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1998, 12-01 Permit App: 98012121 Off Premise Signr: 98012121 hi4 1 Project Number Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 12/1/98 Page 1 of 2 Proiect Information: Permit Use: OFF PREMISE SIGN Setbacks: Front 43 Left: Site Information: Plat Key: 000000 Name: UNKNOWN Right: Rear: Contact: SUNSET OUTDOOR ADVERT Address: P.O. BOX 18842 C - S - Z SPOKANE WA 99228 Phone: (509) 327-0103 District: F Parcel Number: 45154.2613 SiteAddress: 7 N MCCABE RD Spokane, WA USA 99216 Location:: SPO Zoning: B-3 Regional Business Water District: 999 UNKNOWN Area: 11,470 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: ... Owner: Name: BARBANTI, MARCO Address: 2027 W CARLISLE AVE SPOKANE, WA 99205-3709 Hold: 0 Depth: 0 Right Of Way (ft): 0 Department BUILDING Comments: BUILDING Comments: ENGINEER Comments: Revi w Plan Review Landuse Review Site Drainage Review WA ST DEPT OF TRA WA Dept of Trans Comments: t__Ct1vc.S S"' Comments: Permits: la fr.cL y S \wno. k 121 D SCA Review Project Number: 98012121 Inv: 1 Application Date: 12/1/98 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: D A CONSTRUCTION CO Address: 5864 CEDAR CANYON RD FRUITLAND WA 99125 Item Description STATE SURCHARGE SIGN ENVIRONMENTAL CHECKLIST COUNTY SURCHARGE Payment Summary: Operator: RMB Permit Type Sign Permit Notes: Sign Permit Firm: D A CONSTRUCTION Phone: (509) 000-0000 Units Unit Desc 1 Y OR BLANK 33600 1 1 Printed By: GMW SQFT X HGT Y OR BLANK Y OR BLANK Permit Total Fees: Fee Amount $4.50 $504.00 875.00 $110.88 $694.38 Print Date: 12/1/98 Fee Amount Invoice Amount Amount Paid Amount Owing $694.38 8694.38 $694.38 $694.38 $75.00 $619.38 875.00 $619.38 Project Number: 98012121 • Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit ••Date: 12/1/98 Page 1 of 2 Project Information: Permit Use: OFF PREMISE SIGN X50 {--t { (, t -t Setbacks: Front 43 Left: Right: Rear: Site Information: Plat Key: 000000 Name: UNKNOWN Contact: SUNSET OUTDOOR ADVERT Address: P.O. BOX 18842 C - S - Z SPOKANE WA 99228 Phone: (509) 327-0103 District: F Parcel Number: 45154.2613 SiteAddress: 7 N MCCABE RD Owner: Name: BARBANTI, MARCO Spokane, WA USA 99216 Address: 2027 W CARLISLE AVE Location:: SPO SPOKANE, WA 99205-3709 Zoning: B-3 Regional Business Water District: 999 UNKNOWN Area: 11,470 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information: Hold: 0 Depth: 0 Right Of Way (ft): 0 Department Review BUILDING Plan Review Comments: BUILDING Comments: Landuse Review ENGINEER Site Drainage Review Comments: WA ST DEPT OF TRA WA Dept of Trans Comments: S Comments: Permits: 0--/t-e-- S€APA Review c t A 61-500/ 1;404 1- °— Utkri �b 1 ? K n R, 0 Z Ti. r t IPr c rt rN i 6 S \I s ac FENt4 L i7Jt, V' C G m _ -1 5 S McCe-bL Dec -22-98 11:37A Gifford Consultants • 5095342925 SPECIAL INSPECTOR AND TESTING LAB EMPLOYMENT ACKNOWLEDGEMENT FORM P.04 Please complete one form for each INDIVIDUAL performing Special Inspection or Testing work on each project. Date 12/22/98 Project Address N 7 McCabe Project Name Sunset Outdoor Signs Project No. Inspection or Lab Firm Name Gifford Consultants, Inc. Address P# 98012121 2020 E. Springfield Ave., Spokane, Washington 99202 Phone (509) 534-3670; FAX (509) 534-2925 Name of Individual performing work ICBO Number 66513 Timothy D. Barber 1 Non -Certified Trainee Supervisor (if Trainee) 1CBONo (must be Certified Special Inspector) STATEMENT OF UNDERSTANDING Timothy D. Barber employed by Gifford Consultants, Inc. , hereby affirm that [have been for a duration of as needed (hours, days, weeks) to provide special inspections under Section 306 of the Uniform Building Code of: Structural Steel and Welding; High Strength Bolting as it relates to the above stated project and that f am aware that as special inspector, my duties and responsibilities include: 1) Observation of the work assigned for conformance with the approved design drawings and specifications, 2) Furnishing inspection reports to the budding official, and the engineer or architect of record, in addition to other designated persons. All discrepancies shall be brought to the immediate attention of the contractor for correction, then, if uncorrected, to the