent .t,b uJ i 1. . de Pauls.tore, located at 575 Rainie~ Ave N, as a Sobering Cen~er Pilot Program . Y)~ 111 J tY-for a period of 9 months. The sobering center would have available space for 8 ilJJ 1l:' VJ~_ adult individuals with chro~i~ substance abuse disorders. The project site ·• \ \.> j-"\ -~ totals 39,822 square feet in area and is located within the Commercial Arterial ,_tJ I\ ,f (CA) zone. The applicant is not proposing any exterior improvements. The 0 (1, ))): estimated state date for the sobering ciP_ter is November 1st, 2016. The 1'\,..,f J: . Lr proposed hours of operation arf ,.1pm -;ram. City staff recommend as a 1 -., . 0.'' 1 .p condition of approval that a code of conduct be enforced by the Sobering ",J 111.J4 . . Center in order to promote safety and security for both the Sobering Center i (", .,11 . \ '~\r1:t,J staff and clients. This code of conduct shall prohibit disruptive and aggressive v , .:. V , ,,J OJ ..,J-behavior, loitering, and the use of alcohol, drugs, and tobacco products on . .I; \ u , '(\ i:.\,,:fi J tr'-premisses. City Staff also recommend and a condition of approval that \ 1 ,1\P\ (•?-'07:J:~,\J.'1.kJ.·· approved smoke detection shall be added to the entire area of the new use, :J> . £/ otC c:{~ l,f prior to occupancy. G f.1\ 1V" r ',!, t-,•>v i The Temporary Use Permit is hereby Approved with Conditions* and subject to the following conditions. *CONDITIONS OF APPROVAL: COMMUNITY SERVICES ' -CITY OF ifir:\ --------Kenton~ Plan Review Routing Slip Plan Number: Site Address: LUA16-000753 575 RAINIER AVE N Name: Renton Sobering Center Pilot Program Description: The applicant is requesting a Temporary Use Permit in order to utilize approximately 800 square feet of the existing 14,049 square foot St. Vincent de Paul store, located at 575 Rainier Ave N, as a Sobering Center Pilot Program for a period of 9 months. The sobering center would have available space for 8 adult individuals with chronic substance abuse disorders. The project site totals 39,822 square feet in area and is located within the Commercial Arterial (CA) zone. The applicant is not proposing any exterior improvements. The estimated state date for the sobering center is November 1st, 2016. The proposed hours of operation are 7pm -7am. Review Type: Date Assigned: Date Due: Planning Review-Version 1 09/26/2016 10/12/2016 Project Manager: Angelea Weihs Environmental Impact Earth Animals r,; r Envi ronmenta I Hea I th Water Energy/Natural Resources Plants Housing Land/Shoreline Use Aesthetics Where to enter your comments: Manage My Reviews Which types of comments should be entered: ... ··--·-···-. .......... ........••. Light/Glare Historic/Cultural Preservation Recreation Airport Environmental Utilities 10,000 Feet Transportation 14,000 Feet Public Service Recommendation -Comments that impact the project including any of the Enivornmental Impacts above. Correction -Corrections to the project that need to be made before the review can be completed and /or requesting submittal of additional documentation and/or resubmittai of existing documentation. What statuses should be used: Reviewed -I have reviewed the project and have no comments. Reviewed with Comments -I have reviewed the project and and I have comments entered in Recommendations . Correction/Resubmit -I have reviewed the project and the applicant needs to submit and/or resubmit documentation and I have added Signature of Director or Authorized Representative /O-S-f(p Date CITY OF Steve Knipp Applicant Society of St. Vincent de Paul Owner 300' Surrounding Properties See Attached / (Signature of Sender): \ STATE OF WASHINGTON \"--.J.) ) ss COUNTY OF KING ) I certify that I know or have satisfactory evidence that Sabrina Mirante signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. '1-.. · on'c:·, ·), , -'1._ til .' - -~c,T-4, ";, ,, "/ ,I f; ~ 'P ~ I .... , ~ :::; Notary (Print): 1 ll ,, .. ~11 (dI', ,. CfJ ~ ,. • - My appointment expires:-----~-,-11-~.