EUCLID E 15616 OPEN STORAGE WHSE & LUMBER STORAGE
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BUILDtNG RERMIT APPLICATION VIIORtCSHEET
PLEaASE PRINfiAND ~OMPLETE ONLY THOSE PARI'S OFTHE FORM YOD UNDERSTAh1D
~{Ptease return this ortplnal and your bulldlng plans to the f)epartment o# Bullding and Safety)
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, DEPARTMENT ARPRO4rALS
This is nat a Permit Y
Appticalton Type
~(Standard unfess (IrtdEcated apprQva[s reqUlred fn pither *release" ar 'release wlth conditions"
~ othervs+(se lndfcateci) Wee prior to parmft tssuanae.)
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Fast Track
~ EarI y Start Releaaa
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Envtronmentaf Hoatfh I / Commerclal; D Residentlal
W. 1101 Coftega -r New Canslructlon; ❑ Bidg elterationladdltlon a
R~m 200 r? Addlttonal airucture;
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APPL AY1QlV ~f
9 t,2:4
Conditlnnsl'Comments:
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PlanninglZonfnq: ~ Commercial; 0 Cert_ af Exemption; Q Frontage;
M. 721 Jefferson C] Setbacks; 0 lat wtd, a tot size; auBeizone; ~
UCU. variance. aone change; $horeNne; C] ferece;
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Gortdi#ioRSlComrnenls: Pe4 a~ ~
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Engtnears. . I/ Commerclaf; C_' Residentlat, D Fload Plaln;
N. 811 Jeffersorr 0 drairtage 0 new ar.cesslapproacit; ❑#ence,
C raad Fmprovements
G*ndltlonsl+Comments;
Q utitielea:
M. 611 Jetferson
Candltiona! CornmenEs:
~ Q#her: ❑ Plen Exam
Fire Prov.
CvndlHonsf Comments:
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~ Agencles Performir~g Speciai Inspectian:
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1Indtcate adave 4r ettach condltlons reistlvs to 11na1 sa bullt approvel
2 Indkete above Qr akttach reesona far hofd
- OFFICE OF COUNTY ENGINEER
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SPOKANE COUNTY, WASHINGTON t
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OFFICE OF COUNTY ENGINEER
SPOKANE COUNTY, WASHINGTON ;
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RFEFIVFD p 1 a n#: 2 514
OCT021984 • THRESHOLd DETERMI NATION
SpOKANE OOUN"iY Elip~~~~~SEU/FINAL oECLARaTiuN OF ` SiGNiFiCANCE/NUNSiGNiFiCANCE
1. Proponet: Spokane Industrial Pdrk
Contact Persan: Phone: 924-1720
2. Cdunty's Action keyuested: Building.permit/Land use permit
PUrsUdnL tv WAC 197-10-203, the Spokane County Department of Bui lding and
Safety, a division of Spokane County, has determined that the county, as an
ACTING AGENCY, is the LEAD AGENCY for the following project:
New 200' x 200' 1-story office building; concrete tilt-up wall
system with metal roof; 40,00 sq. ft.
This proposal has been determined to n o t have a siginificant adverse impact
on the environment. An EIS is sn o t required under RCW 43.21C.030 (2)(c).
This decision is made after review by the county of a completed environmental
cnecklist and other information on file with the lead agency.
~~*****~***~*~*****~**~*****t*t****************~***~****~~**************~~***~
lf y ou wish to exercise y our option to review and comment as provide in WAC
197-10-203(3)/197-10-340, please respond, if aPpropriate, at y our earliest
opportunity, noting particularly the due date for written comments.