proper design authority and to the building official, and 3) Submitting a final signed report stating whether the work requiring special inspection was, to the best of my knowledge, in conformance with the approved plans and specifications and the applicable workmanship provisions of the Uniform Building Code. 1 also agree to immediately notify the building official if my employment as it relates to this project is modified in any way or terminated prior to submittal of my final report. Individual's Signature Supervising Special Inspector's Signature (required if indivual is a Trainee) • • DETERMINATION OF NONSIGNIFICANCE - "DNS" SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING RESPONSIBLE OFFICIAL, JAMES L. MANSON, DIRECTOR WAC 197-11-970 and Section 11.10.230(3) SPOKANE ENVIRONMENTAL ORDINANCE FILE NUMBER(S): 98012121 DESCRIPTION OF PROPOSAL: Off Premise Sign APPLICANT/OWNER: Sunset Outdoor Advertising (509) 327-0103 LOCATION OF PROPOSAL: 7 North McCabe Road. Section 15, Township 25, Range 44. LEAD AGENCY: SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING DETERMINATION: Review of existing development regulations, proposed zoning, and typical recommended conditions and or mitigating measures indicate likely that the State Environmental Policy Act Determination will be a Determination of Nonsignificance (DNS). A final determination will be made on Vz Z$ 4$ , after review of a completed environmental checklist and other information on file with the lead agency. This information will available to the public on request. A DNS is issued under WAC 197-11-340(2). There is no comment period for this DNS. #################################################################################### By: Jeffrey E. Forry Title: Senior Building Technician Phone: (509) 477-3675 Address: Spokane County Division of Building and Planning West 1026 Broadway Spokane, WA 99260-0050 DATE ISSUED: '2L ze 1 , 1995 SIGNATURE: WO ####################################################################################### APPEAL OF THIS DETERMINATION, after it becomes final, may be made to the SPOKANE COUNTY DIVISION OF BUILDING AND PLANNING, (MS -P), 1st Floor, West 1026 Broadway, Spokane, WA 99260. The appeal deadline is ten (10) calendar days after the signing of the decision to approve or disapprove the project. This appeal must be written and the appellant should be prepared to make specific factual objections. Contact the Division of Building and Planning to assist you with the specifics fpr a SEPA appeal. ####################################################################################### NOTICE OF APPLICATION PURSUANT TO IMPLEMENTATION OF ESHB 1724 BOARD OF COUNTY COMMISSIONERS RESOLUTION #96-0293 The Spokane County Division of Building and Planning (Review Authority) is providing a Notice of Application to provide the opportunity to provide comment on the below described proposal. You have 14 calendar days from the date issued to provide written comments to the review authority. The file may be examined between 8 a.m. and 4 p.m. Monday through Friday (except holidays) in the Planning Division of the Public Works Building, 1026 West Broadway, Spokane, Washington. If you have questions, you may call the assigned planner at the phone number listed at the bottom of the page. FILE NUMBER: 98012121 TYPE OF APPLICATION: Type II OWNER: Marco Barbanti 2027 West Carlisle Avenue Spokane WA 99205 CONTACT PERSON: Sunset Outdoor Advertising (509) 327-0103 DATE OF APPLICATION: December 1, 1998 DATE OF DETERMINATION OF COMPLETENESS: December 1, 1998 PROPOSED PROJECT: Off Premise Sign PROJECT SITE: 7 North McCabe Road. Section 15, Township 25, Range 44. EXISTING ZONING: Regional Business (B-3) OTHER PERMITS: Not applicable. FURTHER STUDIES REQUESTED: Not applicable. ENVIRONMENTAL DOCUMENTS: Review of existing development regulations, proposed zoning, and typical recommended conditions and or mitigating measures indicate likely State Environmental Policy Act Determination will be a Determination of Nonsignificance. WRITTEN COMMENTS: Written comments may be submitted regarding the proposal and the environmental review process. All comments received within 14 calendar