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Mission E 15425 Medical Office ~ - (Dto B~LDG. FERMI'~ or - F~.E Reviot,& Time . ~ I~ate Rece,~►ed . . Pr 'ect1~~ ' ~J ~ - No. I.ots No. Actes SITE ADDR~~S,47 ,f .S` YJ PARCF;L # 1 Spansor's Nam ~fh", FYlone ~ . AddreO 30~ Work # Date coaditiQns mailed Con.tact persoA phoxie # FL.OOD ZONE Yes _ No - Engmeer / Sutveyot's-J Architect's Name Water _ Addres~ ~ewer SehQo1 ~ Planning Cbn#art Person Phone Date Submitted Description .T.nitiais ~ , rO" 30~1 A*AmwffAa'5"- Td- PA -e~ ~;o.W. r • ~ .~0 ~ ~ ~ ~ ~ ` ~ r r ~ ! ~ • NOTICE OF TRANSMITTAL x.r M ` 1 c 5 . ' ~ t ~ ~ n.e r^y~ fA o . s ~y~-~ ~r; ,,,.,~~~Wr..s+Y" s A< >d ~C.~'''~•v~°~'~+'' f` ` } y ' ^'~#~,W , x - rr ~ . rs r~r{n~AY~x ' ~ Y u f ` 4 ♦ ~ } LC ti iJ~ A,}`4L ~ \~r nY~2'~ C~ s} ;rF~ }~a.~} F } y ah ,~L At3DRE6S` 1542 s rn~sS~o~. P A R ~~L# oZZO -~Pcf{ r { 4 PSCT { A~ meomp►t. 01ppices JECT # ~ ,DE-S~~ ~ }i! { ~ ~ 7r}4 ~ F- `~~Lry~hv~wvX'~ f~i V W ~ 0 47;~ ~'.1C} ~Yti l d A, 'j` ~ C~+~ i ~ ~rxa I fr 1 _ Fn f i x ~,~F`4'ti k. l. TYPE OF CONFERENCE Pre-Application _v/-Pre-Consbuc.tion Ofher: DATE: ~ T TIME tD: ob DOCUMENTS CIRCULATED OATED AE1/ISED APP~CATION ~ SITE PLAN DRAINAGE P1.Ar! LANOSCAPE PLAh! Other. ` Odter. ~ ADDITIONAL lNFORMATION . CIRCULATED TO CIRCULATED BY: DATE: SCAPCA-M. Caine UdI'rties Engineertng Fire Distr+ici f ~ Heafth Disirlct L3berty Lalce Sewel Questions? Cvntact Jeff Fony or: Planning pther. Spokane County DIVISION OF BUILDINGS West 1303 8roadway Spokane, WA 99260 (509) 456-3675 (offioe) or (509) 456-4703 (fax) . NOTICE OF TRANSMITTAL ADDRESS PARCEL # PRUJ ECT PROJ ECT # DESCRIP. J!t '~y'.~~e ,F gR fh! ~ 1 ~ - e~~~~ r r ~ Y{( k , v} y~` r^ r t ~ oo ~Y' ~r A ]f fi TYPE OF CONFERENCE Pre-Application Pre-Construcdon Other: DATE: T1ME: DOCUMENTS CIRCULATED DATED REVISED APPLICATION SITE PLAN-)(_- DRAtNAGE PLAN LANDSCAPE PLAN Other: Other: ~ ADDITIONAL INFORMATION CIRCULATED TO CIRCULATED 8Y: DATE: SCAPCA-M. Caine Utilities Engineering Fire Oistrtct # ~ Health Oistrict Uberty Lake Sewer Questions? Contact Jeff Forry or• Planning Other. Spokane County DIVISION OF BUILDINGS West 1303 8roadway Spokane, WA 99260 (509) 456-3675 (office) of (509) 456-4703 (fax) lT ca~,~ ~ A ~ ; ~y„1 l ~ ' ~ ► PUBl1C WOAf4S DEPARTMENT : ~ i ► ~ OFFICC Af' i ; ~ ~:~a~~'~, ~ COUNTY ENGINEER ~ ~•~r ~ RONALD C. HORMANN, P.E i _ ~.7~~,~ COUNTY ENGINEEft SPOKANE, WASHINGTON 99260-0170 AGREEMENT TO PAY FEES Agreement Number q/09 L/ ~y c C4 This agreemer►t between Spokane County and a . whose interest in the pzoject is . , is entered into this I~W day of , , 19__V . This agreement is ap lic e t the~p ojec~nown as: . That the individuals and parties named herein as having an inte=est in the above described property or project agree to the following: 1. Reimburse Spokane County for project review and inspection fees as specified in Board of County Commissioner's Resolution 80-1592 attachment C, as amended. The fees will be based on actual salary costs incurred by Spokane County for project reviews and / or inspections plus a ten percent administrativ@ charge, and will be billed monthly as accrued. 2. The undersigned agrees that these fees are due and payable upon receipt of the Dilling as specitied above. The monthly billing should be sent to the attention of: °I'a'bS,01*q C p I undezsLan(i that fa1 lur r t o pay t hesr• i ron may r esu 1 L i n dcl ay i n complet ion ar tqq)roval uf t hc 1ai nat•t-t ur ot_hrr pcass it]l e "CIM t i 0ri bp ♦ 11y - - s w.! Page 1 OFFICE OF THE COIINTY ENGINEER SPORANS COIINTY, WASHINGTON Project: Medical Offices Date 10-23-91 Address: E. 15425 Mission Parcel Ido: Ref No. 891094 The County Engineering Department has completed a review of the above referenced project. The following information must be provided in order for us to proceed with our review. A) For any new hard surface area, for an asphaltic roof, or a roof containing HVAC machinery, a drainage plan for the site shall be prepared in compliance with Spokane County "Guidelines for Stormwater Management". At a minimwn the plan must contain: 1. Drainaqe calculations for stormwater volwnes generated on site. 2. Calculations for total impervious surfaces contained within the site. 3. Finished grade elevations for structures to be constructed on site. 4. Finished grade elevations at the top and bottom of the 208 swale. ' 5. A typical cross section of the 208 swale. 6. Calculations to justify the number and type of drywells proposed. 7. Elevation of drywell inlets where applicable. B) See comments on the attached check print. Please return the check print to your contact person at County Engineering. E) Insufficient information was submitted with the proposal. We are unable to proceed with our review. We will need the following before we can proceed: 1. Site Plan. 2. Drainage plan as specified. 3. Other information: Easement for use of adjacent property for access. F) Utility Condition: Permittee is responsible for arranging for all necessary utility adjustments or relocation as required for completion of the improvement. G) The owner of tbe property or the authorized representative must complete and sign Spokane County Engineers "Agreement to Pay Fees". This document must be returned to the County Engineers Office. Plan review will not be completed until this document is executed. This document is attached to these comments. Please return the completed Aqreement to your contact person at the Enqineers Department. ~ ' Page 2 Only after all the information and requirements listed above are supplied or completed and the necessary review has been accomplished will your building permit be released. Your contact person at the County Engineering Department may be