Skyview E 13220 Arnold Nelson 4-Plex
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~ 0 • BUILDING PEAMIT APPLICATION WORKSHEET
PLEASE PRINT ANO COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
(Please return thia orlglnal and your bullding ptans to the Oepartment of 8ultding and Safety)
1 QWW-s Iwrtb pest) r~ )AL (m) Oepertment tleaOnlY
.s ,OA/ ~'V'ra/P/i f ~W RM J Oontm Col
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2 PnOJect AdQreaa (not Mellfnp /Wdren) ar paad Name gP" Zip
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3 City/Qonxnunity State Su Ivlaton/Plat Name
S' o IC ~l(.vt~-5 ~ /~c~
. Assomw Parcel NO Lot etock
Z ~ ~ ~ ♦ • +t OEPARTMENT USE ONIY ♦ w •
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Praject No
ZoM Ad 1 Zo~+e
ESetSW*de
No o18ull0ings $q Fl 1A~ere Oepth ' FrontBpe
vrl (L) S-1 (R)S-2 Rear OnauaT~at ModuteNo o Inl
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~ 16 Wdtttee! Flrtn kame ~ Street AdOresa 4
z+v ' ati VP State ' w►~.
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Oomac! Pereon Phone if dlMerent lhan above
1 1
pantractor ?714aw stneet AQdrm
z+p acy State Pnone
QoMad Pbreon Uoense Mo Phone It different than aDave
1 I
8 OwnerlApeM (if dfHerent tAan abovel Business Address ~
`,a~ ~
s zip ~ cuy scate Pnme
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12 Revfew Requlred Plan C k(Y/N) Othet 1N) SEPA E~cempt (YlN) Dats
~~s
~ ■ 'Utf 15 Type Wartc 81dg Q MH New C Repiaoe O plher
C2 Fire D Demo ❑ AddlAlter a Move
14 Oewlbe 1Ncrk
t' 7-1 yq / C-
10 ApAHcml Name 3trwt Address
11 Zip ~ Ctt Stete Pnone
( )
~ Lender Street Addresa *
Zip Gty State I Phat►e
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Contact poraon PftonA II dlHamt than above
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Add H iomal I nf0►mat ian
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DEPARTMENT APPROVALS
• This is not a Permtt
Appttcatfon Type
(Standard unless (Indicated approvals required in either 'release' or •release with condltlons•
otherwise Indicated) spaoe prlor to permlt issuance
~ Fast Track
0 Earty Stert Release
w/cond 1 Ho1d 2
0 Envlronmental Heelth O Commerc(al, p Residential
W 1101 College p New Ccnstructlon, 0 81dg alteration ladditlon
Room 200 0 Addltlonat atructure.
APPI.ICATION #
Condltlons/Comments
/
Pienning/Zoninp: O Commerclal, O Cert of Exemption, O Frontage.
N 721 Jefferson O Setbacks, O lot wld, O lot aize, O uselzone.
O CU, varlance, zone change, shorellne, O fence.
Q Other
ConditionslComments
~
~ Englnesrs: ~ Commercial, 0 Residential, O Fiood Plain,
N. 811 Jefterson 0 drafna9e O new access/approach, O fence,
D road Impravements
CoRdltions/Comments .
~
~ Utllitles: y
N 811 Jetieraon ,
Conditlona/Commenta
, 0 Other: `
~ . _ . ,
~ Plan Exem Y/ 1, vg 2 q
Fire Prev.
~
Coriditions /Cormments
a
~
`D
F'ro)ect Repreaentative Telephone
~
~a Agencles Pertorming Speclal Inspection
~ c ~
Y C
0 ~
H E 2
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3
1 Inakate ebavs or etinh condltlons relallve to Ilnal es bulit spprovei
2 indkste ebove or atfach reaeons lor hold
Contact Person Name P .r,,~ A&. lAgg4 ge--Zusiness Name 44C
~
Addrese Aadress_Z 42~ 9 9 VZAE
~ Phone ?4 Phone
County Contact Person Phone No. 456-3600
4MR&CIAL BUILllING PLRMIT REVIEW
Thi.s building permit r+eview ie in[enr3ed to appraiee pou of the impr4vements (roadwsy, side-
walk, curb, starmwater, etc.) which must be constructed in assacia[ion with your building
petmit. Tbis checkiist will be filled out by the Engirteer's ectaff and a copq rai1Z be re-
turaed to qou at Ghe time that the permit fs initialed bp the Engineering Department. A11
requiremente shall be camgYeted prior to iesuance af the building permit. All unchecked
boxes require additional research or infvrmatiom to makae a determinatian.
