LAKE N 1010 Valley Investments Warehouse Spec Bldg f'LANNUMCttt Nf'r'LIV/1 I Ivll/ rc.nirii I -
• . SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
f NORTH 811 JEFFERSON 1 SPOKANE, WASHINGTON 99260 !(509) 456•3615
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADOAESS PARCEL N0. ~
t. ic~ In 1J L-Ak£ ST 1353z- l1~5 ~ 1~yP~
~07 BIOCK Sueo~vis~oN LEGAL DESCRIPTION: 1-?S q'~' S z. OF LoT 3
t
2. J t awou;NS $Lk 3~ At.L 1-TS /6 417S z o I' L7- 17-
OWNER PHONE PHONE ~xC, [ 46 t%.- [bkZ S'r /}qJ Sr-> LTS
3. vA11.O INY9S"r1kghUZ5 C?010
MAILING AODRESS ZIp Actual Set Badcs in Feel to:
~ ?506 F_ . F19Sr 9q206 Nor,fi z (so,th 53 lEast39'-(PlWest 35'
CONTRACTOR LICENSE EXPIRES PHONE SlzeOf P~rcel 1 ZAneCtaselfiCelion Regldenlial 0
~+N 114D°-rRl.z~~ ~t a.6o AMP11-rn0.1JuF Co►""~~ial49-
~ 4ADD ESS ZIP TypeConsl. Oocupancy Sp►inklered
50G E . FI R~~ ❑Yes DNa ❑Req'd.
IZS~t
OESIGNER PHONE New Const. uaWn ~ Remodeled Veluation Totel Bldg. Floor Area
A L IUALL.S 2111 , 12-3 AS
11
UpparFlooro GaragefStorage Gr~enhouse
5. ADDRESS ZIP MainFlaa
qr 06 F. , PrIZST
CHANGE OF USE fROM TO Coverbeck Uncv. Dedt Fin. Baaement Unfin. Basement
6.
No. ealha No. Floors No. Fin. Rooms No. Dwellings
TYPE 8'NEW 0 ALT. ❑ AD' N. ❑ RPL. ❑ MVE. (P J 4t
7. OF 0 OTHER
WORK ~LD. 0 PLMB, ❑ MECH. 0 M.H. 0 POOL a if~i.~ empt. Raqufred YesO No0 Number
Reoeived YesO Nof7
OESCRIBE WORK ShaelineslFlood Hazard Plans Required ❑
8. 61)]VP-'F_110"L$E SP6G .~.)d~ Yea❑ Not Applic. 0 Recefved ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE pwnership FEES COLLECTED
PUBUC ❑ SEPTIC 0 Q privete ❑
9• UTIUTIES PRIVATE 0 SEWER C_
I hereby certify that I have read and examined this application and have read the "NOTICE" provisiona included on
reverse side, and know the same to be true and correct. All provisions ot laws and ordinances governing thfs type of Buildirtg 77G o0
work will be complied with whether specified herein or not. The granting of a pErmit Coes not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
ot construction, SEE REVERSE SIQE FOR RE4UIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE Mech•
SPECIAL APPROVALS SPECIAI CONDITIONS: (SEE REVERSE S DE FOR NOTICE)
y~ Plan Check 50 T ~
PRELiM. FINAL DATE k'A►.~OI~S~ ~ 17. 30 X oq4 ' 7/6, Z( O
//tnv.Health r/G,p A IZ, les - 92/I~13fo.10 SEPA 77 u~
,Afenning Malularl
~ MFG.Home
Flre
Prevent.
tneer Other (SpecitY)
GQ
Utilities TOTAL $ 13 15 Yrc
sEaa
/ WHEN MACHINE VALIDATED IN THIS SPACE,
~ /pans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
~ Exar"' PERMIT IS NULL ANO VOID IF WORK HAS NOT COMMENCED
' Buildirg I,►' I N 180 DAYS
Ted►, ~►~c DATE ISSUED PERMIT N0.
~ _
A
i
. '
ContacC Yersun Name Bus incss Naine
Address Address
Phone
`Z~'-~O /O Yhone
County Contact Persoc~ 5 Yhone No. 456-3600
CUMMEItCIAL BUILUING PE1tMIT R.EVIEW
This building permit revizw is intended to appraise you of the improvements (roadway, side-
walk, curb, starmwater, 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 permit. All un-
checked boxes require additional research or information to make a detecmination.
