2004, 05-05 Permit App: BLD-04-04281 Pole Building06/04/2004 15:31 5093241567
, MAY .06 2004 16:43 FR
43/05/2004 WED 12:J5 FAX
1
O ADDRESS
X CITY
1 JOB DE$C 10 _A,14 IIO
SRHD EHS PAGE 01/01
• TO 3241567
CITY OF SPOKANE VALLEY
11707 EAST SPRAGUE AVENUE
SPOKANE VALLEY, WA. 9.9208
(509) 921-1000
(509) 688-0037 FAX
UILPING PERMIT APPLICATI6N
PERMIT
OWNIR
11-WRMEOF
O ADDRESS 7810 raRKET STREET
X CITY SPOKAN. WA.17 CONTRA 0 LICENSE# QUA 813081C1'
* * * * *
* ** ,'
11111=11111=11111M.moolito
,.....66111111M1110111111•11.01111.
2 PHONE
08 488 -
EXPIRATION DATE
•
0
X
3
CONTACT PERSON OF PROJECT AY HARTLEY
PHONE* (509) 468-1606
.1.1101e
0
X WATER AVAILABILITY yes
17EF35OIVS TAX PARCEL NUM
O LEGAL DESCRIPTION
X
.f.....LOT NUMBER
R8U)LD,NG 8QUAR FOOTAGE
O 1ST FLOOR si
X GARAGE .0 4 lO
• CARPORT
1
0
X
7
(X) POLE BUILDING
TOTAL. AREA OF PROPERTY
ImPREVIOUS SPACE
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11m611101,
NECMARY, PL SE SU 1T A
ST' pRopOSEG)
TOTAL
EP
plommin**Pe
VW*
TE PAGE WI'T).1 TWE LEGAL DESCRIPTION.
11111110110111Minmair.........Er
0
X
cv=2
SQ. FT.
SQ. FT.
AIMINIMIIIII/4111111**
HEIGHT TO PEAK I 4
lipm••••••••1•11*
E FE
I, MURIEL L BROWN OF QUALITY STEEL BUILDINGS, INC. AUTHORIZES THE CCRSPOKA
CHARGTHIS P;RmIT E TO MY ORED1T CARD.
I
,P, IT :NATURZ
1" SEPTIC TANK - NOT GENERALLY ALLOWED IN THE CITY OF SPOKANEVAL LEY. FOR SPECIAL CIRCUM AWcEs
CONTACT YOUR SEWER PURVEYOR AND THE HEALTH DISTRICT, (SEE BbX
STREET USE MAY REQUIRE A 'STRUT USE PERMIT' FOR SCWEPL WATdR, sIDWALKi ANO CURB CUTS
CONTACT THE PUBIC WORKS DEPARTMENT.
I VERIFY UNDER THE PENALTY OF PERJURY THAT THE INFoRMAT1011 FURNISHED BY ME13 TRUE AND CORRECT
TO THE BEST OF MY KNOWLEDGE ANO FURTHER THAT 1 AM AUTHOOIZEO BY THE OWNER OF THE ABOVE
PREMISES TO tERFORM THE WORK FOR WHICH THE APPLICATION IS MADE.
OWNER FAENT
JUN 04 2004 16:31
DATE
5093241567 PAGE.01
05/05/2004 WED 12:35 FAX
ADDRESS
ZONE
ROAD WIDTH
FRONT -4C41- FI-AtaaNG
COMMENTS
REVIEWED El
Quality
STEEL BUILDINGS, INC.
N. 7810 Market Center Suite
Spokane, Wa. 99207
LIC# QUALISB081C7
SITE PLAN
Z002/002
(509) 468-1606 office
(509) 468-3720 fax
This site plan is being submitted for the purpose of
obtaining a building permit and is a true and eared
lepiesentation of the proposal. OM known property
-Ibues/thmensions, curb lima, struobarss and allellinents
ds.
10FROM SEPTIC/DRAINFIELD
SHOW STREETS/ALLEYS
SHOW SEPTIC/SEWER/DRAINFIELD
SHOW EXISTING BUILDINGS
SHOW SETBACKS-FRONT,REAR,SIDE
SHOW LOT SIZE
SIDE YARD 8. REAR YARD SET BACKS.
5' TO PROPERTY LINE UP TO 15' PEAK HIGH FOR
EVERY FOOT OVER 15' ADD 1' TO SET BACK,
MAY 05 2004 12:36
JOB NAME \
PHONE
NW&
ADDRESS 1 -kA
fi
ter- c-Acti,
PARCEL*. A6151, 0\ 0'4)-
PAGE.02
06/07/2004 MON 15:12 FAX
06/07/20E14 12:55 509132d15G7
SRHD EHS
On -Site Sewage Systems (C114.pter 246-272 WAC)
Request for Waiver From tate Regulations
Z002/002
PA(.5E 01/02
0"-ip_ow
O.J
SCCtion ,
'
COM ICIE y api _ 44
Niime: (
Address:
cSpoope_..
---
Telephon :
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Sipa
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Pe,i.
WA
1•
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Ave..
civqd-1 Le
,
„...._.. .... Local Health Department / District (2)
(see iris(nictici/ts)
- -
Spokane Regional Health Distric
E'invironmental Health Division
IlATI W.' CO11-e-geve-:; Suite 402
_..._ .... -.Spokane, WA -99201-2095
, . .. , . . •
Property ldenti mation:
tpaX 141l• DI 0 -
I
SectiOn II.
completer/ by opplicc-mt)
\VAC Nomber: (4)
i,4 6 -2 7 2 — cp Go
subsectio .ct i 1 1.
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Limit-le:1i ion (011i1igUrien7 nieCiSinVS.
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/SectionIII.
ii.:‘,.. Crite .1; (,q)
.
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. . „ ,-
Migror Mea,ures
1
C,7
'..--.41.,.•
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...
(in addition to those propc,sed). (9)
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.___.,...._........ ..
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/--- /),----
Type of Waivorl (1/) j CCass A ] Class 13 Class C — Request DOH review
before granting'? Yes No/K
Neighbor Notification:
Rcquired7 Yes
Rcquired7
(12)
eded, are agreements, easements, etc. properly
filcd.? Yes No
SCCri011 W.
(comp(eted by health office')
—
This Request For Waiver From State Regulations has been reviewed
Sewage Systems. The review criteria applied, and the tnitigation
o provide public 1 each protection at least equal to that provided by
1 Denied Approved ed —Subject to alt 1
Local Health °Meer (13) r .0'
according to the provisions of Chapter 246-272 WAC On -Site
measures proposed and/or tcquired, hrivc been evaluated for their ability
this chapter WAC_
ots, conditions and requirements noted in Sections 11 and 111.
,
Date:
..,--.