1. Stormwater DrainmeConeideratione
A. Per gufTeMnee~eor Mormwater I+lsnagement 1981" both an and off site.
1. 246 Coneiderakiane* Yes ~ Nv
2. Flavd hazard zane consideratiana** ~ ee No
3. Storm Drai.nage Plan Vj Ye 6 ~ N4
~
11. Flann~ing Action ~j c s~e1." _S
1. Rezone, Coaditional [Tse dr Variance on praperty es ~ No
2. Are requiremeate oF planeing aetion incnrporated VYes ~ No
into site plan
TII. Right of Way
l, Does permit necessitate B.O.W. dedication 1:1 Yea M//No
2. Did aaae ch.ange require R.O.W. dedication ~ Yes
vmo
3. ~dius at coraer Yes IV. Gounty Raad Improvements
1. Roads need t4 be impraved. gvw wide ~ Yts Ul/ Nv
2. Gurb Ej Yee IDI N.
3. CRF/RIA agreement (Capg of deed, Aseessar's miera ~ Yes ~Ida
run, title report or legal description required,)
4. Pl.ans far improvements provided ~ Yea VNo
5. Sidewai~C Ye a V. Parking Plaa 8 Apprvach Locatioa
i. Review and sign off by Tira#fic V e a 2/No
2. Approach Permit Fram Engip~eer's Office es Li
3. State o~r City sign Off ~ Yes 4. Is this road on 6 Year Plann ~ Yes ~ No
VI. Fie,ld Review: Prel.iminary Oamments ~L,6U- LA,_5
~ LA/~q 4-
i
~
* Al1 land within the AyuiEer Sensftive Atea, where deerned feaeibXe by the County Fngi-
neer, shali incorpacate stormwater treatment to mirigate the patential for groundwater
degradation, (See G.eldelines for Sxormwater Management 1981, Spokane Bvsrd o# County
Commiasionex's Resalution No. 80-1592, as amended.)
Tfie purpase of flood hazard zone review Is to minimize l.osses due to flooding in spe-
cific areas designated by Fload F3azard Boundary maps on file at the Coun[y Engineer's
Office. (See Spokane Soartd of County Commissinnec's Resoiution No, 81-0726, as
amended.) -
1 2/ 20/83
r,~,►N`' ~~~tp APPLICATION/PERMIT o _
sPOKANE CoUNTY - DEPARTAAEHT OF BUILDING & SAFETY l/
~4
NORTM 811 JEFFERSON 18P_OKANE, WA8HINQTON 99Q80 1 (508) 4564816
APPLICANT• COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO -
~3220 s1C~Vl~t~ _ 27944 -?4 O3
2 Lrn' aLocx sueDtvistoN LEGAL DESCRIPTION
OWNER PHONE PMONE
3'MM uP ~~1• 3~' g2& -I11~;
MAILJNG C 2-L3 47011 Anrn, 2-5 n1s0,rn [Eapt weM
~ ZoneCla~Ifi~atlon
CONTRACTOR UCENSEEXPiREB PHONE ~ oI ~ p
q °a'merr'alW
AODRE8S ZIP 1yp90on5t Gocupenoy Sprlnkl~
n DYes flNo ~Req'0
_YN _._tfr
OE916NER PHONE 4 9Cowmt Valuatlon 1__~ Rernoeele0 Veluation Totel 81dg Fiaor Area I
0~1
5 RWPUW ~ aoaaEss - ZIa tmoa Ftoors oewrstww Greennouae
, qZ - ~
piANGE 4F USE FROM TO 0~ Ded~ Unav DedC Fln B~$menl ~ UnNn 8asement
• ~ r +
No Bethe No Floors No Fin No ~ Nnge
7 OFPE ~NEW ❑ ALT D AD' N 0 RPL ~ MVE ~OTHER ~ S.
WORK 0 B~ 0 P LM B 0 M E C H 0 M H ❑ P O O L U i E x e q~ t R e qWr e d Y e a Q t r o"-" ~
- Rsoeivad Yap No)C
8 pE5CR18E WOAK S1we11neelFlood Momrd P1am Required -1
Ye30 Not Applic Q Reoeh►ed Q
VALUATION SOURCE aAS ELECTRIC EA
FEE$ COLLECTED
WC Q a""~'~
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o~ate a
9 un°~nEs va a s'.,'y~X
~ I Nereby oertlty that I heve read end exemined lhis epplicatton ertd have read the "NOTICE" provlelons included on
, I reverse side, and krtow the same to be true and correcl AIi proviatone of taws and ordinances governing this type-of Buiiai~ 4", 05..
' work will be complfed wlth whether speciifed herein or not The granting of a permit does not presume to give au-
thority to vlolate or cancel the provislona of any other state or iocal law repulatinp oonetruetlon or the performance
of conatructlon 8EE p A SIDE FOA pEt1UIRED SPECTiONS Plumbi^g
SIGNATURE OF APPLICATION
OWNER 4R AGENT DATE mwh
SPECIAL APPROYALS BPECIAI COPdDITION9:-(SEE REVERSE SIDE FOR NOTICE PlanChock 3 d^~
PRFlIM FINpI DATE
,
W(Eriv HWh INA
P~, SEPA
PlennlnD A&4 to
V/ Modufatr
..l~Y~ . RKS r~`~~
Fire
Prevenl
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✓ Utflrti88 ~ (f ~~n~_ „ _ p!~. ~ d r
f`t~ ~,rf,~ay►'- TOTAL S
SEPA
WHEN MACMINE VALIDATED IN THIS SPACE, plam PEpMR IS NONTRANBFERABLE tNIS 8EC4ME8 A PERMIT
VEW" PERMIT IS NULI AND V010 IF WORK HAS NOT COMMENCED
~ BT"7 IN 180 DAYS _
. oATEissuEO PERMit Ho
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APPROVED
A% NOrEn ~
' stokme C A
h► ~oad Engineer
Date
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t~► "un o~f cnta #i%~ ra-.t` ri;~t of ~~+aY, it
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rrvy: be c-; !n. an adeyuate or1
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EN41I+lEERli#G DEPT1
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