Ella N 1301-1/2 Metal Repair Shop Addition
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, (THIS IS NOT A PERMIT) S~-
BUILDING PERMIT APPLICATION WORKS14M °
~ ~
PLEASE PRINT ANO COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTANO
0
COMPLETE IN INK
(Please return thia oriptnal and your building ptans fo the Oepartment ot Buifding and Safety)
SNADED AREAS ARE FOR OEPARTMENTAL USE ~
PnoJect Numlrer
` OVVner'e hlame LAST FIRSY MI ~
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Prolect Mdress (Stteet Nama 8 Nu bef) ZiD
~ ApPIiCant ~ Address
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DEPARTMENTAL REVIEW
Approved A p oval Hotd
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Environmentai Health Appllcatlon # ~
~ W.1101 CoIle e
Room 2W
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~ Planning/ZoninA ~a ~6 ~
~ N 721 Jefferson ~ ~
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Engineers - - -
~ N 811 Jefferson ` er-
utiiiues
❑ N 811 Jetferson
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Plan Rsvfew/Flre Preventton fO
N 811 Jetferson
~ . . ~ ~
Other (SEPA/Critlcel MateNal/etc.) '
-
Feet TrecklSpealel Inspeatlon Informeflon _ ProJect Representative Phone
Address ti
I certify 01-1e examined thils licatlan and state thet,the information contalned WIt and submitted
by me or m ent t,compile e d e pljcation (s true and correct
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Signature - &VOAx
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(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLlCATION WORKSHEET ~
4
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this original and your buildmg plans to the Department of 8ullding and Salety)
SHADED AREAS ARE FOR DEPARTMENTAL USE
Project Number ~
Ownet'e NamB LA8T FIRST 1Ni
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Pr
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canted L,Ice.nsa Numter (Require0) Busmess Phare
Aroitect! EnQ ineet / Addreaa
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DEPARTMENTAL REVIEW
Cond
Appraved qp
roval Hold
Envir`onmental Heelth Applicatlon A
W 4101 College
, Aoom 2Q0 - - ~ ~ ~ ■ . _
~ Plenning/Zoning
N 721 Jef ferson
Engineers
~ N `81,1 Jetferson
utiiities
❑ N. 811 Jefferson - - - , . ~
Plen Revlsw/Flre Preventlon ❑ N. 811 Jefterson -
Other (SEPA/CriUcal Meterlalletc.)
❑ _ . . ~ . Feet T~e..dc/Spe_elal In8pea11on tnfarmetlon ~
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Project Representative Phone
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1 oertHy , e examined thts , 'Ncatlon and state that the'informatfon contained in it and submitted by me or m ent t compile pl tion is true and correct
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Cdntact $erson Name 1)044 ~µE19 E~ Business Name 4&dp 9&62~& Aj
Add;ess N 13 Os t lti.. T.oAA Address 541yl
Phone q2 ~ 3-3 c Q Phorte
County Contact Person 1&42JZy S;M 4 Phone No. 456-3600 Date
CQI►ihlERCIAL BUILDING PERMIT REVIEW
Thie building permit review is intended to appraise you of the improvemente (roadway, side-
walk, curb, stormwater, etc.) which must be constructed in association with your buildiQg
permi t. Thie checkli at wi 11 be f i lled out by the Engi nee r's s taf f a nd a copy wi 11 be re-
turned to you at [he time that the pecmit ie initialed by the Engineering Department. All
requiremente ahell be completed prior to isauance of the building permit. All unchecked
boxes cequire additional reaearch or informatiop to make a determination.
1. Stormwater Draina e Considerations
A. ter guideTineor ntormwater Managewent 1981" both on and off eite.
1. 208 Consideratione*
Yea Li No
9
2. Flood hazard zone considerations** rYes Li No
3. 3torm Drainage Plaa ~ Yes Li No
II. Planaing Actioa #
1. Plat, short plat, rezone, Conditional Use or Variance a Yes Li No
on propertq. Planning Number
2. Are requirements of planning action incorpora[ed ~ Yes ti No
into eite plan
III. ~jght of Way
1. Doee permit neceesi[ate R.O.W. dedication ~ Yes Li No
2. Did zone change requi re R.O.W. dedication a Yes ti No
3. Radiue at corner ~ Yes Li No
IV. Count,y Road Improvemente
1. Roade need to be improved. How wide ~ Yes Li No
2. Curb ~ Yes a No
3. C[tP/RID agreement (Copy of deed. contract, or p Yes ~ No
title report requi red. )
4. Plane for improvemente provided ~ Yes p No
5. Sidewalk ~ Yes p No
V. Packing Plan S Approach Location
1. Review and aign off by Traffic p Yes a No
2. Approach Permit fcom Eagineer'a Offfce ~ Yes ~ No
3. State or City aign off ~ Yes a No
4. Is this road on 6 Year Plan a Yes a No
VI. ULID Agreement: Li Yes Li No
VII. Field Review: Preliminary Commente
* All land wi[hin the AqutEer Senaitive Ares, where deemed feeeible by the County Engi-
neer, shatl incorpora[e stormwater treatment [o mi[igate the po[en[ial for groundwater
degradation. (See GuidelInes Eor Stnrmwater Management 1981, Spokane Board of County
(:ommissl,oner's Resoluti An No. 80-1592, as amended. )
The purpose ot f lood hazard zone ceview is to minimize losses due to flooding in spe-
cif i c areas destgnhted by Flood Hazard Bouriclacy maps on ftle a[ Che Coun[y Engineer's
Of f i ce. ( Src. Spokane Board of Coun[y Commi ssi anp r's Resatut ton No. 81-0726, as
amended. )
8/22/H5