contacted at 456-3600. Your contact person is Robert Turner. ~ . ' ` • RFCF. IVFY D OCT 2 8 1999 SPOMN Lt,ud1Y ~-mutNEER S p O K A N E C O U NGRP---Ik' • , DEPARTMENT Of BtIfLDWGS • A DIVlSION OF THE PUBLIC WORKS DEPARTMENT JAMES L MANSON C B O, D[RECTOR DENNtS M SCOTT P E, DIRCCTOR TO: Pat Harper, Division of Engineering & Roads Lorne I.akshas, Planning Department Eric Olson, Fire District No. 1 Tom Postlewait, Division of Buildings 4Division Daryl V~ay, Health District FRO Tom Davis, Code Compliance Coordinatar of Buildings DATE: Oct.ober 25, 1991 RE: October 23, 1991 Pne-Consttuction Conference East 15425NUsion Enclosed is your copy of the minutes to the refercnced meeting. Should you have any questions or need additional information, please feel free to oontact me. TLD:ckb cc: Mr. David Groenig, Thosath-Groenig Co. Mr. James T'hosath, Thosath-Groeaig Co. Mr. Steve Thosath, Thosath Co. Bldg. Construction Ms. Mabel Caine, Air Pollution Mr. Denrus Scott, Public Works De,partment CODE ENFORCEMBNT DNISION WEST 1303 BROADWAY @ SPOKANE, WASHIIdGTON 99Z60-O550 9 (509) 455-3675 FAX (509) 4564703 • t bMqUTES P'ZtE-CONSTRIIGTION CO GB EAS'r 15425 MiSSION 11~DICAL OFFICB OCPOBBR 239 1991 CALL TO ORDER; The meeting was called to order at appruximately 10:00 a. m. by the Divisioa of Buildings Code Compliance Coordinator, Tom Davis, with the following in attendance. PERMIT REvlHW PARTIG'IPAM. .S- Carol Bradburn, Division of Buildings Robin Domitrovich, Division of Buildings Pat Harper, Division of Fbgi.aeering & Roads Lorne Lakshas, Planning Departme,nt Eric Olson, Fire District No. 1 Tom Postlewait, Division of Buildings Daryl Way, Health Distnict APPUCiANMe David Groenig, Thosath-Groenig Co., S. 6607 Waneta Spokaae, WA 99223 (509)448-8026 7ames Thosath, Thosath-Groenig, Co., E. 1919 34th Spokane, WA 99223 (509)534-4329 Steve Thosath, T'hosath Co. Bldg. Construction, E. 1826 - 33rd Spo1ane, WA 99203 (509)535-2600 SCCiPElP'ROIECT DESCRIPTIUN: I. Generral Overview - The owner, Thosath-Groenig Company is proposing to construct a new 3,000 squar+e foot structure. The propased will be used as a Minor Emergency Clinic and will operate from 9 a.m. to 9 p.m. daily. No more than 4 staff will be present at any one time. It will be a frame structune with stucxo aad a meral roof. SUMMARY OF DEPARTIVCM'CAL REQ CS: 1. Planning Department (456-2205) A. Discussion/Requinements 1. The proposed is located ia a B-1 zone. The proposed use is allowed in the zone. 2. The proposed is locatted on parcel number 14541-0219. 3. A minor lot line adjustiment was completed for the parvel through a Certifi- cate of Exemption #457-91. 4. Parldng as illustrated on the site plaa is adequate. A minimum of 9 parldng space.s are required and 18 spaces are shown. - 1 - . • 5. The front yard set back on M'iss'ion Avenue as illustrated on the site plan is adequate. 6. The minimum landscaping requirements of the code are required to be met for the parldng area. A minimurn of 109b of the parldng area is to be land- scaped. Also, all parking stalls are to be located within 60 feet of a landscape feature consisting of 32 square feet in area. A five foot wide strip of Type III landscaping is required along all roadways except driveways. 7. A remprocal easement for ingress/egress to the parking area is to be obtained. The applicant stated that the easement has already been obtained. Please submit a copy of the easement for Planning Department records. 8. A site obscuring fence may need to be constructed on the north property line adjacent to state owned praperty. Lorne Lakshas will venify the requirement and get back to the applicant. 9. The applicant questioned if the building could be occupied prior to the completion of the landscaping. Lorne Lakshas explaiaed that dnring the winter months completion of the landscapiag is not expected. However, all landscaping is to be completed prior to April 15, 1992. Tom Davis explained that a Ternpo- rary Certif cate of Occupancy may be issued for the building provided that all lifc-safety items have beean completed. A condition of the issuanve would be completion of the landscaping in accordance with the appraved plan. B. Permit Release Requirements 1. Please subrnit a landscaping plan for review and approval. The plan should include an estimate from a nursery including size, type, and quantity of landscap- ing along vnth a promissory letter from the owner stahng the landscaping will be installed shaU be submitted. 2. Please submit a copy of the parking lot ingress/egress reciprocal agreement. II. Division of EngYneenng & Roads (456-3600) A. Discussion/Requirement 1. Comments were given to the applicant and the Division of Buildings by Fat Harper. Bob Turner of the Engineer's offioe will be the contact persoa. 2. Please submit a drainage plan for the site that is in complianoe with Spokaae County Guidelines for Stormwater Management. A drainage check print was returned stattng what informahon is oeeded. In particular, note that drainage calculations are needed. 3. Please submit a copy of the parking lot ingress/egress reciprocal agreement for Division of Engineenng and Roads records. 4. Submit a r+evised site plan showing existing asphalt and curbing. 5. The proposed must comply with the conditions of the zone changes: ZE 100-83 and ZE 179-78. -2- ♦ . • 6. An Agreement to Pay Fees was given to the applicant during the meeting. The agreement is to be signed by the owner and returned to the Divisi,on of Engineering & Roads. Plan review will not be compleLed until tlus document is executed. B. Permit Release Requirements 1. Please submit a drainage plan as described above for review and approval. 