Main E 9227 Add to Medical Bldg
; (THlS IS Nt}T A PERM1T)
~ BUIL,DING RERMIi' APPL1CA1'ION WOAKSHEET
ALEASE PRIhIT AIUU COMPLFTE OAILY TH05E PARTS OF THE FORM YOU UN[]ERSTANO
vOMPtErE tN iraK
(Ptease return this origina(arsd yaur buiCding p#ans tp thp Ileparlmenl of 8ui1dlnq and SaF4tp)
SE-tADEU AAEAS ARE FOR DCPARTMENT11L US-E - ~
a 1if0IWA d+ltrttsl5er
owner y Narre iasr r- ef v., r
7
t . ~ ws
Pruj=t A4dreae (5treel War8 &ayumtler) 7-io
AvnFk►ns _
ncea~~ss
f~-lYr' r
i 1T ur- 4P4
t'dRX - = 81atB
i ~ ~~2~a 6 ~nQ 926 531 1
- ° 9~.9~►14~9 AhOnB
4 ?
c:onlraGrarr,e,gant
3I-1 TIAT-111n CO'"aP , , I C. 1, • 5926 r 0*~t~-,,rj nj).
CAr s~t$ ' al~ vh~,ne - -
~ ~ 1~:]I: 1~lA~aT. U~' 1330
LIse++seNurntrerqR$duiFra+1 - - - < .
, F'tpt~no
f ,r,TL '~ATro 3-"'q c t d',41 13Y)
ArCfl~ie~d~ f ~nQlr~ea~ Addr tss
• - T, - ~ , .
r~
. .3
C.i3y
r i
~'rOlltad - - -
~ nf N=_ P6nnQ
Len" ~
Atld r ess
r F ' ~r~ 1''~` T / • ~ f ~ ~ r~
•
Citr Sraie ° _
f ' ^ TT ~ le 1=7 fy 1 Phtbne i. e,
I
7"TV'r- ' ~ x" ~ ~~J ~ ! ~JA.~ ~ ~ ~E-D `~L 13LEa Gcmm ~
1~',le~~el~t Pe# N~
H ~ p y
~7Y~~ii~i6i ~,~y~-
~ faM1 . a
Bic7ck Pgat Numbsr
t
` m ZAfIB
r y ~•~i~~~' i,~~`p a`~,~ _~'r ~ ° n e,omp Pian C6nsus?mct
~
~Nwrdw
olatlitdlto t~atSiza~Sq Ft lAar~e) p~«, F~n
~
~M
x,
Jt.''~; +.uft setbmc ~ - argm Setbacx Aear se,xu* - -
alwvindm
~ ~ ,1p~~4 ~ r"~' f, r, i ~ •a. .
+SQIJ#l8 FdQ~@ •
~K* ~ ~ -
p~
a
` ~
~ ~ ~1' %5 5
0 'L
~=~ru~ ` ~ .~k ~ - , i ~
r k+2 ~ c r e yt
4.~t «ft.`r ` R .A L y
~F~-c~' T q ~
~
z
+ ~ 1 w
1H a~ f 4 L ~
! ~ a
a*~fy1~1~~ i a~} t~l i•~qy ~w~ ~ Ce
~ ~ ~a q ' l ~ • w4 ~rrw ti{ a k5 - i
Group ~ypg
' ~ F3-4!- tiJl*J
:
f
DEPARTMENTAL REVIEW
Approved Cond
Approval Hold
~Envlronmental Heatth AppUcatlon M
U W 1101 College
Room 200 - , '
~ PlanninglZonine
~N 721 Jefterson -
''Engi~eero ~ N 811 Jetfereon .
:,lUtllltles ~ N 811 Jefferson
Pfan Revlew/ Ftre Prsvention
N t811 Jeftersan ~
❑ Offier (SERA/Crltlcal MaterialJsto.)
a , ~ . _
'Fset TracklSpeclnl Inapeclton Intorme!!on
Project Aepresentative Phone
Address
- - ,
1 certlly fthet 1 have exemined thia applicatlon and state that the lniormaUon Contalned in It and eubmitted
by me or my ent to complle sald sppllcstlon Is true and correct
~i~ ~ a. A:. _ ~
1
y
Cont aet ar csuci Nawe~ Kutt i ilesy Name Ac Gc- t,i
1ddC'Cat3 AAJdCet36
Phnne .~~6 8~ ~ Phutie
County Cnntac:t E'erbun "t5 Phone No. 456-3600~°~-~f
~
COMMERCIAL l3ULLULNG E'L't2MIT ltEVIEW
Thie building permit review is intended to appcaise you of the impcavements (roadway, sidr-
walk, curb, e[armwater, etc.) which muat be constructed in assuciation with your buildinb
permit. This checkliat will be filled out by the Engineer's etaff and a copy will be ce-
turned to you at the time ttiat the permit is initialed by Che Engineecing DepdrCruent. All
cequirements shall be completed prior to isauance of the building permlt. All unchecked
boxes requice additional researc:h or information to make a detenaina[ion.
