Park N 1711 Pollock Office & Residence PLANNUMBER APPLICATION/PERMIT PEHMIT NOMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH Btt JEFFERSON I SPOKANEt WASHINOTON 98Z80 I(508) 45"815
APPLICANT: COMPLETE NUM6ERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 sTREADDRESS PARCEL N0.
~ ' I-7 11 FP4wz-VK-,.. 60r'J 12 5:b•
~oT eLF n~ su o1visron LEGAL DESCRIPTIoN
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CONTRA 0 LICENSE EXPIRES PHONE Sae of P~e Zone Geseltlat ~~tw ~
a. j~ ° Ib • ~
ADORM 21P TypeQo~ ~ Tv ~ OYe~ ~ ~
CINo Qi~p'd
DESItiNER ` PHONE NewCaa~et Valuallan gn►pdeledValuatlen Total8l~ FloorArea
5 '
. ADDpESB ZIP Aid~~ ~ Upp~Flooro Qe►epelSlorege Oreenhou~
1
6 CHANGE OF U9E fROM TO ` Qm Oecc Unav Oeelcc Fin Basement U ~ Basament
~
TYPE NEW ❑ ALT ❑ AO'N C3 RPL 0 MVE No Betha No Ftoas No fin F~ortm No Owell npa
.
7, WORK 8L0 0 PLMB 0 MECM 0 M H 0 POOI 0 OTMER ~~~t FMWred' YeeQ No❑ NUMON
aYarlenoe qmelved YesO Na❑ ~
8 '
~ OE8CRIBE~ !WdRK BhwNlnesf Flood Hezend Purp Requlred fd'
' YesO Not Applk 0 Reoelved 0
vaLuaTioN ' soo E GaS E.ecrRic ~`~I 9EC~ owneranlp ~ FEES COLLECTED
. 9 UTIUTIES PRIVAT D SEWEA 0 ~+I~ Q~~e
i hereby cartlfy that I have read and exemined lhfa applicatlon and heve read the'NOTICE' provistans Incluaed on
reverse aide, and know the same ta be Irue and correct All provlstons oi laws and ordlnances governing thls type ot Bulioing
work will be complied wlth whether speciffea hereln or not The granting of a permlt doee not presume to give au-
thority to violate or cancel the pravlslone of any other 9tate or local lew regulating conatructlon or the pertormance
of canatructlon SEE REVEASE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AdENT DATE Mecn
SPEClAI APPROVALS BPECIAL CONDITIONS. ( EE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE VlenCheok
Em hteellh
SEPA
Plommnp ~
Mbduferf
Pire MFG Horne
Revent
F.ngineer Oller ISpeeify)
UldltlBS
TOTAL $
SEPA
WHEN MACHINE YALIDATED iN TMIS SPACE,
to ptaot3 PERMIT IS NONTRANSFERABIE THIS 6ECOMES A PERMIT.
FAam PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
i'g ~ IN 180 DAYS
OATE ISSUED PERMR NO TOTAI
' PLAN NUM9ER APPLICAT ION / PERM IT ' PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDINQ & SAFETY
NORTN 811 JEFFERSON / SPOKANE, WASMINGTON 99280 I(548) 45"78
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
I aa
71 DR ss b1~ h~,►~~ PAACEL NO 2 5~~ ~
1. ~
2~
IMAILING T eFK su sIaH LE6ALOESCRIPTtON
~
~ PO1 'Wn ON PNONE
3 V4
AODR AcW Sel Bmce In Feet to '
120.1 North 16Wth I rp [Eesl ~ Wesl r"
~ ~r* *St „~O
IICEN9E EXPIRES PHONE Slaea~ on ~ a
4. A ~~Ilieatl~~" ~ ~ ~
ADDRESS ZIP ryp~(~t ~ Sprinkl~ed
V IV ar~ o~o a~Ia a
QE810NER PHONE I~wCo-»at Valunllon 00".emodeledVnluatlon Totn18ldg FloorAraa ~ 1 _J4
5 AOOpESS ZIP hbinFloor UPperFloore GeragelStarage GreenAouse a~
6 CHANGE Of USE FROM TO Qover Oedc U~v peok Fin 6asemanl Unltn B~nem
7 O PE Mo 6etb No Floorp No Fin Rooms No, OweIIIt~O
NEW ❑ ALT ❑ AD'N 0 RPL ❑ MVE
0 B L D 0 P L M B ❑ M E C H eM H ❑ POOL 0 O T H E R Conlii of Exemvt
WORK aVa~itmao ~Irsd Y~1] NoC NiartDer
Reodve0 Ye9Q No❑
Ky
3. °PA1e~o K y f=r c~ '`G}u lTYi"i C- snor~lne,,rflooe Memra para Requirea a
G~ e Ya0 Not Applla 0 Eoo¢lved ❑
LUATIO SOOFCE GAS EIECTHIC ~BLI~F~S .s EWA(i Owrte~ahlp
~u~ie o v~vate FEES COLLECTED
9~~ unuriES PRIVATE Q s~R
K
~
I hereby certify that I have read and exemined this applicalron and have read the "NaTICE" provislons (nctuded cn
reverse side, and know fhe same fo be true and correct Alt proviaions of laws and ordinances governing lhis type of Builairtg
wark will be complled with whether specified hereln or noi The grantlrtg of a permlt does not presume to give au-
thority to violale or cancel t rovlslons of any other state ot local law regulating conatruction or the performance
ot construction SEE REV SIDE FOR R RE PECTIONS PlumDlnp
SIGNATURE OF ~ APPLICATION
OWNER OR AGENT QATE ~/4~ ~ ~ Mech
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan
Oeo
Ern Heallh PRELIM FiNAI OATE A
8EPA
Piaentng ~
~ ~r~« ~1 , 3 030 ~
Monm
Provei,t ~
~
engirtw ~ Oiner iSDedtY? `
~
U,,,~~ies r
D `
TOTAL $ ~
~EPA
WMEN MACHINE YALIOATED IN THIS SPACE,
~ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
PERMIT IS NULL ANO V010 IF WOAK HAS NOT COMMENCEO
'~'RA ~ G IN180DAYS OATE~g 4-83 PQ1Ja0 z *5a0~o►J-
~ MR ~TAI
r
.