I. Stormwater Drainage Considerations
'A. Per gut&eTines ror 'Stormwater Management 1981" both on and off site.
~
. 1. 208 Considerations* ~ Yes D NO
2. Flood hazard zone considerations** ~ yes ~ No
3. Storm Drainage Plan ~ Yes ~ No
II. Planning Action #
1. Rezone, Conditional Use or Variance oa property ~ Yes ~ No
7"'Z
2. Are requirements of planning action incorporated ~ Yes ~ Ab
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 El Yes ~ No
IV. County Road Improvemente '
1. Roads need to be improved. How wide El Yes No
2. Curb L] Yes ~ No
3. CRP/RIn agreement r"71 Yes D No
4. Plans for improvemente provided n Yes ~ Nb
5. Sidewalk El Yes ~ N0
V. Parking Plan & Approach Location
1. Review and sign off by Traffic ~ Yes ~ No
2. Approach Permit from Engineer's Office 19 Yes E] No
3. SCate or City sign off ~ Yes ca No
VI. Field Review: Yreliminary Comments
* All Latld within the Aquifer Sensitive Area, where deemed reasible by the County Engi-
neer, ehall incorporate stormwater treatment to mitigate the potential for groundwater
degradation. (See Guidelines for Stormwater Management 1981, Spol:ane Board of County
Commissioner's Resolution No. 80-1592, as amended.)
The purpose of flood hazard zune review is to mi.tltmize ZosseS due to flooding in spe-
cific areas cesignated by Flood Nazard Iioundary maps on tile at ttiz County Engitieer's
Office. (See Spokane Board of Coun[y Commissioner's Resotuttan No. 81-0726, as
amended.) _
Z ~
8~7 260'
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i ~ (y~ ORAIN FIEID T0 )IA VL-
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~ARK fx&t2'9 CARS PA~,Nb
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~ f.►v,N C. l i rvE----- 46' .
Fc N e E Y
~~i~~~~' ~~s~►' : - - - .fk;s~;wy ~q- ~ I
GAs-~ PwcR-~'eL, ~'6~~.
CA'f'C N dAg/N ~
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' . . ' . , . . . , -r, -
BU I LDI NG CUDES ULE'ARTMENT
~ UUILDIN(:-51GN t3UAHl)-GAS-Hh:A''INC-f't,UMHING
' 811 Nurth Jcffrrdon Slreel - SNukunc, Wadhin`lun 99260
~ ~ ~ • '1'e:lephonr: 456-3675
'7~►-.rs. : ' 1atM• L. MaAso'l'1.. Uirector
, . . • • ' '
3 ruhA n c cuunir couRt tiousc
N E N 0 R A N D U!4
To: WA State Dept. of Social & Health Services
Air pollution Control Authority
Spokane County Engineering Department
Spokane County Prosecuting Attorney
Spokane County Planning Department
Spokane County Health District
Spokane County Utility Department
l6tOM: Spokane County Building Codes Department
North 811 Jeffecaon
Spokane, WA 99260
509-456-3675
Atcention: Kenneth E. Jeffre,y
REFBRENCE: Lead Agency Designation, Threshold Detet^mination, Staff RevieW,
Environmental Checicliet$ map; all or aome of vhich are at[ached.
Pucsuent [o WAC 197-10-203 (3)0 the Spokane Coun[y Huilding Depattment, a
division of Spokene County. has detecmined thet the County, as aa AG7ING
AGSNCYs is the LBAD AGENCY for the following ptoject:
New 12,985 square foot speculative warehouse buildinq
This determination vea made in accordence With WAC 197-10-220.
Infocmation on file concerning thia pcopoeed ac[ion indicates your agency to be
an AGENCY OF JURISOICTION, iJAC 197-10-040 (4).
Accocdingly, if you aiah to execciee your option to review and comment as pco-
vided in WAC 191-10-340 653. a propoaed Declaretion of Nonaignificance vea
issued on August 3, 1 8 , pleese reepond. if appropriate, at your
eoclieot oppoctunity.
FIL.F ! •
.
,
~.r .
