Grace E 12325 Kaiser Alum Office Add
(THIS IS N4TA PERMIT) - ,
BUILDING PERMIT APPLICATlON WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN 1NK
(Please return this original and yaur building plans to the Department of Bui►ding and Satety)
SHAOEO AREAS ARE FQR OEPARTMENTAL USE ~
Proiect Number
Owner's Name l AST FIRST Mi
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c,lty s,ate Zip Phone
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Contacl License humber (keQuired) Busineys Phone '
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Contaet Person Name G~ Businesd'~ l+i~amE;
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Address Address oiig' 42 ?2_~ "oe,q~~
Phone S3 ~¢-(0 8 8 Phone
County Contact Person Phone No. 456-3600 Date 431 y~
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COrfMERCIAL BUILDING PERMIT REVIEW
This building permit review is intended to appraise you of the improvements (roadway, side-
walk, curb, stormwater, etc.) which must be constructed in association with your building
permit. This checkliat will be filled out by the Engineer's staff and a copy will be re-
turned to you at Ehe time that the permit is 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 make a determination.
I. Stormwater Draina&e Conaiderations
-A. Per gufderines tor "Stormwater Management 1981" both on and off site.
1. 208 Considerations* ig Yea Li No
2. Flood hazard zone considerations** ~ Yes L4 No
3. Storm Drainage Plan ~ Yes ri No
II. Planning Action #
t- 5`' -
1. h o plat, ' ~nditional Use or Variance ~ Yes a No
CPla)t,
on property. Planning Number
2. Are requirements of planning action incorporated ~ Yes ~ No
i nto si[e plan
III. Lzht of Way
1. Does permit necessitate R.O.W. dedication a Yes ~ No
2. Did zone change require R.O.W. dedication a Yes ~ No
3. Radius at corner ~ Yes ~ No
IV. County Road Improvements
1. Roads need to be improved. How wide p Yes No
2. Curb ~ Yes No
3. CRP/RID agreement (Copy of deed, contract, or ~ Yes No
ti tle report requi red
4. Plans for improvementa provided ~ Yes ~ No
5. Sidewalk ~ Yes ~ No
V. Parking Plan b Approach Location
1. Review and sign of f by Traf f i c Yes ~ No
2. Approach Permi t f rom Engineer's Of f i ce Yes ~ No
3. State or GY ty si gn of f Li Yes ki No
4. Is this road on 6 Year Plan Li Yea pq No
VI. ULID Agreement: ? ~ Yes a No
VII. Field Review: Preliminary Comments
* All land within the Aqui fer Sensitive Area, where deemed feasible by the County Engi-
neer, shatl Incorporate stormwa[er treatment to mittgate the potenttal for groundwater
degradation. (See Guide li nes Eor Stormwater Management 1981, Spokane Board of County
Cornmissioner's Resoltiti on No. 80-1592, as amended. )
The purpose ot f lood hazarcl zone revirw is to minimtze losses due to f looding in spe-
ci fi c areas designeited hy Flood Hazard Roundary maps on f i le at the Coun[y EnKineer's
(lfFtce. (Sve Spokane Roard of Cotinty G)mrnissioner's RL-soliition No. 81-0726, as
amencied. )
8/12/H5
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D€PARTMEMTAL REV~EW
Cond.
Appraved f#pproVal ~ HOIt1 ,
Envi-ronmsntal Health Perrx7~t Nurnber
~ W. 1101 Co#lege Jf o yIS,
Roam 200 4-1
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PlsrtninglZaning
N. 721 Jefiersor~
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EffQlfifoFs PeffT11t NUf111bBf. t ,
M. Sf f Jefferscan
,
Utili#ia: .
~ 1+1. 811 Jef #erson
Plan Revlewf FFre Prevantaon f ~
~ N. 81 i Jeilerson I
~ I .
Other (SEPAICri tica! Materla l lekc-)
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Fas# TracklSpeciei Inapeclion inforrnafion .
Profwt Representative f Phane
Address
~ cerlity tha[ I hav~.~ exar7ineci lhi,~ aoppicrm,o» and stafe anaf the rslorrr7alEon conlafntbd tn it and, submitled
by me or my d,cjent is trtie, correct, lagsf, tif7(J blrsding.
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