nue Oate fior Wri tten Comments : Octo be r 15, 1984
Proposed Ueclaration of Nonsigni ficance Issued: September 28, 1984
***~**********~*~**************************t*********~*********f******~*******
Contact: Spokane County Department of Building and Safety
North 811 Jefferson Street
Spokane, WA 99260 (509) 456-3675
Attention Kenneth E. Jeffrey
PKUPUSED DECLARATIUN FINAL DECLARATION
Narne: rMA~~ftu%4AN Name: James L. Manson
Siynature: A Siynature:
Titie: ADector ~ Title: Director
UeNartment: Building and Safety Department: Buildiny and Safety
Date: Seotember 28, 1984 Date:
MAILING LIST
Tls: Washington State
Department of Social and Health Services
Spokane County
Air Pollution Control Authority
Spokane County Engineer's Office
Spokane County Health District
Spokane County Chief Civil Deputy
Spokane County Utility Department
Spokane County P1anning Department
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' ENVIRONMENTAL CHECKLIST
~.w FILE l:
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• SEC/TWN/RNG: 02 5
Tntroduction: The State Environmental Po11cy Act of 1971, Chapter 43.21C, RCW. requtres atl state and local
governmental agencies to consider envtronmentaT values both far their awm actions and when litensing private
propoSalS. The Act also requlres that an Envlronmental Irtrpact Statement be prepared for all major actions
significantly (and "adversely". as per WAC 197-10) affecting the quality of the physltal envlronment. The
purpose of this checkltst is to help the agencies involved determine whether or not a proposal ts such a
major attion.
Please answer the foltowlnq questions as completely as you can wlth the lntonnation presentty available to
you. Please answer questions as "yes" or "maybe" if. in your oplnlon, even only slight impacts r+ill result.
The reviewers of the thecklist w111 De aware of and concern themselves with the de re~e of impact, asking you
for more lnfor,nation, 1f necessary. Where explanations of your answers are requirec, or where you belleve
an explanation would be helpful to government declslon-makers, include yovr explanation tn the space provided,
or use additiona1 paqes, if necessary. You should include references to any reports or studles of which you
are aware and whict► are relevant to the answers you provide. Complete answers to these questions now will
help a11 agencies involved with your proposal to undertake the requlred envtronmental revtew without unnec-
essary delay.
The followtng questlons apply to your total proposal, not just to the 1lcense tor which you are currently
applying or the prapesal for which approval 1s sought. Your answers should lnclude Lhe impacts which w111 be
caused by your proposal when it 1s completed, even though completion may not occur until sometime in the
future. This wi11 allow ali of the a9encies whith will be involved to camplete their envtronmental review
new,Vwlthout dupllcating paperwork 1n the future.
No applfcatlon shall be processed unt11 the checkllst has been completed and returned tv the apprapriate
County departlnent. State law reauires ex Ql,anatlos~s for eve " es" and "mae" answer on the chetkllst.
The person completing the form may be required to provide explanation for no answers, and-In same cases,
more detailed info nnatian to aid 1n a threshold determinatlon.
NOTE: This is a standard form being used by all state and lotal agenties in the State of washington for
varlous types of proposals. Many of the questions may not apply to your prcpasai. If a questian
does not apply, just answer it "no" and contlnue on to the next questlon.
ENYIRONMENtaL CNECKLIST FORM
1. BACKGROUND
l. Name af Propvnent: ~Jrbw_AINXIC ~ N D• Phone Number: 9 zf A 'r7 Z e-:>
2. address of Froponent: IJ .~f~n8 ~+LL-I vA..-4 'EVI .
3. Oate Checkll st Submi tted:
4. Agency Requirln9 Checklist: 4~f~ 90%C-o-4V, 4~~vLAP4c'-{ P*~vr. VVV4k-TN
5. Name of Proposal, tf applicable: :ET W-Qt4 .
6. Nature and Brief Qescription of the Proposal (includin9 but not 1lmited to Its size, general deslgn
eleTents, and other facto n that will give an accurate understanding of its scope and nature):
qfc W 20O(?C ZwU' 1• xb2 Y f>Lc;7-7. Gvr-AG .1 tL-1" • ur-- v./ALt_. 7. location af Proposal (describe the physical setting of the Proposal, as well as the extent of the land
area affected by any enYlronmental impacts, including any other information needed to give an acturate
underst3radirog of the environmental setting of the prcposal):
'e~' I-S .d- ~GtiZigS ~P2 L P. l. ~ O%5LS-G • 9Oz ~
8. Estimated Oate for Campletion of Proposal: ~20 G~
9. L1st of all Permits. Licenses or Government A provals Required for the proposal (federal, state, and
lacai -incivding rezones): GputitrY '~yvc.~ , Gvo~ Qr.Prt
10a. Qo you, vr the owner in the event you do not own the subject land, have any plans for future additions,
expansion, or further activity related to or connected with thls proposal? If yes, explain:
%:t,
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kL August, 1981 ~
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,8 .