1. Stormwater Dcainage Co4sidecatioas
'k. Per gufTeMnes tvr "SEormwater Management 1981" both on and vfF site.
1. 208 Coneicierations* ~ Yes ~ No
2. Flood hazard zone consideratioae** ~ Yes ~ No
3. Storm Drainage Plan Yes D No
o`Z~P
II. Planaing Action #
.
1. --lezon , Conditional Use or Variance on property ~ Yes No
' o7 d- 7R-8 3- ttil , t~76YawA
2. Are requiremente of plaaning action incorpocated ~ Yes ~ No
into eite plan
III. Right of Way
1. Does permit neceesitaCe B.O.W. dedication n Yes ~ No
2. Did zoae change require R.O.W. dedication ~ Yee ~ 1Jo
3. Radiua at corner D Yes ~ No
IV. CouQty Road Improvemeate
1. Roede need to be improved. How wide 40, ,r P (&--5 imzxll~ Yes D No
2. Curb la Yee ~ No
3. CRP/ItID agreemeat (Copy of deed. Aesessor'8 micro D Yee ~ No
rua, title ceport or legal description required.)
4. Plane for improvemente pcovided ;a: P2Z2. ~ Yes ~ Na
5. Sidewalk ~ Yee ~ No
V. Parking Plaa 6 Appcoach Locatioa
l. Review and sign ofF by Traffic Yes n No
2. Approach Permit Erom Engineer's Office ~ Yes E] No
3. State or City aign of f Ll Yes ~ No
4. Is this road on 6 Year Plaa n Yes IR No
VI. Field Review: Yrelimiitacy Commeats
* All laiici wichtii tlte Aquifec Sensit[vr Are,;, wht~ic .lerinerl 1°Nabiblt- hy cllfe (a)ulity E.ngi-
iieer, sliail incorporate sturinwater tcr,;tiuent tii mittbate th~ ~)ottvitt ial tor grnuiidwat< <
degcaJat fnii. (See r,uiciei [nt•r, far Sturinw.itrr M.itia},einr'll[ 198I, tipokaWte &)►ird ol (;ounty
Camuiist,l4inrr'S k~sol tit ion Mu. 80-1592, ar. ametidc•d.)
[t~e put p.aae -it t lt►od h.iz.trd tt)iir, rev tt,w ! ti 141 ini iiIin i iv l~►s .~•y 1u~• to f loo.f ili?, i ll bil" -
4 ific are.ia dMt),il;ri.tted by FImud N.szatJ [3istisiJ iry inapb uii f ilc, .it i114, (.,suttty HnLjotea:c'.•
Ot t 1 ce. ( 5k~~~ spnk.ine ti~iard ot 0.)uii[ y C.romini titi i-►iiei ' b Itc.•;,~~ I~it i~~~~ No.81-o72o, a-s
iouc;~ldelt . )
ttr.QULST tUbt Ut5 tc.N ULVlA!' luN
.
[tUAD NAME Vai 1 eywaVy at Wi 1-jDxRqAd__
UATE i3/31/86 Cit!'/RID/pLAT/Z.C. Nu.
F'EUE[tA[./5TATE PKOJEC'f N0.