-1 -----. """"'~""',, ... ' ""\~6..,0"e"',."",o,---/:""·· """;,:_,; J /·'Yu .. · ,_,, r ,y 1/ .h) t ~ ?, ,,,,,,,; 29., \s-" ,_o = .. ~ I 1' 0 \111 n\'""'" C, ... ~ 11 '1 ~WASl'I\~ ,~ ,,t ,, ,,,\\ "'''' template • affidavit of seMce by mailing Society of St. Vincent de Paul 575 Rainier Ave N Renton. WA 98057 Steve Knipp St. Vincent de Paul 5950 4th Ave S Seattle, WA 98108 4202401305 CHRISTOPHERSON R LEE 503 RAINIER AVE N RENTON, WA 98055 9564800072 HILL MICHAELJEROME+ANDES N 102 NW6THST RENTON, WA 98057 9564800110 KING COUNTY-PROPERTY SVCS 500 4TH AVE SEATILE, WA 98104 9564800071 OLA BABATUNDE 1813 NW 6TH ST RENTON, WA 98057 4202401210 SB CAPITAL LLC 4004 NE 4TH ST #107-168 RENTON, WA 98056 9564800096 SWANSON KELLY R 209 NW6THST RENTON, WA 98055 9564800070 VARNADO FRANKE JR+LISA 114 NW6THST RENTON, WA 98057 4202401240 CHRISTOPHERSON ROBERT LEE+P 501 Rainier Ave N Renton,WA 98057 4202401500 KAMADO LLC 16393 SE COUGAR MOUNTAIN WAY BELLEVUE,\NA 98006 9564800066 KIRCHER DANIEL+MEGAN 206 NW 6TH ST RENTON, \NA 98057 9564800007 PHAM DYLAN 9367 MARCUS AVES SEATILE, WA 98118 9564800103 SMITH JAMIAN 1075 BLAIN AVE NE #B RENTON, WA 98056 9564800105 SWEENEY FRANCINE A 205 NW 6TH RENTON, \NA 98055 9564800165 DEWING ROLLAND L 210 NW 5TH ST RENTON, WA 98055 9564800102 KEODARA HOPE 101 NW6TH ST RENTON, WA 98057 9564800176 MILLER WAYNE PO BOX 58187 RENTON, WA 98058 9564800170 SB CAPITAL LLC 4004 NE 4TH ST #107-168 RENTON, WA 98056 9564800104 SOUTHCOTI KENITH JAMES+ELIN 111 NW6TH ST RENTON, WA 98057 9564800106 TAN RUSSELL M 117 NW6TH ST RENTON, \NA 98057 Denis Law Mayor Community & Economic Development C. E. "Chip" Vincent, Administrator September 28, 2016 Steve Knipp St. Vincent de Paul 5950 4th Ave S Seattle, WA 98108 Subject: Notice of Complete Application Sobering Center Pilot Program Renton/Kent, LUA16-000753, TP Dear Mr. Knipp: The Planning Division of the City of Renton has determined that the subject application is complete according to submittal requirements and, therefore, is accepted for review. You will be notified if any additional information is required to continue processing your application. Please contact me at (425) 430-7312 if you have any questions. Sincerely, ~co~ Angelea Weihs Assistant Planner cc: St. Vincent de Paul/ Owner(s) 1055 South Grady Way, Renton, WA 98057 • rentonwa.gov --------~KentOil NOTICE OF APPLICATION A Master Application has been filed and accepted with the Department of Community & Economic Development (CEO)-Planninc OivisJon of the City of Renton. The following brieHy describes the application and the necessary Public Approvals. DATE OF NOTICE OF APPLICATION: September 28, 2016 PROJECT NAME/NUMBER: Renton Sobering Center Pilot Program / LUA16-000753, TP PROJECT DESCRIPTION: The applicant is requesting a Temporary Use Permit in order to utilize approximately 800 square feet of the existing 14,049 square foot St. Vincent de Paul store, located at 575 Rainier Ave N, as a Sobering Center Pilot Program for a period of 9 months. The sobering center would have available space for 8 adult individuals with chronic substance abuse disorders. The project site totals 39,822 square feet in area and is located within the Commercial Arterial (CA) zone. The applicant is not proposing any exterior improvements. The estimated state date for the sobering center is November 1st, 2016. The proposed hours of operation are 7pm -7am. PROJECT LOCATION: 575 Rainier Ave N PERMITS/REVIEW REQUESTED: Temporary Use Permit APPLICANT/PROJECT CONTACT PERSON: Steve Knipp, St. Vincent de Paul/ 5950 4" Ave 5/ Seattle, WA 98108/ 206· 227·5608 Comments on the above application must be submitted in writing to An1elaa Weihs, Assistant Planner, Department of Community & Economic Development, 105S South Grady Way, Renton, WA 98057, by 5:00 p.m. on October 12, 2016. If you have questions about this proposal, or wish to be made a party of record and receive additional notification by mail, contact the Project Manager at (425) 430-7312. Anyone who submits written comments will automatically become a party of record and will be notified of any decision on this project. PLEASE INCLUDE THE PROJECT NUMBER WHEN CALLING FOR PROPER FILE IDENTIFICATION DATE OF APPLICATION: SEPTEMBER 23, 2016 NOTICE OF COMPLETE APPLICATION: SEPTEMBER 28, 2016 If you would like to be made a party of record to receive further information on this proposed project, complete this form and return to: City of Renton, CED, Planning Division, 1055 South Grady Way, Renton, WA 980S7. File