Pines N 1120 Medical Foot Center - Sign
{TI-iIS IS NOT A ►~~_E~r~,~~ r~
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(F'iN.ise ri,iurn this oriqinat and yr,t,r building plans to Ihe Deoartrnont ,~f F3uiicfing and Safety)
SNApED l'.iaE nS ARE 17(-)G; F-l~'-Pr',RTM ENTA. USF
ProjAtt N,,mDer
C?wn-,'S ^:nr:.• LAS' MI
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~ .
Descri be Work Res. Comm.
fJCW
Subdivisioni Prdt Na~te Sr•'Jrt Pii-i; 'vur~;e• ~
Assessor Parcel Number Lot B! ock + Plat Number
Pertinent File Numbers Zone LB Comp. Plan Census Tract
Number ot pwelling Units Number of Buildinga Lot S!ze (Sq. Ft. / Acre) Depth Frontape
/ 1.54 , / / C J
Front Setback . Lefl Setback ~ Wpight Svtback Rear Setback
rI/
Additional Informahon SGuare Footage
Pli ~ ~7I• ~ - - J ! ~ Mt~-
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Group Type
~-T~~ 8-0 Y~
I
DEPARTMENTAL REVIEW
Cond.
Approved qpProval Hold J
/ Environmentat Heatth Permit Number ~ ~d'~ 71,
d
W. 1101 College -
Room 200
.
Planning/Zoning - '
D N. 721 Jefierso►i / -.f ~ ✓
. • ~ `/f ~ , ~ ~ - ~
/ ~ , r:-rc. % ~ ~ ~ ~ /r . f ~ L:. / ~ Yl. ~ ~ - " .~•-r,
✓ ~
~ .
Permit Number
~ Engineers ` ~
N. 811 Jefferson Al d~
Z)o j.,IG`T S(f z~- C)~~ Y
eo1=X12'1 / T" 1//. A'(-', /rl
o ~c► ~ ~tL.~lj ti'.~,~ ,r, ~ : 1L r ~ : / ,
Utilities . ~ ~~f y ~G ~
~ N. 811 Jefferson
~
j
~/j_
1 - AW94
~
Plan Revlew/Flre Prevention
~ N. 811 Jefferson .
Other (SEPA/Crlllcal Material/atc.)
~
_ '
Fast Track/Speclal Inspection Informatlon i
;
Project Representative Phone
Address
~
~
I certify that I have examined this application and staie that the informalion contained in it and submitted ~
by me or my agent is true, correct, legal, and binding.
Ow+ier's Signature
~
.i
i
(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPIETE IN INK ~
(Please return this original and your Ouilding plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE ` project Number
~
Owner's Name LAST FIRST MI
I~ C~q-IC7
Projt►CI Ack7rttss (Str96t Name Li Numper) Zip ~
K).
Appiicant ( 1 ~ ~ Addre~6 ~
~AAS A(~~I (T~
city-- state------ ~Zip Phone
( ) .
Buainees Phone
1 1
Con i ractor I Apen t A
1'Yl C~I A~~ S l l. . Cl-3v3
city stete z►p Phone
~
~ q 0~7 ~~D0I, g 24-
Contac Locenae Number (Requirod) Butiness Phone
~ l K~ SI LV,► g I LV F M vJ 2-7 3 C-
ArchitectlEnginee DFslfi~ w q Nc~ ~d~~Q ,1014- Pr ~s 978. .
C+ty State Zip Phone
5P~A ~ I wR~ . q~t ?p C~ (50) ~20 +7Dq (o - ,
Contact ~ • ~~ZV ~ _ BuBinese PhOne 7 Ol ' .
( z:p, •
Lender Address ~
~ALL
.
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. , . .
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AdQitiond InformWi0n . ; ~ BQwre Foo .