2. Please submit a reciprocal easement agreement for ingress and egress access to the parking area. 3. Ple,ase submit a copy of the Agreement to Pay Fees signed by the owner. M. Health District (456-6040) A. Discussion/Requirements 1. The water purveyor for the proposeid is Vera Water & Power (924-3800). Please contact the water purveyor to review requirements for ba,ck flow preve,nt ers. 2. The applicant bas applied for a permit to install an on site sewage disposal sysrem. The sewage system is currently be!ng sized for 225 gallons of waste water per da.y. However, if the applicant wishes, the Health District would be willing tio revww water u,sage from the othea clinics and size the sewage systeem acoordingly. 3. According to the site plan, it appears thax the main waLer line is in conflict with the drainfield. Health Distnct repilatiions require a minimum 10 foot separation between domestic water supp 'es and the drainfield. The applimt stated that the water line is for the sprinlcler system. Daryl Way stated that because the water line is for the sprinkle,r system, it does not have to meet the required separadon for domestic water. 4. Please subaut a critical materials list to the Division of Buildings for review. 5. All ovnstruction debris is to be taken to a lioensed landfill. 6. Test holes do not indicate that aay portion of the lot has been filled. If any fill material is disoovered during excavadon, please call the Health District. B. Permit Release Requirements 1. The Health District will release their portioa of the building permit once it has been reviewed by the Division of Utilities for double plumbing and after 5na1 approval by the Division of Pangineening & Roads. IV. Fire District No. 1(928-2462) A. Discussion/Reqturements l. Fire flow for the prooposed is 1500 g.p.m.. -3- . . 2. The existing hydraat located to the west of the property will be adequate for the one fire hydsant that is required. 3. A lock (Knox) box entry system for fire depdartment personnel access is required to be installed. Forms for ordering will be available in a couple of days. The completed forms ar+e to be returned to the fire district. V. Division of Buildings (456-3675) A. Discussion/Requirements 1. Plan review has been oompleted on the site plan only and a letter was sent to the applicant by Tom Postlewait. 2. The proposed building is being classified a.s B-2 occupancy and Type VN construction. 3. If the building is to be construct,ed over any disturbed earth (fill), soil com- paction tests will be required by an approved testing laboratory. 4. If construciion specifications require voncrete with a design st=gth over 2,500 p.s.i., lugh strength bolting, or structural welding specpal inspections will be required on the proposed. Please indicate the name of the testu.ig laboratory and submit copies of the vnspection reports to the Division of Btrildings for revievv. 5. Diawing shall be directly stamped and signed by the architect. (Pe,n aad ink - not copy) 6. Please subinit verification that there is no major surgery being performed ia the proposed. 7. Please submit a critical materials list to the DivMon of Buildings for review. 8. Tom Postlewait stated that he would like to mcet with the projeet's archibect to discuss in detai.l itiems from the plan review letZer. B. Permit Release Requirements 1. 'Ihvo oomplete revised sets of plans addressing the items discussed during the meeting and other items from t6e plan review letter needs to be submitt,ed for review and approval. APP`LIGANT'S CQ ~ACKNO'VVLEDGIIVi~tT: The applicant acknowledged that all comments/requirements were understood and had no further questions at this time regarding permit requu+ements. CORItF:.'I'IONS: To minut,es or changes from what appears in the minutes, we should be notified within one day of your rec;eipt of these minutes. -4- . • To site plans as required by any or all of the above-listed departments shall be submitted to the Division of Buildings wbo will then distribute accordingly to those degartments. ADJO • There being no further business, Tom Davis tlianked the appLcant and the departments for their participation and neminded aU that he should be contacted if there are any unforeseen problems which may arise. The meeting was adjourned at approximately 10:35 a.m.. Copies of Minutes to: All participants File - East 15425Nssion Avenue Medical Offices NOTE TO APPLICANT: Some time ago the County recognized the need to streamlme the building permit system and accordingly initiated these Pre-Construction Conferences. Com- ments so far would indicate these oonferenoes are su~ful and do enhance the permit system. As a recent participant, we would appr+aciate any comments you might have to fiuther imprave the process or, should you have any questions or concerns regarding your conferenve, please contact either Jim Manson, Division of Buildings Director, at 456-3675 or Dennis Scsott, Public Works Director, at 456-3600. Sincerely, James L. Manson, Director -5- . ~ of Requirements - East -15425 Mission October 23, 1991 For your convenience the following is a listing of the permit release requirements found in the minutes and can be used as a checklist while the proposal is in the application stage. If you have any questions or concerns, please let us know. PLANNING (456-2205) n Please submit a landscaping plan for review and approval. v An estimate from a nursery including size, type, and quantity of landscapinq, alonq with a promissory letter from the owner stating the landscaping will be installed. n Please submit a copy of the parking lot inqress/egress u reciprocal agreement. Notes: . I L , DIVISION OF ENGIrIlREM G 6c ROADS (456-36001 n Please submit a drainage plan as described above for review and v and approval. Please