~lOb. Do yov-own or have options on l-and, nearby or adjacent to this proposal''s location? If yes, explain:
~o •
11-: Do you know o` any pla'ns ;by *athers incJuding the_ owner r~hlth. may affect the pro,perty covered by your
proposal or land adjacent or,nearby? If yes, ezpl`ain:'uv _
12. Attach any other appl fca.ti,on form that has been compl'eted regarding the proposa,l ff none has been
comp'leted but is -expected` to tre filed at some future date, descrlbe the nature of such :applfcation,
' form: _ ~.1 v~aE -
II. EHYIROKMEHTAI IMPACTS
,(Explanati.ons of all "yes" and "maybe" answer,s are required)
1. 1arth. Will the pr.oposal result in: Y-es Maybe No
(a) Unstabl,e earth condttlons 'or in changes in, geologl,c subs2tur-tures?. }C
(b)' Disruptlo,ns, dlspl,acements-, compactlon or overcovering of, the soil?. ~C
(c.) CKange_ in topography or gr.ound surface -relief 'features,? . . . . . . . . . . '
(d) The des,tructi on, coveri ng or modi f 1 ca.t-1 on of any, mn 1 que geol ogft or '
, physical features7, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . yC
(e) Any increase 1n ,w,ind or water erosion or soils. either on or ,otf the site?. _ X
(f) Changes, in deposi-tion of erosion of beach sands, or changes 1n s'tl:tatlon;
deposl tton, or eros'ion,,wht,~ch,may- modl-fy- the channel of a r~iver or stream,
'or Lhe bed of the~ ocean or any bay-. 1,nlet or l;akel . . . . . . . . . . . .
Exn1anation: oTa: s
2. Af r. 4!i l l the proposal- resul t 1 n: Yes Mayju- No
(a)' Ai,r emisstons ordeterioration of ambtent.,air qualltyt. . . . . . . . . . l~
' (b) rhe creatton,of objettioneble odors?. . . . ' . . . . . . . . . . . . . . . ~
(c) Alterati,on of a1r movement, mo,isture or temperature. or any change in
cllmate, el-ther locally or regionall'y1 . . . . . . . . . . . . . . . . . . 7C
Exp,l.anati,on; R hct^ 'iia, -o2.4,.8,,e.,,T 2
kit _ °r> -11k5 ~ _9
3. Water. Wt 11 the,proposa 1 resul t i n: Yes Maybe 'No.
(a) Cha'nge tn currents,,o,r the course or direction of wa~ter movements, ' '1 n ei.ther,mari,ne -or fres`h waters? . . . . . . . . . . . . . . . . . . . . . T~
(b) 'Changes in absorp,t,ion lrates, dratnage patterns, or the rate and
amount- of surface v+ater runoff? . . . . . . . . . . . . . . . . . . . . . . . ~
(c) A.lterations to the course or flow-offlood watersl . . . . . . . . . . . . . X
(d) Cfiange 1n the amount_of surface water in,any -water hody? . . . . . . . . . . ~
('e) D'ischarge into surface water, or in any alteration af surface aater
qual i',ty, inc,l,'uding,6ut not 11m1.ted to temperature'. dissolved oxygen
-or turD'i di ty1 . . . . . . . . . . . . . : . . . . . . . : . . . . . . . . . . , 7C
(f) Alterat"ion of the d9rection or rate of flow of ground watersl
(g) Change i n.the quantl-ty_ of ' ground waters, ei ther through d1 rect ,
additions or Withdrawalso or through interceptlon of.an
aquifer by cuts or excavations? . . . . . . . . . . . . . . . . . . . . . . .
(h)', Deterioration in ground water quall,ty, either through; Airect
injection, or ,through the seepage of leathate, phosphates,
detergents,.waterpor,ne virus or becteria, or other~~suhstances "
t nto the 9rovnd~ wa.tersl~.. . . . . . . . . . . . . . . . . . . . . . . . . X
(i) 4duction-1n the amount of water,otherwlse ,available for
publ'ic water supplies?. . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
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Explanation: As ~SX- 20'~ .~'u~ Fot~ V~l~ICFt.JvJ 5't~s-~►w/~.TL~~ Gu1~'~'~ct.. VEfLCOI.ATtZ~~ &J AfLE A.