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DEPARTMENTAL REVIEW I
Approved Cond. Hold
Approval i
~ Environmental Health Permit Number
~ W. 1101 College
Roo m 200 ~
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C
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~
. ~ Q
~ K
~Planninp/Zoninq
~ N. 721 Jefferson
, g
~
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Permit Number
~ En~ine~rs .
N. 811 Jefferson
Utiliti" '
~ N. 811 Jefferaan
Plan Rovlow/ Ffre Prwmfion
~ N. 811 Jefbraon ,
Other (8EPA/CrItkal Materlal/etc.)
❑ '
. ~
i
~ Fast Trsck/Special Inspectfon Informatlon
Pro)ect fiepresentative Phone
Address
~
I certify that I have examined this application and state that the information contafned in it and submitted ~
by me or my agent is trus, correct, Iogal, and bindinq. ~
, -
Owner's Signatu4l Date ~ U~7• ~ ~S
-
(THiS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
8 ~
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this original and your building pians to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE I pr~lsO Numbw • #
Owner s Neme LAST FIRST MI
Medical Foot Center
Project AdCress (Street Name S Numbsr) Zip
N. 1120 Pines Rd. Spokane, WA 99~
Applicant Addresa
Medical Foot Center N. 1120 pines Rd.
. City State Zip Phone
Snokane WA q.4?nA
Busineas Phone
{ )
Cantractor / A9en t Addreas ~
N_ 619 Na na
City State Zip Phone '
Sookane WA 9q,Z,Q2 ( 5D9 ~ 53 _77?b
Contact Licenae Number (Required) 8winess Phone
TRTSTS~9S24(j
Architect/ Enpineer Addresa
City State Zip Phone
( 1
Contact Bwiness Phone -
LgncW Addreas
Gty State Zip Phone
( )
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Pw'flnent Fih Numbert 4'~ ; ~ Zon~ : , ~ Comp. Plan I Csnsus Tract
dumber M DwNlinp Unlb Number of Bulldinps lot Slrs (Sq. Ft.lAr.re) 1 OePM I Frontape
Front Sstbaclc t~sft Selb~dc RfpM 8atbadc I Reer Setbadc I RI W Width
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DEPARTMENTAL REVIEW
Approved Cond. Hold
Approval
Environmsntai Hsalth Applicatlon N ~
L~ W. 1101 College
Room 200
Plannln9/Zonlng
❑ N. 721 Jefferson
Enginssra ,
❑ N. 811 Jefferson
f
Utilltles
❑ N. 811 Jefferson
Plen Reviow/Fire Prsvsntlon
r
❑ N. 811 Jefferson
r
Othsr (SEPA/Crltkal Materiai/etc.)
❑
.
~ Fsst Track/Special Inspsctlon InformaNon
ProJect Representatlve Phone
Address
1 certify that I have examined thls applicatlon and state that the information contained in it and submitted
by me or my agent to compite said application is true and correct.
Signature Date
r ~ -
Con[act Person Name l~jet Business Name Address A~ddreas /1/ / O Phone I_C4 Phone Cuunty Contact ersoAl Phone No. 456-3600
COMMERCIAL BUILDING PERMIT REVIEW ~`e/esel
This building permit review is intended to appraiae you of the improvements (roadway, side-
walk, curb, stormwater, etc.) which must be constructed in association with your building
permit. This checklist will be filled ou[ by the Engineer's staff and a copy will be re-
tilrned to you at the time that the permit ia initialed by the Engineering Department. All
requirements shall be completed prior to issuance of the building permit. All unchecked
boxes require additional research or information to malce a determination.
1. Starmwater Draina e Considerations
A. per gufdeTines Lor "Stormwater Management 1981" both on and off site.
1. 208 Considerations* til/ Yes ri No
2. Flood hazard zone conaiderations** ~ Yes /No
3. Storm Drainage Plan ~ Yes Li No
II. Planning Action # Nc)
1. Rezone, Conditional Use or Variance on property ~ Yes
2. Are requirementa of planning action incorporated ~ Yes VNo
into site plan
III. Right of Way /
~
1. Does permit neceaeitate R.O.W. dedication t~Yes Li o
2. Did zone change require R.O.W. dedication ti Yea No
3. Radius at corner Li Yes tj4 No
IV. County Road Improvemen[s
1. Roads need to be improved. How wide tg/Yes Li No
2. Curb L41 Yes Li No
~
3. CRP/RID agreement (Cbpy of deed, contract, or a Yes Ll No
~
title report required.)
