Sullivan S 217 90 Unit Apt complex r
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BUILOING PERMITAPPLICATlQN WORKSHEET
.
PLEASE PRIAIT AND COMiPLETE QIVLY THOSE PARTS OF 7HE FORM YOD UHDER9TAND
(P1eowreturn #ht3 oriplrEplend yaur buildlny plem ta [Ae Departmeet at BuflWnp snd Satetyy
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oau.ee Pa,an P~nne a d~na~ent tho~ oaa~o
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BUILDINCi PERMIT APPLICATION WORICSHEET `
PLEASE PRINT AND'COMPLETE ONLY THOSE PARTS OF THE FORN9 YOD UNDERSTAND
(Ptease return thta oNglnal and your building plans to the Department of 8ulfding and Satety)
I avnar's , Ilast) ~ (n~ t~n1 ooWment tlse onry -
L
oi WLf ~NU~Tc?A5 G R33 Comm
? ProJect Addr-outnot Melling Address) Q Rosd Nartte Space zio
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3 Gty'CbmmurtltY Stete SubdtWsfon/platNama~ ~
SPaJE&O C4..O 07 TR c. :a;?11J
4 Asesssor Peroel No. Lo1 6lodc
DEPARTMENT U.4E ONLY e• 4 -
~ 5 sic C+ad+e ZoM Ac1 P Zone Project No
~
? 8 Ow~l / Nc of 8ulldinga Sq F1 PAA►e Dap1h . Fron"o ,
Qou~~ l-T , 1b , 4 b? ~ r..arsp' *
7 61m Heoit-F/or►t T)S 1 (RW2 Resre am" TreCt Module NO Ie
z
~ 16, Arehitect Ftrm Name - Street Atldr88s ~ f
SPa4v.,e~ Fww•-LAcr ~ Pds--wN A" P6,*,Qu iE 102 5fRW4 o Es
Zia - afy 18late ' Rhane
~9 2Q ~ S Po (50 g ) 7 917 5 Y 6 Z ,
(bnlaet paraon PhonO if diNe►eM fhan alove i
(i~ ✓E!~Scr~./, f ~ 4 - i
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Oor+lrector FlrM Neme St*W Add~
WeL o . , 5 7/1 PaAvS 90 :
zio - ' aty ~ steae tw+a,e,
(509 ) fZ fZ 5'9 2
oantac+ Person 6oer+se No , w+~a It ditferent enan ebove
, an ( )
- 8 Owrter! BueinessAddress
' • cib"7 u1 _~~v~~a.S• p~ ~►V •
9 Zlo City ' slate ' Phone
~ Ct q,ZO t 4y 2Q- -1 i06
~
12 ReVfew Required Plan Check,(Y/R) Olher (Y/N) ~ SEPA Exempt (Yf N) Oate
15 Type Work 91dg 0 MM IL Noa O Reptace r--1 Other
0 Flre p Demo C1 Add! Alter ❑t lvtave
114 DescNbe Wak
2'0 NI GC f0 apClkanttNsme - 9lreBt AddrnBs
.
11 21p City 8l81a PAone
1 ~
I.ender Street Adsress
Zlp Clty State Pftflrte
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Contect Perspn Phane II dlfte►ent fhan ebevs
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4dd t t ional 1 n f o►maNon
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- DEPARTMENT APPIROVALS ,
u°- This is not a Permit
0
Appllcatipn Type o (8tandard unlesa (Indicated approvata req6ired In efther wrelease' or "releasQ with condltions'
qthenwtse lndfcated) ✓epace prtor to pgrmit Issuance
Fsst Track
-a . -
_ Eatt~r Start ReleaBe
r
~ Release w/cond 1' Hoid 2 - r
o; Environmental Mesllh "mmercial, 0 Residential _
„ W 1101 College D New Conatruction. O 81dg alteratfan/addttlon
Room 200 , Q Additlonai atructure;
APPLICATION 0
:g OonditlonplCommenta
.
~ - -
Planning/Zdning: wcommerclel, 0 Cert of Exemption, O Frontage;
N 721 JeHereon O Setbacks, O lot w/d, , C] lot alze, O uee/mne,
b CU,,vartence, tone change; shorellne; O fence;
D ther
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ao Condltions/Comments
, o .
. •
,
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y Q Residentlel' O Ftood Plaln;
EngUeere: ` Sr/co,
N et1 Jefferson r Q' drofnage ' - O new acxesslapproach, O fence,
i0 raed Improvements CondltEOnalCqmmentss • " - _ , L , ,
•.r ~ : , o
`r L ' 7 A1 - J
0 Y T)_ O 1 ~ j . o . .
U•, o ~ n r
~a1 ulit'or. 4 r i D l n ~ ~ ~ N 611 Jeffersan '
~ Conditfone/Comments
- ♦ Y ~i . _ o ! ' "
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J ee r e
OU18r. - - > . ~
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Ptan Exam
~
, Flre Prev.