4. Flora. uill the proposal result in: Yes Maybe No
(a) Change 1n the Qiversity of specles. or number of any species of*
flora (including trees, shrubs, grass, crops, microtlora, and x
aquatic plants)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Reduction of the numbers of any uniQue, rare or endangered x
species of flora? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Introductlon of nea species of fiora lnto an area, or in a X
barrler'to the normal replenishment of existing spectes?. . . . . . . . . . .
(d) Reduction in acreage of any agricultural crop? . . . . . . . . . . . . . . . .
Exvlanatian:
5. Fauna. 41i 11 the proposal resul t in: Yes Ma►be No
(a) Changes in the diversity ot specles, or number of any species
of fauna (blyds, land anlmals lncluding reptiles, tlsh and ~
shelifish, Denthic organisms.tnsects or mlcrofauna)? . . . . . . . . . . . . .
(b) Reduction of the numbers of any unlque, rare, or endangered ~
species of fauna? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Intrcductlon of ner+ species of fauna inta an area, or result ~
1n a barrier to the mtgratton or movement of fauna? . . . . . . . . . . . . . '
(d) Oeterioration of existing fish or xildllfe habitat?. . . . . . . . . . . . . X
Explanation; .
6. Noise. Yes Maybe No
(a) W111 the proposal lncrease existing noise levels? . . . . . . . . . . . . . . ~
Explanation:
1. Liqht and Glare. ° Yes Maybe NO
(a) W111 the proposal produce neN light or 91are? . . . . . . . . . . . . : . . . ~
Explanation: Ors s%cE qs
Gtape
8. Land lJse. Yes MnXbe No
(a) Will the proposal result in the alteratlon of the present or ~
planned land use of an area? . . . . . . . . . . . . . . . . . . . . . . . . .
ExolanaZian: 9. Natural Resovrces. W111 the proposal resuit in: Yes Maybe No
(a) Increase in the rate of use of any natural resources? . . . . . . . . . . . . ~
(b) Oepletian of any nonrenewable natural resourcel . . . . . . . . . . . . . ~C
Exp 1 a na tt o n: Mhmep.A"5, VM%
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10. Risk af Uvset. Qfles the praposal involve a r,isk of an explaslon or tMe Yes Maybe No +
release of hazardous 5ubstances (intluding, but nvt 7imited to, oil,
pestictdes. chemica]s. or radiatian) in the event of an eccident or ~
upset conditiQns? . . . . , . . . . - . . . . . . . . . . . . . . . . . . . . , . .
Explanation: ,
11. Populativn, u11l the propasal alter the laeatlon« distribution, density, Yes Mexbe tio
or growth rate of the hr.amn papulation of an area7 . . . . . . . . . . . . . . . .
Explanatf on:
12. Hausinq. ui11 the propasal affect existing housing, or create a demand far Yes Maybe No
addiLiona1 housi ng? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
Explanatian:
13. Transportati orr/Ci rcul ati on, Wil l the proposal resul t! n: Yes Lay be Ko
I (a) Generation of addltiona] vehi[tr7ar movement7 , . . . . . . . . 1>el
(b) Effects on exi3ting parking facilities, or dernand far new parking7 X,
(c) Impact upon existing transportation systems7. . . . . . . . . f . . . . . . ~
(d) Alteretions ta present patterns of circulation or movement Y,
of peop 1 e and/or goods? . . . . . . . . . . . . . . . . . . . . . . . , . . .
(e) Alteratians to waterborne, ra1Y ar air traffic7. . . . . . . . . . . , . . . ~
(f) Increase in traffic hazards Uo motor vehicles,.
bi cycli sts, or pedestri ans?' . . . . . . . . . . . . . . . . . . . . . . . .
ExalanntSon; .
14. Publi c Servi tes . Ni 1l tfie proposal have an effeCt upon, or resul t 1"es Maybe 14a
'in a need-for new ar altered qovernmental services in any af the `
foltawinq areas:
. ( a) F i re protect! on? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
(iJ) PolICe ~~~ect1of{{ • • • . . • . ■ • • • • . . ■ • ♦ . . ■ r . • . . • • w • • • ~
(c) Schoals?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Parks ar ather recreatior►al facilittes2 . . . . . . . . . . . . . . . . . . , YN,
(e) Maintenance af public fbcilities, includlrg reads? . . . . . . . . . . . . . .