4. Plans for improvementa provided Yes Li No
5. Sidewalk Yes Li No
V. Parking Plan b Approach Location
1. Review and sign of f by Traf f ic Yes ti No
2. Approach Permit from Engineer's Office Yes No
~
3. State or ci cy sign of f ~ Yes ~ No
o
4. Is this road on 6 Year Plan ~ Yes VNo
VI. ULtD A&reement: ~ dDKIN4 rt~ sE~~ ~ Yes ,,I ♦~~/~`,,7
V i[. Field Review: Preliminary Comaments
Kn ,A 1P ,
* All larid withiii the Aquifer Sensitive Area, where deemed feasible by the County N:~lgi-
neer, shalt incorporate stormwater treatment to mitigate the potential for groundwater
ciegracia[ion. (See Guidetines for Stormwater Management 1981, Spokane Board of Cuulity
Commissioner's Resolut ton No. 80-1592, as amended. )
'J'he purpose of f lood h.izard zune review is to minirnize losses due to f iuociing in spe-
r i f i~- areas detitt;natt-d hy Flood Fiazard Boundary maps on fi te at the County Fngtneer' s
of F i re. (See 5pok.3ne Board of. County Commissioner's Resolution No. $1-0726, as
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' . Schedule-
krr
Gomrrtntment iVo. Effective Date of Commitment:
C-170582-V Auau st 5? 1985 ilt 8:00 aM_
Your Na:
Arthur to Jacobs
Prepared For: Robert McKanna, Attorney cc. Century 21 AAA Properties
N 122 University Sterling Savings
Spokane, WA Century 21 Crane
Inquiries Should be Directed to: I
Ticor Title Insurance Cornpany G. Al1an Noble
N 300 Argonne
Spokane, WA
922-0977
1. Poficy or Policies to be issued: Premi um TdX Total Amount
(a) ~ ALTA Owners Policy - Form -1970 S
. .
Proposed Insured:
(b) a ALTA Loan Poticy 1970 t0 come S _
Proposed Insure& Sterl i ng Sav i ngs (c) x wLTA Owners Policy $460.00 $34.73 $494.73 $ 839500.00
Proposed Insured : Crai g 0. Jacobs. )~a4.t,,Yy 0
~a
2_ The estate or interest in the Sand descnbed or referred io in this Comm+tment and covered herein is a Fee Sirn;,;e.
3. Titte to said estate or interest in said land is at the effective date hereof vested in:
Paui E. Arthur and Jessie J. Arthur, husband and wife.
• 4. The land referred to in this Commitment is tocated in the County of Spokane
Stau of washi ngton and ciescribed as foflows:
The West 162 feet of the South 118 feet of the North 128 feet of
Tract 44 of Opportunity, as recorded in Volume "K" of Plats, page
20, County of Spokane, Washington.
;
.
i ,
.
. ,
.
CAT hJ Nht Jyy.
TO 2297 - WO PNTt 12-821 Ame►ican Lard Tille Association Commitment tor Titie Insurant• - 1966
. '
- ♦ Schec3:ile 8
C-170582-V
1. The following are the requirements to be complied with:
1. (nstruments necessary to create the estate or interest to be insured must be properiy executed, delivered and duly
fiied for record.
ll. Schedule B af the policy or policies to be issued will contain exceptions to the tollowing matters unless the same are
disposed of to the satisfaction of the Company:
A. Defects, liens, encumbrances, adverse claims or other matters, +f any, created. first appearing in the public rec^rds
or attaching subseQuent to the effective date hereof but priar to the date the proposed Insured acquires for value
of record tne estate or interest or mortgage thereon covered by this Commitment.
