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HomeMy WebLinkAboutCUP 90-03Cx1; Costco Gas Station Addition; Conditional Use Permit (CUP)MCUP & CUP ANNUAL REVIEW SHEETFILE COPY
INSTRUCTIONS
1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETC).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE SENIOR PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE
(ADMIN WILL FILE).
PROJECT INFORMATION
CASE NAME: Costco Gas Station Addition
CASE NUMBER(S): CUP 90-03Cx1
APPROVING RESO NO(S). 6023
PLANNER COMPLETING REVIEW: Chris Sexton
PROJECT HISTORY
Does project have a code complaint history? D Yes ~No
If yes, check those that apply and explain below.
D Code Enforcement D Police D Fire Prevention
Comments (include corrective actions taken and date compliance obtained):
Q:'\CED'\PLANNING'\ADMIN'\ TEMPLATES'\MCUPANNUALREVIEWSHEET 03/13
REVIEW INFORMATION
Has the permit expired? 0 Yes ~No Permit expires: Permit should be su12erseded.
Date of review: 2-5-15
Name: Ion Ellingsen I:8J Applicant D Owner D Other
If other, state title:
*CURRENT APPLICANT INFORMATION:
Name: Barghausen Consulting Engineering Phone: 425-251-6222
Contact name (if different): Ion Ellingsen
Address: : 18215 72nd Ave South Kent WA 98032
Mailing (if different):
E-mail: jellingsen@barghausen.com (optional)
*CURRENT OWNER INFORMATION:
Name: Costco Phone: 425-427-7540
Contact name (if different): Kim Katz
Address: 999 Lake Drive, Issa(!uah W A 98027
Mailing (if different):
E-mail: kkatz@costco.com (optional)
Does project comply with conditions of resolution(s) and approved plans?
~Yes D No If no, list below the condition(s) and/ or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action( s) to be taken:
Permit should be SUJ2erseded as CUP 90-03(E} was aggroved for the addition of gasoline
dispensers.
Date planner completed follow-up review and r~1~r~1' pr\ ject compliance:
CJu;LJ x:k~ ,4'~\[ ~/\A-
Planner Signa'&tre !renitlr Planner
*Applicant and owner information must be updated for annual review to be complete.
Q:"\CED"\PLANNING"\ADMIN"\ TEMPLATES"\MCUPANNUALREVIEWSHEET 03/13
r=====-~M~C~U~P~&~C~U~P~A~N~N~U~A~L~R~E~V~I~EW~S~H~E~E~T ......... ~COPY
INSTRUCTIONS
1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETc.).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE SENIOR PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE
(ADMIN WILL FILE).
PROJECT INFORMATION
CASE NAME: Costco Gas Station Addition
CASE NUMBER(S): ""'C""'U"'-P-"-90"---"'03"-"C""x'-"-1 _______________ _
APPROVING RESO NO(S). "'60'-=-2"'-3-----'---------------
PLANNER COMPLETING REVIEW: ""C""'hr""i"-s ""Se"'"x'""to"'n"---------------
PROJECT HISTORY
Does project have a code complaint history?
If yes, check those that apply and explain below.
D Code Enforcement D Police
DYes
Comments (include corrective actions taken and date compliance obtained):
1:8:] No
D Fire Prevention
Q:'-CED'-PLANNING'-ADMIN'-TEMPLATES'-MCUPANNUALREVIEWSHEET 03/13
REVIEW INFORMATION
Has the permit expired? DYes ~No Permit expires: no ex12iration date
Date of review: 2/20/14
Name: jon Ellingsen ~ Applicant D Owner D Other
If other, state title:
*CURRENT APPLICANT INFORMATION:
Name: Barghausen Consulting Engineering Phone: 425-251-6222
Contact name (if different): jon Ellingsen
Address: 18215 72ndAveSouth KentWA98032
Mailing (if different):
E-mail: jel!ingsen@barghausen.com (optional)
*CURRENT OWNER INFORMATION:
Name: Costco Phone: 425-427-7540
Contact name (if different): Kim Katz
Address: 999 Lake Drive, lssaguah W A 98027
Mailing (if different):
E-mail: kkatz@costco.com (optional)
Does project comply with conditions of resolution(s) and approved plans?
~Yes D No If no, list below the condition(s) and/ or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action( s) to be taken:
Date planner completed follow-up review and c~ed project compliance:
Cttw .&xt--~ ~
Planner Signature e ·or Planner
*Applicant and owner information must be updated for annual review to be complete.
Q:'-CED'-PLANNING'-ADMIN'-TEM PLA TES'-M CU PANNUALREVIEWSHEET 03/13
MCUP & CUP ANNUAL REVIEW SHEET FILE COPY
INSTRUCTIONS
1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETC).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE SENIOR PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE
(ADMIN WILL FILE).
