FANCHER N 328 WHSE-STORAGE BUD BRN TIRE CTNR 1'LANNUMtftM ArrLICA i 1UN/ rtKmi i PEfiMi(NUMBER
' SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY . NORTH 811 JEFFERSON I SPOKANE, WASHINGTON 99260 !(509) 456-3675
' APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET AODRESS PAACEL N0.
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LoT eLoc►c SUBOIVISION LEGAL DESCRIPTION: i Z
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OWNER ; PHONE,
.nl €r~ r ~ 17 >S 36 535 ~73G
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MAIL Actual Set Becka In Feet to:
~NG ADORESS Z~P
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North r C 9, ► I South ~ 0 Easl y,f~
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CONTRACTOR ~ LICENSE EXPIRES PHONE U S~eo1 Peroel d /I ZoneClaaaification ~i~t;~ ❑
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ADORESS ZIP Type Canat pancy Spri lered
4.
99 L, OYes )SNo OReq'd.
~•~~ZD Ra~~'~1A.~ (f - F4 u
•4-
DESIGNER PHONE NewCormt. Valuatlon Remodeled Valuation Totai Bldg. Fioor Area
I--- F~,1ir.1C~>
5.
ADDRESS~ ZIP Main Ftoor Upper Floors Garagef Staage Greenhouse
U
CHANGE OF USE FROM TO Cove► Dedc Uncw. Dedc Fin. Basement Unfin. Basement
6. t - -
No. Batna No. Flooro No. Fln. Rooms No. Owellfngs
TYPE ),!~,NEW ❑ ALT. ❑ AD`N. ❑ RPL. 0 MVE. 1. OF 0 OTHER
'7, BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL Certifi.o}Exempt, Required Yes❑ NoD Numoer
WORK avariance Reoeived YesO NoO
DESCRIBE WORK ~ ShaelineslFload Hazard Plarm RequiredO
r
~ 8, fi~-~,•E , ~ 1a:..,~ Yes❑ NotApplic.,. Recelved
YalUaTiON SOURCE GAS LECTRIC wATER SEWAGE pwrvrship
.,,3 ,~p , aF PUBIIC 0 sEpriC o FEES COLLECTED
UTILITIES PRIVATE -I SEWER C Public 0 PrivateX
1 9.~j
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I hereby certify that I have read and examined this applicatfon and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinancea govern(ng this type of gulldin
mplied wiih whether specified herein or not. The 9rantin9 of a perm(t does not presume to give eu- g
work w~ll be ca
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
oi conslructlon. SEE REVERSE SIDE FOR REDUIRED INSPECTIONS Plumbing
,
. ; ' I % •
SIGNATURE OF . PPLICAT10N
DATE ~ Mech.
OWNER OR AGENT
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check ~ 1 {
PRELIM. FINAL DATE
Env. Health
SEPA
~ • Ptanning
Modularl
d
Flre MFG.Home }
Z
Prevent. a
O
C~
" Other (Specify) W
Engineer
Utilities LL
TOTAL $
SEPA
WNEN MACHINE VALIDATED IN THIS SPACE,
~ PERMIT IS NON7RANSFERABLE THIS BECOMES A PERMIT.
Exa"' PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Buildlng IN 180 DAYS
Tech ' OATE ISSUED PERMIT N0. TOTAL
6 czor Lo CC> e% t - •
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Contact E'ernon Nauie Ke ( t..-._c, 1S~ev t llu:•>:~ t~A„11C ) `
Add r e s s ` Aci d
~~•~*~.~__.__~c~c's'7...~~,` C~
Phone Nfiune
County Contact Perfion ;T-e,~~~ t,hune No,. 456-3CUc►
CUMhih'ItLtAL tSU1 LU 1 NG t'E'KM 17' KEv 1 LW
This building NeriuiC review is inteiidc:d tu appruist yoti uk LIie tiupruveiueiiLti (roailway, 5ide-
W816c, curb, stormwater, e[c. ) whtch must be construc:[ed in assuc:i.atiuu wftti yuur buildi►ig
permit. 1'his checklist will bz tilleci out by the E~igincc:r'S SLaFf at-ici a copy wil.l be
returned [o you at the tin,e triat the permit 15 initialuii by the l:nbinvtri.ng Uo--partmeat.