Name/ No.: Renton Sobering Center Pilot Program/ LUA16-000753, TU NAME: MAILING ADDRESS: _______________ CITY/STATE/ZIP: _________ _ TELEPHONE NO.: --------------- "Pdrit Fonn Reset Form Save Form DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT -------Renton® Planning Division LAND USE PERMIT MASTER APPLICATION PROPERTY OWNER(S) PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME NAME Society of St. Vincent de Paul Sobering Center Pilot Program-Renton/Kent I PROJECTIADDRESS(S)/LOCATION AND ZIP CODE: ADDRESS 575 Rainier Ave N 575 Rainier Ave N, Renton, 98057 CITY: Renton ZIP: 98057 TELEPHONE NUMBER: (206) 767-9975 KING COUNTY ASSESSOR'S ACCOUNT NUMBER($): 956480-0175 APPLICANT (if other than owner) NAME: EXISTING LAND USE(S): Commercial PROPOSED LAND USE(S): COMPANY (if applicable): Same .... -. ·-···-- EXISTING COMPREHENSIVE PLAN MAP DESIGNATION ADDRESS: Commercial Corridor PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION CITY: ZIP: (if applicable) Commercial Corridor TELEPHONE NUMBER: EXISTING ZONING: Commercial Arterial (CA) CONTACT PERSON PROPOSED ZONING (if applicable): NAME: Steve Knipp SITE AREA (in square feet): approx 800 sq ft sublease SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE COMPANY (if applicable): St. Vincent de Paul DEDICATED: N/A .. ··-- SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS ADDRESS: 5950 4th Ave S N/A PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET CITY: Seattle ZIP 98108 ACRE (if applicable) N/A TELEPHONE NUMBER AND EMAIL ADDRESS: NUMBER OF PROPOSED LOTS (if applicable) (206) 227-5608 N/A NUMBER OF NEW DWELLING UNITS (if applicable): N/A 1 H:\CEO\Oata\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev; 08/2015 I I PROJECTINFORMAT~IO~N~i(c~o~n~ti~n~ue~d~I\~~~~~~~---, ': -N-UM-BE_R_O_F_E_X-IS-T-IN-G-DWE--LL-1-NG_U_N_IT'-S-'-(-°f---'r-b--'I -) -~I , app1ca e · NIA PROJECT VALUE: .? SQUARE FOOTAGE OF PROPOSED RESIDENTIAL BUILDINGS (if applicable): NIA i ! ' -1 IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): SQUARE FOOTAGE OF EXISTING RESIDENTIAL BUILDINGS TO REMAIN (if applicable): NIA SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL I Cl AQUIFIER PROTECTION AREA ONE 0 AQUIFIER PROTECTION AREA TWO BUILDINGS (if applicable): 14,049 (entire building) .. SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL BUILDINGS TO REMAIN (if applicable): N/A NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if applicable): -- NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW PROJECT (if applicable): 2 FTE's .... ' I CJ FLOOD HAZARD AREA 0 GEOLOGIC HAZARD Cl HABITAT CONSERVATION Cl SHORELINE STREAMS & LAKES Cl WETLANDS LEGAL DESCRIPTION OF PROPERTY ___ sqft. ___ sqft. ___ sq. ft. ___ sq. ft. ___ sq.ft. /Attach leaal descriotion on seoarate sheet with the followina information included\ SITUATE IN THE QUARTER OF SECTION __ , TOWNSHIP __ , RANGE __ , IN THE CITY OF RENTON, KING COUNTY, WASHINGTON AFFIDAVIT OF OWNERSHIP I, (Print Name/s) Ned Delmore . declare under penalty of perjury und~ laws of the State of Washington that I am (please check one) LJ the current owner of the property involved in this application orW the authorized representative to act for a corporation (please attach proof of authonzation) 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. Date Signature of Owner/Representative STATE OF WASHINGTON ) ) ss COUNTY OF KING ) I certify that I know or have satisfactory evidence that -c-l'<-Jl,-J-2.--l..~"'-',.t,,t,",,ll-",--,,--,;--,- acknowtedge it to be his/her/their free and voluntary act C\ \ dO \9)tS Dated \ ,,,011111,,, ~,,, 1f Le1,..._1,,, '!\ .... ·::..