PROJECT INFORMATION
CASE NAME: Costco Gas Station Addition
CASE NUMBER(S): _,C""U-"-P--"-9-"-0--"'03"-'C""'x'-"'1-----------------,
APPROVING RESO NO(S). ""'60=2=3 ________________ _
PLANNER COMPLETING REVIEW: .::C~hr"'-'i"'-s "'Se""x"'t~on,_,_ ___________ _
PROJECT HISTORY
Does project have a code complaint history?
If yes, check those that apply and explain below.
D Code Enforcement D Police
DYes
Comments (include corrective actions taken and date compliance obtained):
[gj No
D Fire Prevention
Q:\. CED\.PLANNING\.AD MIN\. TEM PLA TES\.MCUPANNUALREVIEWSHEET 03/13
REVIEW INFORMATION
Has the permit expired? DYes ~No Permit expires: no ex12iration date
Date of review: 4/16/13
Name: Ion Ellingsen ~ Applicant D Owner D Other
If other, state title:
*CURRENT APPLICANT INFORMATION:
Name: Barghausen Consulting Engineering Phone: 425-251-6222
Contact name (if different): Ion Ellingsen
Address: 18215 72nct Ave South Kent WA 98032
Mailing (if different):
E-mail: jellingsen@barghausen.com (optional)
*CURRENT OWNER INFORMATION:
Name: Costco Phone: 425-427-7540
Contact name (if different): Kim Katz
Address: 999 Lake Drive, lssaguah W A 98027
Mailing (if different):
E-mail: kkatz@costco.com (optional)
Does project comply with conditions of resolution(s) and approved plans?
[g] Yes 0 No If no, list below the condition(s) and/ or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action( s) to be taken:
I
Date planner completed follow-up review and confirmed project compliance: CS.:tL~./'~v~~&iAA>-
Planner Signature Semor Planner
*Applicant and owner information must be updated for annual review to be complete.
Q:\.CED\.PLANNING\.ADM IN\. TEMP LA TES\.M CU PANNUALREVIEWSHEET 03/13
MCUP & CUP ANNUAL REVIEW SHEET FILE COPY
INSTRUCTIONS
1. COMPLETE PROJECT INFORMATION BELOW AND PRINT COPY.
2. DOWNLOAD (DMS) RESOLUTIONS AND REVIEW ALL CONDITIONS AND
APPROVED PLANS (COORDINATE WITH OTHER DEPARTMENTS).
3. REVIEW CODE COMPLAINT HISTORY (CODE ENFORCEMENT, POLICE,
FIRE, ETC.).
4. CONTACT APPLICANT (OR OWNER) AND SCHEDULE AN APPOINTMENT
FOR THE REVIEW.
5. COMPLETE REVIEW INFORMATION SECTION DURING REVIEW.
6. HAVE PRINCIPAL PLANNER REVIEW AND SIGN.
7. PLACE COMPLETED REVIEW SHEET IN ADMIN IN-BOX FOR PROJECT FILE
(ADMIN WILL FILE).
PROJECT INFORMATION
CASE NAME: Costco Gas Station Addition
CASE NUMBER(S): ""'C""U"'-P-"-9-"-0--"'03"'-'C""x"""l _______________ _
APPROVING RESO NO(S). ~60!.=2"-3 --------------,----
PLANNER COMPLETING REVIEW: ""'C""hr"-'i"-s ""Se""x'-"to"'n"--------------
PROJECT HISTORY
Does project have a code complaint history?
If yes, check those that apply and explain below.
D Code Enforcement D Police
DYes
Comments (include corrective actions taken and date compliance obtained):
[g) No
D Fire Prevention
Q:'-CED'-PLANNING'-ADMIN'-TEMPLATES'-MCUPANNUALREVIEWSHEET 02/11
REVIEW INFORMATION
Has the permit expired? D Yes ~No Permit expires: no ex12iration date
Date of review: 2/6/12
Name: Ion Ellingsen ~ Applicant D Owner D Other
If other, state title:
*CURRENT APPLICANT INFORMATION:
Name: Barghausen Consulting Engineering Phone: 425-251-6222
Contact name (if different): Ion Ellingsen
Address: 18215 72nd Ave South Kent W A 98032
Mailing (if different):
Ecmail: jellingsen@barghausen.com (optional)
*CURRENT OWNER INFORMATION:
Name: Costco Phone: 425-427-7540
Contact name (if different): Kim Katz
Address: 999 Lake Drive, Issaguah W A 98027
Mailing (if different):
E-mail: kkatz@costco.com (optional)
Does project comply with conditions of resolution(s) and approved plans?
cgJ Yes D No If no, list below the condition(s) and/ or plan aspects the project is
not in compliance with per resolution number or exhibit.
Corrective action(s) to be taken:
Date P.lanner completed follow-up review and conflmed p!Ji,ect clmpliance:
(})UW ~frY\_ (!. &1.4 G A>
Planner Signature Principal Planner Signature
*Applicant and owner information must be updated for annual review to be complete.
Q:'.CED'.PLANNING'.ADMIN'. TEMPLATES'.MCUPANNUALREVIEWSHEET 02/11