1J
THRES}i010 OE"I~RM[NaT10N
P ro p o s e d/
OEQ,.1RATtOli OF
lD~os~a/ffn~l)
. Nonsignificance/
' ( 3ignt tf unca/nanitgnt t'icinct)
t. Uscr+otion of prooo,al: New 12,985 square foot speculati ve warehouse bui 1 di ng
prep"ent; Valley Investments, 9506 East First, Spokane 99206
3. co,+ucc Per:on: Amaud ( A1) Wal 1 s (AAA I ndustri es ) vna,.: 924-8010
4. Csur+cy Actton (s) Requeiulc Zane Chan9e: Pnllminary PIat
Approv41: ►tnal P1at aparvval: C1+anqe o/ Conaltloa
othom Bui 1 di ng permi t
i. ~ocat~on ot a~o:al: North 1010 Ldke Street
6. laad Aqency: SOQKANE !'QUNTY, 'aAIcN tM-sOn
thts pro~,~o sil nit Ofte+ aateewina4 to nOt nave a»qnittunc 4ovon• ie~osct on cno •nviror+renc. .1n EIS is
C10L rpulnd ureotr RG 43.21C.027M icj, fhts soctston .►4s mace stttr nvfaw pr tn* Ccunc7r ct a caa►-
piec" tnvtror+orntal ChwAlltt and otjur tntonrcton oA fti• .IN [M 1ea4 &94ncy.
I. Rt:ponslDlt ONttlaI:
Pr'ODOtla OKliriLlOn: Fina) OKIarat10n:
~ /,-)James L. Manson Xw James L. Manson
f
S 1gta LtJf^f S 1 gn&Lt►n
Tftie Di rector Di rector
~~ammt Bui 1 di ng and Safety Bui 1 di ng and Safety
04u 8-3-83 ac.
a. for Uclanctons of S4411tlcancs Onlr:
OaL of fApectod Oratt EIS AvOiaoiifcy (aatamtltoo bv Ruaonsiple CKtcisl)
Oata at tsswnc• '
To eE caWtLTEfl aY aEISioIcstsiF a"tctAL:
a. Artel oescriptton trb 11=tlnq of cnose •nvironmencal ,=jc;s !*•a09 :a s4ca iecf,racion:
. b. ar101 txolanatton Ot rnat neafurt7. tf iny, _:uld :r !j.en ~v ::'e »ollc1nC :J :rtitnc 3r rzti;ace
tnvtronaental Impi« of ;Ae 7rooosil :o s::c:* sn 7.sent :'+4c :-s r--%ooniiole irf:c;sl ::ula •:on=iaar :-eviito
Omoosal .IG1 & aositblt r'esulting st04rat:an ;t ,onstqnif:unce:
ENVIRONMENTAL CHECKLIST
- ~
FILE
- . , . . , .
a■a,~c eouer, cau■* *ousG ~,f
~~L/I hI~ry~~I~/PNL7,~~ 4045
Introduction: The State Environmental PoliCy ACt of 1971. Cha-pter 43.21C, RCW, r'equires al1 State and ]ocai
governmental agencies to consider environmenta1 values both for their own dctions and when licen5ing private
proposals. The Act also requires that an Environmental impact Statement be prepared for a1i majvr actions
significantly (and "adversely", as per WAC 197-10) affecting the qua19ty of the physical environmerit. The
purpose of tlhis checklist is ta help the agencie5 invDlwed determine whether 0r not a proposal is such a
major action.
Please answer the fallowing questions as completely as you can witlh the information presently available to
you. Please aflswer questions as "yes" or "maybe" if. in ~rour opinion, even onl,y slight impacts will result.
The revi ewers of the checkl i st wi l 1 be aware of and concerr► Lhemsel ves wi th tMe de ree af Impact, aski ng you
fvr more information, if necessary. where explanatians of your answers are requred, or where yau believe
an explanation would be helpful ta governrrrent decision-makers, include your explanatinn in -the space provided,
or use additiona1 Aages, i€ necessary. Yau should include references to any reports vr studies of whicn yvu
are aware and which are relevant ta the answers yau provide. Complete arisvrers to these questions now wi]1
help al l agenci es i nvol ved with your proposal to undertake the required envi ronmental revi ew wi tha~t unnec-
essary de0ay, 1'he following questions apply ta yaur tatal proposal, not ,juSt t0 the license far whiCh yau are currently
applying or the prap4sa1 for which approval is sought. Your answerS 5hould include the impacts which will be
caused by yaur proposal when it ds compieted, even though comp]etion may nat occur until somettme in the
future. 7his will allow all of the agenc#es whicN will be {nvalved ta comp]ete their envirvnmental review
naw, wi thout dupl i cati ng paperwork z n the future.