submit a reciprocal easeaaent aqreement for inqress and egress access to the parking area. Please submit a copy of the Agreement to Pay Fees signed by the owner. Notes: . _ ~ •s AEALTH DISTRICT (456-60401 n The Health District will release their portion of the buildinq u permit once it has been reviewed by the division of Utilities for double plumbing and after final approval by the division of Engineerinq & Roads. Notes: , ~ m C t f BIIILDINGS (456-3675), n Please submit two complete revised sets of plans addressinq the u items discussed during the meetinq and other items from the plan review letter needs to be submitted for review and approval. J I ' Notes: - ~**RE~YNDER*** Plea'se submit all revised site plans to the Division of Bu_ildings for distribution. . t • , '-0--. t ZONE RECLASSIFICATION NO.: ZE-100-83 SPOKANE COUNTY HEARING EXAMINER COMMITTEE FINDINGS AND ORDER . A. INTRODUCTION This matter having come before the Zoning Hearing Examiner Committee on February 2, 1984, and the members of the Committee present being Jerry Wi1liams, Chairman, F. lynn Tennicar, and Richard L. Skalstad. B. PROPOSAL The sponsor, Interstate 29i1 Investment Group, is requesting approval of a zone reclassification, File No. ZE-100-83, Agrlcultural and Residential Office to Residential Office, for the purpose of developing an Office Complex. C. FINDINGS OF FACT 1. That the existing land use in the area is residential, Red Lion Motor Inn, I-90, and vacant. 2. That the Comprehensive Plan designates this area as approprlate for Major Comnerci al devel opment. 3. That the existing zoning of the property described in the application is Agricultural and Residential Office. 4. That the provisions of RCW 43.21C (The State Environmental Policy Act) have been complied with, and the Committee concurs with the Qeclaration of Non-Significance. 5. That the proper legal requirements for advertisement of the Agenda Item have been fulfilled. 6. That the land in this area is suitable for the proposed use, or uses with3n the proposed Zone Classification. 7. That the applicant has demonstrated that conditions have substantially changed since the original zoning of this area and accordingly, the proposed rezone is 3ustified. 8. That the proposed use is compatible with existing uses in the area. • ~ • ~ ZONE RECLASSIFICATION NO.: ZE-100-83 C. FINDINGS OF FACT (continued) 9. That the owners of adjacent lands expressed neither approval nor disapproval of the proposed use. 10. The Hearing Examiner Committee finds the proposed use to be in harmony with the general purpose and will not be otherwise detrimental to the public health, safety, and we1fare. . D. CONDITIONS OR CONTINGENCIES APPLIED TO THIS APPROVAL a) COUNTY PLANNING DEPARTNiENT Those conditions of approval attached to Zone Change File #ZE-62-79 shall be complled with in the development of thls site. 1. The applicant shall develop subject property generally in accordance within the concept presented to the Hearing Examiner Committee. Minor variations when approved by the Zoning Administrator wi11 be permitted, including, but not limited to the following changes: Building location, building materials, landscape plans, and general allowable uses of the permitted zone. All variations must conforin to regulations set forth in the Spokane County Zoning Ordinance. The original intent of the development pians shall be maintained. 2. A landscape plan showing specific detail and accompanied by a performance bond shall be approved by the County Zoning Administrator prior to building permit issuance. 3. That the provisions of SEPA's NOTICE OF ACTION pursuant to Chapter 43.21C.080 RCW and the Board of Spokane County Comm1 ss i one rs' Resol uti on #77-1392 be i ni ti ated by the project applicant within thirty (30) days of final disposition of this application, and prior to aRy on-site improvements, or file appropriate documents to the effect that the NOTICE OF ACTION is waived in accordance with Spokane County Commissioners' Resolution #82-0458 dated May 4, 1982. 4. Interi or dri veways and parki ng areas shal1 be paved. 5. Di rect 1 i ght f rom any exteri or area 1 i ghting fixture shal l not extend over the property boundary. 2 . . ZONE RECLASSIFICATION NO.: ZE-100-83 a) COUNTY PLANNING DEPARTMENT (continued) 6. That the Hearing Examiner Committee after hearing all testimony and a review of the staff analysis adopts the proposed declaration of non-significance and directs the Chairman of the Committee to sign the final declaration of non-significance. 7. Applicant shall comply with the Zoning Ordinance by providing a sight-obscuring fence along parking facilitles. 8. All current standards of the Residential Office Zone, as amended, shall be complied with in the development of this si te. b) COUNTY ENGINEERING DEPARTMENT Those conditions of approval attached to Zone Change File #ZE-62-79. NOTE: All required improvements shall be built to meet or exceed minimum County construction standards. 1. Applicant shall obtain approval for on and off-site drainage plans and access permlts before issuance of building permits. 