Ella N 225 ISC Systems Corp - Int Remodel
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CO11t&LL Persot~ ~~dme ~ ~ ~ y ~~~e~s
Ad d r e s s _ ~ I ~ ~ r1 f ' f 0 A~ d s s _ 1~.~ , ~ ~ ~ _ _ _ •
Phone 3 ~ ~ phonp.--
Lf?MMfFtI IAL liUILD1NU PkRMIT kEVIEW
This bul1ding perrnit review Is intQndeci t(i appraisp you of the improvements (roadway, side-
wa 1 k, curb, storttlwater, etc, ) whieh must be constructed in assot iatton with your bui lding
permit. This checkl ist wil l be fi lied out by the Enyineer's staff and a coAy wt11 be
returti+ed ta yau a t the ttme that the perinitis initial ed by the Engineering Department.
Al 1 require+nents shai 1 be cnmpl eted prt or to issuante of the building perrrn t. Al l un-
checked boxes reyuire additional research or informatian tv make a det+ermination.
1. Stormwater Uratnage Cqnsiderations
A. PerLL qu idel ines for "Stormwater Managernent 1981" both on and oft site.
1. 208 C.ansiderat ivns* Yes No
2. Fload hazard tone cansiderations** ~ Yes ~ No
3. Storin Drainage Pl an ~ Yes No
11. Zane CManae
1, Lone change on property _ Yes Na
2. Are requirements af zone chanqe incorpdrated lnto , Yes ~ No
site plan
111. Ri ght v~ I~a~r
1. Does permit neces5itate R.O.W. dedlcation ~ Yes TA No
2. Dici zone change requi re R.O.W. dedicati+on Yes No
.38 Radiias at corner ~ Yes No
I V. Caunty Raad Irnprovements
1. Raads need ta be jmproved. How aide Yes No
2. Cu rb _ Yes r< No
~-~7;) "
3, CRP/RID agreement Yes No
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4. Plans fvr improvements provide+d ` Yes ~ No
5. 5j dewal k _ Yes ~ NQ
V. Larki ny P I an B ~pprvach Location
1. Rev i ew and siyn of f by Traf f ic ~ Yes ~ No
2. State or City sign off Yes ~ No
Vl. Fteld Review• Prel iminary Camments
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_ A
*Ai l 1dnd wr thit, tho Ayui fer Sensit 1 ve Area, where (ieemPd feasibl e by tite Cvunty Engi-
rreer ,shal1 T i7corpordtre starrawater treatlnetit to mitigate the potent r a) for groundwater
dPgra(latiori ,~ee Guidelines fnr Stprmwater Management 1981, Spakane Board af County
(`ommi r,sianw;•' °a Resolwon No. $0-1592, as amended. )
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The purpos~ e ~ I ond ha7ard xune revi ew iN t,o mi nimi ze 1osses due to t ioodi ng in spe-
c1 f 3c a reas, do-, l 9r i d l.e( l by FI uor J lla t a r t i Luun,i iry mdlis on file at tMe tii►,nty Engineer`5
~ ~~~t~~~. ',;~aksi~~t+ l#oard Qf ~`o«nty f nrrui91sr,ianer's Resoiution No_ -:~-(]72~. as
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Pl.HN Nt3M8ER
PFk~PalT NUMBER
APPLICATION/PERMIT
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SP4KAHE CQUNTY - BUILDING CQDES DfPaR7MEffT
NpR1'}I 811 JEFFERS4N / SPCIKANE, WASH INGTaN 99280 1 {509) 4513-3675
. APPLfCANT: GOMPI.ETE NUMBERED SPACES -PRESS HARD TO MAKE 3 CQPIES ,
Jaa aoaRESs
. Z. ~.EG~IL QESCRIPTIOI~ -SEE ATTAGHEp
~ ~ ~LJ~ca
L4f- BLt7C IYISIUN PARCEL NUMBE'RJ5
2
UWNER PEiflNE
3 1 C
ADORESS ZIP Actual Set 8acks fn Fea# Y W
G~C'{ },2 ~pr~rt"~a,OTM~f+~.`t CA= Nortn South East West ~r
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CONTRACTOR WiDfVE 51ze of Parcel Zone ClasslflCatlan
4 ~rc '~C~K~ ~t~~hC.'rtthAi
~Ar►~1~ ~
ADDRE55 ZIP TYpe Can6t Octupancy SAtInNEeied
~ owes oMo 0 R~'d ~ 5-1 ~ - ~
DESIGNEI4 pHONE ValuaNon Bulldlng Area In Sq Ft
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5 ~~1 cc a
ADpRESS Z!P M81o~ Flbor UnPer FloorS Garage Area Storaga
1 i
CFiA~1GE DF tJSE FROM TO Area af aecks Fintsned Basement Urtfin. Basement
~ ~ 4-' ~
Yy~~ Nd oaths No Slorles No Roams Mo. ci t3wallings
13 NE4d 1!~! LT '
A. ❑ AD N 0 tiPl.. ❑ MVE. ~ A t
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7 OF ❑ QTH~
WORK 9Lf] ❑ PLMB ❑ MECH, ~ M.H. El pOOL GE'iITIFICATE Reil4. ReC' d. 'htot R 'G ~
~ EcEMPrIaN 3 6 2 C~
[ifSGRIBE wORK Enum t3ist, Lccaklofi (Area)
J:"I
g fEfs caccEcrEn
IW-.MBL - tLN6~
VALUATI0N SQURGE GA5 ELECTRIC WATER 9EWER OWrtefslTlp USE CO'
C1E
F
UTIITIES Publlt ❑ privata
Single $
~ i herehy eertify that I have read and examined this appl«atian and have read the "NQTICE" prauisians ]nc'
on reverse side and know the Same tp ~ e and rr I ► I ~
, t r u c o e c t~ A I r o v s i n s o f a w s a n d ord ina n c e s g a v e E ifdirtg ~
t y Re of wor k w il l b e c a m p l ie d wit h w h t e t h e r s p e c ifie d h e rem o r n o i. T h e g r a r ~tn g o f a p e r m+ t d a e s r~~ t
to give authority to vi
alate or caRC~! the provisians af any other stete or lacal law regula ' const~t~perfarmance of construcdan SEE REVERSE SICE FOR RE(IUTAF.~ P+umbing
OA7E OF APPLECkT1QN k4jAi:r C<52 I S1GNA7Ufif QF A ' h
SPEClAL APPRQVAI& SPECfAI CCNDITIQNS
rtAME DATE Plan Check
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• ~ Mat►ife Ftams .
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R ~fl C lyiiir3cr .1
Othar }SPecf(yf
l~ntres ~
~ TOTA L $ ~
Plans Examinor
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WHEAI MACHIRIE VAL40ATED IW THIS SPACE,
SEPA Cnecxn5t THIS BECOME5 A PF-AMIT.
BU(Id#f!g 7ltAM1lGitf! PERM(T IS NQNl'RANSFERABLE
- Q%,z&1MW4 ~c 31w,~T* - pKiiAA1T s:YpIRFR OAIE YFOfi FRAM DATE DF lSSLIANCE I'}ATP I1.qS1IFC4 QCQtiAi7' tifl