('(\ ......... ~,, ~-~' "' 0~~10,,··· .,,_ ,.. i~r· N..a-..::2'·\!' : en ,;,-._,, ! :-,, ·~ --o ~ ~'GI .,.,..,, o~~ ,, o, ..... ,..111 ~ ,,,, Wost\\(\",,,~ ,,,,,, ... ,,,, Notary Public in and for the -\Cl,.!:":::'::\ L-e l ':\ L Notary (Print): -1 My appointment expires: 2 H;\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Date Rev:08/2015 Application Project Narrative Temporary Use Permit City of Renton Planning Division 1055 South Grady Way Renton, WA 98057 St. Vincent de Paul of Seattle/King County is proposing leasing to the City a space within our Rainier store for 8 adult individuals with chronic substance abuse disorders at our building at 575 Rainier Ave N, Renton, WA 98057. We are seeking a temporary Use Permit from the City of Renton for a Sobering Center for a period of 9 months. The program per requirement of the City hereby certifies that there are no special features (wetlands, water bodies, etc.) and there will be no on-site physical improvements except the construction of an inside wall to separate the Center from the retail store. There will be no offsite improvements, no construction, no trees either planted or removed at the site. The program further certifies that there will be no construction of any type or excavation of any type. £s~,f'16.\.-~,\ '.:::,·\-<"",~ ._;,.. <"'- The property is accessible via Rainier Ave N. (J,_.,,01 I-\,:, l!-<''.) , / f' 1"1 ... -, •' \ Submitted by: ( _ ~L.12--4~ 9-d/·/" Ned Delmore Executive Director St. Vincent de Paul 575 Rainier Ave N Sobering Center Notes None 256 0 0 128 WGS_ 1984_Web_Mercator_Auxiliary_Sphere Cityof &eirton Finance & IT Div ision 256 Feet Legend Ci ty and County Bounda ry Other Z ! City o f Re1to1 Add resses Pa r cel s Zoning II RC-Rcs:::u•ce Conservation R 1-Res 1dent1a l 1 du.'ac R4-R es1dent1al 4 dul ac R6-Resiaent al -6 OU/A C Information Tec hn ol ogy -GIS Re ntonMapS upport@Rentonwa.gov 9/20/2016 6f5 608 600 540 501 IM RMF-Residentia l Mul1i-Fa mily • RMH-Resrdential Manufactured Homes CN-Commerc,al Neighborhood • CV-Center Village II CA-Commercial Arterial • UC-Urban Center II CO-Center Downtown COR-Commerc,al Officei Residential • CO-Commerc,al Office IL-Industrial -Light .. . ,, -., ~. ..• . .... :::r '.~ . ·,;;' ... , .. THIS MAP IS NOT TO BE USED FOR NAVI GATION Renton Sobering Center 575 Rainier Ave N ~ N I 1;~ 'f,j 5 O'o<l..r-..<lj C.4t-l\t°ctr f<'Of>O~""-\ \S \A~4..('t0<'1 01'11'(, ') ··. I Jl .. dJI •• i,•1 JJ ~: .,. DEPARTMENT OF COMMUN! .. AND ECONOMIC DEVELOPMENT -------~enton 0 WAIVER OF SUBMITTAL REQUIREMENTS FOR LAND USE APPLICATIONS Planning Division 1055 South Grady Way-Renton, WA 98057 Phone: 425-430-7200 I www.rentonwa.gov LAND USE PERMIT SUBMITTAL REQUIREMENTS: WAIVED MODIFIED COMMENTS: BY: BY: Arborist Report• Biological Assessment 4 Calculations 1 Colored Maps for Display 4 i ·r ' l'•""'= ipcc!,: A '-'J1',(' ... ) ~ Construction Mitigation Description >ANo• •' ·.,· ·,"¥~or" ~ Deed of Right-of-Way Dedication 1 I I -' .. ·--··- Density Worksheet • Drainage Control Plan, r"' ~ " IJ>EcO t,10-C ' s T".'. '-\~ &<ltJ•-__ ,,;.. -I\•~"' :":: • -. - Drainage Report 2 ( ~:'\. ,pi,, t.OE.o ...,,0 c; .~~~ ' ~ -·.11c;~ '5 ' '(CO v\o<!.a !('' -f"","" l,:i.~~ (S Elevations, Architectural I AND• >: ,-.. , 1\<')"'°Q.r:-i.r -...... <1\• Environmental Checklist 4 ' .J.\,'...i Existing Covenants (Recorded Copy) 1 AND• Existing Easements (Recorded Copy) 1 ANO• Flood Hazard Data 4 Floor Plans 3AND • Geotechnical Report 2AN0, Grading Elevations & Plan, Conceptual , Grading Elevations & Plan, Detailed, Habitat Data Report 4 Improvement Deferral 2 Irrigation Plan• lr . ' . ···--- (,. -.. ..., . ..... \ · .. "' ' ; \"'(~\J-~ f'C'Of'I;',~ <....5,()('\:., ,s -·,r"l 1 ·r~o-on1. - I - PROJECTNAME: 57S R'a;ai.ec f\ue Al So1:;>e.r:i9'..r Ce,.-, 1--e..r • DATE: S.e.etembec zo :ZOr<e ~ ; 1 H :\CEO\Oata\Forms-T emplates\Self -Help Handouts\Planning\ W aiversubm ittalreqs.docx Rev:08/201S • LAND USE PERMIT SUBMITTAL REQUIREMENTS: WAIVED MODIFIED COMMENTS: BY: BY: King County Assessor's Map Indicating Site 4 Landscape Plan, Conceptual, Landscape Plan, Detailed 4 Legal Description 4 Letter of Understanding of Geological Risk 4 Map of Existing Site Conditions 4 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 2 Plat Name Reservation 4 Plat Plan 4 Preapplication Meeting Summary 4 Public Works Approval letter 2 Rehabilitation Plan 4 Screening Detail 4 Shoreline Tracking Worksheet • Site Plan , ANO, Stream or Lake Study, Standard 4 AW Stream or Lake Study, Supplemental 4 Stream or Lake Mitigation Plan 4 Street Profiles 2 Title Report or Plat Certificate 1 ANo • Topography Map i Traffic Study 2 ". \ . Tree Cutting/Land Clearing Plan 4 -<f' "\i'llt. ~11{[rJ-i )(' L..'l-01 , ..., .... ·,k' ,.,. ....,... -.c;, -.,, fl 0 ..,__ -~ .