HomeMy WebLinkAboutA_Application_220425_V1.pdfDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
Planning Division
1055 South Grady Way, 6th Floor I Renton, WA 98057 1 425-430-7200
www.rentonwa.eov
LAND USE PERMIT MASTER APPLICATION
PROPERTY OWNER(S)
NAME. Dalpay Properties, LLC
ADDRESS: 7100 Fort Dent Way Ste 280
CITY: Tukwila,
STATE:
IWA
ZIP:
198188
PHONE NUMBER: (206) 246-2520
EMAILADDRESS*'shari@wrc-cpa.com
❑ I prefer to receive all correspondence via US Mail.
APPLICANT (if other than owner)
NAME: Benjamin Paulus
COMPANY (if applicable):Madrona Place LLC
ADDRESS:18300 Redmond Way, Suite 140
CITY: Redmond
STATE:
IWA
ZIP:
198052
PHONE NUMBER: (425) 629-3854
EMAIL ADDRESS*:admin@bluefern.com
❑ I prefer to receive all correspondence via US Mail.
CONTACT PERSON
NAME: Holli Heavrin
COMPANY (if applicable),
COre Design, Inc.
ADDRESS:12100 NE 195th Street, Suite 300
CITY_ Bothell
STATE:
WA
ZIP:
98011
PHONE NUMBER (425) 885-7877
EMAIL ADDRESS•:HHH @coredesigninc.com
❑ I prefer to receive all correspondence via US Mail.
PROJECT INFORMATION
PROJECT OR DEVELOPMENT NAME:
Towns on 12th
PROJECT/ADDRESS(S)/LOCATION AND ZIP CODE:
NE 12th Street, Renton, WA 98056
KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S):
042305-9063, 042305-9099, 042305-9067,
042305-9140, 042305-9101, 042305-9247 and
042305-9100
EXISTING LAND USE(S):
Vacant
PROPOSED LAND USE(S):
Residential
EXISTING COMPREHENSIVE PLAN MAP DESIGNATION:
PROPOSED COMPREHENSIVE PLAN MAP
DESIGNATION (if applicable)
EXISTING ZONING:
RM-F, R-10
PROPOSED ZONING (if applicable):
RM-F, R-10
SITE AREA (in square feet):
285204
SQUARE FOOTAGE OF PRIVATE ACCESS EASEMENTS:
0
SQUARE FOOTAGE OF PUBLIC ROADWAYS TO BE
DEDICATED: 75,695
PROPOSED RESIDENTIAL DENSITY IN UNITS PER NET
ACRE (if applicable) Varies - split zoning
NUMBER OF PROPOSED LOTS (if applicable)
92
NUMBER OF NEW DWELLING UNITS (if applicable):
92
NUMBER OF EXISTING DWELLING UNITS (if applicable):
N/A
PROJECT VALUE:
*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):+/- 77,000 SF
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
sq. ft.
LEGAL DESCRIPTION OF PROPERTY
Attach legal description on separate sheet with the following information included
SITUATE IN THE SE QUARTER OF SECTION 4 TOWNSHIP 23 N, RANGE 5 ,W.M. IN THE CITY
OF RENTON, KING COUNTY, WASHINGTON _
AFFIDAVIT OF OWNERSHIP
I, (Print Name/s) ftA001A C.IAOI JQ t A , declare under penalty of perjury and Pthe laws of the State of Washington that I
am (please check one) ❑ the cure t owner of the property involved in this application or [athe 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.
�'jz(,Oz2
Signature of Owner/Repr en tive Date
STATE OF WASHINGTON )
) SS
COUNTY OF KING 1
Signature of Owner/Representative Date
I certify that I know or have satisfactory evidence that � LZ)( 61I(,L100WL signed this instrument and
acknowledge it to be his/her/their free and voluntary act for the uses and i3drpose mentioned in the instrument.
Dated
�-,;26 -000�a
MICHELLE K BRANLCY
Notary Public
State of Washington
Commission # 176727
My Comm. Expires Feb 10, 2023
ME//
Notary Public in and for the State of Washington
Notary (Print):
My appointment expires:r