(f) Otrier gcverrvnentat servlces? . . . . . . . . . . . . . . . . . . . . . . . . ~
Expl anatSon: • -9V-Q 1 0 V ►t~. G 1~~v , ~-r ~ L) r~ 1~~+r~ ~c.v P~.r~+~ ~ ►~nr.~~r~
~c.~ ~.~►c~, ~ ~ ~~,,.t--~~.s.
75, EnervV. N11 ]the praposal resu] t 1n: lfes Maybe Nc
(a) Use af subst.antiat amaunts of fuel ar energy?. . . . . . . , . . . . . . . . ~
(b) Demand upan existlng sources of energy, ar require
the development of new sources of energy7 . . . . . . . . . . . . . . . . . . 7C.
Explanation: GEF- ~u r~-~ .
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16. Uttiities. WiT1 the propasal result 1n a need far n+eN systems. • Yes Maybe N4
or a 1 terati ons to #he #o11 okt ng uti1 i t1 es : '
(a) Pcwer or natura] gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . ~
(b) G€xnnunicatlon systeans3 . . . . . . . . . . . . . . . . . . * . . . . . . . . , .
. . . • • • • ! • • . • • s . • . • • • / ` • ~ i • ! • • • • i i • • ! ♦
(c) water?
(d) Sewer or septfc IWnkS? . • • • ♦ • . . a • . r • + r • r • • ♦ • • s s • • ■ Y,
(e) Starm water drainage? . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . Y,
(i) Solfd waste and disposal?. . . . . . . . . . , . . , . . . . . . . . . . . . If, -
Explanation; Sr WS !~T-*'^ c~~.~ l~~ e•~~ STQ. AS~~ t~x°~c~~•l Ft~cz' C~b.s 9-or-
p►S V'L~ 2= Gc]OF_,
Ye5 Moybe Ho
17. Hunan Heal tFr. wil1 the prQpQsal resui t tn the creatfion of arty heatth hazards ~
or poLential hea1th hatard (inCluding mental healCh)? . . . . . . . . . . . . . . . . ~
Explarration;
18, Aesthetics. Wi-1 1 the propasal resul t in the abstruction of any stenf c vista ar 1fes Maybe Na
view open to the pub11c, ar wi11 the proposal resu7t 1n the crention of an ~
aesthetically offensiae site open.to public view7 . . . . . . . . . . . . . . . . .
Exolanatian;
19. Recreatton: wi 1 l the proposal resul t i n an impact upon the quality or Y@s Maybe Ha
quantity of exlsting recfieaLional oppvrtuniLies1 . . . . , , . . , . . + . . . . . Y,
Explanation: .
' Yes MUbe No
20. Archeola 1ca1fkistorlcal. 4fi11 the proposa1 result in in alteration of a
s gn cantarcheoloqlcal or historicai site, structure, object or buildinqt ~
ExoTanation:
iit_ SIGN141'UR€
1. the undersigned, swear under the pertalty of perjury khat the above respanses are made
truth#'u11y► and t,o the best of my knowledge. I also understand that, should there be any w1il-
. ful misrepresentation or w111tu1 lack of fuTl d{sclosure ort my part, Spokatne County mny with-
draw any declaration of nansignlficance that it mlght issue In reiiante upott this checkllst.
Date: 84- Praponent:
(Please Print cr TYPe)
Prapar:pnt. ~wrna.s4v- ~+41~>. V#N iz r__ Address:
Phvne: 17-4- - i?zO
Persan caMletinq form:`~~~ ~<r' t- t'_ e"61 Rhane: `~-SSr 4-(146 Oate: q 84
~ . . .r _
FOR STAFF USE CNl.Y
i
5taff Member~ s), Reviewirtg Checki ist; Ww PNLP&
Based an thts staff review of the enrrironmental cheClclist and ather pertiment #nfat~tation, th ~ .
A.44L Concludes that there are rto potentially signlficnrtt adverse dmpacts and recamnends/issues
a prooosed declaration of nonsfqnffiCance.