All requiretnents sha.l.l. be completed priar [o issuance of Lhe bui.Lding pennit. A.11 un-
checked boxes reyuire additiorial research or information to make a deteciiiinatiun.
I. Stormwater 1)rdinap Considei-ations A. Petr guidelines foc "Stormwater Managemenl 1981" buth un anci off slte.
1. 208 ConSiderations* Li Yss Ll No
2. Flood hazard 2one cansideration5** ~ Yes ti No
3. SLurm Urai na~e P].du ~ Ye5 Li No
II. E'lannl.ri~ Act.i un
1. Rezone, Condicioi»1 Use or Variauce on properLy ~ Yes Ll No
2. Are reyuiretnents of planning action incorporated ~ Yes ~ No
inCo site plan
M. Rieht of Way
1. Qoes perniit neces5itate R.O.W. declication ~ Yes ~ No
2. Uid zoiie change reyuire R.O.W. dedicaLion ~ Yes ~ No
3. Kadius at corner ~ Yes ~ No
IV. County ltoad lmprovemen[s
1. Roads need to be iu,pruved. How wide ~ Yes ~ No
2. Curb ~ Yes ~ No
' 3. CRk'/KLU agreement ~ Yes ~ No
4. Plans far improvenients pruvided ~ Yes ~ No
5. Sidewalk ~ Yes ~ No
V. Parkii16 Ylart & Approach Luca[ion
1. Revtew aiid sigti uf f by Tra fk ic Li Yes Ll No
2. Approach Permit fruin Eribi.neec`5 Offt~~e Li Ye5 El No
3. State or City eibii oft Li Yes ~ No
4. Is ttti s road oti 6 Year t'la►i Li Ye5 ~ No
VI. r'icld kr_vivw: k'reli.iuinary ComInetit5
* A1.1 lanti w1 tht n the At7+ii ter SenSI L.ivc Area, wtiec-V_ (1104,21110.) kea5 i bl e by llle (:UUiity L~:nt; f-
neer, ehall fiicorporat.e sCorniwater trualnienL lu mlLigat.t: thc pulential foc- groui►(iwar.er
deg redaCtori. (5ee (;Uideliiles for 5to~cniwater Maiiageinent 1981, Sj)Uka+ie liuirci of Courtty
Commlsstu+ner'S Kesulutiori No. 80-1592, as aintiidet1.)
The purpobe uE I lood hazdrd zorlE ruvirw is to~ inillinitze lca-",e;; (ltic.
cif1c, arv-db C1esigiiaLec.t I.iy h'lc.,od Hazdrd ISuuiidary tuap5 vit t i 1tz- tt tlI%2 t,Ou111y I:i►,,inCer'S
Offtpe. (5ee 5pokdne tioarrJ uf (.:nunLy (.:oinmta5i,,i1er'S kesulli[_ioit No, 81-();'2o, a5
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P 1 83A- 8309
T H R E S H 0 L D D E T E R M I N A T I 0 N
PROPOSEO/FInAI. DECLARaTION OF SIGNIFICANCE/NONSIGNIFICaNCE,
1. Proponent: Bud Brown Tire Center, North 328 Fancher Road
Contact Person: Ron Kelling (Garco Const.) Phone: 535-4688
2. County's Action Requested: Building permit/Land use permit
Pursuant to WAC 197-10-203 (3), the Spokane County Department of Building and
Safety, a division of Spokane County, has determined that the county, as an
AC7ING AGENCY, is the LEAD AGENCY for the following project:
Metal building, 5,000 squre foot storage warehouse
This pz-oposal has been determined to nOt have a significant adverse impact
on the environment. An EIS is nOt (.required under RCW 43.2.1C.030 (2) (C).
This decision was made after review by the county of a completed environmenta3
checklist and other information on file with the lead agency.
►**:*.~*~~~►~*********~~*~~~~**~~~~~*~*~***~~~~~~*~***~*~,r~~~~~*~~*~~*~~~~*~~*~~
If you wish to execrise your option to reviec.► and comment as provided in WAC
197-10-203 (3), please respond,if appropriate, at your earliest opportunity,
noting particulary the due date for written comments.
