Mullan N 1220 Steve Ness - Addition
BUILDING PEAMIT APPLICAYION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
(Please return this orlginal and yaUr building plens to ihe Oepehment,of Bulldfng and Safety)
1 p„„Npjne tm1 oapartmEmt use onty
F~ Comm
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2 ProJect Adcfresa (not Mailing Addrepa), Raad,Nartse S~ ZiP
N , ~ ?'?'o M~~ AAT~ 3 cti y!nuy stace subdn►iatonI Ptat Neme
~CL) ~ 14 Paroel No ~
♦ ~ • DEPARTMENT USE ONLY ~ ~ •
5 w OKIO 7one Aat / Zone ~ O Rro)ect No
8 pwaii o No 01 Bulldinge Sq Fl,lAcre Oepth F1entap
7 Set 8ndc-Front (t)S-/ (R)S-2 Resr Onsus TtaCt ModUte No Infllafe
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Glatted Pereon UaeRea kD. Phone tt dlflerent then abo+re
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Ih ebavel Buelness A~drees
8 ownerl~nt~dffterar+t than~■
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12 RevFe1N Requlred Plan dtedc (YI N) OtRer (Y/N) SEPA Exempt (1flN) Dwe
t5 Type,Work 0 B1dg ❑ MH CI Naw 0, Replace G Othqr
O Fire ❑ Oamo `!8r /WdlAlter ❑ move
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14 p8scrib8 Watk ~ `
10 ApplicaM Narrla ~ Street AdOress
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11 Zip City ~ State Phong - f
~j~47 'A;~ 7 -
Lander ~ SVeet Addresa e
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DEPARTMEPIT APPROVALS
This is not a Permit
Applicatfop Type
{Stanciard unleas (indicated approvala requlred in either °release" or "release with conditlons'
otherwlse tndlcated) , space prlor to permit fseuance ) . `
Fast Track
Release
Early Start Release w/cond t Hold 2
Environmentel Health p Commercial, O Residentlal
W 1101 College p New Canatructlon; ❑ Bld alter`ationladdltion ~
Ftoom ZQO tl Additto Btructur ,
AP ON q
Conditivna/Comments
~ Pfennlng/Zoning: O Commercial, ❑ CeR of Exemptton; O Frontage,
~ N 721 Jefferson ❑ Setbacks, O lot w/d, O lot alze. 13 uee/zone,
C1 CU, variance. zone chanpe. ehoreline; O fence,
0 Other
Canditions/Commenta HEIM444- 42lrt.o AI'zp P S r
Gj&AeCoe,> t,au DS~G/~t-c ~ ~o u'r~ Ar+►s~p R:EP~ cTt g~ ~='~'~t-~ ~"t'~l~~ o~
C.""% Ac~WTI o^J pG -.V-Z>A.A&09- Ak~61~ - V_z!&AQl eJ o1F F~Q_V
AL. oR Dt wa j4,,r-,t;a -:."a,-- B S .4 y,~ • 6.f ,
~ EnAineers: O Commercial, 13 Residential; D Fload Pleln;
N 811 Jeiferson drainage D new access/approaah, D tence;
O road improvements
Conditions/Commente
D ,
uaueoes:
N 811 Jefferson > -
ConditlonslComments
❑ - ,
Other:
A ❑ Plan Exam ~
Fire Prev.
,
Candificns/Comments -
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Project Representative Telephone
vi Agencles Periorming Speciel Inspection
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Lo yr
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1 Indtcate epove or altach conditlons relatlve to 11na1 ea bullt approval
2 IndIcete ebove or attach reasona for hold
;.Cont3ct Pecson Name Bueinees Name
Address Addreae
Phohe Phone
County Contact Person _ Phone No. 456-3600
COMMERCIAL BUILDING PERMIT REVIEW
, This building permit review is intended,to appraise you of the improvements (roadway, side-
walk, curb, stormwater, etc.) which must be conetructed iu aseociation with your buildin,g
permit. This checklist will be filled out by the Engineer's staff and a copy will be re-
turned to you at the time that the permit ie initialed by the Engineering Departmeat. All
requirements shall be completed prior to issuance of the building permit. All unchecked
boxes require additional research or information to make a determiaation.
, I. Stormwater Draina e Coneiderations-
A. Per gufdetineor "$tormweter Managemeat 1981" both on and off site.
1. 208 Consideratione* ~ Yes Li No
2. Flood hazard zone consideratione** ~ Yes Li No
3. Storm Drainage Plan ~ Yes Li No
II. Plannino Ac[ion #
1. Rezone, Conditioaal Use or 0ariance on property ~ Yes Li 'No
2. Are requirements of planning action incorporated ~ Yes Li No
into site plan
III. Right of Way
1. Does permit neceasitate B.O.W. dedicatioa ~ Yes Li 'No
2. Did zone change require R.O.W. dedication ~ Yes Li No 3. Radius at coraer ~ Yes Li No
IV. County 8oad Improvements
1. ILoads need to be improved. ilow wide a Yes ti No
2. Curb ~ Yes Li No
3. CRP/ItID agreement (Copy of deed, contract, or p Yes Li No
title repart required.)
4. Plans for improvements provided ~ Yes Li No
5. Sidewalk . ~ Yes ti No
V. Parking P1an 8 Ap#roach Location
1. Review and 9ign off by TYaffic Yes ti Ido
2. Approach Permit from Engineer's Office ~ Yes Li No
3. State or Ci[y sign off ~ Yes Li No
4. Ia this road on 6 Year Plan n Yes ti No
VI. ULID Agreement: ~ Yes ~ No
VII. Field Review: Freliminary Commente -
* Al.l Zarid within the Aquifer Sensitive Area, where deemed feasible by the County Engf-
neNK, shalt tncorpo rate stormwater treatment Co mitigate the potential for grounciwater
ciegras) a t ian. (See Guide l t nes f or ,St ormwater Managemen t 1981, Spokane Boerd of Coun t y
c:ommis»taner's Resoltition No• 80-1592, as amended.)
k* I`tit, j►urpuse of Elood hazard zone r,eview is to minimize losses due to f LoQding in ~pe.-
if i careas designatel hy Flood Hazard Boundary maps on file at the f:ounty Fngineer' b
ur fi ~.e. (See Sp9kane 8oard of Cnun[y Commissioner's Resolution No. 81-0726, as
;lint-011(1ed. ) -
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