2001, 09-13 Permit & App: 01007355 5,000 Gal UG Diesel Fuel Tank SPOKANE COUNTY DOSION O B I.LL AND *DE ENFORCEMENT
1026 WEST BROADWAY AVENUE . SPOKANE, WA 99260-0050
(509) 477-3675
C SITE INFORMATION PROJECT INFORMATION
Site Address: 12606 E MISSION AVE Project Number: 01007355 Inv: 1 Issue Date: 9/13/01
SPOKANE,WA 99206 Permit Use: INSTALL 5,000 GAL UG DIESEL FUEL TANK FOR
Parcel Number 45152.0605 BACK-UP GENERATOR
Subdivision: OPP.TR. 1-354 Applicant: MCCLINTOCK&TURK
Block: Lot: P.O.BOX 3243
Zoning: UR-2 Urban Residential-22 SPOKANE WA 99220 Phone: (509)535-7641
Owner: EMPIRE HEALTH SERVICES Contact: DOUG SCHINDLER/MCCLINTOCK&TU
Address: 12606 E MISSION AVE SPOKANE
BOX 3243
SPWA 99220 Phone: (509)535-7641
SPOKANE,WA 99206
Setbacks-Front: Left: Right: Rear:
Building Inspector: SR INSPECTOR
Water Dist: MODERN
Group Name:
Project Name:
C PERMITS) )
Fire Safety Permit Contractor: MC CLINTOCK&TURK INC License#: MCCLIT;370NO
CHEMICAL STORAGE TANKS 5000 $50.00
Total Permit Fee: $50.00
PAYMENT SUMMARY Page 1 of 1 NOTES
PERMIT Processed By: SHATTO,JULIE
Printed By: WENDEL,GLORIA
Tran Date Receipt# Payment Amt
8/29/01 6731 $50.00 - s
Total Fees AmountPaid AmountOwing
$50.00 $50.00 $0.00iz::7 FILE
0 r" aIJWCEa • .
It is the responsibility of the applicant/permittee, not Spokane County.to see to it that the use described on the front of this permit complies with
applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the necessary
approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the
applicant's/permittee's or property owner's expense.At a minimum,the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement•of concrete—all structures, including manufactured homes.
NOTE:This inspection includes review of the"structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations.Typically, side and rear yard setbacks are measured from property lines,while setbacks fdt yards abutting streets are measured from
the property line or the center line of the roadway right-of-way;whichever provides the greater setback from the center line of the roadway right-of-
way.Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb:The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2.FOUNDATION-when forms and reinforcement are in place and prior to placement of concrete.
3.FRAMING-after all framing,bracing and blocking is in place, and prior to concealing.
4.INSULATION-prior to the installation of drywall.
5.PLUMBING-after rough-in, before covering,and final.
6.MECHANICAL- rough-in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit.Items such as the installation of fire hydrants,fire department access,on-site
drainage("208 swales"), road improvements,parking,and landscaping are common requirements of a permit/site plan which must be com-
pleted prior to final approval of a building or issuance of a Certificate of Occupancy.
8.MANUFACTURED HOMES- Final inspection required when complete,stairs, handrails, skirting, etc.installed, and prior to occupancy;completed
inspection record card must be available on site.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be
inspected prior to cover.Check with the department for"special inspections"in conjunction with commercial projects.
CALL 477-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER AGENCIES:
• Road cuts for utilities or driveways, Division of Engineering&Roads • Sewer connection, Division of Utilities
477-3600 477-3604 •
or State Department of Transportation or City Public Works Department
456-3000 625-6300 •
• On-site waste disposal system, Spokane Regional Health District • Electrical wiring, State Department of Labor and Industries
324-1560 324-2640
• Construction in a flood plain, Division of Engineering &Roads
477-3600
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted,this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped
for a period of 180 days,unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration.At
a minimum an inspection should be requested at least once every 180 days to assure the validity of the permit.A permit may be renewed within one
year of the date of expiration for one-half the original fee,subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee(shown on the reverse)no later than 180 days after the date of fee payment.