8. Cartcludes that Qotentially stgnifitant adverse lipac#s da extst and reeomnendsJfssues ~
final declaratiavt of s4gnificance. ' .
C. Ccncludes that there are na potentially signfl'icattt adyerse impacts apd, because of the
nature of the propasal, recammendslissues a flna] deciaratlon of nonsiqnificance.
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1 c. 3b. f. Site. -grades w.i lxl be ~a;l t'ere;d':to, di*rec-t
1:6e . run-a~ff~ :to , o,n :s"i te :c~a"Cch' bas.i ns .
7. A11 "'b.ui 1_din,g l~i~gh.ts w:i 1'1 sh~,el~de;d ~to auo;i dgl~a~re..
9b.. 1-5b. '16a. Ga-s an,d.,'el:ect,rici.ty', ,w:i',11 be -cons:u-ned as requ:i'red~,
fo'r heat and-' 1 fght.
136,. On s;:i-.te. pa:rk-i;ng ~r~i-l~l be p.rov.i ded.
Contac[ Person Nam~ kpj A Bueiness Name :Z_T
A~ddress . 3,~'a Q Ad~ireas I~ ~'d'O~P .1 ~L
~
Phone 53,T - i! 68' Phone .
County Contact Person Cv , Phone No. 456-3600
CUMMEItCIAL BUILUING PERMIT REVIEW
Thie building permit review is intended to appraise you of the improvements (roadway, side-
walk, curb, stormwater, etc.) which must be constructed in association with your building
permit. Thie checklist will be filled out by the Engineer's staff and a copy will be re-
turaed to you at the time that the permit is initialed by the Engineering Department. A11
requirements shall be completed prior to issuaQCe of the building permit. All unchecked
boxee require additional ceaearch or information to make a determination.
1. Stormwa[er Draina e Considerations
A. hr gufaeTineor "Stormwater Managemeat 1981" both on and of fsi te.
1. 206 Considerations* Yee ~ N°
v
2. Flood hazard zone coneideratione** ~ YeS ~No
3. Storm Drainage Plan ~Yes ~ No ~
II. Planning Action #
1. Rezone, Conditional Use or Vaciance on property ~ Yes ~ No
2. Are tequirements of plsnning action incorporated ~ Yea No
into eite plan
III. Rght of Way
1. Does permit neceesi tate R. 0. W. dedication ~ Yes ~ No
2. Did zone change require R.O.W. dedication ~ Yes No
3. Radiue a[ corner ~ Yes No
IV. County Raad Improvemente
1. Roads need to be improved. How wide t~/Yes ti No
2. Curb ~Yes Li No
3. CRP/RID agreement (Copy of deed, contract, or ? Li Yes ti No
title report required.)
4. Plane for improvementa pravided Li Yes ti No
Yea ti No
5. Sidewalk
be--.01
V. Parking Plen b Approach Location
1. Review aad aign off by TYaffic Y a Li No
2. Approach Pe cmi t f rom Eng inee r' s Of f ice Yes ri No
.
3. State or Ci ty sign of f ~ Yes No
4. Is this road on 6 Yeac Plan ~ Y a No
L+000~
VI. ULID Agreemeat : Yes ~ No
' ~/l► ~
VII. Field Review: Preliminary Commente i c w
s ~J% '~r' • 5 s
. • . •
• ~ '
* All land wi[hin the Aquifer Sensi[ive Area, whece deemed feasible by the County Engi-
neer, shall incarporate stormwAter treatment ta mitigate the potenCtal. .for groundwater
degradatioa. (See Gilidelines €or Stornuwater Management 1981, Spokane BUard of Cuunty
Commissioner's Resolution No. 80-1592, as amended.)
T'he purpose of flood hazard zone review ib to minimize lvsses due [u Elo9ding in spe-
cific areas designated by Fluod Hazard Boundary maps on file at the c:ounty Engineer's
OEfice. (5ee Spokane 8oard of County Conimissior1er's ResolutiAn No. 81-0726, as
amended.)
