Trent E 11607 TJB Enterprises Inc - Add to Whse
(THIS IS NOT A PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET
Pt-£ASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this original and your buitding plans to the Oepartment ot Suildfng and Sately,
SHADED AREAS ARE FOR QEPAPTtMfENTAL USE '
PrpleCt NiimhPr
owne, 2 Md'1►! LAS'
~ h-r N
Roinct Ad'reys (S1ree1 MaR+e !t NuTae+ Z't
~ 11 ~~0 7 u~ ~ l-e-l1[~ r6
~.p4a
Apolt~ni
'Illr07
C~t St F Z : Prano
y S,~ ~'~s.~1 ~ g`~.~o'~ S'~l'
~ Business PrtaRe
, °
Contracicf* 4gpnt Adct►ess
7"FN T`&Yy) r lS~'S 1~.~/ 7 ~Yc'n!
CiOy ~ Sta1r 2~, p PP0^~
i ~s~9 9z~- ~~~z
Contact ~ lrterst Number IRequir¢KII B4SInt'SS P'tiF1R-
7-ec✓ l &a,,ry-d ~F • N -e27 s ,eL
Arznitecl E4iginee, ' Actdress
l
Crty ~ State Z4C P+One
ContaCl el
a 1~~. ~ec yepv
llnOef Aadrese`
I
O;y Stdte Zid Pnont
Oescrl0e WOtk , Res Comm ~ .
~AaI~R A 9 141 ~ ~xi it c~ 4~:~1~+~~
Subdii~onIPlBtNamelShort Pial Numbel ~
C3 ~-0&.rdvle-w- kCYeS
Assemior Percel NumDer Lot Blodt ~ Plat Number
o~ ~41 - c~~ Z~ 15
Portlnent FlIo NumDefs Zon~. Comp Plan Censw Tract
Numbet of OweiNng Untts Number o1 Builalnge l.ol Site (Sq Ft /Iiete) Oepth Frontage
D
Fronc oadc Len setbadc Ri9ni seloacit Rear SelDack
J4ddittortal Informatto~ SqUere footape
W
. N
~
H
Z
W
~
. F- .
Q
Q
a
W
O
BullaangTectmiclan ~ Oate Qraup ~ Tyce
I .,~c ~ 0 r~~ C ,cz ~I N'1
r '
DEPARTMENTAL REVIEW
Cond Approved Approval Hold
Environmental Health Permot hlurrCer .01
w >>o, colie9e 114%1
Aoom ~M
A /I
Pianning/Zoning
~ dV 721 Jpifrm•son
L3
~ • ~ - ~
~ ` ~
Engineers Po►mit tvurnapr )VI
~ N 811 JNfferson
Ufilities
~ N 811 Jetferson
Plen Revt Prevention
~ N 811 Jefferson ,
Ofher (SEPA/Crlllcel Materiel/elc )
L
C Fast TrackJSpec181 Inspection Inlormatlon
Projett Representative Phone
AdCress
I certify lhat I have taxam►ne(J th~s a ~ tate tnat the ontormation contained in it and submitted
py me or my aqent „ true corr legel and binding Owner s Signatur ~ ~ Date ~ .
, • - I ~ ~ ''Y~ ~ ~ ~
.
~
• ~ ' -
„ . D
~ r
s, t
~ 1 • }
` ~ J 1
~ • ,
N
y ~ t
` • a
,
F • ~ ' , - '
+ ~ ~ v
,
~
.
,
, l
-o
1\ ~~~.~~1'~'• ~
~ \ S
~
r
1 ~ ~ o p~~+~~n►~t
.
, ~ ~ .
► ~ ' ,E~}f~~+1 ~ 2~ ~ ~
i _ ~ ~ t~ ~ y
~ ' El~v' f 5 ~ ' ' X
s~ ` 8 I-tA
r
t~ h
• ~ t
' ' •
~ti g~tui
~ `.~4,A t p i• ~ ~ ' , l
• V ~
r ~
,
~
~ ' O , ~ i•
t . ~ Q t i~•"~~ ~
L
J ~ . ..r
}'OV ~c
E~ CY' +p - • . ' '
r
~ ~iw~ Pwwa+eNL
~R tiNG t Ew• , i .
Ey~~~►'rs
r
t ~ ` • ~ rj~~~~Ar~►
AN
,.t, ~j_ a } ~ -r, * ; ~IS
[7+ yI ~ ~ ~Y w r ~ • 1 ~
i ` ~I'itI .i , ~ 'r p., ~,1. ♦ fv ~w;
f +t ~ , ~ . ► , , r . . ti ~ r
1,
~s o~F- • t .~i.+
~ ~
! •
~ ~ ~ • r
H
1
Cotntact Person Name BusinesB Name / Aem d-a Y•~ C~tJ
Addcess Address /7 (oo ;;r 7'K e K-,I'7'
Phone „ Phone
County Contact Peraon Phone No. 456-3600 Date e?-/o ^Q1'
~
COAIIrfERCIAI. BUILDING PERMIT REVIEW
This building permit review is intended to appraiee you of the improvements (roadway, side-
walk, curb, stormwater, etc.) Which must be coastructed in association wiCh your building
permi t. This checklist will be f illed out by the Engineer's etaff and a copy will be re-
turned to you at the time that the permit is initialed by the Engineering Department. All
requiremente shall be comple[ed prior to issuaace of the building petmit. All unchecked
boxe9 requite additional research or inform,atioa to make a determinatioa.
1. Stormwater Draiaa e Considerations
A. fer gufdeiineor "Stormwater Menagement 1981" both on and off site.
1. 208 Consideratione* V5 Yes Li No
2. Flood hazard zone coneideratione** p Yes ~No
3. Storas Drainage Plan ~ Yes ~ No
II. Planning Ac[ion #
1. Plat, short plat, rezone, Conditional Use or Variance a Yes ~ No
on property. Planning NuIDber
2. Are requi remente of planni ag ac ti on incorporated ti Yes No
into eite plan
III. Mght of Way
1. Does permit neceasitate R.O.W. dedicatioa ti Yes m No
2. Did zone change require R.O.W. dedicetioQ Li Yes tl No
3. B,adius at cocnec ti Yes LEP No
IV. County Road Improvements
1. Roade need to be improved. Hov wide Li Yes ~ No
2. Curb Li Yes ~ No
3. CRP/RID agreement (Copy of deed, contract, or El Yes ~ No
title repor[ required.)
4. Plaas for improvemen[s provided ri Yes ~ I+Io
5. Sidewalk ti Yes No
V. Parkin# Plen b Approach Location
1. Review and sia►n of f bq Traf f ic ' a Yes a No
2. Approach Permit from Engineer's Office el ~S 1 a Yes ~ No
3. S[ate or Ci ty sign of f ~ Yes ~ No
4. Ia this road on 6 Year Plan a Yes ~ No
VI. ULID Agreement: Li Yes Li No
VII. Field Review: Pceliminary Comments
* All land wiChin the Aqulfer Sensitive Area, where deemed Eeasible by the County Engi-
neer, shatl incorporate stormwater treatment to mitigate the potential for groundwatec
degradation. (See Cuidelines fnc Stncmwater Management 1981, Spokane Board of Coun[y
Commigsioner's Resolutton No. 80-1592, as amended.)
The purpose of f loud hazard zone review is to minimi ze losses due to f looding in spe-
ciftc acpaR designated by Flood Ha'acd BAundary maps on file at [he Caunty Engineer's
pffiee. (&ee Spolcane Bnard of Cnninty Q)mmissinner's Resolution No. 81-0726, as
amended. j
8/22/f35