Refunds of not more than 80%of the permit fee paid may be authorized when no work has been done under the permit.No refunds may be authorized
more than 180 days after fee payment.
MISTAKE?
If you think we've made an error in processing this permit or in conducting Inspections pertaining to It, or find erroneous information in the permit,
please bring it to our attention imn'fediately by filing a written request for correction within 10 working days of discovery.All such requests should be
directed to the Division of Building and Code Enforcement at the address found on the face of this permit.
I certify that I am the owner or am authorized by the owner to make this application and that I have examined this permit/application,state that the
Information contained in It and submitted by me or my agent to compile said permiUapplication Is true and correct,and authorize Spokane County
to proceed with processing.In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions Included herein and
agree to comply i =a 1_ sions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
I understand tha e, is tea hi-at•plication and any subsequent inspection approvals or Certificates of Occupancy shall not be
construed to gi + ti• IL,� vi to • , the provisions of any state or local law regulating construction or agreement concerning this
property,or as a warran o on mance with the provisions of any state or local laws regulating construction.
SIGNATURE OF
APPLICANT/PERMITTEE APPLICATION
OR AUTHORIZED AGENT DATE
OProject Number: 01007355In Application Date: 8/29/01 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Ammummommer
Permit Use: INSTALL 5,000 GAL UG DIESEL FUEL TANK FOR Contact: DOUG SCHINDLER/MCCLINTOCK&T
BACK-UP GENERATOR Address: PO BOX 3243
C-S-Z: SPOKANE WA 99220
Setbacks:Front Left: Right: Rear: Phone: (509)535-7641
Group Name:
Site Information: Project Name:
Plat Key: 001838 Name: OPP.TR. 1-354 District: S
Parcel Number: 45152.0605 Block: Lot:
SiteAddress: 12606 E MISSION AVE Owner:Name: EMPIRE HEALTH SERVICES
SPOKANE,WA 99206 Address: 12606 E MISSION AVE
Location::SPO SPOKANE,WA 99206
Zoning: UR-22 Urban Residential-22
Water District: 011 MODERN Hold: ❑
Area: 9.00 Acres Width: 0 Depth: 0 Right Of Way(ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 0
Review Information:
Department Review
BUILDING Review Coordinator Released B q //
Hold Reasons:
Permit Conditions:
BUILDING Plan Review
Released .
Hold Reasons:
Permit Conditions:
Permits:
Fire Safety Permit
Contractor: MC CLINTOCK&TURK INC Firm: MC CLINTOCK&TURK INC
Address: P 0 BOX 3243 Phone: (509)535-7641
SPOKANE,WA 99220
Item Description Units Unit Desc Fee Amount
CHEMICAL STORAGE TANKS 5000 GALLONS $50.00
Permit Total Fees: $50.00
,I L
Project Number: 01007355 Inv. • °a'"' *ate: 8/29/01 Page 2 of 2
Appllcatlo2�
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 8/29/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Fire Safety Permit $50.00 $50.00 $0.00 $50.00
$50.00 $50.00 $0.00 $50.00
Notes:
• 41" . .44:NP . • '''''. •
I „447 PROJECT APPLICATION WORK SHEET
=v SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
'ill SPOKANE,WA 99260
509-477-3675
SPOKARE CourtrY .
SPECIFIC SITE INFORMATION
Street Address: vej , , 1 1z) { SQrX, 1�Q l \ 1 /�
Assessor's Tax Parcel Number(s): i\► ' `"'' �Y./t�
Legal Description:
Project Description: V8yL1.-t'( . 91 1— C 1 L- '
' ' -' ( 31 kk, f c� O�
j ,s,
At Building Permit ❑ Change in Use 0 Grading ❑ Manufactured Home Permit
❑ Relocation 0 Sign 0 Tenant(New/Change) A Other ,I(\G..b (
ri Department Use Only .. , t . , .° ., ,.”, 4 e y
d
,\yatef District/Purveyor Sewer Distnct/Put%eyior .s 'Road width,,, • Setbac "''; r,' 414 r Q
s
T FrontR
'�,.. A. „ ear. ci
School District„ tFiit District . .r,,,, , ' 2onutg rY . .,r
,* a T eft r Right: �^ r.
