BROADWAY E 5724 KIM HOTSTART COMPRESSOR BLDG
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BUILDING PEAMiT ApPL~~ATiOht iiVORKSHE~'T
~ PLEA5E PHfNT AND COMPLE7E ONLY TNGSE PARTS O}= THE FORM Y'_;U IJP.1r>STANC?
~ L , • ,
iPlease return this original and your buildirig plans to the Department of 8uild,n~ a,id;,o,ccy)
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, - .
i Owner's Name (tast) p~rst► (m) Dvartment Use pnir
v-, 1I A -4o1"STA N1 ~G-~ • CU . Fbs. ~ Comm
2 Projoct Address (not Mading Address) cr Road Name Spacc Zip
e. 5-7z4- t34nr-%r,-)•,qfaY 9~zvz
3 CitylCommunity State SubdivlsionlPlat Name
15 vp~Nr- ~JA .
4 Assw.nor Parcel No. Lot Block -
goSG r+ DEPARTMENT USE ONLY t r*
5 Slc C.ode Zone Act. N Zone ~ Projer.t No
fi Owell N No. of Buildinga Sq Ft lAcre Depth Frontage
C+
7 Set 8eclc-Front (L)S-t (R)S-2 ~ Rsar ~ Census Tiact Module No. Irntials
* 16 Architect Flrm Narrte ( Street Address
KEN . Ke.m NI 19.v.02vx 19 z 42,/
Zip Gty ~ \'.State~:' Phone
99 2~`~ S~o ~c n. Ar - 56 ~ l
Contect Persan Phon e If difterent 1han above ~
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Contractor Firm Name ~Street'Address
~--Z A ~Lv ~p ~,►st V, ca GI` ~ v ~w~ \ ` J E. 38LC~ 'C~~ u,4 b ~••~NY ~
Zip Gty ` State Phone -
09 z~ z ~ ~pv~ N~ • c ~ ~35 - 4-GSg~
Contact Peroon Licertsie No. ~ Phone If different than above
lZo ►4 v~ L_c~r"AG-1 , G~A~LGUG - ZZ~ c 1 1
8 OwnerlAAent (if ditfarg t than M1 above) Business Address . . .
9 Z!p Clly j' State Phone
1
12 Review Required 40' Ptan Check (Yf N) Other (Y►N) ~ SEPA Exempt (Y/N) Date
15 Type Work A Bldg Cl MH C] New I Replace f] Other
f7 Fire ❑ Demo AddlAlter L7 Move
14 pescribe Woik
Ir7 ~ Zz5 ~ SQ- FT- i rJ ~ ' ~
~%UMIP2E.SSV~L ~ ~
~t,C"~. i5 X
10 Applicant Name Street Address ~
11 Zip City State Phonp
( 1
~ .
Lender Strset Adqress *
■
Ztp Clty State Phone
1 1 ~
Contact Person Phone of different than above
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Additional Information
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' . DEPARTMENT APPROVALS ' This is not a Permit
Application Type
(Standard unless (Indicaied approvals required in either "release" or "release with conditions"
othorwise iridicated) space prior to permit issuance
j Fast Track Release
[J Early Start
Release wlcond 1 Hold 2
Environmental Naalth ' [ Commercial; Residential
W. 1101 College C, New Consiruction; Bldg alteration/addition
Room 700 Additlonal structure;
APPLICATION 1i
Conditions / Commenis:
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~ Planning/Zoning: O Commercial; 0 Cert. of Exemptfon; O Frontage; „
L
N. 721 Jefferson O Setbacks; ❑ lot wld; 0 lot size; D uselzone; 1~~ •
'
O CU, variance, zone change; shoreline; O fence; U
O Other •
Conditions/Comments:
~ Englneers: O Commercial; ❑ Residential; O Flood Piain;
N. 811 Jefferson O drainage la new accesslapproach; O fence; :
O road Improvements ' Conditions/Comments: ,
~ Utllities: .
N. 811 Jefferson
Condltions/Comments:
~ Other: .
Plen Exam
Fire Prev. Conditions/Comments:
~
c0' Pro)ect Representative Telephone
cl Agencies Performing Special Inspection:
~
` c 1,
x o
c~o
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~ 2.
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LL -
3.
1 Indieete above or attech condltlons reletlve to flnal aa bullt approval
2 Indlcale above or ettach reasons tor hold
~5 ~
LA
~~~c.~.., ur~in~~ss Name ..,~L
/ s /-t'.vt
j Con[act Pecson Name I3
Addcess Acldress 6~-: .4~~7~
Photie Pltoric
County ContacC Person -f, Phone tJo. 456-3600 Date~f~
~o. ~ CORMERCIAL BUILDING PEltIMlT'EZEVIFW
Y~ •
4. 1 001- ~ I/'hi.s buS.lding permi[ review is intended to appraise you nf the improvemcnts (roadway, side-
1 walk, curb, s[ormwater, etc.) which muet be constructeci i.n assoclation with yaur buildtng
permiE. Thie checklist will be filled out by [he Engineer's staff ar,d a copy kltll be re- '
turned to you at the time Chat tl►e permiC is ini t1aled by Che Engineering Departcnent. All j
requiremenCS aha11 be compleCecf prior to issuance.of the bullcl4.ilg permit. All unchecked ~
boxes require addittonal research or informdtion [o make a determination.
1. Stormwa[er Drninape Consideratioris
-A. Per gui~eTines for "S[ormwa[er Managemeclt 1981" both on and off eite.