4/l 1/g4
_ ~60ILDIiVQi PERIVIIT APPLICAT,ION WORKS,HEET
~
PLEASE PRI'NT AND'COMPL'ETE ONL- Y THOSE PAFiTS OF TH,E FORM Yc:)U U,NDERSTAND ~
(Please retutn Ihis orlglnel,-and y.our:building plans to-the;Departmeni•of, 8uilci►i!g afid Satety) -j•
~ ~ , •
' 1~ 'sNturte (fest) (flrst) in
(m) ,Ot~:uteni Uae;O~ty.
~
2'Pro)ec! Address,(not Meilinp AdOfgsal, ar Rcad Narree SPace 2ip.
~ i'~+ f ~.~.U u ~ i''~c,~~ n.i . i r--
s 'dty':ooinmunify ;,St8t8 -:SubdivlsiOn/Plet-Name -
rt.t;~~
4 Aaseeaor PGroel No. :L,ol Btock
L= c"K~ ' j''! i s♦ r DEPAflTMENT USE ONGY
y,-~ , a- f F,.'~-c't,,. 'i1 -4~.''9
o~
s' Slc Gbde Zor~e Act. 0 Z~►e Pioject No:
. , l`~F~ . - - -
8 Dweil N - No. oi-BuiWiros Sq. Ft:/,Acre- !Depth fromage
7 SDt,Beqt-Franl (RIS-21 R68r Oartsua Tract - ;Moduts No: Initiels. -
~ 18 Arcf►Itect Flrnt Nemw Stieet Addresa :
Zip Gty - 61ate Phone
1 ?
'Coriteg-Paraon Pfione It diNetent than ahme
l ltl*itrecUOr Finn Nente 8trest Address -
;:.:5_1 acZ G L_- ,C r.,~. ; -15. sc.7o ~Slc{.
z`p' 9 a" t~fa.~~ s~te Phone
r , • ~~~~z
q ' - -
Qpntac! ~ ,Lioe~ae lio: Phone it'differenf than'above
G:L Z. tl, f _ ~•,,r~ tl 1 l !
. 6 OvmorfAgent-(IfdlN~enttftan'Rl'atiavef BuslrisssAdd'r,ess
' 9 .Zip C1ty State Phoree
)
- - , - - 12, Reviewi Requlred Ptan Chack;(Y*lN) Otfief. (YIN)' SEPA'Eiceinpt (YIN)., Date_
~vo,
15;, TYPe Work ~ sideLil ,MH Now - L D aeprece Fa "otr►er -
-1 F1re :3 perno At~dlAlter f.l, Move
14, De9CfIb8lNOrk, • _
s}W`"
=
10 -Appticant Name Slreet Addr*s
1,1 Zip City State ' ; PRone
~ f )
~ Lend'er - - - - ' Street Address '
Zlp Ci1y ' State , Phone
f 1 i
Cohtect Person " Phone If'dif}erenl .1 han abwe
- - -
Addllional Iriformalion ~
e t r., c. L r • Li r" ~J A,L i _ co t. ' ''C` T:--
/
~'C't~_~ a+~:►...E e~. ~j •t" ~'c „
R• 1,•!!p^~~
j
• ' O'EPARTMENY APPROVALS. .
- - - This is not a:Permit
Applieatton Ty,pe:
(Standard uMess (Indicated approvals requirQd irne,ither °release'"or"release wlth'condiflons"*
;othetwise indicateif) 9pace.prior lo;permlt issuance:)
Fasf Track. -
Esrly-Start Flefease
. / _ - - Retease , wlcond 1 , Hold 2
~ ;Envlronmerital Heallh
vS Commercial;' C1, Residential'
W.,y 101,Cotlege rj New'Constr•uction; Q 810g altetatlonf additlon'
Rovm 200' 0 qddfffonal'atructure; _ .APPLICA.TION4 -
Conditlons7Cflminenls: - - - -
' - - / - - - -
Planning%2onlng: 9( Commerclal; C]. Cert. oi 'Exemptiori; '0 Frontage;
N. 721 Jeflerson C7, Setbacks; '0 lot w'/.d;~ El' lofsizs; O uselzone; _
0 CU, varlance, zone change;ahorellne; O tence;
D Ather
Conditions/Comments:• - - - -
Ertglneers: U/Cammercial; U Aes{dential; O Fload Plafn;
N.81,1, Jeiter,son Cl ,dralnage new acceseIapproach; p fence; 0 -road imptovements
Cond{tionsiCommentd: -
- ' -
utinties:)4.4111, Jefferson _
Cohdltions'I,Comments: -
El 01lter:
~ 0 Plan Exam _
Fire Prev. '
• ' -
C+cnditions'/Comments: -
~ - -
a
- - C. ProjecY'Representat(ve - - - Telephone
N~ Agencies Perbrming Special lnspection:
~ c - - - -
Y, 'O
~ E
2. - - - - -
U~,c -
-3..- . -
1 Indicate.abave ot ett8ch.condillona 'relel{ve 4o finai ea bulit•epprovel
2 tndl'sate above or-attech resacns' lor, hold
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• _
FIAN NUMBEA APPL ICAT ION / PERM IT PERMIT NUM9ER ,
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY ~
NORTH 811 JEFFER34N ! SPOKANE, WASHINaTON 99280 I(509) 458-3676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET AOaRESS PARCEL N0.