2. Applicant shall construct cement concrete curb sidewalk and pave to existing pavement on Mission Avenue or be a wglling participant in ar~y future LID, RID or CRP as directed by the County Engineer. c) COUNTY UTILITIES DEPARTMENT 1. Pursuant to Board of County Commissioners Resolution No. 80-0418, the use of on-site sewer disposal systems is hereby authorized. This authorization is condltioned on compliance with all rules 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 . ~ v [ ZONE RECLASSIFICAZTION NO.: ZE-100-83 c) COUNTY UTILITIES DEPARTMENT (continued) 2. The owner(s) or Successor(s) in interest agree to authorize the County to pl ace thei r name ( s) on a peti ti on for the formati on of a ULID by petition method pursuant to RCW 36.94 which the petition includes the Owner(s) property and further not to object by the signing of a protest petition against the formation of a ULID by resolution method pursuant to RCW Chapter 36.94 which includes the Owner(s) property. PROYIDED, this condition shall not prohibit the Owner(s) or Successor(s) from objection to any assessment(s) on the property as a result of improvements cal l ed for i n conjuncti on wi th the formati on of a ULID by either petition or resolutfon method under RCW Chapter 36.94. 3. Ary water service for this project shall be provided in accordance with the Coordlnated Water System Plan for Spokane County, as amended. 4. Each building shall be double-plumbed for connection to future areawide collection systems. 5. Plans and specifications for the double plumbing are to be reviewed and approved by the Utilities Department prior to making application for Building Permit. d) COUNTY HEALTH DISTRICT Those conditions of approval as contained within File #ZE-62-79. 1. The applicant shall comply with rules and regulations of the Nealth District in providing for adequate sewage d3sposal. A11 necessary Health District permits shall be obtained prior to building permit issuance. 2. Approval of sewage disposal facil ities by the Spokane County Health District. 3. That no drainfields shall occur beneath paved surfaces. e) COUNTY BUILDING AND SAFETY DEPARTMENT 1. The site is located in Fire District # 1. 2. Mains and fire hydrants will be required to be installed in accordance with the requirements of the Spokane County Department of Building and Safety. 4 . ZONE RECLASSIFICATION NO.: ZE-100-83 f) WATER PURYEYOR . 1. Water Purveyor is Vera Water and Power, and they can supply the si te wi th adequate water for domesti c, f i re and i rri gati on uses. 2. Satisfactory arrangements have not been made to serve this proposal. g) COUNTY AIR POLLUTION CONTROL AUTHORITY 1. During preparation of the project site, dust emissions must be controlled. Measures must be taken to avoid the deposition of dirt and mud from unpaved surfaces onto paved surfaces. If tracking or spills occur on paved surfaces, measures must be taken immediately to clean these surfaces. Dust control measures must be taken during all construction related activities. 2. All travelled surfaces (i.e., ingress, egress, parking areas, etc.) must be paved and kept clean. h) STATE DEPARTMENT OF TRANSPORTATION 1. The proposed change will not significantly impact Department of Transportation facilities. The Department does not object to the proposed change. i) STATE DEPARTMENT OF ECOLOGY 1. Approval will be required for the proposed on-site septic system. The volume of wastewater produced by the project will determine whether approval will be required from the Department of Ecology or the Department of Social and Health Servlces. 3) '208' STUDY 1. Applicant shall comply with '208' recommendations concerning stormwater runoff and provide necessary landscaping for runoff. 5 , . • ZONE RECLASSIFICATION NO.: ZE-100-83 E. ORDER The Hearing Examiner Committee, pursuant to the aforementioned, finds that the application of Interstate 291 Investment Group, for a zone reclassification as described in the application should be APPROYED. Motion by: Tennican Seconded by: Skalstad Vote: Tennican - qye • Skalstad - qye Wi 11 i ams - Aye Unanimous to APPRQVE to the RESIDENTIAL OFFICE ZONE HEARIN6 EXAMINER COMMITTEE HEREBY ATTEST TO THE ABOYE FINDINGS, ORDER, AND VOTE lelo ~ . ~ r ~ ATTEST: For WALLIS D. NUBBARD Planning Director cl~ Zoning Administrator Date: 2- 94 6 i ♦ ` ' ' `•ile No. ZE-179-78 -•r SPOKANE COUNTY HEARING EXAMINER COMMITTEE FINDINGS AND ORDER A. INTRODUCTION This matter having come before the Examiner Committee on February 15, 1979, and the members of the Committee present being Eldon Thornas, Chairman, Jane Myers and Ted McCoury and there being the following persons present who wish to request approval of a Zone Change; Chris Lunde for a Zone Change, Two Family Residential to Locai Business for the purpose of professional office building. B. FINDINGS OF FACT 1. That the existing land use in the area is Red Lion Motor Inn, Freeway, service station, residence, and vacant. 2. That the Comprehensive Plan designates this area as being under study. 3. That the existing Zoning of the property described in the application is Two Family Residential . 4. That the provisions of RCW 43.21C (The State Environmental Policy Act) have been compl ied with. 5. That the proper legal requirements for advertisement of the Agenda Item have been fulfilled. 6. That this proposal is not in conflict with the provisions of adopted regula- tion or intent of adopted policies. 7. That the land in this area is suitable tor the proposed use, or uses within the proposed Zone Classification. 8. That the proposed use is compatible with existing uses in the area. 1 I • ' `•'ile No. ZE-179-78 9. That the owners of adjacent lands expressed neither approval or disapproval of the proposed use. 10. The Hearing Examiner Committee finds the proposed use to be in harmony with the general purpose otherwise detrimental to the pubtic health, safety, and welfare. C. ORDER The Hearing Examiner Committee, pursuant to the aforementioned, finds that the application of Red Lion Motor Inn for a Zone Change, Two Family Residential to Local Business as described in the application should be approved. Special conditions or contingencies applied to motion: a. County Engineer's Office: The County Engineer's Office has requested the following be considered if the rezone is approved: NOTE: All required improvements shall be built to meet or exceed minimum County construction standards. 