B. Standard Exceptions:
(1) EnCroachments or ques:ions of lacation, bour:dary and area. which an accurate survey may d+sclose.
(2) Public or private easeinenrs, streets, roads. alleys or hignways, unl2ss discloseC c` record by recorded p:at ar
conveyance, cr dzcree of a court o! record.
(3) Rigtiis or clairns of perscns in possession, or cialming to he in pQSSession. not disctosed by the pubiic rscords.
14) Material or labor liens, or liens unGer the Workmen's Compen,aticri ACt not disclosed by the qublic reC: : ds.
(5) Water righrs or mattsrs relating thereto.
(6) Any service, ins:allatian or construction charges tor sewer, water, electricity, or garGage removal.
) Exceptions and reservations in United States Patents.
181 Fight of use. controi or reyulation by the United States af America. in the exercise of powers over n3viga!:on.
(9) Any prohibition or lim:tation on the use. Cccupancy or improvemen! af the land resulting from the riyh►s of
the public or ripar,an owners to use any waters which may Cover the land.
(t0) General taxes not now payable; matters relating to special assessmenis and special levies, if any, precedin ; the
same becoming a lien.
C. Special Exceptions:
91) Last half general taxes for 1985 in the sum of $426.39 plus $.50
~ weed tax, on land with an assessed value of $60,800.
(Assessor's ParceT No. 15542-1411; code 140)
(1~1~ Lien of real estate exci se sales tax upon any sal e of said property,
~•i if unpaid.
, 03} Lien of revenue stamps upon sa1e of said premises, imposed pursuant
to Chapter 82.20 RCW, if unpaid.
(14) The County Treasurer's records reveal a preliminary assessment for
Uti 1 i ty Local Improvement Di stri ct No. 85-01 , i n the sum of $7,207.70,
which may result in a lien against said premises at a future date.
1. Said preliminary assessment is not a lien as between buyer and seller,
~k-" and this notice is given for informational purposes only. Reference
to the office of the County Treasurer is made for further information.
continued
.
TO t sb. t (11W
r
r Schedule 8 (Continued)
,
.
N o. C-1705$2_V ,
(15) Rights of way for ditches and pipelines, provided for in Contract
, dated November 4, 1905, with Modern Electric Water Company, recor-
ded in Volume "E" of Contracts, page 267.
NOTES
l. We note a Power of Attorney
Recorded : March 11, 1981
Auditor's No. : 8103110198
Executed 6y : Jessie J. Arthur
~ In favor of : Pau1 E. Arthur
Providing : general power of attorney
~ ,
We request that the accompa nying affidavit be completed and returned
to thi s Company for our records.
3. Judgment search has been made of the name Craig 0. Jacobs, and no
unsatisfied judgments found of record.
4. In the event this transaction fails to close, a cancellation fee will
be charged for services rendered in accordance with our schedule.
End of Schedule B.
!
;
~
I
f
~
#
~
I
~
I
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SCHEDULE "B-1"
l. Rights of Way for Ditches and Pipelines, provided for in
Contract dated November 4, 1905, with Modern Electric Water
Company, recorded in Volume "E" of Contracts, page 267.
i
~
• OPPOR-U\ -Y TRAC- _ S 4J
♦
~ 641.18 ~
^ Q ~0
a3 ~ 80 ~ 80 ~ 80 ~ 8U ~ 80
~ ,
3 D
~
_ 8p r B". $ 0 840 80 r 80 ~
e00 -
li
S86 N214 , E7tC E 350
: r ~ 0
~l~'4-W'3L~6 ~kf2 Exc f~8 a ~"Xe-#6. ` ~ D ~
~
~ • " ~
. ~
• ~ 15C 20CI iOo
4! ~ °
~ D ES r►l~ ET %4'~ AVE " .
~n. 297
.