~E, 15616 Euclid, Spokane, SaA. Q~j?c;>p
2LoT 9lQCK sueowisioN LEGAI DESCRIPTION:
.
OWNER
3 Itron, Inc. p2TA-765-5jP
MAIUKG AODRESS Z~p Act~l Set Badm In feel to,
E. Sf7F Seltice 91vd,, Post Falls 83854 ~ lEast (wasi
CONTRACTOR ~4iftE EXPIRES ONE 91~ed Reral e Cl~eelU
e
4 yorthwest 55-8666 - ca~vo
E. 411 Soraque, Spokane, WA. ~9202 or~e o~o oaeqla.
DESIaNER PHpNE NewConel. Valuatlon iOmodeled Veluapon Tolol Bldp, Ftoar Arsa
5, -qame 17 sa . f t.
aDORESS 2IP Moln Flaor Uppor Floore tieWl3taape Greanhouae
CHANGE OF USE FROM TO tbrer Dedc Uncv. Deotc Fln. Baeement Untln. Basement
6. Business 9usiness
Nc. eetha No. Fbon No. Fln. Raon~ No. Owelllnye
7• OFPE ~ NEw C ALT. ~ AO~N. ~ API. ❑ MvE. ZI 0 OTHER
WORK BLD. r PLMB. ❑ MECH. C M.H. ❑ POOL Oert111,otExempt. Requtrod vee❑ NoC1 Numeer
°r Valance Reoelve0 Yea❑ No1"
DESCR18E WOpK ShorelineolFlood Hazard Plero pepulred 0
8• inn I st llation on Customer's YWo Wapplic.o Race,,,eo v
ALUATION S0pF ""IEL~IC pue~lc ~ sAC fl ~'"1i°'°~'~ FEES COLLECTEO
9. $5, 000 UfIIITIES PRIVRTE a SEWER Q PuNic 0 Prlvate 0
1 hereby cenify thet I have read and examinad this application and have read fhe'NOTICE' provPsions included on
reverse side, and know the same to be true and correct. All provislons of laws and ordinencee governing this type of Builalng
work will he complied wNh whether speclfied herein or not. The granting oi a perm(t does not presume to glve au-
1harity la violate or cancel the provisions of any other state or local law regulatlnp conetruction or the periormance
of construction, SEE REVERSE SIDE FOR REQUIRED INSPECTIONS pumetnp
SIGNATURE OF APPLICATION
OWNER OR AGEN7 DATE Mecn.
SPECIAL APPROVALS SPECIAL CONOITIONS: (SEE REVERSE SiDE FOR NOTICE)
PREIIM. FINAI DATE ~n Check
G°► HCdllh
SEPA
(Ybd{IIB/l
_ e C MPO, Mome ~
orevern. ✓ CL
O
c'~'itneer OtHer (SDeCify) V
W
~ J
11d1119s {L
TOTAL $
5EP4
WHEN MACHINE VALIDATEO IN THIS SPACE, c,an„ PERMIT IS NONTRAN8FERA8LE THIS BECOMES A PERMIT.
Emm PERMIT IS NULL ANO VOtO IF WORK HAS NOT COMMENCEO
IN 1800AY8
, , DATE 19SUED PERMIT N0. TQTpi
.
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