days of the date issued below will be considered by the review authority prior to making a decision on this application. DEVELOPMENT REGULATIONS: Spokane County Zoning Code, Spokane County Subdivision Ordinance, Spokane County Standards for Roads and Sewer Construction, Spokane County Guidelines for Stormwater Management and the regulations of the Spokane Regional Health District are the primary regulations applicable to site development. CONSISTENCY: In consideration of the above referenced development regulations and typical conditions and/or mitigating measures the proposal is found to be consistent with the "type of land use", "level of development", "infrastructure", and "character of development". ACTION: This is a Type II decision and is not subject to a future public hearing. REVIEW AUTHORITY: Jeffrey E. Forry, Senior Building Technician James L. Manson. Director Spokane County Division of Building and Planning 1026 West Broadway Spokane, WA 99260-0050 (509) 477-3675 Date Issued: 1Z\SICIt Signature: FILE NO.: 98012121 STATE OF WASHINGTON ) • 4 )ss: AFFIDAVIT OF POSTING AND INSTRUCTIONS COUNTY OF SPOKANE ) On the Ct day of Qe L, r 1998, I, To cif , personally assumed the responsibility to ensure that the public notice sign was posted as per instructions and in accordance with the Spokane Environmental Ordinance at the following location(s) in Spokane County: Please note location: (1 1 W1cS9c1z16 Posting of Public Notice signs for Environmental Review/SEPA must be on or in the immediate vicinity of the property in such a manner so that it is visible from a public right-of-way and that no information on the sign is obscured from public view by vegetation, and/or structures. The sign shall be perpendicular to the right of way. In no case will the sign be attached to a utility pole. 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'1148.0 95.1 142.8 36 0.406 35 i99.5 7191 25.2 .1115.8'' 14.0 -1239.7 UNLTD 154.5 36 0.438 35 429.8 7737 .25.2. 1200.5 14.0 '•1333.9 UNLTD 166.5 36 0.469 35 459.0 8263.-25.2 1282.1 14.0'..,1424.6 UNLTD 178.2 36 0.500 35 488.1 .8786 25.2 .1363.3..14.0 • 1514.8 • UNLTD 189.8 36 0.562 35 545.8 9825 '25.2 1524.4 144. .1693.0 UNLTD 212.9 1 36 0.625 35 603.8 10868.25.2. 1686.4 14.0• •1873.8 UNLTD 236.4. 1 36 0.656 35 632.1 11370. 25.2 .1765.5 .14.8 1961.6 UNLTD 247.9 1 36 0.688 35 661.2 11901 25.2 1846.6 14.0 2051.8 UNLTD 259.8 36 0.750 35 717.0 12906 25.2 2002.6.'14.0 ''2225.1 .UNLTD 282.7 36 0.875 35 827.8 14900 '25.2 '2312.0 14.0,• 2568.9 •6ILTD 328.6 36 1.000 35 936.2 16851 25.2. 2614.7 '1.4.0'. 2905.2 UNLTD •374.2 36 Geode Engineers RECEIVED SPOKANE COUNTY MAY 12 1999 7417-001-00-0300 DIVISION OF t3UOLDING AND PLANNING May 11, 1999 Sunset Outdoor, Inc. P.O. Box 18842 Spokane, WA 99208 Attn: Mr. Tom Townsend FINAL REPORT - SPECIAL INSPECTION OF OUTDOOR ADVERTISING SIGN STRUCTURE WASHINGTON. SPOKANE COUNTY PROJECT NO. 98-012121 Consulting Engineers and Geoscientists Offices in Washington, Oregon. and Alaska 1 1 - :. LTING FOR AT N. 7 McCABE ST., . POKANE, This letter summarizes Special Inspections, field tests and observations we performed for the advertising sign structure located at N. 7 McCabe St., Spokane, Washington. Our inspections were performed in accordance with Section 1701 of the 1997 Uniform Building Code. We visited to the site on April 7 and 8, 1999, to inspect installation of high strength ASTM A325 bolts for the structural frame -to -column torsion connection. The 14' x 48' sign structure is double - sided, with a center -mounted 40" diameter column. Twelve 3/4" galvanized ASTM A325 bolts were installed and tightened by the Turn -Of -Nut method. The inspection work was performed by an ICBG (International Conference of Building Officials) and WABO (Washington Association of Building Officials) Certified Special Inspector. In our judgement and to the best of our knowledge, the work we observed was performed in a generally acceptable manner and in general compliance with the approved plans, project specifications, and applicable workmanship provisions of the Uniform Building Code. GeoEngineers - Gifford East 2020 Springfield Spokane, AA'A 99202 Telephone (509) 534-3670 Fax (509) 534-2925 Printed on