--1J. -\('U.. r<J f1t>i . . Urban Design Regulations Analysis, - Utilities Plan, Generalized 2 I fl -\ ,, -~--"{- Wetlands Mitigation Plan, Final 4 Wetlands Mitigation Plan, Preliminary 4 2 H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Waiversubmittalreqs.docx Rev: 08/2015 ; LAND USE PERMIT SUBMITTAL REQUIREMENTS: Wetlands Report/Delineation 4 Wireless: Applicant Agreement Statement , ANo, Inventory of Existing Sites >AND, Lease Agreement, Draft, ANo, Map of Existing Site Conditions, ANo, Map of View Area 2 ANO, Photosimulations >ANo 3 This Requirement may be waived by: L Property Services 2 Development Engineering Plan Review 3 Building 4 Planning ·- WAIVED MODIFIED BY: BY: - ..... I i 3 H :\CED\Data\forms· Templates\Self -Help Handouts\Planning\ w aiversu bmittalreqs.docx COMMENTS: f ,-till1.~ _cl_ rr .. , e,:, -.,,;. • . I Rev: 08/2015 DEPARTMENT OF COMMUI ... f AND ECONOMIC DEVELOPMENT ABATEMENT AGREEMENT TEMPORARY USE City of Renton Planning Division 1055 South Grady Way, Renton, WA 98057 Phone: 425-430-7200 Fax: 425-430-7231 ;.;" .. Ctly of ' ; I, ---'-fv'--e-_D_..;.D--=:£.:.c:/...:::..;.M--=-D...:Je.c.._£. _______ being the Applicant for the Temporary Use Permit at the Location of:. __ ~_7_$"___:{<A __ l_·N_/ 6-Je__,_ __ f\_~_/ E __ /v___,,._· _.@eNTO __ '--N __ q ~OS7 Hereby authorize the City of Renton to summarily eliminate the Temporary Use and all evidence of the use if it has not been removed as required by the terms of the permit. I also agree to reimburse the City for any expense incurred in abating this Temporary Use. Signature: ~LL~~-,- Print Name: Date: STATE OF WASHINGTON ) ) ss COUNTY OF KING ) I certify that I know or have satisfactory evidence that ~ ~\~ (,_. signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. Notary (Print): ~iY\t't'\':\ ll,,'\1.-.-\.\-0--1~ My appointment expires: 03 \ ?.,i \ ],Q\6 I l 05114 IIHl!ll~IIIIIIIRIIIIIIIIIIIIIIIIIIII •017002263602801230201401· CORPORATE RESOLUTION TO BORROW/ GRANT COLLATERAL/ SUBORDINATE DEBT I Call/ CGI I Account 10-1 ••1t1el1 .,,..,;;••c:',;':c'='°:::"c::c,..i.,-------,,'--:-J"'P"J'-..L.----1 Rafetencea en the bo,cu •~ are for Lender's use only end do not timlt the ei,pHcabilitv of this document to any pan:lculer IO•n °' item. Any item above conta,nina "• • ... has been omitted due 10 teia .......,th HmitatiOns. I. L I Corporation: 8oc:tety of St. Vinant d• P*'AI. Council of S•atdelKinl County 6950 4th Aven&M S Saenttt.WA ff10I WE. THE UNDERStGNED, DO HEflEI'( CERTIFY THAT: Lender: FOUNDATfON IAHK -.,.M ... 1110 • 112thA~ NE. Sutt. 200 Belewe, WA 98004 THE CORPORATION'S EXISTENCE. The complete and correct name of the Corpof'ation Is Society of St. Vincent de Paul, Council of Seattle/King County ("Cofl)ofltion"), The Corporation it a non-profit COfporatlon which is, and et all times shell be, duty o,ganized, vaffdly existing, and in good standing under mcl by virtue of the laws of the St8te ot Washington. The Corporation is 6iJtv authorized to ttanaact bullnets in all other states In which the Corporation is doing business. h81.ling obttilned all neceasarv filings, governmental license, and epproveta for Heh atata In which the Cotporation is doing buaineu. Specifically, the Corporation it,, end et .. tlmet ahal be, d1Jfy qualified a, a foreign ccwporation in all statu In whleh the failure to so qualify would have a material adverse effect on it, butinaH or fiNnciel conc:Htton. The Coqt0ration has the f\ill power an<I authority to own its propenies and to uenuct the buaineH in which it ia pre,efltly engaged or preunttv propoua to angaga. Tha Corporation maintaina an olflce at 6950 4th Avenue $, Seettte, WA 98108. Unless the Corporation has designated otherwise In wrftlng, tha principal oflice ia the office at .which the Corporation keeps Its book• and records. TM Corporation will notify Lendar prior to any change in tha loc-1:ion of the CorpcKatlon'a atate of organization or any change in the Co,poration's n.ma. The Corporation shall do all things necessary to preserve and to keep In fuA force and effect its eio:istence, rights and privileges, and shall comply with '" regulations, rules, ordinance,. statutes, ordart and decree, of any govemmenul or Quasi-goverM1ental authority or c<H.1n applicable to the Corporation and the Corporation'• busineat activitiaa. RESOLUTIONS