Proposed Declaration of Nonsignificance issued: August 29, 1983
Contact: Spokane County Department of Building and Safety
North 811 Jefferson Street
Spokane, WA 99260 (509) 456-3675
Attention Kenneth E. Jeffrey
PROPOSEO DECLARATION FINAL DECLARATION
Name : James L. h1anson Name : James L. Manson
5 i gna ture :(2G?~?v~v d-r/-nta~,U_f~1, Si gnature :
Title: Director Title: Director
Department: Building and Safety Department: Building and Safety
Date: August 29, 1983 Date:
MAILING LIST
T0: WA State Dept. of Social & Nealth
Servi ces
Air Pollution Control Authority
Spokane County Engineering Department
Spokane County Health District
Spokane County Prosecuting Attorney's
Spokane County Planning Department
Spokane County Utility Department ~
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~ EHY IR4hKNTAL GHECILL IST
J~;~L :J'r`i' S:.if rla~~ •
Incraductl on: The 5tate EnvirortmenCal Po1icy Act of 1971. Chaptar 43.21C. RCW. reauires all state and lacal goverrm+ental
bqtn[7es ta [onsidar environrnental values bo#h for their own a[tlons and when litensinq privatit praposti5. Iho Act a#so
r"uirei that an EflvlrOnmentak [mpaCt 5[aCelT+enC be prtqared rOr al1 aajUr at[iOnS 5lgnificant}y (dnd '8dv4r591~r~~, bS DGr
WAC 191-10) effectir+g the q~,ality af the physical envlranment. ~Tha purpase of this cheeklist 1s to hlep the $gencies in=
voived 4atemine wheiner Or nOt 8 pr4pCSal 1s 3uCh 4 Inajor actian,
Pleasa ansxer Lna ftillo+.ing q"stionS At Comp1e[aly d% you Cen w1th the fnformatiqn prtsently avti3ab1e to you. Ple3se 3n3wer •
que3tlans as 'yes' ar "maybe" 1f, tn your aplnion, evan only s11ghl, 1mpeCts will *esult. The reYiewers of the CheCklist will
be arere of snd C4nGeCM1 thtn+5elaes wlth me ceqree of 1~att, askinq you for more infGrmation, 1f nxcestary. where explanatians
04 ydur ansuers afie required. ar where you b~~fieve an explanetion woutid be htlpfui Co gOwernment decisioa-awkers. include your
rxolanattvn In [he'spac~e provided. or use additianaipages, ii 4iC[£33dr+r. 1'au shauld 4nctiuda referer+te3 tn arsy reporti or
stuaie$ of wnicn you ere eware and whlcn are reievant to tMe dr15w2r5 ycu provlde. CoMleta a0swers to thesa questians now will
nelq all aqcncics dnaalved wsCh your pr4p45dt to undartake the requdred tnvironatntil re+rie►+ withaux unnacessary delay. ine lollawtng questians epply ta yeurt tatal prtaD4sa1. naL just to th* licenst i'ar whtch you ere currently applylng ar tMe ora_
posa] for whictr dpPr4va1 i5 sought. r4ur ans►+erS shaultl inClude thr irroaci:s wh1ch wStil be caustd #y your proaoSal whers it 4s
comp4ezr4, eYcr+ thaugn comvlrtton +nap nat ocCur wnt11 saR+etime in [he future. This will allvu al1 of tne a~enctes whicR wtll
be irirolvte C4 corrpleta Lheir envirvnrmn[a1 rerder ncw, without dupllCating pAqer+aric in tht future.
,
Ka app1lcatian snall be processed unt11 tr+e checkl#st his betn cocV;eted and returned ta trie epproDr+ate Cour:ty deqarcir%ent.
5tate law renuires.exalena[ians for eaery "yts" 8nd "metbt" answer on k„e checkltSt. The Rerson co+npletinq tlfe form nTay he
- requtire4 E.0 proVlo$ exolanattoni tOr "n0" aniwkrtS, sn4 in s6re Cbse;, mo*a dQtail#4 1nfCrffaC1Gn CO dtd Srf a ZhreS11QIQ
dxCer"1n4 t 1pn.
MOfiE: ihis is astandard farm Geing used Dy all 3tate arkd lv[t1 agentles in Cne State of Wa3hinqton for wriaus types of
praposals. Many of tl~e auestlans may nat apply to your prapasal. [f d OUeiCiCn eaes noC apply, just answar it 'no°
and tontir►ue an ta int ne-xt qutitian.
