HomeMy WebLinkAboutA_Master ApplicationDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
WW WAcinvi1wa.9LJ
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME: Sunday Heily
ADDRESS:2727 Mountain View Ave N.
CITY: STATE: ZIP:
WA 198056
PHONE NUMBER: (206) 491-3004
EMAIL ADDRESS*:sunday.kyrkos@gmail.com
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Dustin Howe
COMPANY (if applicable):Seaborn Pile Driving Co.
ADDRESS:1080 W Ewing PI. Suite 300
CITY: Seattle STATE- ZIP:
WA J98119
PHONE NUMBER: (206) 236-1700
EMAIL ADDRESS*:permits@seabornpiledriviing.com
❑ I refer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Dustin Howe
COMPANY (if applicable):Seaborn Pile Driving Co.
ADDRESS:1080 W Ewing PI. Suite 300
CITY: Seattle STATE: ZIP:
STATE:
198119
PHONE NUMBER (206) 236-1700
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Heily Residence
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
2727 Mountain View Ave N.
Renton, WA 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
334210-4050
EXISTING LAND USE(S):
Single Family Residence
PROPOSED LAND USE(S):
Single Family Residence
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
none - KC assessor site
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable) n/a
EXISTING ZONING:
R-8
PROPOSED ZONING (if applicable):
n/a
SITE AREA (in square feet):
17.162
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
n/a
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)
NUMBER OF NEW DWELLING UNITS (if applicable):
n/a
NUMBER OF EXISTING DWELLING UNITS (if applicable):
n/a
EMAIL ADDRESS*: + PROJECT VALUE:
❑
permits@seabornpiledriving.com L
I refer to receive all correspondence via US Mail. 63,830.00 J
*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 Foo-TAGE 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 EMPLOYEESj6jE�E—M�pLYED BY THE
NEW PROJECT (if applicft),
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
0 FLOOD HAZARD AREA
sq. ft,
El GEOLOGIC HAZARD
sq. ft.
El HABITAT CONSERVATION
sq. ft,
El SHORELINE STREAMS & LAKES
sq,
0 WETLANDS
-sq. ft,
LEGAL DESCRIPTION OF PROPERTY Now"am
W#Mh legal description on separate shoot with the fol lowing Information -Incl
SITUATE IN THE NE — QUARTER OF SECTION 6 JOWNSHIP 23 — N, RANGE 5 222!� -
OF RENTON, KING —COUNTY, WASHINGTON —,W.M. IN THE CITY
AFFIDAVIT OF OWNERSHIP
1, (Print Name/s)Qystin Howe: - declare under penalty of perjuryunder the laws of the State of Washington that I
am (please check one) Dthe "current owner of the property involved in this application anor El the authorized represntative to act for a
corporation (p e attach Proof of authorization) and that the foregoing statements d answers herein contained and the information
1herewit aInalilespects true and correct to the best of my knowledge and belief.
Signature of Owner/Representative Date Signature of O'wner/Representative
STATE OF WASHINGTON )
) COUNTY OF KING SS
I certify that I know or have satisfactory evidence that �05 J-4
acknowledge it to be his/her/their free and voluntary act for thethis instrument and
uses and purpose mentioned in the instrument,
11 —2-:21S — 710 -7-6
Dated
Notary PIic in and fo he State of W shington
Kelso" yer &Y-
NNotaryPubtlic Notary (Print);
State of Washington
My Appm� Emp 0311�r
COMM=*n Nombw 20105436 My appointment expires: