BROADWAY E 6018 J.R. RIGGING WAREHOUSE
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t~:~. C O U N lY E N G I N E E R
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ROBERT S. TURNER
COUNTY ENGINEER
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.,-,.J7~p~:.r;--,s►,--.....,.,,s.:,~'`
~a~u~a►~: ~~`~A!llilNlYrl/Y 99260
il'Vr•~t 1 .1.. tt 1)~t I/ ~9~1 ~
Developreat Nsae: TF oe
Developer:
• Deatr Si r:
To bring the above titlod devolopanent iato compliance with Resolution No. 78-0212.
• an offeite roadwsy isprovement bond io requlred. A prslimiaary cavierr of the pro-
posed developwieo[ plao has been aade •ad an estiauate of the acst of the roadvay
improveae4ts !a follove:
Ctiirb 6 Guttar S
sidew.lk_ 12;5-
Gradiag $
Surtaciaa s
laviog $
Drain&$• ~
O the r 3
Sub-total a
Eogiaeering ,
Aimuot of Improvement Hond a ~ Za ~
A eo4d in the •bove aawunt sruat b• Piled vith thi• offia• prior to the issuanco ot
a buildios penmie. Your architect or •egiaoer must prepare and odtaio approval lrom
thi• offic• of the plaoa for the abov• roodvay ioprovewots. The contractor must
obtaio • pocsit to coastruct the irproveswnt• and also inuat call for iaspeatiaa
48 hours prior to constructioa. The bond vill be released only upoo •atisfactory
completioa oF the required iaeprovessnts. If •dditional iofonaatioo or advic• is
desired, ploaee contact thi• office.
Vecy tculy youts,
Robtrt S. ?ucoer, P. E.
County Eosioser
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Hy: t
E'ublic ZlVurkS E3ui:dii,y Nurth 811 Jeffer5uii Street Sp dne, ashinytort 99260 (509) 456-:3E700
PLAN NUMBER APPLICAT IO-N /PERM IT PERMIY'NUMbtH
SPOKANE COUNTY - DEPARTMENT OF BUILDING &-SAFETY
` NORTH 811 JEFFERSON I SPOKANE, WASHINGTON 99260 I(509) 456-367\~,
.
APPLICANT: COMPLETE tIUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES ~
STREETADORESS PARCEL N0. ~ P
~131~
(P0Lp
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LoT eLocK ivisioN LEGAL DESCRIPTION: A+lZ oF Z I k-~~
pw 2. o r E, ~ o tro, n£ -D D~ 1(L W l35' E€~ PHONE PHONE
3 ~
M A I l I C- Z I P A c t u a l 5 8 t B a c k s i n F e e 1 t o:
L G AD Of aESS
F. . Norlh ~s I South East ~ l~ I West 5
C TRACTOR C UCENSE EXPIRES PHONE ` Size of Parcel Zone C lassi fication Residential ~AC,l~,; 1~O~~Q~ 53y '~3o'1' Z.s~ ~qNdi1,~0.C1t'• Commercfal 0
5* * 3 1 a~ O
4. ADDRESS ZIP TypeCanst. Occupancy Sprlnklered
1~1a, Z-0 L ❑Yos ONo OReq'd. ~ 31 a 0 0 cYi
tv
OESIGNER PHONE New Canst, Valuatfon Remodeled ValuaUon 7olal Bldg. Fioor area ~
A *a,oc ~
5. ADDRESS ZIP Mafn Floor Upper Floors GaragelSlarage Greenhouse b ~ 5, GL?
CHANGE OF USE FROM TO Caver Oeck Uncv. Deck Fln, Basemflnl Unfin. Basement 0 7- 0 5-83
6.
No. eatns No. Floors No. Ffn. Rooms No. Dvoellings 6 ti 7 n
TYPE [[~J-<EW 0 ALT. Q AD' N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK ~~LD. 0 PLMB, 0 MECH. 0 M.H. 0 POOL Cerllfl,of6cempi. Required YesD No0 Number
wVazianoe Recelved YesO NoD
DESCRIBE WORK • ShorelineslFlood Hazard Plans Requlred 0
8' fSL4_1C, l0O YesO NotApplic. D Received 0
VALUATION 50URCE GAS I E CTRIC pUBLIC ❑ SEPTIC ❑ ~ne~h+p FEES COLLECTED
9• UTIUTIES PRIVATE 0 SEWER 0 Publlc 0 Private D
I hereby certity that I have read and examined this application and have read the "NOTICE" provislons included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building
work wiil be complied with whether specified herein or not. The graMing of a permii does not presume to give au-
thorify to violate or cancel the provisions of any other state or local law regulating constructfon or the pertormance
of Construction. SEE AEVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT Ll ~ DATE 7Mecn.
SPECIAL APPR VALS PECIAL ITIONS: (SEE REVERSE SIDE FOR NOTICE) ~
Plan Check 4 PRELIM. FINAL DA ~E1tv. He211h 24
SEPA 00
421anning Modularl
MFG. Home }
rire a
Prevent. ~
C:
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Engineer Other (Specify)
~ r \
~ ) ~
ulilities LL_
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TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
~~am PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
PERMIT IS NULI AND VOID IF WORK HAS NOT COMMENCED
-/,Buihing IN 180 DAYS ' -
DATE ISSUED PERMIT N0. TOTAI
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BU ILDING CODES DCPARTMENT
~ l3UI1.UING-51GN k3UAftU-CAS-IIh:A'fING-I'LUMHINC
8 11 Nurth Juffernon Slrccl - SNoknrw. Wndt►ington 99260
TeIrphone: 456-3675
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' • .lsme• L. HaAsOR • Uireclor
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3YVnnti[ CONMiY COU111 MOuS[
M E H 0 R A N D U N
To: WA State Dept. of Social & Health Services
Air Pollution Control Authority
Spokane County Engineering Department
Spokane County Prosecuting Attorney , Spokane County Health District
Spokane County Planning Department
Spokane County Utility Department
lROM: Spokane County Building Coda• Department
North 811 Jefferson
Spokene, WA 99260
509-456-3675
At[ention: Kenneth E. Jeffrey
btEFFRENCE: Lead Agency Designation, Threshold Determination, Staff RevieW.
Environmental Checicliato mep; a11 or aome of vhich are attached.
Purauent [o WAC 191-10-203 (3), the Spokane County Huilding Department, a
division of Spokane Coun[y, haa determined that the County, as an ACTING
AGBNCY, is [he LBAD AC,ENCY for the folloving project:
New (60 X 85) warehouse building used for storage ,
Thia determinetion ve• cnade in accordance with WAC 197-10-220.
Infocmation on file concerning thia pcopoaed action indicetea your egency to be
an AGENCY OF JU6tISDICTION O iJAC 197-10-040 (4).
Accocdingly, if you viih to exerciee your option to review end comment as pro-
vided in WAC 197-10-340 (5), a pcopoaed Declaration of Noneignificance vas
isaued on Jluy 8, 1983 . Pleaae reepond, if appropriate, at your
earliest opportunity.
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~~EEHt~ OEM r,tNATtoy _
F1Y~~i :➢~lrt~Yi4~i+s4~= 1 1 4„lpSJ.]ed/ • y~ ~
VE~.LARArTOif OF
{ pr'cposeal f i na
NOr1S7gC1Tf 1Can Ce/
~s~gr~tttcancslr~ons~nr~tfilc~nc.~~ ' z. a~scriptlan of PrvpQlal: New (60 X 85) wa,rehause bui7ding used fvr storage
. ~
Z. Prupo„a,L: J& R Riui rrq , East5524 Catal do ,Spokane 99206
3. Terry Mazzi e, Pacif i c Gontractar Phone: 534-4304
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4. Caunty AcCion (s) R+rGue3ted; lon* Change: ~ Prel Sminary Piat
Approwai: Ffna! PTAc ApnroYai; Chbnq• af Canclition
Othor- BLf 1 ld 1ng peY'TCI1 t
.
~acaz,ors a~ ~rc~osa~: Ea5t 6018 Braad~ay
6_ I.aad ,iWCxr: SPCxA14E C4UNTY. '.4A5H;,NG7OX
4-M 1~p~oOosal ha% be~R dotarwrined to not haue t Siatsffic3nC 4aver3a i~acr vn tr~e en~rfrar~nc. :~n EIS (s
U~ required ,uiaer RCJ ( ~c7. TMis dacisivn +.as mada a#ter rev1e+R b}+ tA# County ofi A ~~nk•
ploc" snvironmencal clrecxllsc anC athar lnforsmrian on file ++ith tA# Itaa agericy.
7. Aesvan:ible OffiCt81: Pmposed flaclar-atiQn: F1aa4 Otclaracion:
Jamles L . Manson ,,m James L. Manson
signstvn
~iti,~ . ~i rector ri cI a Di rector
Zop8r-cm,.nr But 1 dirrq and Safetv 04R4r=W„t 8ui ] dinq and Safety
Uce 7--8-$3 a.c&
For Oecleracionl of Sigr+iffcutca or+ly:
4ata 0f EAPs-Ct#d 0raft t15 Avai xaGi tltV (datatnined br Rodo0nitbi! Cf-fiC13l)
! I Data af Nsuancs
- TO aE CWLc-TED Sr RLe?0N5 18Lf G'FFIUAL:
a_ 3rief descrzptian ana 1#stlng of *hose eawira"ntat f=ac:s 'eaaiag :o suc, lacSaration:
;3. arlef sxo! ana[son af wnaL r.esture3.if any, wculd ae !aKen ~y t~• ant71 i c3n[ .o nriyetit ar ni tigate L:',e
*nvironmental frnpacc o# `*+e iravcsil ~o ;uc:: an axrenc ;nar [ne r*_sconsable arf;Clai couln considar ; rew#sea
prOoOa41 •ol:n & 3GS11bId r-esul£in, -aclarat:on if nansignificanct.
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. ' ~,pr • ~ ENVIRONMENTAL CHECKLIST
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FILE #:_83
S•o...c covNr• cou...ouic
SEC/7WN/RNG: - Z~ - 43
Introduction: The State Environmental Policy Act of 1971, Chapter 43.21C, RCW, requires all state and local
governmental agencies to consider environmental values both for their own actions and when licensing private
proposals. The Act also requires that an Environmental Impact Statement be prepared for all major actions
significantly (and "adversely", as per WAC 197-10) affecting the quality of the physical environment. The
purpose of this checklist is to help the agencies involved determine whether pr not a proposal is such a
major action.
Please answer the following questions as completely as you can with the information presently available to
you. Please answer questions as "yes" or "maybe" if, in your opinion, even only slight impacts will result.
• The reviewers of the checklist will be aware of and concern themselves with the de ree of impact, asking you
for more information, if necessary. Where explanations of your answers are require , or where you believe
an explanation would be helpful to government decision-makers, include your explanation in the space provided,
_ or use additional paqes, if necessary. You should include references to any reports or studies of which you
are aware and which are relevant to the answers you provide. Complete answers to these questions now will
help all agencies involved with your proposal to undertake the required environmental review without unnec-
essary delay.
The following questions apply to your total proposal, not just to the license for which you are currently
applying or the proposal for which approval is sought. Your answers should include the impacts which will be
caused by your proposal when it is completed, even though completion may not occur until sometime in the
future. This will allow all of the agencies which will be lnvolved to complete their environmental review
now, without duplicating paperwork in the future.
No application shall be processed until the checklist has been completed and returned to the appropriate
County department. State law reQuires explanations for every "yes" and "mavbe" answer on the checklist.
The person completing the form may be required to provide explanation for "no" answers, and in some cases,
more detailed informati.on to aid in a threshold determination. _ ~
NOTE: This ts a standard form being used by all state and local agencies in the State of Washington for
various types of proposals. Many of Lhe questions may not apply to your proposal. If a question
does not apply, just answer it "no" and continue on to the next question.
ENVIRONMENTAL CHECKLIST FORM
1. 6ACKGROUND
1. Name of Proponent:lpp~ _ C%EJZQL ff) jr~ kI k-7 Phone Number:-.63,1045
2. Address of Proponent: F_ J:~ 6 7. 1~4 ~V> n
3. Date Checklist Submitted: 7-~-~~
4. Agency Requiring Checklist: -aUtLDtt~~t t-, -DFPT
5. Name of Proposa l, i f Appl i cabl e: J ~
6. Nature and 8rief Description of the Proposal (including but not limited to its size, general design
elements, and other factors that will give an accurate understanding of its scope and nature):
2-5 an i~]7 -16 U ~ ~a~ l-7 1= ~E lps",,N`l~ ~
1. Location of Proposal (describe the physical setting of the Proposal, as well as the extent of the land
area affected by any environmental impacts, including any other information needed to give an accurate
understanding of the environmental setting of the proposal A.pREc_4:,'d;01~ 1= ts pnPlly (.,vqy
(IF (ny P~~n 1 l~
8. Estimated Date for Campletion of Proposal:
9. List of all Permits, Licenses or Government Approvals Required for the Proposal (federal, state, and
local - including rezones): t>>~ ntsi"IL r_ Jn&a~ I-~ T~ f~YY1 ► T-
F' ~ S' C-~- S~'~1"'~•'1/
10a. Do you, or the owner in the event you do not own the subject land, have any plans for future additions,
expansion, or further activity related to or connected with this proposal? If yes, explain:
Q~ LY1$-~ 74,~" 17 En
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August, 1981
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lOb. Oo you own or have options on land nearby or adjacent to this proposal's location? If yes, explain:
11. Do you know of any plans by others including the owner which ma affect the property covered by your
proposal or land adjacent or nearby? If yes, explajn: t~slo
12. Attach any other application form that has been completed regarding the proposal; if none has been
completed, but is expected to be filed at some future date, describe the nature of such application
farm:
II. ENVIRONMEN7AL IMPACTS (Explanations of all "yes" and "maybe" answers are required) •
l. Earth. Will the proposal result in: Yes Maybe No
(a) Unstable earth conditions or in changes in 9eologic subsKrur:tvres?. ~ (b), Disruptions, displacements, compaction or overcovering of the soil?.
(c) Change in topography or ground surface relief features? . . . . . . . . . . 7~
(d) The destruction, covering or modification of any unique geologic or K
physical features? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(e) Any increase in wind or water erosion or soils, either on or off the site?. ~
(f) Changes ir► deposition vf erosion of beach sands, or changes in siltation,
deposition or erosion which may modify the channel of a river or stream X
or the bed of the ocean or any bay, inlet or lake? .
Explanation: n1~~ ~-~\1-)
)X/
2. Air. Will the proposal result in: Yes Maybe No
(a) Air emissions or deterioration of ambient air quality?. . . . . . . . . . . .
• (b) 7he crea ti on of objecti onabl e odors? . . . . . . . . . . . • . • • • • • • • • K
(c) Alteration of air movement, moisture or temperature, or any change in
climate, either locally or regionally? . . . . . . . . . . . . . . . . . . . .
Explanation:
3. water. Will the prvposal result in: Yes Maybe No
(a) Change in currents, or the course or direction of water movements, y
i n ei ther mari ne or fresh waters? . . . . . . . . . . . . . . . • • • • • • •
(b) Changes in absorption rates, drainage patterns, or the rate and ~
amount of surface water runoff? . . . . . . . . . . . . . . . . . . . . . . •
(c) Alterations to the course or flow of flood waters?. . . . . . . . . . . . . . x
(d) Change in the amount of surface water in.any water hody? . . . . . . . . . . X
(e) Discharge into surface water, or in any alteration of surface water
quality, including but notlimited to temperature, dissolved oxygen
or turbidity? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(f) Alteration of the direction or rate of flow of ground waters? ~
(g) Change in the quantity of ground waters, either through direct
additions or withdrawals, or through interception of an ~
aquifer by cuLs or excavations? . . . . . . . . . . . . . . . . . . . . . . .
(h) Deterioration in ground water quality, either throuyh direct
injection, or through the seepage of leachate, phosphates, detergents,waterporne virus or bacteria, or other substances
i nto the ground waters? . . . . . . . . . . . . . . . . . . . . . . . . . . .
{i) Reduction in the amount of water otherwise available for
public water supplies? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 ,
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Explanation: V~--~
7 9-
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4. Flora. Will the proposal result in: Yes Maybe No
(a) Change in the diversity of species, or number of any species of
flora (including trees, shrubs, grass, crops, microflora, and
aquatic plants)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
(b) Reduction of the numbers of any unique, rare or endangered ~
species of flora? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Introduction of new species of flora into an area, or in a ~
barrier*to the normal replenishment of existing speciesl. . . . . . . . . . . .
(d) Reduction in acreage of any agricultural crop? . . . . . . . . . . . . . . . . x
. Explanation:
5. Fauna. Will the proposal result in: Yes Maybe No
(a) Changes in the diversity of species, or number of any species
of fauna (birds, land animals including reptiles, fish and
shellfish, benthic organisms,insects or microfauna)? . . . . . . . . . . . . . X,
(b) Reduction of the numbers of any unique, rare, or endangered ~
speci es of fauna? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Introduction of new species of fauna tnto an area, or result
in a barrier to the migration or movement of fauna? . . . . . . . . . . . . . ~
(d) Deterioration of existing fish or wildlife habitat? . . . . . . . . . . . . . -Xl~
Explanation:
6. Noise. Yes Maybe No
(a) Will the proposal increase existing noise levels? . . . . . . . . . . . . . . ~
Explanation:
7. Liqht and Glare. Yes Maybe No
(a) Will the proposal produce new light or glare? . . . . . . . . . . . . : . . . ~
Explanation:
8. Land Use. Yes Maybe No
(a) will the proposal result in the alteration of the present or ~
pl anned 1 and use of an area? . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation:
9. Natural Resources. Will the proposal result in: Yes Maybe No
(a) Increase in the rate of use of any natural resources? . . . . . . . . . . . .
(b) Depletion of any nonrenewable natural resource? . . . . . . . . . . . . . . .
Explanation: ' Uassp I" COW-STaua
_Qj=- -Gjj=~, G'T' GA P~ b4JU M Ar 1WT'.& t N 11~1 C~ ~T
3
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10. Risk of Upset. Does the proposal involve a risk of an explosion or the Yes Maybe No
release of hatardous substances (including, but not limited to, oil,
pesticides, chemicals, or radiation) in the event of an accident or
upset conditions? . . . . . . . . . . • • • • • • • • • • • • • • • • • • • • x
Explanation:
11. Population. Will the proposal alter the location, distribution, density, Yes Maybe No
or growth rate of the human population of an area? . . . . . . . . . . . . . . . . ~
Explanation:
J
/
12. Nousing. Will the proposal affect existing housing, or create a demand for Yes Maybe No
add i ti ona 1 hous i ng? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation:
13. Transportation/Circulation. Will the proposal result in: Yes Maybe No
(a) Generation of additional vehicular movement? . . . . . . . . . . . . . . . . . ~
(b) Effects on existing parking facilities, or demand for new parking? ~
(c) Impact upon existing transportation systems? . . . . . . . . . . . . . . . . ~
(d) Alterations to present patterns of circulation or movement
of peopl e and/or goods? . . . . . . . . . . . . . . . . . . . . . . . . . . . X01"
(e) Alterations to waterborne, rail or air traffic? . . . . . . . . . . . . . . . I><
(f) Increase in traffic hazards to motor vehicles, J
bi cycl i sts, or pedestri ans? . . . . . . . . . . . . . . . . . . . . . . . . . •
Explanation: e' {)S1-0M1'~ 71 12-es. iP }-i
14. _Public Services. Will the proposal have an effect upon, or result Yes Maybe No
in a need for new or altered governmental services in any of the
following areas:
. (a) Fire protection? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J~`~~/_ ~
(b) Pol ice protection?. . . . . . . . . . . . . . . . . . . . . . . . . . . ~
(c) Schools?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(d) Parks or other recreational facilities? . . . . . . . . . . . . . . . . . . .
(e) Maintenance of public facilities, including roads? . . . . . . . . . . . . . . ~
(f) Other governmental services? . . . . . . . . . . . . . . . . . . . . . . . .
X
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~ ~ _ _t/~/~►'~ t~~/it/1~1it//~C/~r
15. EnerqY. Will the proposal result in: Yes Maybe No
(a) Use of substantial amounts of fuel or energy? . . . . . . . . . . . . . . . . ~
(b) Demand upon existin9 sources of energy, or require
the development of new sources of energy? . . . . . . . . . . . . . . . . . .
E xp 1 a n a ti on : Akw Z;V'= J,&!Z4 ~~'j
4
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16. Utilities. Will the proposal result in a need for new systems. Yes Maybe No ~
or alterations to the following utilities: .
( a ) Power or natural gas? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1<
(b) Comnunication systems? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) water? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
.
(d) Sewer or septic tanks? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(e) Storm water drainage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x
(f) Solid waste and disposal2 . . . . . . . . . . . . . . . . . . . . . . . . . . . .1~ ~
E x p 1 a na t i o n: W t--~'Lrp
Yes Maybe No 17. Human Health. Will the proposal result in the creation of any health hazards ' or potential health hazard (including mental health)? . . . . . . . . . . . . . . . .
Explanation:
18. Aesthetics. Will the proposal result in the obstruction of any scenic vista or Yes Maybe No
view open to the public, or will the proposal result in the creation of an ~
eesthetically offensive site open to public view? . . . . . . . . . . . . . . . . . .
Explanation:
19. Recreation: Will the proposal result in an impacL upon the quality or Yes Maybe No
quantity of existing recreational opportunities? . . . . . . . . . . . . . . . . . . ~
Exolanation:
20. Archeoloqical/Nistorical. Will the proposal result in an alteration of a Yes Maybe No
significant archeo7ogical or historical site, structure, object or building? ~
Explanation:
III. SIGNATURE
I, the undersigned, swear under the penalty of perjury that the above responses are made
truthfully and to the best of my knowledge. I also understand that, should there be any will-
ful misrepresentation or willful lack of full disclosure on my part, Spokane County may with-
draw any declaration of nonsignificance that it might lssue in reli upo this klist.
oate: Proponent:
(Please Print or Type)
Proponeat:-gn 6~EV~L,Q_~(~J~ttress: 1= ,ti;S Z~-1 C'~
Phone : 11L~ ~ Person completing form:TFl3 Ry MAL41Z/E Phone: Date:
FOR S7AFF USE ONLY
.
Staff Member(s) Revi ewi ng Checkl i st: A/1Z,QWCZ ~
Based on this staff reyiew of the environmental checklist and other pertiment information, t4saffi.
A. Concludes that there are no potentially significant adverse impacts and recomnends/issues
a proposed declaration of nonsiqnificance.
B. Concludes that potentially significant adverse impacts do exist and recomnends/issues a j
final declaration of siqnificance.
C. Concludes that there are no potentially significant adverse impacts and, because of the
nature of the proposal, recommends/iss-ues a final declaration of nonsignificance.
.
Revised: August, 1981 5
, ~
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Corzrac[ PerSOi Nay) ! e_ti ' !
✓ --~cc...Z,g-[ C_ Business Nau»
Ad d re s s~ ~ - ~-•._.~-t~••- Ad d r e s s L4
Phoue 4- 30 ~ Phone
County Contact Person ,ry~~ ~S.Ly~ Phone No. 456-3600
CUMME[tCIAL KUILDING PERMIT R.EVYEW
This building permit review is intended to appraise you o.E the improvements (roadway, aide-
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
returned to you at the time that the permit is initialed by the Engineering Department.
All requirements shall be completed prior to issuance of the building permi[. All un-
checked boxes require additional research or information to make a determination.
1. Stormwater Drainage Considerations
A. Per guidelines tor "Stormwater Management 1981" both on and off si[e.
,
1. 208 Considerations*
~ Ye s ~ No
. 2. Flood hazard zone considerations** ~ yes ~ No
3. Storm Drainage Plan ~ ygg ~ NO
II. Planning Action #
1. Rezone, Conditional Use or Variance on property ~ Yes ~ No
2. Are requirements of planning action incorporated a Yee ~ No
into site plan
III. Right of Way
1. Does permit necessitate R.O.W. dedication ~ Yes ~ No
2. Did zone change require R.O.W. dedication ~ Yes ~ No
3. Radius at corner ~ yes ~ No
IV. County RoBd Improvements
1. Roads need to be improved. How wide ~ yes ~ No
2. Curb ~ Ye$ ~ No
3. CRP/RID agreement n yes ~ No
4. Plans for improvements provided ~ Yes ~ No
~
5. Sidewalk Yes ~ No
V. Parking Plan & Approach Location
1. Review and sign off by Traffic Dd Yes ~ No
2. Approach Permit f rom Engineer' s Off ice [m Yes ~ No
3. State or City sign off El Yes ~ No
VI. Field Review: 1'reliminary Coaunents
* All land within the Aquifer Sensitive Area, where deemed feasible by the County Engi-
neer, shall incorporate stormwater treatment to mitigate the potential for grouiidwater
degradation. (See Guidelines for Stormwater Management 1981, Spokane Boazd of County
Commissioner's Resolution Nv. 80-1592, as amended.)
The purpose ot flood hazard zone review is to mi.nimize losses due to Elooding in spe-
cific areas designated by Flood Hazard lioundary maps on file at the County Engineer's
Office. (See Spokane Board of County Cominissioner's ReSalutton No. 81-07269 as
amended. )
►
nr rLm I vr~ I 111vIV / r►..I I IWiI i
SPOKANE COUNTY - DEPARTMENT OF BUILOING & SAFETY
♦ • NOATH 811 JEFFERSON 1 SPOKANE, WASHINGTON 95280 !(509) 458•3675
~
APPLICANT: COMPLETE UMBERED SPACES - PRESS HARDTO MAKE 3 COPIES
STREEf ADORESS PARCEL N0.
1
O QD1N ~
LoT BLOCK siviS~o LEGAL DESCRIPTION; v ~~k -
~ Yz o ~ ~ F ~`I Z 0 F
2. o r S. o(~a+^£ L W l3S' ~ E,
~
OWN€ PHONE PHONE % '3'1&
~
3. ~SSl 5~5- ISZ
F e e t l o:
MAII G ADOREZIP c t u a l S e t a c k a f n
-
F, 3 S s«,th O~t ~ (00 w~ S
r~n ~ 13
TRACTOR C UCENSE EXPIRES PHONE Slieof Parcel Zone ClassiFlcatian Residentlal 0 /
53 y. y3oq t Zs -j~ Zsc.> oX)r. Cammercial 8--
ar~
~
4• ZIP TypeCansl. Occupancy ~ Sprfnklered
ADDRESS
°%qZoz I ❑Yes ONo OReq'd.
Ioe) K) ~E
DESIGNER PHONE New Carut. Valuat(on Remodeled Valuation Total Bldg. Floor area
5' ADDRESS ZIP AAain Floa Upper Floors GaragelStorage Greenhouse
ChIANGE OF USE FROM TO Ga+er Deck Uncv, Dedc Fin. Eiasement Unfin. Basement
6.
No. Beths No. Floora No. ri^. Rooms No. Dwellings
TYPE &<EW 0 ALT. Q AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
Lg'~D. ❑ PLMB. ❑ MECH. 0 M.H. 0 POOL Certitl.ot6cempt. Required Yr,S❑ No0 Number
WORK a Varianoe Peceived YesO No ❑
OESCRIBE WORK ShaelineelFlood Hazard Plans Required Q
8, ~J 0O y~ s YesO Not AppHc. 0 Received 0
VALUATION SOURCE GAS I E CTRIC WATER SEWAGE pwrwghlp FEES COLLECTED
pF PUBUC ❑ SEPTIC 0 p~p~ic ~ Private Q
9• UTILITIES PRIVATE 0 SEWER ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisians included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of Buiiaing
work will be complied with whether speciffed herein or not. The granting of a permit does not presume to give au-
ihority to violate or cancel the pravisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF ~ APPLICATION
OWNER OR AGENT • DATE 7 ' -:5 " Mecn.
SPECIAL APP VALS PECIAL ITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL OA
. Healih
SEPA
lanning Moduler!