No applicatian shall be processed until the checklist has been completed and returned to the apprapriate
County department. 5tate lavr requ7res explanatians fvr evervy es " and "rr~abe" answer on the checklis#~.
The person camp1eti ng the far~ may be required ta prov i de exp 1anati or~ for i RQ" answers, and ti n svme case5,
more detai 1 ed infornaLi.on to ai d i n a threshold deterrni nation.
H{1TE: This is a standard forTn being used by all state and local agencies in the 5tate of Washingtvn €or
various types ofi proposals. Many of the questions may not apply to your propasal. If a questi0n
does nat app3y, just answer it "no" and eontinue an to the next question.
ENVIR4NMENTAL CHECKL I ST FDRM
i . eACKcRoUND 0, 11:911ege
Name af Propvnent: F Cp ~ P'hone NUmber:~
2, Address af Prapvnent: S
3. Date Checklist Submitted: amcelry :2
4. Agency Requiring Checklist:
5. Name of Propvsal, if Applicable: ~ v _-5 4r ~ .
6. Hature and Bri ef Description of tFie Prvpcsa3 ( i nC7 uding but not 1 im~ ted to i ts Si ze, general design
elements, and vther factors that wiTl give an accurate understanding ❑f its scope dnd nat+are):
£ +
~~4_0ELP'
_ f
7, Lvcattion of Prroposal (describe the physica] setting of the Propasal, ag we31 as the extent vf the land
area affected by any enwironmentai impacts, including any otrier infomatian needed to give an accurate
understand i ng af the envi ronmental setti ng of the proposa] P, r, ~je ±!E, a c~ied a
L A L ~2k ~ .2 ~
FF~s~~ A ~
~
8. Estimated Date for Compyetion of PropoSal;_.Lo
9. List af al l Permi ts, Li censes or Government ARprqva]s Required tor the Proposal (federal , state, and
local - in~luding rezones): ~14-..,.~
~ qQ,t~,
10a. Do yalJ, oT' t}le oW~er ih the event you do t1ot o'MYfi the $ubject laIld, haY~ any plans for future addit1onsy
expansion, or further activity related to or connected with this proposal? If yes, expla#n;~~~
7WAV 6!A0e?VAA*(. MO'1~'+~ ~
Ow
1
August, 1981
~
.
2 •
lOb. Oo you own or'have options on land nearby or adjacent to this proposal's location? If yes, explain:
R JU O
11. Do you know of any plans by others including the owner which may affect the property covered by your
proposal or land adjacent or nearby? If yes,,explain:
12. Attach any other application form that has been completed regarding the proposal; if none has been
comQleted, but is expected to tre filed at some future date, describe the nature of such application
form:
AJ D II. ENVIRONMENTAL 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 geologic substrur-:tvres?. AA W0001
✓
(b)'Disruptions, displacements, compaction or overcovering of the soil?. yCS
(c) Change in topography or ground surface relief features? . . . . . . . . . . /(J,Q ✓
(d) The destruction, covering or modification of any unique geologic or ~D ~
physical features? . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
(e) Any increase in wind or water erosion or soils, either on or off the site?. /VL _P0000,
(f) Changes in deposition of erosion of beach sands, or changes in siltation,
deposition or erosion which may modify the channel of a river or stream ✓
or the bed of the ocean or any bay, inlet or lake?. . VD
Expl ana ti on: k-;P-
aAP-AiA.00 LAC~r
2. Air. Will the proposal result in: Yes Maybe No
(a) Air emissions or deterioration of ambient air quality? . . . . . . . . . . . . x
' (b) The creation of objectionable odors? . . . . . . . . . . . . . . . . . . . . .
(c) Alteration of air movement, moisture or temperature, or any change in
cl imate, ei ther local ly or regional ly? . . . . . . . . . . . . . . . . . . . . K
Explanation:
3. water. will the proposal result in: Yes Maybe No
(a) Change in currents, or the course or direction of water movements,
i n ei ther mari ne or fresh waters? . . . . . . . . . . . . . . . . . . . . . . 7(
(b) Changes in absorption rates, drainage patterns, or the rate and
amount of surface water runoff7 . . . . . . . . . . . . . . . . . . . . . . .
