Montgomery E 10420 Longhorn BBQ - Warehouse
BUILDING PERMIT APPLICATION WORKSHEET
~ PLEASE PRINT AND COMPLETE ONLY TH4SE PARTS OF THE FORM YOD UNDERSTAND
` (Please return thle ortglnal and your DuilOing piens to the Qepertment of BuIlGing end Satety)
~ -
t Owner a Nttme Qast) (1Ira1) (M) Oipertmertt UbsOnly
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2 Pro1ed Ad&esa (not Malting Addresa) a Road Name Spam Zip
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3 CftylOommuntty State / SubdlvlsionlPiat Nanee
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4 Aw;WPeroe! Na tai Blokic
DE~ g r.~4 I-d S ~ r•PARTMENT USE ONLY w
s Zono Aat A Zon Project No
6 Owel1M No of BuNdinga Sq,Ft IAae Oepth Fronloge
7 S6t,Beok-Front 0.)S-1 (R►S-2 Rear Cwisue Trac! ModutB No Initwe
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18 Aftlterd Flrm Name 8tteet Addme
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8 Dp Gty State 1 L Phone
12 Review Requlred Plan CReck (Y/N) ~ Olhet (`!/N! SEPA Exempt (YlN) Oate
16 Tipe Wo►k Btd9 ~ 11, MH New C! Reptaae O Otter
0 Flro p pemo ❑ AQdlAlter ' 17 Nlave
14 DesCtibo Wark -
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10 Applicant Name Siree! A+Odreas
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11 Zip - C1ty 8tete Phone
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Contect Aerson Phorre If dHferent than ebove
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Add i I lonal I n brntaf ton
I
~ s DEPARTMENT APPROVALS
Thls is,not a Permit
Applicatlon Type
(Standard unlesa (Indicated approvals required in either "release" or "releaee with,cortdltlona"
otherwise Indicated) epace prlor to permit issuance ~ ',Fast Track
p se
Earty start Re~ea
~ Release w/con01 Hold 2
Envlronmentol Health p Commerclalt p ResldentMal
W.1101,Co11sge ❑ New Cflnstructlon; CJ 81dg alteretionladdition
Room 200 0 Additional structu►e;
APPLICATION 9
0
ConditlonalComments
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Plannfng/Zoning: D Commerclal, 0 Cert of Exemptlon, ❑ Frontege, p
N 721 Jetterson 0 Setbacks, O lot w1d, 0 lot slze; ❑ ueelsone,, °
D CU, va►lance, zone chenpe, ahoreilne, O tence, A
o Other ~
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Condltlons/C.omments:
,
Enginsers: O Commercial, O Residential; ❑ Flood Plaln.
N 811 Jefterson O dralnage ❑ new access/approach, O fence,
13 road improvernents ~
~
CondltlonelComments. fi
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Utlllties•
N 811 Jefterson
Conditlons/Comments ~
Other. -
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y - -
Plen Exam Fite Prev.
Canditlona/Comments. -
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ProJect Representative Telephone - -
N Agenclee performing Special Inspectlon
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3 - 1 Indlcate ebove or attach condlUons retative to ifnal ae pullt epprovel
. 2 Indkete above or ettsoh reasons tor hotd
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r.u~~cact 1'crsuci Na~ne A"4: i~ '4 0 _
.~cielV Businer~s Name
AJdress. Adc~ress_~/o g-,Z0
Ph~~R~ 06 zgo Phone
Counf y Contact Persun Te'.13!~$e Phoiia lVo. 456-36U(1 .
CUMMEKC LAL HU C Lp LNG PE RM 1`t' UV tEW
This buiiding permit review is in[ended tn apprsise you oF [he impruvements (roadway, side-
walk, curb, stormwa[er, eCc.) which must be cunstructed in associatioa with your buildin,g
permit. This checklist wil.l be filled out by the Lngineer's staff and a copy will be re-
tutrned to you at the time tha[ the permit is initialed by the Engineering Department. All
requirements shall be completed prior to iasuance of the building permit. All unchecked
boxes require additional research or information to make a detetmination.
1. Stormwater Draina e Considerations
1. Per guidelineor '5torn►waCer Management 19$1" both on and off siCe.
1. 208 Coneiderations* m Yes ~ No
2. Flood hazard zone considerations** ~ Yes ~ No
3. Seorm Drainage Plan ~ Yes ~ No
II. Planning Action # N C> ~'~~;,~~p~►S
l. Rezone, Conditional Use or nariance on property ~ Yes ~ No
2. Are requiremente of planning actiort incorporated ~ Yes ~ No
inCo site plan
Iii. Righ[ of Way,
1. Does permit necessitate R.O.W. dedication ~ Yes ~ No
2. Did zone change requi re R. 0. W. dedication ~ Yes ~ No
3. Radius at corner ~ yes ~j NO
I V. Coua ty Road Improvement e
1. Roads need to be improved. How wide ti Yes ~ No
2. Gurb ti Yes ~ No
3. CRP/RID agreement (Copy of deed, contract, or Li Yes ~ No
title report required.)
4. Plana for improveanents provided ti Yes No
5. Sidewalk a Yes ~ No
V. Parking Plan 3, Approach Location
1. Review and sign off by Traffic ~ Yes ~ No
2. Approach Pettiait from Engineer's Office er~~ ~ Yes No
~
3. State or City sign off ~ Ye6 ~ NO
4. Is this road on 6 Year Plan ~ Yes ~ No
VI. ULID Agreement: ~ Yes ~ No
VII. Field Review: Preliminarq Commente
* All Iand within the Aquifec sensicive Acea, whece deemed feasible by Che County Engi-
neer, sha2t incorporate stormwaCer tceatment to mitigate the potential Eor groundwatet
degradatior►. (See Guidelines for Sturmwater Management 1981, Spdkane Aoard of Counev
Commissioner's ResoIution No. 80-1592, .4s amendetl.)
The Nurposc' f)t E luud h.3rard zutie review is Co mini inize loase8 due [-3 f luod ing in spe-
ciffc areas de4tgna[ed hy Flu4d ttazar(1 &;+mdary maps on file at rhe Cnunty Engineer's
UEFice. (St-e Spok.inc Ward uf Cnunty Gomrnissioner's Resolution No. 191-026, as
amt-ndpcf. )
w/ll/84