EHMOtttENTAL C1HECxLIST fORM
1. BACKGROUNO ~
1, Hem,e of Prop$nene: ~Y_t-1 Z~5 iv-~`'~'~ Phone wv=er 5~~ `7-7 3 fc:~
2. Addr#s5 ❑f Praponfini. ~ • ~zA 'F^sL-~ C_1,A s c- -EP •
a. DdLe CheC'kYi1'C Su4m{Ci.ed: a +z-, ~ fi .
d. AqenCy Repuiring CheCktilSt: e-c']&M K~A*3g-, ci~~ C.opp~
~ Rdme of FI'OpdSal. 9# Avpl1C301e:
6. Y3Currt and arlEf De5Cr1pL10fl of [MQ PrC;703a1 (ilSCludinq ~UL RoC IlCM11Cetl CO it5 5ite, genlrdl 4t31gn e!dmthtS. BJld
otner faC=ors tnbt wi11 gtike an accuratr undersxinl1ng at itx scoDe ana naLUrel:
13 c.r~ah . 50'x,c~~ 0 S*_~. STvaAc.-ir, S`ao o 5o. F-r•
loc3xion of Proaosai (cescribe :he physical satting of tne Pranasal+ as -well is tr,e excrnt of tne lana iree af`ec:eo by
any enwtir4nmentd1 ;moaczs, incluning iny aLher infarntiatlnr+ needed 'o giYe an atcurate unaerstanding af the AnvtiraA-
tenxa I settinq of tne prooa5¢ i):
~ . ~ I z- 0 V~- ~ ~ \t4 . ~ ~ ~ 0 6~- ~ c2 e- ~ m 7- ~;Vc-r a a T • `z e, ►i
~ . Ar:5 t 0 ta3~r a LP t_ 53'T3 3- 3t.0'I
3. E:t#mataa Dace fvr Com1Et14n of tht Propazal: 1 ~o C7^'-eS
9. List ai at1 Permtts. Licenses ar Govcmmenc Apprvvatis Rsqufre(i far the Pracotal (feder4l, itact and 1aca1 - Including
re zon e3): ~ C) u K17V--•C Ir-~ ~ ~--r- .4 v-v' . ,
~ vq t'x -v-,r N~ vG, . ~ot:;;, E- (tF SPAG€ FOR EXPCA1SAi IOM I5 fKADEQUATE, P1EA5E AT'fACH 4004T~ONAL pAC.ES. ) -
tiDa. Da ya+x. ar tha awnar in tn• event you do nat awn the'subject ltr+d* hav bny plafis tor futuryr tdb#tian:, Nxpanslan. cr
fur"er actlvity related to or c4nnattUd wttf; zh1s prvposa1? t{ yex, explain:
10b. Oa yov owr+ ar r+axe aptions an land nesrby or adjacent ta thit proposal'z IaCiCiOn? [f ye5* txplain: Ki o
11. Oo yau knaw of ar+y plans hr othcrs ineluding tho owntr ++hiCn anay affect Me property coVered by your prapo3al ar 14nd
, Adj&ctnt ot neerby? If yes, rac1flxin:
lZ. A[tacn tny other apoiica[ien form xh4t has bern tdrolated reqarding .he Proaosal; if jentf hts CeaA'Comoieced. but 1S
expett-ad to a! fJle4 dt som• fijturt 4ite. de5crlpe tht naCUr! of 3uCA epPlf[aC1an form:
' - ` . .
~ I . ERViR0KiENTAL iiiPAtTS ~ i • -
' (Exp f anati Qns of ~ 11 "ye." and Imayba' insr+arl ire requi rta 1 ye"I' A~alde Ha
1. Earth. W111 Lhe proposal result in. : . R.*
(a) Unstanit eerth CDndiCiOni ar in Changrs in gealoqiC str•uCturies7 . . . . . . . ~
{p~ ~isru~ti~n~, disvlacegrgnts, tanpactian or oYertortring of the soi17 . . . . • . .
(c) Chinga in zapograony or ground surfaca rtliaf ta4turQs? . . . . . . . . • . ~
(d) The deStrucLiOn, [overing 4r m7difiCdLlOn Of Vy uniqu! ge41091C ~
or physical ftdtures3 . . . . . . . , e . . . . . • , . . . , . • ~
Any incrtasio in ++ind or watar erolion of :oi4s, einer an Or vft [ha ait83 . . . , ,
, • . _ ~ .
. . ~ .
. . (IF SPACE FOR EXPIANATION [S INAOEQUATE. PIEASE aTTACN AOOITIONtiL DAGES.) ' - •
. (f) Cha nges in deposition or erosion of Deach sands. or chanaes tn slltatton. ~
Geposttton or erosion which may moCity the channel of a river or stream ~
or the bed of tne ocean or any bay, inlet or lake? _
Exp 1 a n a t 1 on : PqN`TA c~+IC7 t7 ,
. j, A1r. WI11 the proposal result 1n: Yes MayDe No
(n) Atr en+lssions or deterioratton of ambient a1r qua11ty1 . . . . . . . . . . .
(D) The creatlon of oblectlonaole oaorst . . . . . . . . . . . . . . . . . .
. (c) 111tcratton of elr movement. molsture or temperaturt, or any changa 1n x
cliaa ca. either locdlly or re9lonally? . . . . . . . . . . . . . . . .
f~x lanetlon: .
3. weter. 'd111 the Droposil result tn: Yes Maybe No
.(a) Chenge 1n currrnts. or the course or directlon of water e+ovesunts. X
1n eitAer marlne or tresh wtters7 . . . . . . . . . . . . . . . . . .
(0) Chnn9es In absorption rates. Cratnagt pattt n. cr tht rata end X '
• aAOUnt of surface water runottT . . . . . . . . . . . . . . . . . . .
• (c) Alterations to the coune or flow of flood .►aters? . . . . . . . , . . . . . .
(d) Chenqe In :ne emount at surfact Mater 1n eny water bodyl . . . . . . . . . . .
(e) 4lscnarge lnco surtace Mater, or 1n any alteratlon of surfece water
Quellty, tncludtng Dut not Itmlted to teoVertture, Ctssolved ~
oxY9en or tur0ldtty? . . . . . . , . . . . . . . . . . . . . . . . _
(f) Alteratton of cne alrection or race of tla+ of grounC vaterzl
(y) Change 1n tltie quenttty of gounC reters, elgher through dlrect
iaalttons or wtcnararals, or through interceptlon of &n x
aquifer br cucs or e-ecavattonsl . . . . . . . . . . . . . . . . . . .
(h) Oateriorntton 1n ground Mactr Qunllty, e1Uer throuqn Clrect
1nJectlon, or throuqh cn• seeoage of•leathatt. OhosOates.
aetergents, raceroorne virus or Dacterie, or other substances
lnto tne gouna watersl . . . . . . . . . . . . . . . . . . . . . . ~ •
(i) Reauctlon 1n the amount of weter o[ne n+ise +v+1laDle for X
puD11G rater Supp11es2 . . . . . . . . . . . . . . . . .
Exclanetlon:
...bV£tZ1-7 Gov•r (f~ Q~-A -%wccrEG . G o riTt4~t. ~'f e.C-oLP~ 10 •,4 h, r- £A. ,
4, flore. w111 che proposal result in: Yes Mayoe Ne
(a) Change 1n Che Clveritty Ot SDeC1ei, Or nurtsber of any SoeCles of
flora (incluainq trees. snruDS. 9rass, crops, mltroflora and
aquatlc plants)7 . . . . . . . . . , . , . . . . . . . . . . . . _ X
, (b) Reauctian of tne numoers of any unique. rare or enCangerea
soetiei of flore? . . . . . . . . . . . . . . . . . . . . . . .
;c) Introauctton of n w s0ecles of flora lnto an ♦rea, or
in 3 oarrier to che normal reDlenishment of exlstinq soecles? _ X
(a) ReCuctlon In acreaqe of any agricultural cropl . . . . . . . . . . . . . .
Exolanatton:
5, Feuna. V111 Che proDOSaI reiult 1n: Yes MavDe No
(a) Chanqes In the atverslty of soectes, or nunber of any soecies
of fauna (blres, land eninsals includinq nptlles, fish and
shellftsh. bencnic organisms, insects or mlcrotaune)? . . . . . . . . . . .
(b) acductlon of the nw,bers of any unique. rare, or endengered ~
SpK1es pt fauna? . . . . . . . . . . . . . . . . . . . . . . .
(t) IntroCuctton of nev specles of fauna tnto an nrea. or result ~
in i oerrier to tne migratlon or rrovement of fauna? . . . . . . . . . . . . _
• (d) Dettrioratton of extstinq flsh or wtldlite hebltntl . . . . . . . . . . . . .
Exolanatton: .
6, Hotse. Ye~ Ma be No
(a) Wtll che proDOSaI lncrease existinq notse lovals? . . . . . . . . . . . . IL
Explenation: - -/A / G&vj . A4=-r1y/ tV IYr •Stf & ~
G• J~/~.~~ ~~a~S
7, ltqht and Glare. • Yes Meybe No
(e) W111 the proposil produce nrw 11qht or qlan ? . . . . . . . . . . . . . ~ -
E z vd a~n a t t o n: t7 hc S 1r ~ Ya~. c~ N-r ~ a-1L-~ v.% V,~ tz._
a c7 E. , •
2
4IF SPACE FOR EXPLAMATtON [S fNADEQ4IATE, 9q.EikSE AfiiACH AOOITIONAL PAGES,)
a • Yes ;~~arbe. No • - ~
.
LdnC 'Ufe, ~^~5$f1C 0~ ~
~ap 4~111 the proDasal result in [he a1Ceratian of theFP ` * ' , . . . . • . . * ' ~
plaM1ned lend use of ar~ 3rea7 . !
~
~xpl~n8[1~: ~ ~ ! ~ •
9. y~y F13+~4 h~
f~etural Resour[es. ~111 ~e pr~caPosap *esult in: , , ' . . + ~ ~
(ij tc+crraim irt ~ne rate a~' uka of sny, natural res 'ourcRS2 . . ' . . y , , • • { ~ , . . .
{+~P
laCion of anY no rtne~+able naturat resour'ce? { j~~ ~
T
.
10, HbYG~ `~0
R1sk af Uos~t. 4oai th# PrtiPo3a1 tnt ne~ u~i~+~t%but{r~oL ti1~lttdot~~r~1~~ ~
re~se a~ naYSreous subs~tance3 {
"stl[ides, ttie~ ln the *venc af +n accident or , _
an , . . . . . . . . . F , .
ic~13~ ot ~d4~3tl . • ~ • '
~%et tnndltSoni3 . . . . . ` .
• ~ . .
• ~ ~
~
11. ~ulsti~,• ' ~r
Wi11 th■ praposal :ltqtr the locatlvnF diztribution, deisity, or 4r°wth, ! * . . • . • .
rat• of r..h+t h+san papulation of an arcaP . ~
. - ~
J,xplana[ien- • - ~
~
- ~
- ~
1~,. Hou~tTMq= . ~
w11l the P+"oPos+1 af{act rxtstinq h4us#ng. or crra[e1a d~duior + . . . . , . - . . ~ r
iddlt ior►A1 housie+qt , . . . . • '
~
. ~ - Ye s M~~t
Tr!nS ottitlonfClrcu1aClon. 4~#il the p~~a3a{ resutiC in: ` . , . . , . ~
C~RritiOn of ddd'1tional x*R1CUltr nOY~Oi? . ' - . .
Efde-tis nn exis[ing DbrtiM1g facllitles, or, darmfld for na+t Gbtklnql . . . , . . . . . . . . . . . ~ ,
(e) S¢pact upon exSsting Cr3nsPorta'~;an ~tysteMs? • • , . . . . ~
(d) Alierations to preset~t pa[tern~ of circul~Ciofl or morement + . { . , « + ; , . +
Of piabltl erlClar gooCS7 . , . « , . . . . a~ltlrtC10~1s Cb ~+aC8r4ornlF r3ti1 or d!r CTafftC7. • ~
(f) In[rttst in ,raf4lc haxards Ca motor aehicles• . . . . , . . . . . . . . . •
9ityctilsts ar ptdestrianf . « . . ,
Exvlan 39';ri
er t~:
~ .
res KeYac ra
14. PuniiC 5efvices. `•iS11 triela1nmenL~lfSerwiLes;4nrany50ft
in a M1red far nerr ar a tertd 9awlr
qf ihe ~`Oti1C+ring area5: , . . . . . . . . ~
(a) F1rM Protecttcr~l . . . . , . . . . ' . . . . . . , . . . . . . . • ~ -
(b) Poli[e P~tecLian7 . . . . . . • • ' ' . , . . . .
. . . . . . . . . ~ ' ~
{c) Schaa1s7 . . « . . « . • . , • , ~
(d) parks or a~her recr~e+tlae~a1 racitittiesT . . . . • . . . ' . . . . .
. . , • ~ ~
. . , • • • • ~
F . ` ` . .
M#ntenance 4f 4ud}ic faciltties. 9nclud#n9 r-oad$?
'~[~~c.r-r~
(f) Other govtFn+xntal servicaz'? . ~ ~ . { , y , , ,
~ • ''-n=~ . ~S~o T ~ k o ~ ~,r
Expiana[1bn: - -
~]~'~7 ! ~ •
(lF SPAC€ f8R ExPt.AKATIOA I5 1MA~EQUATE• PLEA5t Al'TACH ADI[rtIDKAL PaGES.} rts
~
15. fnerML. wt1l the omposal result in: , . ,
U3# O{ suost~antiai dmounts ot fwl ar enedgy~f . ` ' . , .
trw ' • { ' . , . - ~
( ) Or►and Won ex1st#ncy sOUrCe3 0f cnerqy. Or requ#m
e dExwlapRen~ of ~ xaurces c t • ' ' ' ' .
1
~ y.
- 11L
Utilitles. ~Iil1 tr+i propasa~~l~~~rt~Iuti11~S~or new systes• ' . ~
ar tl Cor#tions to ~a
(t) P+7welr Cr natUril 94i? . . , . • • . • . . . + + , . . . • . + • • •
. . • •
/l`{y5] Co~lnis.~1[lo~n -Systtm? • ' ` ' ' ~ .
1 r 1 • + ' ,
{c] wauri . . . . . . . . . , . . ' { . • . . F 1 r ' •
(4~ Se~+ert or saoCic ta.nksT « . . , . . . . . . . . . . , . . . . . , .
~ F ~
S~Larm uwttr dr41n*yat . . . . • • • .
.
~
- - _ .,..Y . _ _ ~
i
16. Utilities. Will the proposal result in a need for new systems. Yes Maybe No
or alterations to the following utilitles:
(a) Power or natural gas1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7C
(b) Comnunication systems? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(c) Water? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~C `
(d) Sewer or septic tanks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X
(e) Storm water drainage? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(f) Solid waste and disposal? . . . . . . . . . . . . . . . . . . . . . . . . . . *)C
Explanation; S£E- N`tTeac~-~-~~ L~ s-r ! S-cr~. A'-v i-r t ort 1--6 e
~tC.ca1 et bG,lc. ~-3 S QE ~ G U C;' E_ .
Yes Maybe No
11. Numan Health. Will the proposal result in the creatlon of any healrth hazards .
or potential health hazard (including mental health)? . . . . . . . . . . . . . . . . ~
Explanation:
Yes Maybe No
18. Aesthetics. will the proposal result in the obstruction of any scenic vista or
view open to the publlc, or will Lhe proposal result in the creation of an
aesthetically offensive site open to public view? . . . . . . . . . . . . . . . . . . ~
Explanation:
Yes MaYbe No
19. Recreation: Will the proposal result in an icnQact upon the quality or
quantity of existing recreational opportunltles? . . . . . . . . . . . . . . . . . . A
. Explanation: ' .
1
Yes Maybe No
20. ArcheoloqicalJHistorital. will the proposal result in an alteretlon*of a
signiflcanL archeological or historical s1te, structure, object or building? X,
Explanation: ~ .
I I I. S I GPIATU RF
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 unders tand that, should there be any will-
ful misrepresentation or willful lack of full disclosure on rrry part, Spokane Coynty may,~,i-th-
draw any declaratlon of nansi9nificance Lhat it might lssue in~ .1-p_--- ~is chec~,st✓~ _
o , ~ Ka.
Date: 3 ProP4nent: ~A►~~~ v sT'.
. ~
(Please Print or Type)
Proponeet:~uo '~tc~E CEN-t'~~- Address: fv. 3Z'o C+A~`~-
Phone: -7?-3 E, -
Person compl eti ng form: 1-E L L ►r-J C-, Phone: 1-35"A`6 2,20 Date: °v~ Z 6 83
FOR STAFF USE ONLY ' .
.
