HomeMy WebLinkAboutA_Application_LDC_171219_v1DEPARTMENT OF COMMUNITY CITY OF
AND ECONOMIC DEVELOPMENT
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Pacific I
NW Regional Council of Carpenterr
ADDRESS: 15 Logan Avenue N.
CITY: Renton ZIP: 98055
TELEPHONE NUMBER: (206) 390-2761
APPLICANT (if other than owner)
NAME: Rick Cardoza c/o Verizon Wireless
COMPANY (if applicable): Verizon Wireless
ADDRESS: 3245 158th Avenue SE
CITY: Bellevue ZIP: 98008
TELEPHONE NUMBER: (253) 218-9017
CONTACT PERSON
NAME: Rick Cardoza
COMPANY (if applicable): LDC, Inc.
ADDRESS:20210 142nd Avenue NE
CITY: Woodinville ZIP: 98072
TELEPHONE NUMBER AND EMAIL ADDRESS:
(253) 218-9017
RCARDOZA@LDCCORP.COM
FPROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Verizon SEA Logan Avenue
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
PNW Regional Carpenters Union
231 Burnett Avenue N.
Renton, WA, 98057
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
1823509150
EXISTING LAND USE(S):
Conference and Training Facility
PROPOSED LAND USE(S):
Unmanned Telecom
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
U, S-2
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
(if applicable)
N/A
EXISTING ZONING:
UB (Urban Center)
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
320.5 square feet
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED:
N/A
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
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):
N/A
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\MasterApplication.doc Rev:08/2015
PROJECT INFORMAT
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): N/A
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
BUILDINGS (if applicable): N/A
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable):
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): N/A
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): N/A
ION continued
PROJECT VALUE:
$46,000
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 le al descri tion on se arate sheet with the followino information included
SITUATE IN THE NE 1/4 QUARTER OF SECTION 18 , TOWNSHIP 23 IN, RANGE 5 E , IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) 5 4a44-4''\ , 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 [�Ifhe 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.
l
Z-111 r7
Signature of Owner/Re resentative Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING )
I certify that I know or have satisfactory evidence that v.J /7 E s r �Tv� signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the u an urpose mentioned in thS,4strument.
�� (►- � � . fes/ ( /
Dated
•
NOTARY PUBLIC
Notary Pytblic 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
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CARPENTERS
www.nwcarpenters.org KI v
Jimmy Haun
Political Director
206.390.2761 wireless 25120 Pacific Hwy S, Ste 200
253.839.4908 fax Kent, WA 98032
800.573.8333 toll free a jhaun@nwcarpenters.org