(c) Alterations to the course or flow of flood waters?. . . . . . . . . . . .
(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 x
or turbidi ty? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(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 cuts or excavations? . . . . . . . . . . . . . . . . . . . . . . . ~
(h) Deterioration in ground water quality, either through direct
injection, or through the seepage of leachate, phosphates,
detergents,waterporne virus or bacteria, or other substances x
i nto the ground waters? . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i) Reduction in the amount of water otherwise available for
public water supplies? . . . . . . . . : . . . . . . . . . . . . . . . . . . . ~
2
_ ' ~ . .
.
, , .
Explanation:~
l7i,a~ ,0~0 ~ ~as 5. L'~ R ~ A , ~ ~ ~
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
speci es of fl ora? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v
(c) Introduction of new species of flora into an area, or in a y
barrier,to the normal replenishment of existing species?. . . . . . . . . . .
(d) Reduction in acreage of any agricultural crop? . . . . . . . . . . . . . . . . ~
Explanation: t/ag' a"r`l 1- o ~
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 v
shellfish, benthic organisms,insects or microfauna)? . . . . . . . . . . . . .
(b) Reduction of the numbers of any unique, rare, or endangered
speci es of fauna? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
(c) Intraduction of new species of fauna lnto an area, or result `
in a barrier to the migratian or movement of fauna? . . . . . . . . . . . . .
(d) aeterioration of existing fish or wildlife habitat? . . . . . . . . . . . . . A-01
Explanation;
6. Noise. Yes Maybe No
(a) Will the proposal increase existing noise levels? . . . . . . . . . . . . . . Z--
Explanation: Pto oj,., I,,c~ tt.) crA v jje
~ C a r S ~'vu~i~ S
7. Liqht and Glare. Yes Maybe No
(a) Will the proposal produce new light or glare? . . . . . . . . . . . . : . . . ~
Explanation: - ~~_~GCp A-P
,
, J~d ,
~
8. Land Use. Yes Maybe No
(a) Will the proposal result in the alteration of the present or
planned land 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? . . . . . . . . . . . . A K
(b) Depletion of any nonrenewable natural resource? . . . . . . . . . . . . . . . x ~
Explanation: Tzk=6 %&Mff&&MW 40
?"t~ e=
3
• 4
10. Risk of Upset.. floes the proposal involve a risk of an explosion or the Yes Maybe No
release of hazardous substances (including, but not limited Lo, oil,
pesticides, chemicals, or radiation) in the event of an accident or ~
upset condi tions? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation: 11. Population. Will the proposal alter the location, distribution, density, Yes Maybe No
or growth rate of the human population of an area? . . . . . . . . . . . . . . . . X
Explanation: 12. Nousing. Will the proposal affect existing housing, or create a demand for Yes Maybe No
addi ti ona 1 hous i ng? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )4,
Explanation: .
13. Transportation/Circulation. Will the proposal result in: Yes Maybe No
(a) Generation of additional vehicular movement? . . . . . . . . . . . . . . . . . y
(b) Effects on existing parking facilities, or demand for new parking? _x
(c) Impact upon existing transportation systems? . . . . . . . . . . . . . . . . ~
(d) Alterations to present patterns of circulation or movement
of people and/or goods? . . . . . . . . . . . . . . . . . . . . . . . . . . . ~C
(e) Alterations to waterborne, rail or air traffic? . . . . . . . . . . . . . . .
(f) Increase in traffic hazards to motor vehicles, x
bicyclists, or pedestrians? . . . . . . . . . . . . . . . . . . . . . . . . .
Explanation: a
.
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(b) Pol i ce protecti on? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
( c) School s? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~
(d) Parks or other recreational facilities? . . . . . . . . . . . . . . . . . . . ~
(e) Maintenance of public facilities, including reads? . . . . . . . . . . . . . . ~
( f ) Other governmental servi ces? . . . . . . . . . . . . . . . . . . . . . . . .
. • ~ Explanation:
~ ~ .
16~ Q ~
v
15. EnerqY. Will the proposal result in: Yes Maybe No
(a) Use of substantial amounts of fuel or energy? . . . . . . . . . . . . . . . . .
(b) Demand upon existing sources of energy, or require v
the development of new sources of energy? . . . . . . . . . . . . . . . . .