Staff Member(s) Reviewing Checklist:~~
Based on this staff review of the envtronmental checklist and other pe iment inf V n e staff:
A. X Concludes that there are no potentlally significant adverse impacts and recomnends/issues
a proposed declaration of nonsiqniflcance.
B. Concludes that potentially signiftcant adverse impacts do exist and reconmends/issues a
final declaration of siqnificance. '
C. Concludes that there are no potentially significant adverse impacts and, because of the
nature of the proposal, recommends/issues a ftnal declaration of nonsignificance.
I I .
:vised: August, 1981 5
,
i
y . [w
cuioRn Mu., ~
lb. Excavation for footings and pe rimete r wall.
lc. 3b.f. Site grades will be alte red to direct
16e. run-off to on site catch basins.
7. All building lights will shielded to avoid glare.
9b. 15b. 16a. Gas and electrici ty wi 11 be consumed as requi red
for heat and 1 ight.
13b. On s i te parking wi,l 1 be provi ded
PLANN 'BERAPPLICATION/PERMIT 44its PERMITNUMBER
S ,
POKANECOUNTY - DEPARTMENT OF BUILDING & SAFETY
~
NORTH 811 JEFFERSON ! SPOKANE, WASHINGTON 99260 I(509) 456•3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 5* * 21 7. 0 0 *7.
STREETAOORESS . PARCELNO. 2 1 O O U
a * o, o o 0
LoT BLOCK sueDiviSIoN LEGAL DESCRIPTION:
2, 8 3 0 920
' O W N E R ~ P H O N E P H l N E se G t. 12 Z~~ ~`-3 r ~ r" '0 8- 2 9- 8 3
;;s.. 773C, -773 G
rc
MAIL G ADDRESS ZIP Ac1ual Set Backs in Feet to: z 64 7 9,
; t~. ~2~; ~~~►]~-1~~c 1?n. 9-Zv2 Nath ti isouin ZO' IEwt 20~ ~west
CONTRACTOR UCENSE EXPIRES PHONE Sizeof Parcel f , i ZoneClassif(cation ~i~° O 6 * * 3~ O O
~,-c'. ~ z 4q. 39 ¢ 0y6 ca~cia °
.4; ~35^ MI ' *35.0016
' AOORESS ZIP TypeConst upancy Sprl lered
• C `79Zo'~ (I ' ~ ❑Yes ~jo OReq'd. A * 0d 0 8
OESIGNER PHONE NewConst. Valuatlon Remodeled Valuatlon Total Bldg. Floor area 831.02
I! - I~ ~.v - 5~ ~ I 5v ~ o
5. ADORESS ZIP Main Floa Upper Floors GaragelStorage Greenhouse 0 8- C 9- 8 3
Zr ~~~r~ Rt~, ~9ZZV
CHANGE OF USE FROM TO Caver Deck Uncv. Deck Fin. Basement Unfln. Basement 2 6679.
r
6. ~ -
No. Baths No. Floors No. Fin. Rooms Mo. Dwellings
TYPE
7 OF ~NEW 0 ALT. ❑ AD'N, 0 RPL. 0 MVE. 0 OTHER ~
WORK -0 BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL Certltl.otEcempt. Requlred YesU No0 NumDer
orVariance qecelved Yes❑ No[7l
DESCRIBE WORK ' I ShaelineslFlood Hazard Plans RequlredO
8. \NI-U~E AG-Ae Yes❑ NotAppHcA Recelved 0
VALUATION SOURCE GAS ~\CTRIC WATER SEWAGE pwnerehlp FEESCOLLECTED
9 J o A OF ~ PUBUC ❑ SEPTIC ❑ .
publlc 0 Prlvate
UTILITIES PRIVATE ❑ SEWER 0
I Z~ x
I hereby certify 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 Bu(Iding
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SiDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF ~ PPLICATION ~
OWNER OR AGENT 1(~e~ %``z'`t'C4'''~~ DATE Mecn.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env. Health
SEPA
Planning
Modular!
Fire MFG. Home R'evenl, a
C
Engineer Other (Specify) c
LL
UtiIINe,9 1 LL
~
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE, `
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. '
E`am' PFRMIT IS NUIL AND VOID IF WORK HAS NOT COMMENCED
Buflding IN 180 DAYS -
Toch.
DATE ISSUED PERMIT N0, TOTAL
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