recycled paper. Sunset Outdoor West, Inc. 7417-001-00-0300 May 11, 1999 Page 2 This letter finalizes our involvement with the project. We appreciate the opportunity to be of service to you. If you have any questions about this letter, please let us know. Sincerely, GeoEngineers - Gifford Timothy D. Barber, ICBO, WABO Field Inspection Supervisor cc: Spokane County Building Department Allen B. Gifford, P.E. Principal IENVIRDIAMENIf 0 1ST CEIECKILJOT RECEIVED SPOKANE COUNTY DEC 0 1 1998 DIVISION OF BUILDING AND PLANNING BY: SPOKANE ENVIRONMENTAL ORDINANCE SECTION 11.10.230 [1] DOC. 12C A' m c C;c bt, • (VAC 157-11-960) Section 11.10.230(1) Purpose of Checklist: • SPOKANE ENVIRONMENTAL ORDINANCE . Environmental Checklist File Ho. The State Environmental Policy Act (SEPA) chapter 43.21C RCV, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An Environmental Impact Statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, (f It can be done) and to help the agency decide whether an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurate:J. :,,d ::,:,folly, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write 'do not know' or 'does not apply.' Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even If you plan to do than over a period of time or on different parcels of land. Attach any additional information that will describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: complete this checklist for nonproject proposals, even though questions may be answered 'does not apply'. IN ADDITION, co.nplete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS(Part D). For nonproject actions, the references In the checklist to the words 'project,' 'applicant," and 'property or site' should be read as 'proposal," proposer,' and affected geographic area,' respectively. A. BACKGROUND I. 'lane ofproposedproject, if applicable: R""2 2. Name of Applicant: Swv 5(/t (�vi-( TAr 3. Address and phone number of applicant or contact person: at4,72A5 Svc - 327- of o 1�r� 1-,s, cl ✓`Ic,x/1., r 1 sc8'iL 4. Date checklist prepared: « - S. Agency requesting checklist: SQL_e Cirv,-- 6. Proposed timing or schedule (including phasing, if applicable): u ; h yet .' 4- to vw, , 1'h 7. a. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? if yes, explain. v b. Do you own or have options on land nearby or adjacent to this proposal? If yes, explain. V\ .) 8. List any environmental information you know about that has been prepared, or x111 be prepared, directly related to this proposal. Rev.2/1/88 1 (WAC 197-1,1-960) Section 11.10.230(1) L. EAC:CCROORO (continued) • SPOKANE ENVIRONMENTAL ORDINANCE • 9. Do you know whether appllcatlone are pending for governmental approvals of other proposals directly affecting the property covered by your proposal! If yes, explain. 10. List any government approvals or permits that will be needed for your proposal, 1f known. 11. Give a brief, complete deacriptlon of your proposal, including the proposed uses and the size of the project and site. :here are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. 1\-1' 11 kn, fix c -t v,o c l o,.. s C o y,. -A _, , i 1z c," c � r c.1212 12. location of the proposal. Give sufficient information for • person to understand the precise location of your proposed project, including a street address, if any, and section, tovoahip and range, if known. If ■ proposal would occur over a range.of area, provide the range or boundaries of the site(.). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plana requited by the agency, you are not required to duplicate maps or detailed plans submitted with any permit application related to this checklist. N `7 vh L C r 4ie — rx > vs -k t.C.:C $ ,rap %l P .a ...q4 13. Does the proposed action lie within the Aquifer Sensitive Area ASA City of Spokane? (See: Spokane Count q (ASA)? General Sever Service Area? The Priority Sever Service Area? The y'• ASA Overlay Zone Atlas for boundarier). O SE COMPLETED ET APPLICANT E. EAVIROicire iL U2 OENTS 1. EAR:71 a. General description of the site (circle one other: rolling, hilly, steep slopes, mountainous, b. What is the steepest slope on the site (approximate percent slope). c. what general types of soils are found