AOOPTm. At a meeting ol the Director, of the Corporation. or if the Cotporetlon is a clota corporation hevlng no Board of Director,; then at a meet,ng of the Corporuion·a sharehc>fders, <luly called and held on OaOlmbar 30, 2014, at which a quorum wet present and YOting, or by othe1 duly authorized action in lieu ot • meeting, the ruolutlons set forth In thit Resolution were adopted. OfftcEA. The folowing named person is an offieer of Society of St. Vincent de Paul, Council of Seante/Klng Countv: ~ TITLES AUTHOAIZEO :~IG~~TURE§ Had Dalffl04'• Exacuti~ Director V X ""]1.i,_~ c;__ :'C( /q} ">$,;) -/-, ACTIONS AUTHORIZED. The authorized person listed above may enter into any agreements of anv natu.-e with Lendef, and tho&e agreementa wifl bln<I the Corporation. Specifically, but without limitation, the authorized person it, authorized, empowered, and directed to <lo the following for and on behalf of the Corporation: Bonow M.-.y. To bofrow, as a cosigner or otherwise, from time to time from Lender, on such term, aa mav be agreed upon betweeft tha Corporation an<l lendat, aueh tum or sums ot money as in his Of her judgment 1hould be borrowed, without limitation. EdCUJA rtot.a. To e,iecute and deliver to Lender the promissory note or notes, or otllef evidence of the Corporation'• credit accommodetiOM, on Lenoer·t forms, et such rates of interest and on such te,mt " may be agreed upon, evidencing the aumt of money ao borrowed or eny of tha Corporation's indebtedness to Lender, encl also to e,:ecute an<I deliver to lender one or more renewals, extensions. moc:Hficatlons, reflnanclngs, consolidations, or substitutions for one Of more of the notes, any portion of the notea, Of any other evidence of credit accommodation,. Grant Sacufltv. To mortgage. pledge, transfer. endorte. hypothecate, or otherwise encumber and deliver to Lender any property now or hereafter belonging to the Corporation or in which the Corpotation now or heteaftar may have an Interest, tnelu<llng wtthOut HmitatlOn all of the Corpo,etion's real property and all of the Corporation·, person11 p,openy (tangible or Intangible), aa security" for the payment of eny IQan,: « credit accommodations 10 obuined, any promiHory notes. u, e,:ecute<l ltneluding eny aman<lmantt. to or mo<lificationl, renewats, end e,:tensions of 1uch promisaory notes). or any other or further indebtedness of tM Corporation to Lende, at anv time owing, however the 1ame mav be evidenced. Such property may be mortgaged, pledged, transferred, endorsed, hypothecated or encumbered at the time such loan& are obtained or such indebtedness is incurred. or at any other time or time,, and may be either in addition to or In Heu of any propertv theretofore mortgaged. pledged. transferred, endorsed, hypothecated or encumbeted. euc• S~ Documents. To e,:ecute and deliver to lender the forms of mortgage, deed of trutt. pledge agreemant, hypothecetion agreement, end other security agreements and fintncing atatementa whieh Lander may require and which thlll evidence tt\e te,ma and conditions under and pursuant to whieh such liena and encumbrancee, or any of them, •re given; and also to e,:ecute and deliver to Lender any other written inatrumems, any chattel paper, or any other collateral. of any kind or nature, which Lender may deem necusarv or proper In connection with or pertaining to the giving of the lieM and encumbrances. Subordin41tion. To subordinate, in aH respects. any and all preient and future Indebtedness, ob4igations, liabilities, c::laim,, rightt, and <li&mandl of any kind which may be owed. now or hereatter, from any person or entitv to the Corporation to aN present and future Indebtedness, obligations, liabilities, claims. rights, and demands of any kind whieh may be owed, now or hereafter, from auch person ot entity to Lendef (~Subo«finated lndebtedncss·1. together with subordination by the Corporation of •nv and all aecuritv Interests of any kind, whether now extetlng or hereafter acquired. securing payment or performance of the Subordinated Indebtedness; all on such 11Alordin.1tlon terms et mty be agreed upon between the Corpor1tion'1 Officers and Lender and in such amounts as in his or her judgment should be aubor<linate<I. Haeotlate Items. To draw, endorse, and diseount with lender all drafts. trade acceptances, promiasorv notes, or other evidences of indebtedness payeble to or belonging to the Corporetion or in which the Corpomion may have an interest, and elthe.