PROJLCT TLTLE _Group Heal th Mp.dj,~~_~1~~ 4ddo _ PKOJECT LIMITS
EXISTiNG CONI)iTIONS: t'ItOPOSEU IMl'ItOVEMENT:
ROAn WIDTH
[tOAD SURFACE ,
AVC. DAILY TRAFFIC
Current Design Year
PROJECT OE5CKIPTION 1 storv med~cal off 1_ hui ]din.o
DESCRI!'TIUN OF STANDARO INVOLVED 6' .sjdgw-a1k-dQYld-t1a1._to-5.' i
PROp4SE0 DESIGN OEVIATION 6' sidewalk reduced tQ S7APwlk
JUSTIFICATION I would like to continue the existing 5' sidewalk Q,n-Va71evwav_
providing conslsTeRcy wi5in our 6us ness Qark. The entire area ha.5 5' sidawal,Lc
Mu11 an,g4, ..treet.,.. Ar.gnDne- Qaad,_bl' 0 _
0~
~
Submitted B
` Prokey G. Arge r D°Ce 3/31/85
Phone 926-5311
,
F ~
STAh F' KECUI►U►tt NUA1 IUNti
j44/~/ICS_ J /CrJlI~Q - - .~_1~ _ ~ R. dekaji..0_
wN 4~!c,c~ . 4b* . ~ two a T si_D_i w L-Kl - - ~ - - - . - -
agr.fi- _ _ ,c_N. oL-- - - ~z~~~_ _ _ ~-~_p_T~Ec 9►'__~~- - -
- - - - -
.F. s/E.tt Z'IH m td-& ti - - - -~-~E P WA oq A W I.JC46
Approvr Not Approved
I~ 8vc un Eiigi~eer Qrate
~ - - - - ~ - - - -
Appcoved Not Appruveii -
- -as
0
D a ~
Efic gl~eec Date
~
.
~04,~~~~
• - - - -
,
~ • ~r~~~w. ~ • ~ ~ ~
t
~
`
Approved Not Approved
ri
LJ Of Eice ngineer Det
~
,l~~ C~'v~~P % ~ ~~✓O ~ ~r/ ~ f ~°~.-~f~~s~/S'
i4 ~/~i C S o.~ w; C~ 5~.~1~ ~..°A t-i G~ ~S//~ S=
Approved Not Approved ~ision Engineerd- OAte ~
-4-
- AU Approved Not Appcuvrd L1 _ _t,~te Engin~~r -
4F , .we
Erc~T R
~T~o G7_ C.
~
~ .
~Qr
~ 96 0
~ 8,7'~
CAA^Q•.A&W --0^4..L
~P.mr s ~
T40 R~ N i
10
~ 9450D~~~
"TYPPA,i
` ~,b~ ~O~-O ~ IB-O c~ ~itC•O :Z~~ Ib•D~ 7-~S r~._ ~GvKl~
r s
t ~ ' ► ~ ~ ~ ` ~ ` ' 1,~
97.01
Z r ~ , . ,0
~
~
I ~ ~ _ ►~~u►Q K ~'$!'D'~►. O
A~4 S ~j i ,GO►.Gi~;N K ~ ~ 0
a
9-
(01 CouOLL
' ~ ORY~~vE~ Ft: ' ►TEG y " 19500' ~
- - - ~ i • ~+.iF'~f~.~ ~ , -s
~ la
~ - ,
,
, ~ w..
tr ~ e► 5 ~
0 ? Sinr~~ ~1
~ G~i~. ~ I tJLw
~ 1~ ati: R. 1999.p0~
. ~
~ 94~ r 1,P
I ~ ~ f~+ ~ i
~
~ea ' ~
~
~
r
_ ~aPE'/~~~'~a
_
~~p~,~y ~ +,k~~.,l.~c~FS~~~•~s ( 1
~ v~/ov~R ~'.~G ~v sc..r~tx • \
~ S12E. 4 ~''~.4~•c4f"t17+~~~SA'i1,T ~
2 6D~~t ~ a
~ a
tic, 6~ ~
RLLE-V. 19192 i0 Q
I ~
~
~
. ~ ' A
a
STREET OUWN7ITYES
FROJECT NO»- DES,IGNEk- JS DpTE- 4/04l86
PR4JECT DESCRIPTION- GROUP NEALTH bUTLDING
STREET # 1
NAME- VALLEY WAY LENGTH- 134 F7. WIUTM- 12FT.
BEG INIV I 1VG 5"f AT I 0{W = 2075.00 EPVD IPIC3 ST AT I OM = 336 . 50
ONE S xI3E ONLY PwiDTW;= 20.00 EWI DTH= 13.00 OW IDTM= -0. a0
TERi"t # i e C!-tOpPEi?
TEFiM #2 : CROS3 STkEE7 EXCLUDED EW 20.00 PW 20.00 SK tl» U4 RAD 20.00
I-TEWI I'9EASUREMENT QUANT I TY
i--,._.-_--
suRFacE AREA- 1122.00 S.F.
ROADWAY EX CAVAT Y ON .67 F'T. 27.7 E. Y,.
CRLISHED SURFACING TtiP CQURSE .33 FT. 13.9 C. Y»
CFl41SHED SURFAC I NG HASE COUR3E 0.00 FT. 0.0 E. Y e
ASPHAL7 CGNCRETE .17 FT,. 14.2 TO1Va
CUREt EX IsTI1VQ 0.00 FT. PR4POSElJ 93. 5 FT.