13
~ 40 1 ~ 0
. ~ ~
0
co CO
~
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~
297 115 ~
7~6 00"R!► hes rrot mirOFrecf ft pmmim 7hl Sketch Cef(rw is fumrs~ed without charge Sol* !'or tM pUrpM
Qf esSisting tn IocaEinR salft ; remlses and the Compo" gMrM AO
WGG'II4 fvr inaccuraeies theftin. !t dves ifat AorDOr# '!o show A11.
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r&0M*M~TO/r ~v& It OV~A•
North 300 Argonne Road Suite 103
Spokane. Washi ngton 99212
CEr.TREPOtrIT 6USINESS PARK
FIRST suPP~MENTAL TIAME REPORT
You► loon No.
To, Bob McY.anna, Attorney -
N. 122 UniverSity OvrOrdwr No. C-170582-U
Spokane, Washi ngton (Mo►t9oaor) Arthur/Jacobs
(Pvrchater)
cc: C-21 Crane
cc : C-21 tIl1A .
cc: Sterling Savings I
T~--s ~rs :.-evn nc thanpe in fhs t:tls to +e prope+ty cov:red bp our p►elin+inory repost tis+c•
P1a y 5 , 19 85 , ot e I►.M.
Except as ssf fvrtfi bolorvi • .
1. Title is now vested in Craig 0. Jacobs and Y.athryn R. Jacobs, husband
and wife. .
2. 1985 taxes are pa i d i ri ful 1.
.
Da»d vs of tho 12 t h dvq of Au9us , 19 U8icA*~x 4: 3 0 p. m.,
TiCOR TITIE lNSURANCE dr
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OFP'IOE OF
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COUNTY ENGINEER ~
; .
ROBERT S. TURNER
COUNTY ENGINEER
SrosAar~ pWiLOssxOrox 99260
0
SNOr.ANE CO'.1NiY COUG~ NOUSE Q~"'~• ' y
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Subdivision Name. 494C, r
/Y ~ / '-)_0 / P, Aw
Dear Sir:
One of the requirements eet forth by the Spokane County Plaaning Commis-
sion in connec[ion with the above-titled plat iavolvea the filing with this
office of a Street Improvement Bond. A preliminary inspection of the plat has
been made by this office and the amount of the Street Improvemeat Bond found
to be:
oe
$
A Street Improvement Bond in the above amount must be filed with [his
offic* prior to approval of the final plat. The bond will be released only
upon satisfactory completion of the required street improvement. Please
contact this office when work on the improvement is ready for inspection, or
if you desire additional inf ormation or advice concerning the work.
Very truly yours,
Robert S. Turner, P. E.
Spokane County Engineer
~
By - i
Public Works Building North 811 Jefferson Street Spokane, Washington 99264 (509) 456-3600
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ASC='MALT CCIhlL Fi~-rE: 1? F"i., 1'."' , i -i"0;'1.1:=~
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F; I DF WAi._K 86. ; 'SY.,
- - - - - •
;10 •
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BOND EST FORM
,
PIZUJ ECT V- Ave NAME DATE
Item # Drainage items Units Quantity Price Cost
1) Dr ywe 11 - Type A EA 1
2) Dr ywe 11 - Ty pe B EA
3) Grate - Type 1 EA
4) Grate - Type 2 EA l~
5) Grate - Type 3 EA
6) Backfill for DW CY ~
7) Concrete inlet EA
8) C.M. pipe 10" dia. LF
9) C.M. pipe 12" dia. LF
10) C.M. pipe 15" dia. LF
11) C.M. pipe 18" dia. LF
12) Precast Manhole EA
13) So 1 i d Lid EA
14) Ditch Excavation CY
15) Sod SP
Non Standard Drainage Items
1}
2) .
3)
4) i
Std Bdl Dwl Conc Dia Dia Dia OTHER
PLage Dwl I?wl BRF Inle t Pi pe Pi pe Pi pe
1)
2)
3}
4) '
S}
6)
7)
96/4
.
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