1. Applicant shall dedicate 10 feet on Sullivan Road and a twenty (20) foot radius on Sullivan and Mission for rlght-of-way. 2. Applicant shall dedicate a triangular shaped piece of property on the NW corner of Mission and Sullivan for a future traffic signal standard. 3. Applicant shall construct cement concrete curb sidewalk and pave to existing pavement on Mission and Sullivan. 4. Applicant shall obtain approval for on and off-site drainage and access plans before issuance of building permlts. b. Spokane County Health District: The applicant shall comply with rules and regulations of the Health District in providing for adequate sewage disposal. All necessary Health District permits shall be obtained prior to building permit issuance. 2 r • ' ~ile N4. ZE-179•78 c. County Fire Marshai's Office: Fire District #1 Mains and hydrants to be installed, in accordinace with the Spokane County Fire Marshal's requjrements. Access and circulation plans for emergency vehicles to be approved prior to building permit issuance. d. Water Purveyor: Vera lrrigation District #15. We are able to supply this proposal with adequate water. e. Compliance with ali requests stated under Reviewing Agency Comments above. f. The applicant shall develop subject property generatly in accordance within the concept presented to the Hearing Examiner Committee. Minor variations when approved by the Zoning Adminlstrator will be permitted, including, but not limited to the following changes: Buiiding location, butlding materials, landscape plans, and general altowable uses of the permitted zone. Ali variations must conform to regulations set forth in the Spokane County Zonjng Ordinance. The original intent of the development plans shall be maintained. `g. A landscape plan showing specific detail and accompanied by a performance bond shalt be approved by the County Zoning Administrator prior to building permit issuance. h~. That the provisions of SEPA's Notice of Action pursuant to 43.21c.080 RCW and the Board of County Commissioner's Resolution #77-1392 be accomplished by the applicant within thirty (30) days of formai action by the Board, as instructed by the Planning Department staff. i:/ I nterior driveways and parking areas shal I be paved. 3 No. ZE-179-78 .t.., j. That the Hearing Examiner Cvmrnittee after hearing all testintony and a review of, the staff analysis adopts the proposed declaration of non-significance ~and directs the chairman of the committee to sign the final declaration of non-significance. Motion by, : Mr. McCoury Seconded by: Mrs. Myers Vote: Unanimous HEARING EXAMINER COMMITTEE ~ . - Chai,rman ATT EST : FRED L. DAYHARSH Planning Director B y r , 4 RCC1PRf1CAC UtSCMLNT . - (po torstee.aeioA v.ia) tI 635 nu1444 ~ TRQ 6rantor. fMTEAStATE 29t GitMtP, a tNshiRgton qsne►ai oartn4r. _ =l1tv, tar good aeQ w1w01e cvnslQerstlep, es o+a+er e/ Ltre b1bmlM deserlped real estste: hreei A (iegsl descr/0t/on o/ phase tI •eeser,.a autbtt A ~ Parcal • (1e"1 deswlpt/os et ptase 2) s.. •etsgo.d ftNMt a ! Op tAls doeuient Resesy ereatas ouWals helorae,t euewents tar tMresi ' / i ~ and a9ms arar, on aod aeross tha esstnlr twentY-ftv* feeR of Parce1 m ' i (y+ 3 A. saasared at r1gAt aagies to ese wst 11nt thereol. . ~ ' TAts essemnnt sAall rae .fth ehe lteW ued Qa Slndtng on Grantop•s ► . ~ Aein and ss:i4ns aaa ts iatended to creatt soa aomlnant ans :enlquc esaeas Ie ac, pa.c.i far eee bemnc or eKn o.rcel. i . ~ . ~ t i 2 ` ~ ~s 48Y Of nomA~ 39840 ~ t t ha.. tm h~ tMWlSiATT 291 GROtIP • Dm z~~4..19, IK • ~ l~r~~ C..~1 Tar ! • S3 ~ M.~C L r~~ ~_y~,,. ~4 ts L•'s ~ i~.~ V. p~. goeq Ganeni~ ~ . ~ Psrteer • ! ~ STAiE OR Wt5111l161011 is• ' co"cy or sookaae ~ ~ s an ui: ear oarsmtty apMree eero.e ae ,smn v. teiw, ao ae ko~. co t ee the tMlvtdrnl descrlbed tn and vho execnted Ne wftMs and foreqelng + instmot. and ackro++ledpd tbat Ae siqned Nr ssoe as bts free ae • Yoluatary ut aad QeeWe far eUe uses an0 paRases erenie m++ttaned. ` 61ven aader .y Aand and otttctsl aeal Nts jZQsr ot S,*-_~ 14d~. r =.r.`.a d tal Iibl C 11 ifld fOT CUQ iLite pj . ~ YashtaqLOn ristdlng 4t SOoRaet. ' I r r • . i ~ . . ~ ~ f i 1 ~ . _~rr.w ~ , ~ H ' _ p r S y . ~ ~ ~ ~ a ' + a . j : • ~i'.~ . 3 « a ,1 2 ~'f~ t= ~~lt ~ ~ i , 4• h 1..~ JJ • ~ ~ ` ~ ~ ~~Y. . ~ j 1• • i ~ t.y • y~ i ra~ ' t ° j ( ~ t ~ ! i ; ♦ ~r J-3/ ~ • ~ •t'• 4ti s! tiR~ ~ • ~ • ~1 ~ . r ~ 7 ~ » ~ ~t~ . • r ~ i ~'J ~ •.~T~'4 ~ ~ • ; ! t♦ ± • ~ p~~~s ~ ~ ` u ~ ~G y • ~ ` - • s ry~ . . s. j - 1 ' ~ • ~ . ~ y • • ' ; 4~ 's ~ ' ' ~ , • T ; • ~ - ~ ~ ~ II ~ ~r:. • .i . ~ . , Mt ' ~ . . = ~ , • , . L . • / ~ ~ ' . I~ • 1 ! ♦ «1 jA • y . ~ ' ~ • _ • ~ ~ • ~-y+1 i ~~-.s'II ~ • i ~ ~ 9 ~ ~i • ~ t ~ ~ ► ~ ~i1r+ / v•y , : 1 ~ Q~ ~ ` ~ . • 1 ~ ~ ~ • ' _ • y ~ f' .P , y1 ~ - rl = • i l ~ j ~ ~ o • v~ • ~ ~ • ~ ~ ; ~ ~ • ~ ' • r ! _ + •~R • . i : r . ~ . . . ~ . . ^ . FILED FOR RECORD AT THE REQUEST OF. 910'~23028 ~ y G t12(~8PA6~~,3G" g'f~VEN L. IONES s F@ltman. Gebhardt, Eymann & Jones, P S. 1400. Pazilsen Center FlAS7 tf: EKfo`AN T1TU~- d Spokaae. WA 99201 JLL 3 40 Ph `91 _ _ ONaHUE ~ t. f OR ~ ;PurA4E ~;GUt.WASN, STATUTORY WA►RRANTY DEED THE GRANTOR INTFRSTATE 291 GROUP, a Washington general partaership, for and in consideration of Tea Dollars ($10 00) and other good aad valuable considerabon in hand paud, coavey and warrant to THOSATH GROF•INIG COMPANY, a general partnership, the following descn'bed real estate, situated in the County of Spokane, State of Washington: Lot 1 snd Lot 2, EXCEPI' the Westerly 45 feet of Lot 2, measured at nght aDgles to the West ime thereof, all m ~ n Block 2, VERADALE PARK ADDITION, accordmg to plat tacordad m