ALKI E 5702 WAREHOUSE/OFFICE
.
. ~ ^ , . .
t- • i \
~ (THIS IS NOT A PERMIT) BUtLDING PERM{T APPLICATION WQRKSHEET
/ O PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK ~-`O '(Please return this original and your building plans to the Department of Building and Safety)
SHADED AREAS ARE FOR DEPARTMENTAL USE -
• Owner's Name LAST FIRST (Ni ' W
; d5'GcyT fC EM e42- LENDa , P►oJect Address (Street Name 8, Number) Zip
~ E. 9`i o 2 ,a~f~K l
~ APPlicant Address
Kr-N 4 eq'-LF.AlD A `.x.aTT -E . 3102 3 SPRA40E p.YE
City State Zip Phone
5 ROKNJE NA. Ra 2oi*z
Business Phone
c ~ S35_ 4111
Contractor! Agent Address
3W;5 -,5F1ZAe;Ue' An1e
; city state Zip Pno►►e '
SpoKA,lr' I ti Zo z t ) 5!:) 5 -S (40 66
Contact License Number (Required) Business Phone
-soc Z4t 7L-j6 ( ) 15 =Jrj - 3" v ,
Architect / Engineer Address
~Tm L;s A. MGAx"i"}fV2 t S . qZOG G[~ELj-t~.IrVE
City State Zip Phone
F >t) K1kNE l.vA, c ~ G14g - clbl~
Contact Business Phone
-TPQL4 C-5 A. Kc-A(~,~1{U 2 1 ) $ ' Qbj (o
Lender Address
Gty State Zip Phone
( )
Describe Work . - . . , .
. A l~1~u 5~ - ,-.a • - . . , Res: . Comm. ,
~o~~~~ . . . . ~-~r. . . _
SubdivisionlPlat Name/Short Plat Number, ` - _ - • • ' - - ~y
~P e-5
:
Assessor Parcel Number • Lot glodc Plat Number
05 ` . . . :
~
Pertinent File Numbers ti Zone ry~-
CamP• Plan Census Tract
. _ . . _ . . .
Number ot Dwelling Units Number of Buildings , Lot Size (Sq. Ft./Acre) Depth , Frontage-
. J . , . , , - _ - • ,~;~-:;i^_ ~ . . . .
Front Setback Left Setback - Right Setback ; Rear Setback , R! WWsdth .
Additional information , . Square Footage ,
= - z (2)~~~~ s C'
0
. l'-
Q
~
er o
• ,L. . . .
. ? .
i • - ^ _ . Z
• O
• - J
j
• m NWTIbef Of Bedf00fT13
Building Techn7L.lizj Date Group Type --f- / P_7 1 in )
. :
>
ti
1
DEPARTMENTAL REVIEW Approved Gond. Approval Hold
.
Envlronmentel Heelth Applicatton N Y x ~
d W. „o, ~~lege
Room ,
~ t1
v
Planning/Zoning
N. 721 Jefferson ~ ~1=~~~-2~ it.-l.c~~.?~ e• ~t~,,7 'I.'~
/ ~e~ ~ ~ • ~ ~
v
~ Engineers
N. 811 Jefferson
AO
71
o .Q _ 80,/V/') n
/Utllifies ~ _ . D
?~~-4~ .
N. 811 Jefferson
Y
.00,
Pian Review/Fire Prevention
N. 811 Jefferson
D
Other (SEPA/Crltlcal Material/etc.)
❑
~ Fast Track/Speciel Inspectlon Informatlon
ProJect Representative Phone
Address
I certify that I have examined this application and state that the information contained in it and submitted
by me or my agent to compile said applicat' is true and correct.
7
Signature Date - l ~(O
Contact Person Name_PA,8 Buai'nos.1; NamejtE My.. GrL5N/),A S C r~ 7T
Address 0 36 as SeAA&. UF_ • Address ALk k F,41.11-
Phone S 3 S- 3 6~ Ct' Phone
County' Contact Person C-ar. h1F-'LSO//1/ Phone No. 456-3600 Date
" • COMMERCIAL BUILDING PERMIT REVIEW
This building permit review is intended to appraise you of the improvements (roadway, side-
walk, curb, stormwater, etc.) which must be constructed in association with your building
permit. This checklist will be filled out by the Engineer's staff and a copy will be re-
turned to you at the time that the permit is initialed by the Engineering Department. Al1
requirements.shall be completed prior to issuance of the building permit. All unchecked
boxes require additional research or information to make a determination.
I. Stormwater Drainage Considerations
A. Per guidelines for "Stormwater Management 1981" both on and off site.
1. 208 Considerations* tg//"*Yes Li No
. 2. Flood hazard zone considerations** ~ Yes ~ No
3._ Storm Drainage P1an ~Yes Li No
II. Planning Action # 1. Plat, short plat, rezone, Conditional Use or Variance V~Yes Li No
on property. Planning Number S*0 3S ~
2. Are requirements of planning action incorporated ~ Yes Li No
into site plan III. Right of Way
1. Does permit necessitate R.O.W. dedication Li Yes [~~No
2. Did zone change require R.O.W. dedication ri Yes LirNo
3. Radius at corner ~ Yes [~KNo
IV. County Road Improvements 1. Roads need to be improved. How wide [~/Yes ~ No
2. Curb ~ Yes VNO
3. CRP/RID agreement (Copy of deed, contract, or ~ Yes L41"'No
. title report required.) 4.. -Plans 'f or improvements provided Yes Li No
. 5. Sidewalk . Yes ri No
V. Parking Plan & Approach Location
1.. Review and -sign of f by Traf f i c Yes Li No
2. Approach Permit from Engineer's Office Yes L-1 No
3. State or City sign off ~ Yes No
4. Is this road on 6 Year Plan ~ Yes Fql" No
VI. ULID Agreement: ~ Yes ri No
VII. Field Review: - Preliminary Comments `T~ E.S E, GTA yh m)F,N`TS l/~ ~
9)(I.S-r/A10- Wep' & P / ~.1~A N11 67 E~ A /VwD / 5
S vR ~3'JE C-t- 7"ct) F/45 L.o 1A1VE. ST/C7-A7"i 0I
/V e 4.dk s ; otP wa. l lc t3 -a ~ - ~ ct' f-g- -1~• .S' / b S % cl P L..70►. t/~
. bP ~c, ► ~....~C. r U,o All land-within the Aquifer Sensitive Area, where deemed feasible by the County Engi-
neer, shall incorporate stormwater treatment to mitigate the potential for groundwater
degradation. (See Gui•delines f or Stormwater Management 1981, Spokane Board of County
' Commissioner's Resolution No. 80-1592,•as amended.)
The purpose flood hazard zone review is to minimize losses due to flooding in spe-
cific are -~ated by Flood Hazard Boundary maps on file at the County Engineer's
^Q Vd. ~e Board of County Commissioner's Resolution No. 81-0726, as
~
_s ~e 51,9
4°~~.
~See
.
r a