MFG. Home ~
Fre a'
Prevent. O
`
~ y.- C~firer (Specify) ~
_.igineer ~
~
UtIl111Q,1
70TAL E
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plarq PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
•
. PERMIT IS NULL AND VOID IF WOflK HAS NOT COMMENCED
Buikling . IN 180 DAYS
• OATE IS3UED PEAMIT N0. TOTAI
~ PLAN NuMBER le#PPL lCAT 1ON / PERM IT ' ~~RM4T NUr
- SPOKA►NEC+OUNTY - DEPARTMENT 0F 9UILDING & SAFETY
~ ~;%P
NORTH 811 JEFFERS0N I SPQKANE, WASHINGTQN 99280 1(509) d58•3675
APPL9CANT: COMPLETE NUMBERED 5PACES PRES5 HARD TQ MAKE 3 C0PIES
1. sT~~ET A DOR I` PARCELIV4.
Ei r
f ~
«r eLac~e sueOii~isIara ~
# LEGAL QESCRlPTiON: -ki 14
Dw ER p D PHOtdE
MAILING ADCrRESS ztP ACtual Set Bscd~ In Feet to:
d Nath lSGwtfi ROF:0 lFBSt I West ' ✓
GO RACTQR LfCENSEE}(PIRES ON S~m a1P oe~ Claaslficakfan ~ pmklentw ~Q
4. '~f~ , .
ADOAm~
i~~ 'V • 0°c~'pency Sprir~kfered ~
qYe6 aNa O'd.
DESIGNEp PF(ONE 1JewCavt. Valuat#pn~~Remodeled ValuallOn Total Bldg. Flcor Area
AflaRESS zIP Main F~loor Upper Flaars faaragel5tarageGreershause
CHANGE OF USE FRQM- TO GwW Dadc Clncv. Deck Fln. 8ssemen! Unfin. 9asement
6.
tJO. 8a1ns No. Flffars No, Fin. Raams h1d_ Owdlings
1. ~F PE 0 N,EW CJ ALT. .~,4I'N. 0 RPL. ❑ M1JE. 0 OTHER
VtilC?RK ~La. Q PLM9. 0 MECH. ❑ M,H. ❑ P4{7L Csrtifl,ofExempt. Fequired resn r,a❑ Nu~rber
or Varisnoe PZoelwed Yes ❑ No❑
DES R18E wQRK ShorelinasfFload Harard Plers Reqttired 0
8' ~ ~ ~C✓ ~ "s ~ ~ ~ , 1'esQ Not Apqle. Q Fleoeiveaf ❑
~ VALUA710N 50URGE GAS ELEC7RIC WAT~R SEWAGE
~ oF pue~~c~ s~Pric ~~~~.iYare~ fEES COLLECTED
UTILITIES I RHIVATE ❑ 5E1NE
I hereby cer#afy Ihat I have read and examined this applicalfon and have read the "NOTICE" provisions included on
reverse side, and know the same ta be true and correct. AIl provisions of laws and ordlnances governing thls type of Buii~ing
work wifi be cqmplied with whether specJfied herelrr or nol, The granting of a permit does nnt presume to give au-
tharity ffl uioJate or cancel the provssions af any ather stale 0r lacal Iaw regu#ating con5tructian 4r the performance
af eonstruction. SEE REVERS€ SI0 E Fplq RE£IUIRED INSPECTIONS Plumbing
SIGNATURE UF yop APPLIGATPON
4UVNER 4R AGENT---~,~~- OATE / ZZ Z- Mech.
SPECIAL APPROVALS SPECIAL CONd IbNS: (5EE REVERSE SfDE F0Ft NOTICE) { Plan Check
EPRELIhA. FINAL DATE
~ Hs~~n
a-~l7I1,7 SEPA
X\ Planning
Mqdularl
MFG,Home
Fir$
Pfev2ni,
~ Enginaer ' cRhu iSPeC{fYi
~ Lrllliiies
7p7A1 $ ~
sEpA w
pER[4111T I5 NQNtRANSFERABLE YHHS $ COMES A PERM ~TED !N TH13 SPACE.
~ Exa"PERMMT IS hiULL ANO VOIQ If WOffK HAS NOTC4MMENCED
Building 9N 1$0 D14Y$
.1 Tech. f}ATE ISSIJED PEAMiT NQ.
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4/4L K\i ~ APPROVED
VOKANE CO. fIRE OFFICE
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R ~ ~ H ~ 3~~ ~ ~G, DnTE _ 07-07-83
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