1984, 04-02 Permit App: 84A-2815 Carport BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name E (last) {� (first) (m) Department Use Only
�e_k Ce_ ici ' 1 e.vl b-1 e 1- k 0 J 1,19s. Comm
2 Project Address(not Mailing Address)or Road Na a Space Zip
/ 7-ao8 . 3v-d. 99oi
3 City/Community State Subdivision/Plat Name
C r e ki,a fi v-c.5 I.(30.- . 14 'P V-41/4.4,,c 7 -t 1 '5.7
4 Assessor Parcel No. Lot Block
I�S5 2 ,�6-7 -7 I * * * DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act.# Zone Project No.
X 2 lJ it
6 Dwell# No.of Buildings Sq.Ft./Acre Depth Frontage r
X f -72-'7c 6 2.' 1 C) -..7,e)
}* 7 Set Bads-Front , (L)5-1 , (R)S-2 Rear , Census Tract Module No. Initials
/� 35 4 iz Co3
* 16 Architect Firm Name Street Address
Zip City State Phone
( )
Contact Person Phone If different than above -.F
( )
Contractor Firm Name Street Address
.r.
Zip City I State Phone
( )
Contact Person License No. Phone if different than above
( )
8 Owner/Agent(if different than#1 above) Business Address
9 Zip City State Phone
( )
12 Review Required Plan Check(Y/N) Other(Y/N) SEPA Exempt(Y/N) Date
\/C › vc� v
15 Type Work /Bldg 0 MH Ar New ❑ Replace ❑ Other
❑ Fire ❑ Demo C Add/Alter ❑ Move
14 Describe Work
F r C.C. .S4-47a.v,eij f,q aQ r _ POr±
10 Applicant Name Street Address
Lnre, -f-#a , Re-:6C'e,1ci.
1TA0 $ 1"
11 Zip City State Phone
9901 , G -ez 0..,. (so? ) 9aLi- 6375
* *
Lender Street Address
Zip City State Phone
( )
Contact Person Phone if different than above
( )
Additional Information
DEPARTMENT APPROVALS
This is nota Permit
Application Type
(Standard unless (Indicated approvals required in either"release"or"release with conditions"
otherwise indicated) space prior to permit issuance.)
❑ Fast Track
❑ Early Start Release
Release w/cond 1 Hold 2
vEnvironmental Health ❑ Commercial; ❑ Residential
,
W.1101 College ❑ )dew Construction; ❑ Bldg alteration/addition '
Room 200 6Y Additional structure;
APPLICATION# - / 30 5
dition•/Comments:- ow.] .42111AAP4LY - _ f=1"/Irir- S1., MiCianinntriPariT—
Planning/Zoning: ❑ Commercial; ❑ Cert.of Exemption; ❑ Frontage;
N.721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑ use/zone;
❑ CU,variance,zone change;shoreline; ❑ fence;
❑ Other
Conditions/Comments:
L] Engineers: ❑ Commercial; ❑ Residential; ❑ Flood Plain;
N.811 Jefferson ❑ drainage ❑ new access/approach; ❑ fence;
4, ❑ road improvements
Conditions/Comments:
❑ Utilities:
N.811 Jefferson
Conditions/Comments:
Other:
❑ Plan Exam
Fire Prey.
Conditions/Comments:
a
c
Project Representative Telephone
NAgencies Performing Special Inspection:
g 1.
O
U —R Z.
2
y o
_
3.
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
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.,_i (509)534 3934 =
�� ��; "-...."''''''':'•'-....--"1"""...--s"����'�" r, AUTHORIZED DEALER FOR _,
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' .Spokane' County Health' Dept. ' • --,1,5::-"-,1.,•,;,-.14.•_4.„-;
.. environmental Health Div. • ,
Attn. Mr. Dennis Kroll ,.
Dear_ Denni
s,
We respectfully request a waiver of that portion of the
County Health regulation which requires that a building be no closer
than ten feet to a drainfield lateral. This request is based upon t '
the attached plot plan and the following rationale:
1. The proposed building is a temporary structure for. the
'y
:
,, purpose of display `only. It will be non—occupied except when,;shown
ito prospective buyers. There will be no operational plumbing in— .
stalled.
2. ' The proposed building represents a temporary land •use ,
and will be constructed so that it can be moved. -.0
3. The construction will not require excavation that will
. disturb existing drainfield laterals. The foundation will be all— ...
weather wood (AWWF) placed on 6 inch by 12 inch footings on grade
on a gravel base.
1 • 4. The building will not be placed over a drain field lateral. `-
• . . The existing laterals total 175 feet. 14 feet of existing lateral will
be within a range of 5 to 10 feet of thestructure.
5. That portion: of the building within 10 feet of the lateral ;p
represents a garage ( ; display only ) with a crushed rock floor. '-..".-..-4c.':- .-,,.''
,, , ' ', 6. : The sewage/waste useage of: the:'existing system is. minimal
Ad compared to residential use. ,.There are sixxto seven :people' in-,the.A ,i ,{ + r
� { � , -;i
s wexistingbuilding during office hours only. w , � �r;� ; . _ .
':' We are looking. to meeting with you and resolving this issue r -'
without delay. - :.•....-!..'i.--,',1 ','`
. ..� • 'aJ , • Respectfully, ! ,, -' i,k ,
`' , 7 'i ,. ",::47".,.V4-•-•• •%,".•,,` ;`:-."
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NOTE: ..
APPROVED AS NOTED
Surface drainagz., will not be.permitted ..
to run off onto the road right of way, it Spok:ne County Engineer
must be disposed of in an adequate on Date 2_7 (7,849-
site dry Weil system. -,
'
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