Contact Persnn Name ~~~eBusinese Name 6614rs f
A,ddress Addrees /4
Phooe Phone
County Contact Person .~edM.X Phone No. 456-3600
COMMERCIAL BUILDING PERMIT REVIEW
Thie building permit review ie intended to appraise you of the improvements (roadway, eide-
walk, curb, stormwater, etc.) which must be coastructed in aseociation with your building
permit. This checklist will be filled out by the Engineer'e staff and a copy will be
returned to you at the time that the permit ia initialed by the Engineeriug Degartment.
All requirements ehall be completed prior to iseuance of the building permit. All un-
checked boxeB require additional cesearch or informetioa to malae a determiaation.
I. Stormwater Drainage Coneideratione
'A. ker guf(TeTines tor "Stormwater Management 1981" both on and off site.
~
l. 208 Conaiderationa* ~ Yes n No
2. Flood hazard zone consideratione** D Yee tN No
3. Storm Drainage Plan ~ Yes ~ No
11. Planaing Act ion # ;Z. E ZI - S~
1. Rezone, Conditional Ose or Variance on propertq ~ Yes ~ No
2. Are requirements of plaaning action iacorporated ~ Yes ~ No
into site plan
III. Right of Way
1. Does permit neceseitate R.O.W. dedication n Yes ~ No
2. Did zone change require R.O.W. dedication L] Yes ~4 No
.
3. Radiue at corner ~ Yes ~ N~
IV. County 8oad Improvemente
1. Roade need to be improved. How wide [j Yes fo No
2. Curb E] Yee IR No
3. CRP/RID agreement ~ Yes D No
4. Plane for improvemente provided n Yes No
5. Sidewalk ~ Yes ~ No
V. Parkiog Plan & Approach Location
1. Review and sign of f by Traf f ic ~ Yes ~ No
2. Approach Permit from Engineer'e Office ~ Yes El No
3. State or Citq sign off ~ Yes ~ No
VI. Field Review: Prelimiasry Comments .
* All land within the Aquifer Seneitive Area, iahere deemed fea8lble by the County Engi-
neer, ahall incorporate atormwater treatment to mitigate the potential for groundwater
degradation. (See Guidelines for Stormwater Management 1981, Spokane Board of Couaty
Comwiesioner's R,eeolution No. 80-1592, as amended.)
~
The purpose of flood hazard zone review ie to minimize losses due to Flooding in epe-
cific areas desigaated by Flood Razard Boundary maps on file at the County Engineer's
Office. (See Spokane Hoard of County Commissioaer'e Resolution No. 81-0726, es
amended.)
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b) COUiVTY ENGINEERING DEPARTMENT
1. Applicant shall pave 20 feet on Nora Avenue.
2. Applicant shall construct cement concrete curta and sidewalk adjacent
to the property on Nora Avenue.
3. Appiicant shall submit for approval by the Spokane County Engineer
road, drainage, and access plans prior to the issuance of a buildtng
permit on the property.
4. The appiicant shal) submit for approval by the Spokane County Engineer
and the Spokane County Health District a detailed combined on-site
sewage system plan ahd surface water disposal plan for the entire
project prior to the issuance of any building permit on the property.
5. A parking plan and traffic circulatiorl plan shall be submitted and
approved by the Spokane County Engineer prior to the issuance af a
buiiding permit on the property. The design, location, and arrange-
ment of parking stalts shall be in accordance with standard traffic
er►gineering practices. Paving or surfacang as approved by the County
Engineer, will be required for any portion of the project which is to
be occupied or traveled by vehicles. .
6. The word "applicant" shall include the owner or owners of the property,
his heirs, assigns, and successors.
7. To construct the road improvements stated herein, the applicant may,
with the approval of the County Engineer, jo,n in and be a willing
participant in any petition or resolution.-lnrhich purpose is the formation
of a Road Improvement District (RID) for satd improvement pursuanfi to
RCW 36.8$, as amended. Spokane County will not participate in the
cost of these improvements. '
.
8. The construction of the road impravements stated herein shall be
accomplished as approved by the Spokane County Engineer.
9. All required improvements shall conform to the current State of Washing-
ton Standard Specifications for Road and Bridge Construction, and
other appliCable county standards in effect at the date of construction,
un(ess otherwise approved by the County Engineer.
c) COUNTY UTI LITI ES DEPAR"'t'MENT
1. Pursuant to Board of County Commissioners Resolution IVo. 80-0418,
the use of on-site sew@r disposal systems is hereby authoriied. This
authorization is conditioned on compliance with all ruies and regulations
of the Spokane County Health District and is further conditioned and
subject to specific application approval and issuance of permits by the
Health District.
3