,,,t.. '.M 4"..:'
t t
OWNER/APPLICANT INFORMATION
Q Indicate who should be contacted regarding this project
❑ Owwner. ` �_�}� �( Phone: 0 Applicant Phone:
C
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip •
Al Contractor Phone 5'3s--1 Architeec-t//E�n�gi�neeerrq�.� (��� Phone '93$ !�.gz
rto
f\ bCX lis— Fax 53J s'al� �1O4��ik�,J�0..�.- A.�i,��l'1)s Fax
Mailing address Mailing address
'.°• 64 3243 \2o3 U)l fe ►.
City,State Zip City,State Zip
Wt.-
\VA Stala Contractor license# Contact name:
M'., 'l l ,_At).\,-K .ce-ICV- 7.
PROJECT INFORMATION .
Building nforir .tibn-
Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2nd floor sq.ft. Finished basement sq.ft.
e,
Occupancy group Construction type Garage sq.ft. Deck sq.ft.
Cost of project Heat source(electric,gas,etc.)
1�fanufactured I Iome- . , ' aP '4.' ``° n r''''`,'
Width: Length: What is the square footage of the sign How high is the sign?
face?
Year: Make: #of signs Area of existing signs
k
Relocation ",z' °" ' A, µFire fety - >. z.
Previous address Fire Sprinkler = Tent
Paint booth_ Fire Alarm Fireworks display
Proposed use Value
Y Special Inspections Req eci?' .a� , s Nonx-ResidentialEneigy COde,C6'fnpliance?
, a 4 ,-,-. ,'xnw ala '"°a; _ r x'' 4 aa ,S,a n r,h".% ", , s,V w t a . 4 t a
Firm Name Phone Plans Examiner Phone
Inspectors: Address
'N.
Inspector Phone
O Concrete O Welding O Bolting O Reinforcement Address
•
ADDITIONAL SITE INFORMATION
Arc there structures on the property? O Yes 0 No What is the current property size?
Ifye,identi3O on site plan (square feet or acres)
Is any part of the property within 250 feet of a shoreline? What is the current use of this property?
Ifyes,idents on site plan O Yes O No
Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No
O Don't know O Yes O No
Is any part of the property within a 100 yr flood plain? Arc or'will there be wells located on the property?
Ilya,ident'on site plan Ifyes,identi�on the site p/an O Yes O No
O Maybe O Don't know O Yes O No
Are there any wetlands,streams or ponds within 200 feet pf the property? Is there evidence of fill or excavation on the property?
Ifyes,identOi on site plan O Yes O No O Yes O No
Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site?
( /%) O Yes 13 No O Yes 0 No
DEPARTMENT USE ONLY
Is the property is a designated Stortnwater Control'Area? Is public sewer available to the site?' ",O Yes O No,
O Yes O No ,
is.the property inside the ASA? O Yes .0,a,,No Is public water avltilable to the site? O Yes O No
I 4 O Yes =O'Np
Is the property inside the PSSA? - ` Q Ye's 0,,No Is.the property located within-1000 feet of aNatural Resource Area?
El Yes "O1 No "4 F. a
Date Received: Staff Representative:
METHOD OF PAYMENT ON -1(-- l SUB'f0'1'.U.
IMINi _` `0).F :,
0 CASH ❑ CHECK pt 0 -'11ri0
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATI?: EXPIRES: TOTAL FEE
BANKCARD NUMBER: MINIMUM PERMIT FEE IS$3.6IPLEASE
MAKE CHECKS PAYABLE TO SPOKANE
AUTI TORI%ED SIGNATURE: COUNTY PERMIT CENTER