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DEPARTMENT OF COMMUNITY o `
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
www.rentonwa.gov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Renton School District No. 403
ADDRESS:7812 South 124th Street
CITY: Seattle
STATE:
�WA
ZIP:
�98178
PHONE NUMBER: (425) 204-4475
EMAIL ADDRESS':
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Tim Ogden
COMPANY (if applicable): PBS Eng. & Env.
ADDRESS:214 E Galer Street
CITY. Seattle
STATE:
�WA
P:
W102
PHONE NUMBER: (206) 766-761 1
EMAIL ADDRESS*:tim.ogden@pbsusa.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Matt Feldmeyer
COMPANY (if applicable): Renton School District
ADDRESS:7812 South 124th Street
CITY: Seattle �WA
STATE:
�98178
ZIP:
PHONE NUMBER (425) 204-4475
EMAIL ADDRESS*:matthew.feldmeyer@rentonsch�
ElI prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Chelan Ave NE Properties Demolition
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
1000-1100 Block Chelan Avenue NE, Renton, WA 98059
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
102305-9173, 9275, 9096, 9107, 9249, 9138, 9124,
9202, 9133, 9139
EXISTING LAND USE(S):
Residential
PROPOSED LAND USE(S):
N/A
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
Urban Residential Medium
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) N/A
EXISTING ZONING:
Single Family Residential
PROPOSED ZONING (if applicable):
N/A
SITE AREA (in square feet):
300,000
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
None
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: None
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
NUMBER OF EXISTING DWELLING UNITS (if applicable):
8
PROJECT VALUE:
450,000
*By completing the email address field the owner/applicant/contact person is opting to receive all formal notifications
and project documents in digital format via email unless otherwise requested.
PROJECT INFORMATION (CONTINUED)
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): N/A
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
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.
❑ GEOLOGIC HAZARD
sq. ft.
❑ HABITAT CONSERVATION
sq. ft.
❑ SHORELINE STREAMS & LAKES
sq. ft.
❑ WETLANDS 65,340
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
(Attach legal description on separate sheet with the following information included)
SITUATE IN THE NW QUARTER OF SECTION 10 , TOWNSHIP 23 N, RANGE 05E _,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s)Y1�1 1 �0.�� 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 M 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
herew a n all res s true and correct to the best of my knowledge and belief.
3//t/zaz,
Signatu 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 purpose mentioned in the instrument.
Dated `NO��"....�����t
M
i�
S%oti -� �FC%.
88861 ;
tii�-NoF NNt'�'�,
Notary Public in and for the State of Washington
Thy - th ' acCc -e
Notary (Print):
My appointment expires: �L YNP�' 13 o
RENTON SCHOOL DISTRICT NO. 403
KING COUNTY, WASHINGTON
RESOLUTION NO. 03-19/20
WHEREAS, the Board of Directors of Renton School District No. 403 has undertaken or will
undertake the construction projects approved by the passage of levies and bonds, and
WHEREAS approval of individuals authorized to sign contracts and invoices related to the
construction projects is required by State of Washington State Board of Education
BE IT RESOLVED that the Board of Directors hereby authorizes:
Dr. Damien Pattenaude,
Superintendent
Dr. Fred Maiocco v
Assistant Superintendent, Finance a cj!. upport 4rvices
Brantley Bain
Executive Director of Capital Planni nd Construction
to sign contracts and invoices related to these construction projects.
ADOPTED at a regular meeting of the Board of Directors of Renton School District No. 403, King
County, the 9th day of October 2019.
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Asec ry
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