Condltlons/Comments - _
io U
- Pro)eat Representative Telephone
~i Agenciee Pertorming Special IrtspeEtlon
Y Q
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~
~ a 2
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1 Indkata apore or ettch conONlone refetlve to Ilnel ea bulit epprorrel
2 lndkete 4bove ar etlech reasons ior hold b
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C¢ptd~~ Pet e.utt Na~nt• ~3ubitiesy Nrtu,~_ : . / ' `~s_
I6+F-~-~4------ Acldreeb_S--~[~ Av._._._ .J~
~tpue _ ~.2 V-2 '=-&/-b.-~ - Phollr
(4unty Contact Peravn`__-15-Phnne Nu. 456-3640~
CUMMEkCIAL liUILDINt; E'ERMIT liEVlEW
~
'Th,ie building pecmlt rrview i9 inteaded to appraige you of the impruvements (coadway, eide-
gatk, curb, stormwater, ete.) which a,uet be constructed in aseociation With your buildiag
patqi.t. This checklist will be filled out by the Enginrer's atafF and e copy will ee
'Ysturned to you at the time that ehe permit is initialed by the Engineering Departueot.
411 =equiremente shall be completed pcior to issuance of the building petmit. All uct- •
thacked boxee cequire additional cesearcb or inforroatioo to make a determination.
. ~
~ I. Stormvatec Dr8lnage Consideratlone
iPer guidetines-Tor 'Stormwater l48nagement 1981" both on aad off site. , .
. .
io
~ 1. 208 Coneideraeione* Yee ~ i /No
2. Flood hazerd zone coneiderations** Yes .
3. Storm Drainage Plaa ~ Yee ~ i+b .
w I
: II. P1aAaiag Actlon #
1. Rezone. Coaditionel Use or Variance an proporty ~ Yes No
2. Are requiremente of plaaning actioa iaacorporated ~ Yeo ~ i+b
t iato site plan
.
~
. .;Il. A!jht of Way • .
.
16 Doee permit nec4eeitete B.O.W. dedioation a Te• 13 No
f
. 2. Did zoae cheuge require B.O.W. dedication 11 Yoo El 0 no ~
3. Badiua at cornec ~ Yoa i~b • ~
• 1 f
.IV. Count7 8oad Improvemeate
,
.
1. Roade need ro be icoproved. Hov vide ~ Xeo Nb ~ - t
,
2. t'urb ~ Yee )1g ,
3. CRP/RID agreeanent n Yeo 1:1 nP
.
. •
4. plaae for improvements provided D Ye• S. Sidewallc E] Yes E] Hok, ~
. ~
Y. Perkino Plan b ApFroach Locatioa 0,
~
1. 8eview and sign of f by Ttaf f i c Yee ~ Nb •
2. Approach Permit from Engiaeer' e 0€f ice ~ Yee ~ 'PO i;
r ~
3. State oc City sign off ~ Yee
VI. Field Review: Prelimiaary Comiaen[e
~ All land wlthin the Aquifer Sensitivr Arra, vilere deemed teasible by ttie Cvurtty tiiigi-
neec, ehall inc:urporate etormweter treatmen[ to mitigate tlie po[ential fnr groundweter
degradatfo+n. (See Cuidelinee for Stormwater Management 1981, Spokane t3aacd oF County
Comaiieeiotier'd Resulution No. 80-1592, as amendrd. )
The purpase of fluad 11dzard 2one rrview is to mfiitmize Io55es ciut• to floodi.19 in dpe- •
eific bread destgnated by Eluud Na2ard buuiidary tuaps uii t i 1e ac the (A)u11ey k:ngineer'a ~
Off ice. {Sce Spokaiie buard of Cuunty c,4mmissianerls Resul ut tun Nti. 81 -l)12a. as l
emetided. ) '
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t z- ~.~r.~_ _.~z,.a1 . ..a~ o.t •o. ~~s~,cs~ra..s.a~ s:re y. aa -.~tah_-~=r+a _ a. r ~ •a., w - .ct
w
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DEPARTMENT APPROV LS
Th1s is not a Permi
Applkatlon Type
(Standard unless (Indlcated approvals requtred In elther °release• or release with o'onditlons'
otherwise Indlcate0) Space prior to permit (ssuance ) Fast Track
Eatiy Start Refease
/ RGlesse wlcond f Hold 2
+ t
Emrlronmsntal Hsalth ~Commerclal. p Residentiat
W 1101 College p New Construction. O 81dg alteratlon/addltton
Room 200 0 Addltlonal structure,
APPLICATION N
Conditlons/Comments•
. ~
~ Planninp/ZdnlnA: "mmercial, ❑ Cert of Exemption. El Frontage, Q~
N 6,
721 Jefferson C Setbxks, O lot wld, 0 lot size, O use/zone,
D CU, varianae, zone change, shoreline, ❑ fence, ~
O ther ~
76- PCj~ 64
'
Cort tiona/Comments SL
~ O
~l~ ~ OZ y~ w~t
w
~ Englnssra: Voo;wmerclel; O Residenttai; O Ftood Pla(n;
N 811 JeHerson O dralnape ❑ new aocess/approach, O fence;
O rosd tmprovements
ditlons/Comm nts•
r,~ !
44!to~r &&zfZ Ape ej~l
Utlfltlss:
~
N. 811 JeNerson
Cortditlons/Comments,
Other:
~ ❑ Plsn Exam
Fire Prev.
Condtttona/Commente
a m ,
~a
ProJect Representailve Telephone
y Ager~cles Periorming 9peclal Inapection•
x o 1
~ a 2
u. c
3
t Indkats above or attech condltlons rolattve to Iinet ee pullt apiwov81"
2 Indkate abovs or attach roasons tor hold