Volume 3 of Plats, Fage 6, in Spokeae ~ Cauaty, Waslnngton; ~ ~ TOGETHER W1TH that poraon of a stnp of land 40 feet vwids, being the nght of way of what is lnown as the South Brsncb Canal as said nght of way now exists, contigucus to and adjommg Lots 1 and 2 betweea the extended i East Lne of said Lot 1 and the extended F.ast line of said West 45 feet of said Lot 2, m Block 2 of VERADALE ~ PARK ADDTI'ION, located in t6e Easi balf of the Northeast quarier of Section 14, Township 25 North, Range 44 ~ F,ast, W.M.; ~ AND EXCEPT that portion lying Easteriy of s Lne descnbed as foUows. ~ Beginnin.g at a pomt on tbe South liae of seid Lot 1, 86 feet West of aad opposite Engineers Station 45 +62.85; theacx Nortb 47 °23' 16' East 33 99 feet, to a point 60 89 fed West of sad opposite Eagineers Station 45 + 86.17; thence Nortb 01 °53' 15" West 138 06 feet to a point on the Northerly Lne of saad 40 foot stnp, North 64024'00' West, 38 71 feet frum the Northeast corner of saud stnp, and 64.84 feet West of and opposte fingneers Station 47 + 24.18; thence oontmwng North Ol °53' 15' West, 241 62 feet, to a pomt 71.74 feet West of and oppasite Engmeers Station 49+65 70 and the eRad of dus Lne descnption. All Fngineers Stabons bemg on the ocaterline of SulLvan Road CRP 1592, mmning Sout6 to North, vvit6 t6e centerLne mtersecuon of Sullivan and Mission Roads beog Engmers Stauon 45 + 32. 85. ~ TOGETHER VIrITH an ea,sement for ingrm nnd egc+ess over the following descnbed real property: T'be easteriy 25 feet of tbe westerly 45 feet of Lot 2 in Bloclt 2 of VERADALE PARK ADDITION, according to the plat reoorded in Book 3 of Plats. paga 6; all aneasured at nght aagles to the west Lne of sa+d Lat 2. ~ TOGETHER WITH that portion of a stnp of land 40 feet wi@e, bemg tbe ng6t-of-way of what is known as the South Branch Caaal as said nght-of-way aow emsts, conhguous to and edjouung said Lot 2 betweea the exteaded west Lae of said easterly 25 feet and the e,ast tune of sud westerly 45 feet of said I,ot 2, located m the east half of the northeast corner of Secdon 14, Township ZS Nori6, Range 44 Fast, W.M.; 9100010797 ~ Situate m the County of Spokane, State of Washington. txcw Tax 'eW ap • Sale Arr* !d. /L140 7 (oo 0 E `UP" CH11BHtG ipolcans Caunty Treat wPJocAM.D ( ?/z314q ~ i x y I 268pAg 1 3G~ a SUBJEGT't4• Easeamits, coveaaaats end restncttons of raaor+d, records of Spokaae Cowaty, Washwgtan, iaciudurg. - 1 L.ast hal f of gcaerat taxes for 1991. 2 Frovisions coutuned and easements imposed m the P1at and 1)4~&cation of VenuUe Parc Addthon, recorded in i7oiume 3 of P]ots, Page 5, records of Spokmw Cauaty 3. Reservat;ou omtawxd in mstrument rccorded A,ugsst 3, 1981, uader Recording Na $148030103 whr.eh bars the su6ject re.W Propert3+ from use for lo3gzng Purpases or sale of food or heverages far a period of forty-five years fir~om 7uiy 1, 1979. 4. Rehaquishment of rights of aocess to Sullivan Road and of light, view $nd air ond.er berm of a Deed to Spakane County recarded ~.i,iarc.h 27, 1984, uuder Racozdwg No W3270205 5 Easememts and conditians granW ar reserved m msbvment m favor of thw State of Waisfingtaa or assigns, recoxrded Febnwry 22, 1990, waclar Rooordmg No 902224203 an,d 902220244 for purpose of relccahng BPA Yera Tap to VaHey Way Tep transmusscau line. 6. Any butldrng hudt on smd rea[ pmperty sh,all he a sngie st8ryr, flat ivofed stucc;co bmlding vntb cedar-ble tnm. or a similarty styled struchm, nat to exceed 20 feei in he.ight. All laundsuping shatl not exceed 15 feet in height aoar dall smh laodscapmg be of a dsnnty to obs#ruct the bwl+dings ovvned by Seller located vvegerly of this real propety from SulLvan Rerad Dated thrs dgy of 7ulyr 1991 M'TERSTA►TE 291 GROiTP, a Washingfion General Partnership , . BY R. FAT'RICIC SFIG General Fartn.er STATE OF WASHINCrrON } AS GOUNTY 4F SFQKANE ~ On tlus t 9 day of ]uty. 1991, bcfbm me personaIly appeared R. PATRICIC SPIGER, to me knavhe to be a gcncral partnec of lN?EWTATE 291 GROUF, ft company that eacecuted the vnt6in and foregoi»g matrument, iLnd gc1nowledgcd it, as $ gcnere,i partner of IIVT'EW!'ATL 241 GROUP, a Waehu3gtc3n geneml garinership, ta 60 !hc frec and voluntary act and d aid caompany, far the uscs ansi purposea thercin mentioncd, aad on eath itatM that ht wa9 authonzed to ecccuw ssid inmvvmem. QIVEN urider my haad ansi offic;al seal this 1 day of JUIy, i" 1 ~ P;_ UT`ARIt' PUBLIC in r th~ Stata of ~V~41 l. ,~Q1 Spok~c- ~a ` ~ ~ ~ ~m' ~~1~+ ~+t 1? 9 ~ . . . ~~Al~~ O~ a` • ~'Gt~►~ s~•~E~• WPIDOC03O D . ~ . ' June 27, 1991 LEQaL DESCRIPTION Access Eesement across Parcel t 7ha easteOy 25 feet of che westerly 45 feetW l.ot 2 in Block 2 of Veradale Park Addition,b according to the plat recorded ln 8ook 3 of Plets, page 8; all measured at naht angles to the west tine of said Lot 2. TOGETHEA WITN that, portion of astrip of Iand,40 teet wlde, being the dght-of way of what Is known as the South'Branch Canat es sald right4f way now exists, conti8uous Wane adjolning saw 1,.ot Z batween the extended west ifne of said eastorfy 25 teet and the eaW 11ne of said westerly 45 feectaf said Lot 2, Iocated In the eaet half of the northeaet comer Qt Sectton 14, Towns'hip 25 North, Ftange " Eest, W M ; ~ Sftuate in th0 County of Spolcane, Stete of Wash(ndton. ~ ~ i CICT-30-191 17:11 ID:UTILITY SPO TE1.N0.509-456-d^15 4640 P04 7- CALCU' Aw'"'I FOR YOJR SIO'm'OE Y . f~ i . BUZLOING SIZE - LEt+iGTH... WYDtH Sp , FT , 2. IMPFAVI OtlS AAEA /►i I.ENGTH, , . :G, ;o WIOTH.. . .1 q. _ • . _ . [ .1 4?. SO. FT. 4 3. IMPEAYIOUS AAEA #2 - LEN6TH_...,.11- wIDTH...... ►.q.. S0.F7. 'Pawwt., oA A►n" 2 4. IMPEAYIOUS AAEA f3 - I.ENG"tH !1n 5 . wIOTH. . . . . " . . . 4eAd SQ. FT . 5. IMPEAVIOUS aREA fd - LENG'TH_.... 