on the site (for example, clay, sand, gravel, peat, suck)? If you know the classification of agricultural soils, specify them and note any prime farmland. So nrA d. Are there surface indications or history of unstable soils in the immediate vicinity? describe. y If so, 2 Evaluation For Agency Use Only DOC. 12C • (WAC 197-11-960) Section 11.10.230(1) 8. ENVIRONMENTAL ELEMENTS(continued) SPOKANE ENVIRONMENTAL ORDINANCE e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. VAJ 9. About what percent of the site w111 be covered with impervious surfaces after project construc- tion (for example, asphalt or buildings)? '1? n c7(i r :-- 1 J T— S i r i, Ai Fvr ro.t...,�a h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 2. AIR a. What type of emissions to the air would result from the proposal (i.e., dust, automobile, odors industrial, wood spoke) during construction and when the project is completed? If any, generally describe and give approximate quantltes if known. b. Are there any off-site sources of emissions or odor that may affect your proposal? If so, generally describe. 0110 c. Proposed measures to reduce or control emissions or other impacts to air, If any: 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site including year- round and seasonal streams, saltwater, lakes. ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. (2) Will the project require any work over, 1n, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. Evaluation For Agency Use Only (WAC 197-11-960) Section 11.10.230(1) 1. ENVIROMSNIAL ELEMEN:5 (continued) • SPOKANE tNVIR0NHE1rUAL ORDINANCE • (3) Estimate the amount of fill and dredge material that would be placed in or removed from the surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. 01 " (4) Will the proposal require surface water withdrawals or diversions? Give • general descrip- tion, purpose, and approximate quantities, if known. (5) Does the proposal lie within a 100 -year flood plain? If so, note location on'the site plan. (6) Does the proposal involve any discharges of waste materials to surface voters? If so, describe the type of waste and anticipated volume of discharge. b. Ground: (1) Will groundwater be withdrawn. or will water be discharged to groundwater? Give g a1 description, purpose, and approximate quantities. If known. II (2) Describe va■te material that will be discharged into the ground from septic tanks or sanitary va■te treatment facility. Describe the general site of the system, the numbei of ther horses to be served (if applicable) or the number the system(,) are expected of persons to iw (3) Describe any systems, other than those designed for the disposal of sanity installed for the purpose of discharging fluids below the ground leurface as those for the disposal of stow eater or drainage from floor drains). sanitary waste. system', the amount of anterial to be disposed of through the system and the types systema such ) Describe the type of likely to be disposed of (including materials which may enter the system spills or as a result of firefightingYpes of materials activities). Y inadvertently through IVk (4) Will any chemicals (especially organic solvents or petroleum fuels stored or underground storage ) be stored !o above- ground? t tanks? If so. what types and quantities of materials will be A 4 Evaluation For Agency Use Only DOC. 12C (VAC 197-11-960) Section 11.10.230(1) 3. ENVIRONMENTAL ELEHEtf:'S (continued) c. • SPOKANE ENVIRONMENTAL ORDINANCE • (5) What protective measures will be taken to insure that leaks or spills of any chemicals stored or used on site will not be allowed to percolate to groundwater (this includes measures to keep chemicals out of disposal systems described in 3b(2) and 3b(3)? Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal if any (include quantities, if known). Where will this water flow? Will this water flow into other eaters? If so, describe. (2) 3111 any chemicals be stored, handled or used on the site in a location where a spill or leak will drain to surface or groundwater or to a storm eater disposal system discharging to surface or groundwater? r (3) Could waste material• enter ground or surface ua term? If so, generally describe. d. Proposed measures to reduce or control surface, ground, and runoff water Impacts, if any (1f t the proposed action lies within the Aquifer Sensitive Area be especially clear on explanations r relating to facilities concerning Sections 3b(4), 3b(5), and 3c(2) of thta checklist): 4. PLANTS a. ':heck or circle type of vegetation found on the site: deciduous tree: alder, maple, aspen, other. evergreen tree: fir, cedar, pine, other. shrubs. grass. pasture. crop or grain. vet soil plants, cattail, buttercup, bullrush, skunk cabbage, other. water plants: water idly, eelgrass, m11fo11, other. other types of vegetation. b. What kind and amount of vegetation will be removed or altered? N k c. List threatened or endangered species known to be on or near the site. %� I►1 d. Proposed landscaping, use of native planta, or other measures to preserve or enhance vegetation on the site, 1f any: 5 Evaluation For Agency Use Only • • SPOKANE ENVIRONMENTAL ORDINANCE (WAC 197-11-960) Section 11.10.230(1) B. ENVIRONMENTAL ELEMENTS (continued) 5. ANIMALS a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: IN A In IIA fish: bass, salmon, trout, herring, shellfish, other: A IA other: b. List any threatened or endangered species known to be on or near the site. NI A c. is the site part of a migration route? If so, explain. NSA d. Proposed measures to preserve or enhance wildlife, if any: N I1� 5. ENERGY AND NATURAL RESOURCES a. What kinds of energy (electric, natural gas, wood stove, solar) will be used to meet the the completed project's energy needs? Describe whether it will be used for heating, manufac- turing, etc. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. c. What kinds of energy conservation features are included in the plans of this proposal? list other proposed measures to reduce or control energy impacts, if any: IA 7. ENVIRONMENTAL HEALTH a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so. describe. Al v (1) Describe special emergency services that might be required. 6 Evaluation For Agency Use Only DOC. 12C (WAG 197-11-960) Section 11.10.230(1) E. E`tVIR0* 1TrAL.,EI.EHENTS (continued) ENVIRONMEITAL HEALTH (continued) • SPOKANE ENVIRONMENTAL ORDINANCE • Evaluation Tor Agency Use Only. (2) Proposed measures to reduce or control -.7..ironmental health hazards, if any: AI V\ b. Noise: (1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, ocher? 61 A (2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. (3) Proposed measure to reduce or control noise impacts, if any: 8. LAID AND SHORELINE USE a. What is the current use of the site and adjacent properties? v to. 1R b. Has the site been used for agriculture? If so, describe. e. Describe any structures on the site. d. Will any structures be demolished? If so. which? T) VA e. What 1s the current zoning classification of the site? �- 3 f. What is the current coaprehenaive plan designation of the site? lN^ r�L ft�CX g. If applicable, what 1s the current shoreline master program designation of the site? 0 v h. Has any part of the site been classified as an -environmentally sensitive- areal If so. specify. 1. Approximately how many people would reside or work in the completed project? 7 (WAC 197-11-960) Section 11.10.230(1) E. EHVIROHKM TAL ELLKEHTS (continued) J. • SPOFANE LHVIHOU1tENIAL ORDIHAHCE Approximately how many people would the completed project displace? k. Proposed measures to avoid or reduce displacement impacts, if any: 0 1. Proposed measure• to ensure the proposal is compatible vith existing and projected land uses and plana, if any: ChY1ri TJX � S 6.11.-.6A cid 9. HOUSING a. Approximately how many units would be provided, if any? Indicate whether high-, middle-, low-income housing. J\I A b. Approximately how many units, if any, would be eliminated? Indicate whether high-. middle-, or low-income housing. �1 c. Proposed measures to reduce or control housing impacts, if any: 10. AESTIIETICS a. What is the tallest height of any proposed atructure(s), not including ,antennas? What is the principal exterior building material(s) proposed? 5-1) b. What views in the immediate vicinity would be altered or obstructed? c. Proposed measures to reduce or control aesthetic impacts, 1f any: 11. LIGHT AND CLARE :?hat type of light or glare vill the proposal produce? '?hat time of day would it mainly occur? 