.
Explanation: .
4
_ • •
.
16. Uttlities. Will the proposal result in a need for new systems. Yes Maybe . No
or alterations to the following utilitjes:
(a) Power or natural gas?. • • • • • • • • • • • • • • • • • • • • ' ' • • • ' ' ' ~
( b ) Comnuni cati on sys tems? . . • • • • • • • • • • • • • • • • • • • • • • • • ' ' ' X
(c) Water? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .::ie_ ~
(d) Sewer or septic tanks? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S(
(e) Storm water drainage? . . . . . . . • • • • • • • • • • • • • • • • • • • • • • ~
(f) Solid waste and disposal?. . . . . . . . . . . • • • • • • • • • • • • • • • • •
Explanation: 1'n t,vQ-Y " r ~ vr P +14,0
.
1~~ ~ o ~ G.~ b~ v s~c~ ~"t'Lc P • -
Yes Maybe No
17. Numan Nealth. Will the proposal result in the creation of any health hazards • X
or potential health hazard (including mental health)? . . . . . . . . . . . . . . . .
Explanation:
Yes Maybe No
18. Aesthetics. Will the proposal result in the obstruction of any scen9c vista or
view open to the public, or will the proposal result in the creation of an ~
eesthetically offensive site open to public view? . . . . . . . . . . . . . . . . . .
Explanatton:
Yes Maybe No
19. Recreation: Will the proposal result in an impact upon the quality or
quantity of existing recreational opportunities? . . . . . . . . . . . . . . . . . .
Explanation: ' Yes Maybe No
20. Archeoloqical/Historical. Will the proposal result in an alteration of a ~
significant archeological 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 nonsigntficance that it might issue in reliance upon this checklist.
Oate: Z2U~~ ~ - K_~' Proponent: l.~Lv~ ' AA ~~~~fl'v$ •
(Please Print or Type)
'(~usfiQ~ps Address:
_T_ PropoAeet• ~ , •
.-~4 ~/Ey .L f/ ✓o~}tyt~N~- .
Phone:
Person completing form: ~ - Phone•.~ Date:L
FOR S7AFF USE 4NLY
.
Staff Member(s) Reviewing Checklist: ~ ~
Based on this staff reyiew of the environmental checklist and other pertiment informatio , ksf:
A._X 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
final declaration of sianificance.
C. Concludes that there are no potentially significant adverse impacts and, because of the
nature of the proposal, recomnends/iss.ues a final declaration of nonsignificance.
Revised: August, 1981 5
LPLANNUMBER APPLICATION/PERMIT . . PERMITNUMBER , SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON I SPOKANE, WASHINGTON 99260 1 (509) 456-36T5 .
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
SrREErAOORESS PARCEL N0. ~
t. jo In N LAk~, ST; t3532- l1~5
LoT BLOCK SUBDIVISION LEGAL DESCRIPTION: 1-?S oF Lttf 3
2. 11 bgowNS $~k 3~ ALL ZTS /6 4I"7 ~,c~ S Z oF LT1~',- 8yt~ ,
OWNER PHONE PHONE FXC, ~ !~G ` ~G (,~}k,Z s'T ~J S~ 4TS
3. ~A~-j N Y~T~Ts ,_gZ 4 - ~ola
MAILING ADORESS ZIP Ac►ual Set 8acks In Feet to:
1?506 r--. F119s7- c"206 Nodh z (south 53 lEast 3q'-a 14 Iwest 35
CONTRACTOR UCENSE EXPIRES PHONE Sizeof Parcel ~ ZoneClassllicatlon Res{dent{al 0 ~ CNDI~~`YRIEc l~.5~ ~ ~ Goml►~-MANuF canmercial~--
4' ADDqESS ZIP TypeConst. Occupancy OYes WONor~ OReq~d. G 5* * 5C4,00
Y5o(o E. FIR.ST R,
DESIGNER PHONE NewConst. Valua Remodeled Valuation Total Bldg. Fioor Area 6*
~ L WA~~ ~ ,21;t l'Zy~85 . * ~ 9, 0 0
5~ ADORESS ZIP Meln Floo► Upper Floors GeragelStorage GrAenhouse 51qG 06 ~.FIR-s~' 12.9~S * 5~ 9. 0 0 Z"-)'
CHANGE OF USE FROM TO Cover beclc Uncv. Dedc Fin. 8asement Unfln. Basement
6. ~ A ~Q.'0 °
No. Baths No. Floore No. Fin. Raoms No. Dw~ellings
TYPE ~'T1EW 0 ALT. 0 A~'N. 0 RPL. 0 MVE. ~ ~ 7 3 S~1 ~ :
7. OF 0 OTHER •
W O R K 2~-SL D. 0 P L M B. ❑ M E C H. ❑ M. H, 0 P O O L Certlil,olEttem pt. R e quired YesO NoD Number 08_ p 3- g 3
aVarienoe Received YesQ Nob
OESCRIBE WORK ShorelfnaslFlood Hazard Plans Requlred ❑ °6479.