-to receive cesh fot the same or to cause such proceeds to be credited to the Corpotation's account with Lender, or to cause auch other ditpotition of the proceeds derived therefrom as he or she may deem acfviubfe. furthat Acta. In the case of linr.s of credit. to deaign.1te edditlonal or alternate individuals as bf!4ng authorized to request advances under auch lines, and In au caus, to do and perto,m auch other acts and things, to pay any and 111 fae, and coata, an<I to e,:ecute tnd deliver such othar documents and agreements. lncluding aer..-nt• waiving the right ta • tTIM by jury, ea the officer may in his or her ditctetion deem re .. onatlfv nace11a,y or proper In otder to carry Into effect the provls.OM of this Resolution. The following PtrtOn or pa,aona are authoriLed to ,equaat a<1v1t1ces and authO,ize paymenta under tht lint of credit until Lencle, receive& from the Corporation, at lender's tddrett ffiOwn above, writtefl notice of revocation of such authority: MASTER MOTE TO FUND SUI NOTES. ASSUMED 8USNSS NAMES. The Corporation has Med or recorded ell documents or filif)gt required by law relating to ,n attume<I buslnets names lilHd by the Corporation. Ei«:luding the name of tt\e Corporation, tha following is I complete list of all aaaumed butinett MINIS undtr which the Corporation <loet butirtaH: None. NOTICES TO LENDER. Tha Corporation will promptly-notify Lender In writing tt t..ndar's ad<lrffs thOwn tbove lor tuch other ad<lreau, M Lender may designate from time to time) prior to any IAI change in tM Corporation's n.1me; 181 change In the Co,poratlon't astumed business ~(al; IC) change In the management of the Corporation; IOI change in the tuthorized tlgne,(sl; (El change in the Corpo,ation't principal office e<l<ltnt; (F) chenge in the Co,porat1on'a state of organization; lGI conve,.ion of the Corporation to a new or different type of bualneu •ntttv; or (HI change in any other aspect of the CorporatiOn that dif'ec~ly or tndiN)Ctly relatea to any agtMfflanta between the Corporation and Lender. No Change in the Corporation's name or state of organization wld lake effect until after Lender h81 receiwd notice. ACCEPTANCE Of FACSIMILE ANO SCANNED SIGNATURES. Borrower. Lender and an Panies agree that the Agreementlsl, encl OoeumenUa) tnd any agtff:fflonts ancillary to any agreementsts), and any other rettted document(al to be entered Into In connection wltt\ the egreemant(sl or doeument(t) wH1 be considered signed when the tignatu,e of the borrowetltl end all peftiM 6t delivered by factimlle wansmlaalon or dellvered by scanned image (e.g .•. pelf or .tiff file e11tat1sion name) as an auaehment to alactronic mall (emalll. LMdet ,aaa,vn the f(ght to rajact any A9raement(1I o, Oocument(1t If 1ha futd o, 1canned ttantmlHion ii ....... o, incompletil. Lendat may, 111~1111111~1~1~1111011111111111[ :::::JIIIIIIIIIIIIIII •017002263602801230201402· CORPORATE RESOLUTION TO BORROW/ GRANT COLLATERAL/ SUBORDINATE DEBT Loan No: 170022636 (Continued) Page 2 in its absolute dilcr.iion, at any point in time during the loan t.rm, r•qulN d•Hv•ry of OTlglnet &l9natw" on any A•Nmient or Docum.m. If •.U.fticto,y "8fta1ur• ii not received, disbursemeRt may bt att.ct.d. Facsimile or scanned stgneture(tl mav be treated in all respects as having the seme effect as en original ~nature, in tho Lender't dltcretlon. Delivery of en eitecuted counterpan of a signature page to this Agreement and any other ancillary agreement(a) and any Document and •nv other relatlld document(s) tty fa,: or C·m,1i1 shalt be effective ea delivery of a manually eJtecuted counterpart of the AgreemenUal or DocumentlsJ. Documents which require Notary Public seals must be delivered to Lender as original documents, rather than by fa,: or other electtonle format. The Agreementl81 may be 8Jitecuted in multiple c<1unterpens, each of which, when so uecuted, shall be deemed an orig(nal, but elf such countarparu, taken together, shall constitute one ind the same Agreement. Any lnc:Hvlduaf or