1 ..o. WZOTH I"O • q~,cv SQ. FT, fl~ M Ps~a,~ 16 o 6. I MPEHV I QtJS aAEA MS - LENOTN . . . .i,b. . . . f A+. SO . FT . , I on TOTaL.47q3.Sfl.FT. d? ° ` I a...~ x 0.5 1!?0..... 12 ~......53.:3_... CU.FY. ~ - y S 3 -A o , t5i = 2 2-m., s ! I 2 eu . r--r. YOU CAN NOW CALCULATE THE AAEA OF THE 80TTOM OF THE '208' SWAI.E. YOU MAY USE THE CHAAT ON THE LEF'T SIDE OF THIS SHEET 'IO HELP YOU. FRoM THE cHaRT THE SIZE QF THE SwALE I INTEt+ii] TO USE IS: . .............._FT. x ...............FT. 2 wNICN ~ t ! 2.::?.. _ CUBIC FEET CAPCITY ~ 2 w+~~ ~ 20o G~ Wf , ~ , , aF SHEET 'Y NGZNEER APPROVEO: DRAxNAGE CALCULATZONS 1S014 ST. COUNTY E.~tQjNEER ~ pF 2 v 9a2so l.aNO OEVELOPMENT oaTE . QCT-30-191 17:I1 ID:UTILITY SPD TEL N0:509-456-4715 0640 R04 . . CA.CU' Aw"IONS FOR YOJR SIO'OE V& UL„ay M a rzo Go *%I ~m romm ~u~..eR Sttp~. ttGera i . BUILOING SIZE - LENGTH WIDYN.......... ° SO .F? . 2. I MPEAV I OUS AAEA a a- LENGTH vo WIOYH Iq. l t~. SO. FT. 4 3. IMPEAV IOUS AA£A #2 - LENGTH 1- w1 D7H . . . .l.q. . " ..1.?.16?. So . f T . 74w_x. #&x, 11 n" 2 4. IMPIEAVIOUS AREA /3 - I.ENGTH.. f.lp. 5 . wI0'tH . . : . . . " . . . SO . FT . 5 o *~t yvA L-~ • o SQ . FT . Pv M PS-ra„~ ~ o 5. IMPEAVIOUS ARcA f4 - LENG3N_.. J o ~IIOTK........10 a 6. IMPEAVIOUS aAEA 05 - LENGTH...... Id._ WIOTH.....~.. w... j SO.FT. PP6^ t v ~avt~s I " 7OTAL.SQ,FT. ~ 5> ~ ~.50 ~ B f st-orn' ~ • ~ ~ I ~ ~.4:.°....... x 0 . 5 m ......ll~ o 12 ~ `~3.:3.. CiJ . F'f Z• ~ss3 ~ o,t5i = 227G.5 "(Z ` . YOt1 CAN NOW CALCUI.ATE THE AAEA OF THE 80TT014 OF THE '208' SwAI.E. YOU MAY l1SE THE CHART ON THE LF..FT SIDE OF YHIS SHF_ET TO HELA YbU. FRQM 7NE GHART THE sizE oF THE swaLE z zNTENO To UsE is: . ..........._FT. x ...............FT. wHICK CUBIC FEE'T CAPCITY 2 ~ e t+ 1 ~oo G 0 , PZ , ~ . L oF SHEET 'Y NGINEER APPROVEO: ORAINAGE CaI.CULA'rzONS 13014 ST. COUNTY F.NGINEEa 2~F 2 io sszso l.aNO OEVELOPMENT OA7E . L i ~ . • November 7. 1991 At-1 ADDENDUM N0. 1 GREEN PROJECT: 2053-02 VALLEY MED CENTER SPOKANE, WASHINGTON OWNER: Thosath-Groenig Company ARCH[TECT: Rundquist 8 Hard. P.S. N. 10 Post, Suite 734 Spokane, Washin4ton 99201 (509) 838-4255 Timothy L Rundquist, Project Qrincipal NOT[CE TO CONTRACTOR: This Addendum shail be consfdered part of the Contract Documents for the construction of the Vailey Med Center in Spokane, Washingtont as iF it had been issued at the same time and incorporated integrally therewith. Where provi- sjons of the foilowin4 items differ from those of the original Contract Docu- ments, this Addendum shall govern and take prececlence. Make adjustments as necessary. CHANGES: A. SPECIFiEATtONS ~A1 Ofvision 2: For drain under sidewalk from the parking lot to the north 208 drainage swalet use ACO 5" precast sioped channel dra9n with solid cover or equivalent from Wilbur Vault. B. aRAWiNGS ~ 81 Sheet 1.1: Change dTmensians of 208 drainage swale on the south side of the buildfng to show a 15' by 15' dimension at the bottom of the swaie rather ihan at the top lip. As a clarification, existinq asphalt paving that currentiy comes up to ths proper-ty line drains away from this property. The on 1 y pav i ng that thi s pr-o,j ect f s dra i n i ng i s the new paved parki ng i n front of the bu i1 d i ng. 82 Sheet 2.1: On the framing plan, delete stick framing for the area over the Weitirtg Room and the Men's Toiiet Room. Extend trusses at two fset on center across this area. The bottom of the trusses will be at 10'-0" AFF, similar to the rest of the building. i i .z . . . 2053-OZ A 1-2 B3 Sheet 3.1: Chenge d"oor swing, lav iocation, and pa,per towei location,as i nd i cated on attached draw-f ng sheet A 1- DL 1. Th i s1s to a 1 1,ow proper whee 1,chai r c I earance w,i th i n, the =ro,om. 184 Sheet 6. 1: On Sect i on 2, the change the s4de wall fram i ng to a I,0,'=01' , height wi,th r-oof t-russ gonstruct fi on s i m i 1 ar to Section 1. The cedar pane 1 r`nqsha I 1 be aRplii ed up the Wa 1i1 and to the' ibottorn s i de of ttie roof itrusses. Overhang tconstruct i on sha 1"1 be as shown, applied to the side wa11 of the structure. *"fND 0F ADD I - ~ 111ST& AlZI),go . . ; ~ - N. 10, POST, SUITE 734 SPOKAN,E,INA. 99201 509-838-4255 crchand other good th ng r { ~ 1 ~ ~ , ~ -r42- ".*AA- , 1 r' ~ o t L- i T~/I E N~ tD MrI LEYT KCJCrM , -~~t4• ~ ~ ~ - / QRAWING TITLPw: M, _Wb,&NG--W, DATE--=~1L-~=.,~t ` (PRO J ECT/WO.- VKLLM►F.C.) GF.WTIEM - r - ' - ---:'-'ll_ SP~ ~ NE C~JJUNTY DEPAA TI►~NT OF Bl . ~.~INGS w. ~30~ BAOAOwAr AvENU~ SPOKANE, WASHINGTON 99260 (509) 456• 3875 ( CRrhty th9t 1 h8veexemin@d ihi8 p8~t'n t%dpGI~LaU~n. 3tfl1@ ihpt the~ntOrme'ion C~rla~red it ana subm~tted by me or my agenttocompile sa~d pe~r~• ~ • a~d Co~'9Ct, end euthorize Spokane C,~unty to proceeo with proCessm9 In aad~t~on, i have ~esd and unoerstand the INSPECTION REOUIREM r~.. pr~vis~ons tnciutiea here~n and dqree to ~Vmply with same All prpvis ons o! ~av~s end ord~nnnc;ey governir~y th~e type u1 wOrk wlll be tomplied with whc ..~b•~.t~N here~~ Or nOt I underaland that the issuenCe of th~s,erm~t `app~~CahOn and any subsequent mspect~on apprOve~s Or Certl}ICatee ot QCCUpancy shatl not hoe •~eC *.c g ive authority to violate Or cancei tne prov~aions ot any stete o~ ~oca~ ~ew rog~~arng con~truct~on, or as a wa~renty o1 conformanCe with the provisions u1 dn y e ...:e ~ewe r~gu'ating construct~on SIGNATURE OF APP~I(;ATION ~~9 q~~cn~r - DATE . . i ~ • ~L~ ~ Post-It'` brano tax transmi[t~l mem0 767~ ~ v~ ~~yv~ ► _ _ -~,,~~L ] i:e~n - _ ~::,G7 . ~ ~a ~o. ~~s pt Phone r A~,, ` ~ ~ ~ex M F~x N 1. ; : ~ . . . - j'~~~~~ ~~l~~ ~ ~ 1 ~i~ ;i~~i1~1~~~- - - ~ - - ~li~.~~ ~+i!'Ai~ ~Hif~ ~ ''1 ~..i#_ ~ ~ ` 3 ~!',r~~-~1'!.I i F1 i f .1:1 f ~ ~ I~1 ~:~•i 1 j:.. r~ ~ ~~~~}r~ ~ ~n r. r ir i~~ 7 f~ i. 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