1. 208 Considerations* . ~ Yes ~ No
2. Flood hazard zone consideraCions** ~ Ye5 ~ No
3. Storm Uratnage Plan , Yes ~ No
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II. Planninp Action !l '
1. Plat, short plat, rezone, Conditional Use or Variance r Yes ~ No
r--~
on property. Planning Number
2. Are requtremenGa of planning action incorporaCed ~ Yes No
into aite plan '
ZII. ji3ht of Way
1. Does permit necessita[e R.O.W. ciedication Li Yes No
2. Did zone change require R.O.W. dedication Li Yes ~ No
3. Rndius at corner Li Yes ~ No
IV. County Road Improvemen[s 1. Roads need to be improved. Now wide ~ Yes ~ No
2. Curb ~ Yes ~ No
3. CRP/RID agreement (Copy of deed, contract, or ~ Yes ~ No
title reporC requiced.) .
4. Plans for improveroents provided ~ Yes No
S. ` Sidewalk . ~ Yes ~ No
V. Parking Plan 6 Approach Locat.ion 1. Review and sign off by Traffic ~ Yes tJo
Z.- Approach Permit from Engineer's Office ~~~CcsT a Ye5 ~ NO
3. Sta[e or City sign off ~ Yes ~ No
4. Is this road on 6 Year Plan a Yes No
VL. ULID Agreemen[: L, Yes ~ No
VII. Field Review: • Preliminary Comraente ,
* A11 land within the Aquifer Seclsittve Area, wheze cloemed feasible by ttie County Engi-
neer, shall incorporate stormwater treatrvEnt to mit.igare [lie porential for groundwater
degradation. (See Guidelines for Stormwater Managpment 1981, Spokane Buard of County
Commissioner's Resolution No. 80-1592,.as amended.)
T4ie purpose of flood hazarci zone review is to minimize losses due Co flooding in spe-
cif ic areas designated by Flood llazard Bounclary maps oci f tle at the County Engineer's Of f ice. (See Spokane Board of County Commissioi7e r's Resolution t1o. 81-0726, as
Amended.)
al2z/ss
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(TV,IS IS ~:~~OTA PERMIT)
BUILDING PERMIT APPLICATION WORKSHEET ~
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERSTAND
COMPLETE IN INK
(Please return this original and your building plans to the Department of Building and Safety)
SHADEO AREAS ARE FOR DEPARTMENTAL USE ,
~rpject Number
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_ _ . • , - .
Owner'3 Neme LAST FIFST MI
7Z-Aft, ^4D14~ w -
ProJect Address (Street fVame 8 NumDer) ZIp
. ~ ~ 24
A ~ A_~ 1 s. ~ r~ ~r ~.l .
Applicant 4~ddress
r~s ff •
City ~State Zip Phone
S~O tc. s~ tvl A~ ( 1 S 3s" -4
~
Business Phone
( )
CAntractor / Ag ent Add ress '
Alt- L u 6P.J t t2.ar~-Tr - S A M~. 1!► i A So
City State ~ Zip ~ ` Phone
( )
ContaCt License Number (ReGuired) Business Phone
L~-A
Architect / Enginec3r Address
XT v.100~
City State Zip Phone
( )
Co^tact ' Business Phone
Lender Address
Gcy tate Lip Phone
f 1
DeWibeWork» Res.. Comm.
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Sa:bdivialon/Plat Narrsa'lShort Plat Number . - ~ . ` ' . , - . : _ 'S - •
Y,N- -N-
• ` ~Z.~.~. ~ - , ; - _ - . . - . . - : • • . _ . , ' - • - - ' ` _ - .
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s~.gSPlii-~'~ ~t~s.~'►.'~: ~ti ~,a t~:, - _ ' ' ' _ , '
/1swwor PefC61 NuRib@i ~:~r; :r^ • ' Lot Biock ~ - - Plat Number
+~E; ` ~ . .a,,,n.' - - - _ _ •
P'ertlnent flte Numbers.,~; Zone . Comp. Pian
. • 1 „~~~~~s: - . _ _ • _ , CensusTract
4 1_
Niimbet of Dwe11InQ'vnite,,y :~Ty - Numberof 8uildings Lot Size (Sq. Ft.JAtre) Depth Frant
age
. ~~a~~~~~- - n ~'R' = - ' ~ ~ • ~ . : ~ _ , . - , .
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t-SetDeCk~ lejt SetDF~cic : . Right Setback _ RBar Setbadc
R1 W Width
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~ ~ '•^~i~' £ • • «:`o - . . . . , _ - _ , • - ~
~ ~3 ~ ~ i.~~ ~ ` - . - ~ .a- S4uare Footage . , _ . _
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DEPARTMENTAL REVIEW
Approved Cond. Approval Hold
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~ Envlronmental Healih Applicatlon 11
W. 1101 College
Room 200
'2
~ Ptanning/Zoning
N. 721 Jefferson
r
l ~,.a-~l ~s-• ' " ~
~ Engineera
N. 811 Jefferson
Utllltles
❑ N. 811 Jefferson
<
~
~ Plan Revlew/Flre Prevention
N. 811 Jefferson
Other (SEPA/Critical Materlal/etc.)
❑
~ Fast Track/Speclal Inapection Intormetlon
Pro)ect Representative Phone
Address
I certify that I have examined this appllcatlon and state that the informatlon contained in it and submitted
by me or my agent to campile sald application Is true and correct.
S(gnature Date