entity who submits a sign;,ture by fa,: or electronic transmission agrees that the lender may rely upon that signature at authottzed by the indivldual whose name appears as the signatory. If a Bo«ower or Guarantor subsequently informs the Lender that the signature Is a fotgery or was not authorized by the individual whose name appears as the ttgnatory, the lender shaft tt .. t this notification II a revocation of the signature. Absent such noiifocaMn, the lender may reasonably rely upon the authenticity of the signature and tM BorrowM and Guarantors shall indemnity the lender from any loss afislng kom !tie tubmiHiOn of an inauthentic or unauthorized signature in connection with the Borrower'• toan. CERTIFICATION CONCERN .. G OFFICERS ANO RESOLUTIONS. The officer named above is duty elected. appointed, or employed by 01 for the Corporation, as the case may be, and occupies the position set opposite his or her reapective name. This Resolution now at.ands of record on the bookt of the Corporation, ii In full force and effect. and has not been modi lied or revoked In any manner whatsoever. NO CORPORATE SEAL. The Corporation has no corporate seal, and therefore, no seal is affi11:ed to this ReaolutiOn. CONTINUING VALIDITY. Any and all acts authorized pursuent to ttlis Resolution and performed prior to the pa11age of thil Resolution ara hereby retified and approved. This Resolution shall be continuing. sNIU remain in full force and effect end Lender may rely on it until written notice of its tevocatiOn shall have been delivered to and received by Lender at lender's addr&as shown above (or such addresses as lender ma'( designate ffom time to time). Any such notice shall not affect any of the Corporation's agreements or commitments in effect at the time notice ia giveo. tN TEfflMONY WHEREOF, we hava hereunto sat our hand and attest that the slgMtura tat oppaalta the name lilted above ii his Of har gan"*'8 ·-· We each have ,ud .. the provhklns of this R&aofution. and we each pattonalty and on bahatf of the CofpcwMton cantfy that al •t&Mments and tapl'818rltl.1'0M meda In this Rasotution are true and COffact. Thia Co,po,ata Reaofudon to Bomtw I Grant Coletaral I Sabot'dinat:a Debt it dated Dacffllber 30. 2014. CfflTiflED TD AND A TT?D B~, X YJ~.(.b,J...,.,,, N-~,:,.1y X Ned O.lmora. Uacutive Dwector of Society of St. Vine.Rt de Paul. Council of Saatth/l.ln1 County ~M~e<y-~A-n_n_eu.,~-..,-. ~.-..,~_,=~ot~soc=1ety~-of=s~,-. ~v;~..,-... ~- da Paul, Co..mcil ol Sea•/Kinol County fri10Tf.: II -oll~ 11g,11inQ 1f111 ~IOn ;g <l~,gMW:I ~y "'" ln•tgOing documffll n -<1! «">o ollict,1 Ntl>Qtoiaa lo .ct on !lit Co1po,,ll1on"1 bllllllll, h 11 -INWt 1<1 -· d>II f'lttolull<MI oiQ,necl by 111 '"'1 one no,,-IU!llo,,,uod ofl.:• ol tM Co,pa,at"" , v,. ____ • __ TO BORROW/ GRANT COUAT!RAL / SUaoa,Aff DE8T (Cantlnutd) • ..... 2 .................... .., ............................................... ..,~ ......... . ........., ........................... . ~ ...... ...,....., "19W''-naiad.,·-. tlew,g ............ ---........... wndll"• dllcNIOII Dllwry d• ............. ti• ............ ~ .. ~ ... .., .. .....,.. ..., ... .., DamrNnl .. .,,, OINt,,.... doQaMlll(IJl!r._or ....... ,......_. dllhW)'ol a....,.._. CllrilqlMol .. .......,.)otDoculMnl(II). ~ .......... ....,.Allllo ............... .,,"'**.~----................... ~famwt,. 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Legal Description: 575 Rainier Ave N, Renton, WA 98057 WOODY GLEN ADD LOT A OF RENTON LLA LUA-06-045-LLA REC #20060719900005 SD BLA LOCATED IN PLATS OF WOODY GLENN ADD & LATIMERS LAKE PARK ADD IN E Y, OF SW~ 07-23-05 TGW VAC ST ADJ PER RENTON VAC ORD #5273 RECEIPT EG00059606 BILLING CONTACT Steve Knipp St. Vincent de Paul 5950 4th Ave S Seattle, WA 98108 REFERENCE NUMBER FEE NAME '"''"~=" ·'""'"'""''"''''""""''' ''"'' ., >'?> LUA 16-000753 PLAN • Temp Use -Tier 2 Technology Fee Printed On: September 23, 2016 Prepared By: Angelea Weihs ·-----___..Renton 0 _,_,. 1055 S Grady Way, Renton, WA 98057 TRANSACTION TYPE ···-··--··" M<<<,<•MM Fee Payment Fee Payment Transaction Date: September 23, 2016 PAYMENT METHOD "'~""'~··=·w " Check #24744 Check #24744 SUB TOTAL TOTAL AMOUNT PAID .. .. $150.00 $4.50 $154.50 $154.50 Page 1 of 1