HomeMy WebLinkAboutA_Land Use Master Application_170000.pdfnmt t-orm Keset rorm ::,ttve rorm
DEPARTMENT OF COMr ~ITV
AND ECONOMIC DEVELOPMENT ---------Renton®
Planning Division
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S) PROJECT INFORMATION
NAME: Renton Preservation Limited Partnership
PROJECT OR DEVELOPMENT NAME:
Royal Hills Apartment
ADDRESS:21515 Hawthorne Blvd. #390
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
3000 SE Royal Hills Drive, 98058
CITY: Torrance ZIP: 90503
TELEPHONE NUMBER: (310) 802-6670
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
212305-9055
APPLICANT (if other than owner)
NAME:
EXISTING LAND USE(S):
multi-family residential
COMPANY (if applicable):
PROPOSED LAND USE(S):
multi-family residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
ADDRESS: RHO
PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION
CITY: ZIP: (if applicable)
RHO
TELEPHONE NUMBER:
EXISTING ZONING:
RM-F
CONT ACT PERSON PROPOSED ZONING (if applicable):
same
NAME: Andrew Phillips
SITE AREA (in square feet):
620,028sf
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
COMPANY (if applicable): SMR Architects DEDICATED:
NA
ADDRESS 117 s. Main St. #400
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
NA
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
CITY: Seattle ZIP: 98104 ACRE (if applicable)
Existing 20/acre
TELEPHONE NUMBER AND EMAIL ADDRESS: NUMBER OF PROPOSED LOTS (if applicable)
206) 623-1104
NA
NUMBER OF NEW DWELLING UNITS (if applicable):
0
1
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Appllcatlon.doc Rev: 08/2015
ROJECT INFORMATION (c., .. tinued) ,'---''---'---''-'-~~=.
c_c_'-='-----------~
NUMBER OF EXISTING DWELLING UNITS (if applicable): PROJECT VALUE:
284 $6,064,000
SQUARE FOOTAGE OF PROPOSED RESIDENTIAL
BUILDINGS (if applicable): NA
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): 209,820
SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL
l:l AQUIFIER PROTECTION AREA ONE
l:l AQUIFIER PROTECTION AREA TWO
BUILDINGS (if applicable): NA
SQUARE FOOTAGE OF EXISTING NON-RESIDENTIAL
BUILDINGS TO REMAIN (if applicable): 8500
NET FLOOR AREA ON NON-RESIDENTIAL BUILDINGS (if
applicable): 850 0
NUMBER OF EMPLOYEES TO BE EMPLOYED BY THE NEW
PROJECT (if applicable): NA
l:l FLOOD HAZARD AREA
l:l GEOLOGIC HAZARD
l:l HABITAT CONSERVATION
l:l SHORELINE STREAMS & LAKES
l:l WETLANDS
LEGAL DESCRIPTION OF PROPERTY
sq.ft.
sq.ft.
sq.ft.
sq.ft.
sq.ft.
IAttach leaal descriotion on seoarate sheet with the followina information included\
SITUATE IN THE north half QUARTER OF SECTION~. TOWNSHIP 23N , RANGE~. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) , declare under penalty of perjury und',L!!ll; laws of the State of
Washington that I am (please check one) LJ the current owner of the property involved in this application or LJ 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 Date Signature of Owner/Representative Date
STATE OF WASHINGTON )
ss
COUNTY OF KING )
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 Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:
2
H:\CED\Data\Forms-Templates\Self-Help Handouts\Planning\Master Application.doc Rev:08/2015
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189
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
On t{lli!tJ (l\ IHtt1 2017 before me, A.Williams, Notary Public
Date U Here Insert Name,f;.d Title of the Officer
personally appeared ___ ___J_N-'--UIC41~1.uOJ..lla.,.sL---'>,.,_,\~"""-#}14--'-'-----'\----"\.)'-++f'.1-"-"-'1'1C)"--------
Name(s) of Sig~)
who proved to me on the basis of satisfactory evidence to be the person(Bl whose name(&) is/are
subscribed to the within instrument and acknowledged to me that he/stlelU1ey executed the same in
his4'sr/U1si< authorized capacity{iesl, and that by his/befltheir signature(~ on the instrument the
person~, or the entity upon behalf of which the person(sl acted, executed the instrument.
r@:.... A. WILLIAMS r
COMM.tt1211JQ128
0:
0 ~·
NOTARY PUBLIC•CALIFOANtAd
tf. LOS ANGEi F.S COUNTY 0rMyCOMfT'1S.S•On EKpires 1
Apt11212019 • •
Place Notary Seal Above
I certify under PENAL TY OF PERJURY under the laws
of the State of California that the foregoing paragraph
is true and correct.
Signature of Notary Public
OPTIONAL-~~~~~~~~~~~~~-
Though this section is optional, completing this information can deter alteration of the document or
fraudulent reattachment of this form to an unintended document.
Description of Attached Document
Title or Type of Document:---------------------------
Document Date:-------------------Number of Pages: _____ _
Signer(s) Other Than Named Above: -----------------------
Capacity(ies) Claimed by Signer(s)
Signer's Name: ____________ _ Signer's Name: ____________ _
D Corporate Officer -Title(s): ______ _ D Corporate Officer -Title(s): ______ _
D Partner -D Limited D General D Partner -D Limited D General
D Individual D Attorney in Fact
D Trustee D Guardian or Conservator
D Individual D Attorney in Fact
D Trustee D Guardian or Conservator
D Other: ______________ _ D Other: _____________ _
Signer Is Representing: _________ _ Signer Is Representing: _________ _
2016 National Notary Association· www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5907