8' ufJ~,R~NOuSE ~~C, ,~u+~P~r Yes0 NotAppllc,0 Aeceived ❑
VALUATION SOUFCE GAS ELECTRIC pUB WATER IC Q SE TIC 0 O"`~`snip ' FEES COLLECTED
9• ~UTILITIES PRIVATE 0 SEWER 0 Public D Prlvate ❑
I hereby certify that I have read and examined this appiication and have read the "NOTICE" provislons included on
reverse side, and know the same to be true and correci. All provisions ot laws and ordinances governing this type of O° ,
work will be complied wlth whether speci(led herein or not. The granting of a permft does not presume to give au- euudtng
thority to violate or cancel the provisions oi any other state or local {aw regulaling conslruction or the pertormance
of construction. SEE REVERSE SIOE FOR REQUIRED INSPECTIONS Plumbinp
SIGNATURE OF APPLICATION
OWNER OR A G E N T DATE Mecn.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE S DE FOR NOTICE) 1~ °Q
~ ~'~/ID T ✓ ~
PRELIM. FINAL DATE WA ~~rc. ~ I7• 30 17 ~ x•q~ ' ' 1(0 Plan Check 50
~
/tnv Healt - 1 SEPA 37 0~ ~
Modularl
1 '3'~ 3
Flre MFG. Home }
~
RrevenL a
O
W
~Ineer 7C-~ Other (Speclfy) U
e -
/a lL
U11111fe9 TOTAL a 13 t5 ~F ,
SEPA 3 S
/ WHEN MACHINE VALIDATED IN THIS SPACE, '
PERMIT IS NONTRANSFERA9LE THIS BECOMES A PERMIT. ~
' PEAMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED i
i^9 I~ 1N 180 DAYS DATE ISSUED PERMIT N0. TOTAI i
Z ,
• e i s~ t•~.
SLYf1L-tANK
_ S 1D00Ga,L,-taNk
IEO' F'~e.lD
~ , _ ; ~ ~ ~ , 'x
• i I N
. ~ ,
io
+c 12'_.,~,~t
• ~ ~ I ~ k lM~►n ~ ,
~ ~ I 4 ~ lYa'~E
~ Q f4 0 ~
2 oRA In~ Fr~L o r F KA v~
O 3" oFG R A V E. I L L
` ~ , . " ' • 'I ° W ~ h
N
~
I ~ 10 700 ~ ~ ~ ~ •
' ~ . GAL
rN~Yz '4 CaRS ~ PAVINb 1~
G,us n; e,
` A RLA `':!Ec
~Ifo2S 3~ ry ;
! f~►V!N G~. I NE.~ ' ~ 4(o/ ~ I
- _ . . x ri...,~.._,•x' ~
~ ~'.:.IlC~.~ • ' • FcNa6
Gr,S-~P~ca-~'E~. ~J AL. .~k;s~t;kg
'Ca~c M ~ BASIK . Y
j .
~ . 250' .
I ~ Q I
~ C~tiiSTt~NG. -EurED~xS ~ x
.t~,:~•e
• „
.
. I
~p ~ • ~a~:...e.,
\1 I ~ _NN A..._
. ,
F'A rr r LV/,
, I I I . , ~ ~ ~ _ _ _ ' ' ~ ` ' ' •
I?4^ i.nt
, ~
.
r7■ ■ ■ 0 now 6XV9 9 4
SPOKANE COUNTIf DEPAatMENT OF BUILDING & SAFETY
NORTM 811 JEFFeRSOw r spoKaNE, wASHIaafioN MM r(Wga asa-WS
~
APPL I CANT: CDM PLETE NU hAB ERED SPACES - PRESS HARD TO MAKE 3 COPI ES
srpr: E7aoaR E s9 PARCEL N0.