6 T DEWALK EX IST 3NG 0.00 SY p PROP't38r:;A 57.1 SY.
STREET # 2
NAME- WILI,OW R(3AD L.ENGTH- 249 FT. W I DT~H- 12FTp
BEG IiVNING STAT i ON = 0.00 END I NG STAT I ON = 249.00,
ONE SIDE ONLY P'WIDTW= 20.00 EbJIDTH= 8.00 RWrIDTN= 0.00 TERra 0 1 a CRrJSS STREEI INCLUDED Eb►J 13.00 PW 20.00 SK 0.00 F7AD 20.00
TERM # 2 : CWOPPED
'I TEM MEASUREMENT QUAN'f"'ITY
SURFACE AREA- 32I7,P4 S.F.
ROADWAY EXCAVATIOlV ,67 FT. 79.5 C.Y.
CRUSNED SURFAC I Nf3 TflP COURSE .33 FT. 39.7 iC. Y«
CRUSHED SURFACING OASE COIJRSE 4» 00 FT» 0.0 C. Y.
ASPWALT COhiCRETE .17 F7o 140,.7 TONS
CURB EXIST T'NG 0.00 FT. PRaPOSED 240.4 FT.
SZDEWALK EX ISTING 0.00 SY. PROFOSED 14b» 9 SY.
r------------------.___
TOTALS
ROAa6dAY EXCAVATI,ON 107.2 C. Y.
CRiJ5HED SURFACI NG TtJP CE7URsE 53.6 G. Y.
CkUSHED SUkFAC I NG HASE COUFcSE 0.0 C. Y.
ASPHALT CON03ETE , 54.9 TQNs
CUREt 533.9 FT,
.wT.wr._•w■ .i ~.~n rs♦
li
I 7~Ic ~ P4 ID CC_- E3 "r T ~D aAf_p_ ~
~
~ PROJ. GG~OUP N~A1..TH IVAfIE J~ DAT'E 4l04/86
E?RA I NAC;E I TEMS UN I TS QUANT ITY PR T CE COST
1) Drywei 1- Type R EA. i 1150.00 1 156 p 00
2) Dr-ywel1-- 7'ype B EA. 1400. 04 0.00
, a) Grate -'1`ype 1 EA. 1 270.00 270.00
t
4) Grate - Type 2 EA. 290.00 0.00
5) Grate - Type 3 EA. 270.00 0.00
6) Backf i 1l For DW CY 30 50 255.00
7) Concrete Inlet LAr 500,.40 0.00
S) C. Md pY pe 10" d3 a, LF 121.00 0.00
9) G. M. pipe 32" di a. LF 15.00 0.00
10) C. N1. ps pe 15" d3~a. LF 18.00 0.40
, 11) G.M. pipe 18" oia. LF 21p00 0.40
12> P'rqca{st Mantiole EA. 1400.00 0.00
1~) So13d Lzd EA. ?74.C~4 0.00
14> Ditch E>:cavati on CY 7.90 0.00
15) SorJ SF 01150 0.00
NCIN STAPlDARD DF2A INAaE I TEMS '
L
1) 0.00
2) 0.00
3) 0.100
a) 0.00
5) 0.00
6) 0w0l,
-------------..r.-----.~~~--.--.--.~~---r----~---r---r-...-----r-
DRA IJUAGE SUATOTAL 1675.00
, -
' ib) Moncsments EA. 140.00 0.00
17) Barri cade LF ,20. 00 0.00
c
18) Sti-eet ~71 gns c CQr 75.00 0.00
i -._---------------_._.___w__----_-________
OTHER SUBTOTAL 4.00
I -
CRAA i htGaSI.fRFACI NG O CURBp sc ST DEWAL k;
~ 19) f7QugFt Grade CY 107a 2. 7» 90 846. BB
21) 'C'op CcyLtr se CY 5;: 6 12.00 643.20
24 )Base Course CY 12.00 0.00
22? A►sphai t Conre-ete Tons 54.9 36.00 1976.40
23) Eur^b Type A LF 240.4 4.25 1021.70
24) Cur-b Type B LF 93» 5 5.20 48b« 20
25) Curb Type Ft LF 5.20 0.00
26) Si. dewal k SQ YD 204.1 1_3'. 0 4 2653.30
_
NUN-STANDARD ROAD I TElrfS ~
~ 1) - 0.00
2) 0.00
I 11) 0.00
4) 0.00
GRADIhtG AiVD SURFACING SURFACIIVC3 7627.68
'
,
GRAHD TOTAL 9:W. b8
~