5LAr 4e11- 6 v—,cA,.ISt---1- b. Could light or glare from the finished project be a safety hazard or interfere with views? hJ c. What existing off-site sources of light or glare may affect your proposal? d. Proposed measures to reduce or control light and glare impacts, if any: my Evaluation For Agency Use Only r DOC. 12C /WAG 197111-960) Section 11.10.230(1) E. ENVIRONMENTAL ELEMENTS (continued) 1110 SPOKANE ENVIRONMENTAL ORDINANCE • 12. RECREATION a. What designated and informal recreational opportunities are in the immediate vicinity? b. Would the proposed project displace any existing recreational uses? If so, describe. c. Proposed measures to reduce or control impacts on recreation, including recreational opportuni- ties to be provided by the project or applicant, if any: in I 13. HISTORIC AND CULTURAL PRESERVATION a. Are there any places or objects listed on or proposed for national, state or local preserva- tion registers known to be on or next to the site? If so, generally describe. NIW b. Generally describe any landmarks or evidence of historic archaeological, scientific or cultural importance known to be on or next to the site. c. Proposed seizures to reduce or control impacts, if any: N1w 14. Tr,ANSPORTATION a. Identify public streets and highways serving the site and describe proposed access to the existing street system. Show -on site plana, if any. 5,0.r e s t 1A -vv Cc 64 51,"42.L.4 b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? IC) c. Row many parking spaces would the completed project have? How many would the project eliminate? d. Will t:: ;Tar':r1 require any new roads or streets, or improvements to existing roads or streets not including driveways? If so, generally describe (indicate whether public or private). e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. ht) 9 Evaluation For Agency Use Only • (WAC 197-11-960) Section 11.10.230(1) E. ENVIRONMEN_AL ELEMENTS (continued) SPOKANE ENVIRONMENTAL ORDINANCE Evaluation For Agency Dae Only 1. Row many vchicula. trip. per day would be generated by the completed project? If known, indicate when peak would occur. O g. Proposed'measure• to reduce or control transportation impacts, if any: 15. PUBLIC SERVICES a. Would the project result in an increased need for public serviced' (for example, fire protection, pollee prosection, health care, schools, other)? If so, generally describe. �o b. Proposed measures to reduce or control direct impacts on public service., if any: Al 16. UTILITIES a. Circle utilit • curre'tiy wa le at the site: service Bleph , anitar sew -ElectricjS�, natural gas, Y septic sy•tem,�a�2�ie r: b. Describe the utilities that are proposed for the project, the utility providing the service and the general construction activities on the site or in the immediate vicinity which might be needed. U \ \ Vit CJ... Q lR C {•� i Lt « � � ✓� c c 3 it2 � C. SIGNATURE I. the undersigned, swear under the penalty of perjury that the above responses are made truthfully and to the best of my knowledge. I also understand that, should there be any willful misrepresentation or willful lack of full disclosure on my part, the Agency,may ma withdraw any determination of nonaignifjcance that it might issue in reliance upon this checklist. Date: Proponent: Phone: l l -2-3- Proponent Signature) S ' 0 i 0 Person completing form: Phone: cc -j) CO v45 u f (L I c ra.A.0 , (Please Print or Type). Address: c7 (CJ( l 'T?( -4 ,..)LA- 19 vS Date: it Zt oV POR STAFF .USE ONLY Staff member(s) reviewing checklist: Based on this staff review of the environmental checklist and other pertinent information, the staff: A. Concludes that there are no probable significant adverse impacts and recommends a determination of nonsignificance. B. Concludes that probable significant adverse environmental impacts do exist for the current ro mloation of noo•ignificaace with conditions. p posal and recommends a sr1 r�.�r.d d.rer- C. Concludes that there are probable significant adverse eovironmeatal impacts and recommends a determination of significat DOC. recommends TILINC FTS - 175.00