J~ L A~ )33532- 1115
LOr BiacK suaofvlsloa LEGAL DESCRIPTIQN: ,-T5 41 *t5 a~ ~ ~ oF- Lo-r -3 •
2, &.OWIJS 8f.k 3 ~ A~.L LT~ iG ~ r7 ,5 ~ a l~ i $ w
owN~fl ~~~t~E w~ar~~
~ Ex~. E 4~O I~C. 4#kZ 5T, ~J 5t.> ~t5
o lr ~~1f ~ o
MAll,lNGAQDRE55 21P AdW Sete9dllfnFmlto;
, C:?~J~6 p- • Fig5T "246 wth Z fSMun► S~ tEw#3q -folr I Wat
CONTRAGTOR LICENS6~J[PIFIE9 PHt3NE 5ImtIgPIXCe! ~ 7om CrAiWkatiaa R0iE6r►tlal ❑
, 4. 1~ ~ir Camxxcia~~
,4D'PES5 r IIP Type ONWI• 00cuppic1' ❑Ye~ ~Qn 10~ 010Ieq'd.
~l &:5~
JE51GNER PHONE NewCarot, VSI RpmodMad Valuatlon Total 8109, f104r qree
5. Lj__~ 2r
,
~4aoREss ZIP I~InF~Oar UPW Ffa" Geragol5torae Gr rmm
17506 ~ . ~IILS-r I~
CH ANIG E {}F U5£ FRUM TIO (7C►~` LlnGV. D9dt Fln. Bamennent ~ Unffn, Basement I
6. - - • ' j
TYPE LW'1VEW 0 ALt. ❑ AO'N. C RPL. 0 MVE. M. 6ath1 N4. FIc+ors M. Fin. Flcoma hle, Dwelllns
. ~
7, C OTHER .
Requlred Yeea NoG Nurrber
WORFL '~'$L0. C P~,MB, ❑ MEC#i. 0 M.H. 0 P00~. C8rtif~~. ~
Rkoeived Yee0 Nar.
[lE SCAIBE W4Rh( ShorelinellfWDdHUlifd RNM Raquired Cl
U•'Pf "h dA_V_ __AE~. ~~I Lj>1'es 0 No!►lppilc.Q ~ %ceived Cl
VALLJ,4TIOH SOOFCE ~xAS E~.ECTRfC PUBLICR3 S£IG a ~~p
FEES COLLEC'fED
9. UriLit»s PRevAr€ ❑ SEYVEfl ❑ PUWW o PHvBre Cl
Iheredy cerlGfy that Ihave read and examined thfa application and have read the 'NOfICE' provblane Ir►cluded an
rever~ sfde, and krrow the same ta be true and correci. All p~ovi4lon~ ot Iaws and ordin~s g~ninp this type of
Bu~sdin~ J~~
work wlEl be camplied ~rNh whethor 3peclfled herei~r or not. Th8 Qr~#ing of a parmit d(~3 nOt presurne 3o Qlve au-
thority to +rinlale or cancel the pravisions of any a#her state or local Iaw regulattng construction ov the pertormanoe
ofaonatructi4n, SEE REYERSE S117E FOR REQlJ1RED IN'$PECrIOIYS FMuW*V
SIGNATl3RE OF APPLICATION~
aWNER OR AGEHT DATE
SPEClAL APPRGVALS sPEciaL CONDITiOws: (5Ef REVERSE 8DE F4R NOl'IGE)
PfIELIM. FINAL bATE
~ 17 ;k2rp n 3c~ ~c .~4~ ~ $16. Z~. 50 ~ X +z, 9~ ~ g211PA110 ~~~A J5 °a
mrq Mndulpr~
Fife ID
~
LA4E1tW
TOTAL S 3UA PE*MrT t$ MOlI'fRANSFERABLE WHEN MACHINE VALfDATED IN THrS SPACE, - ~ T!!i$ BECdMEB A PERMIT. - I
PERMIr is NuLL ANQ aOIa IF woRX 14As NoY Oo~MIENC€a'
IN ,aaoArs ;
MATE UMMQ '~mrr No.
' t . d.~ . e . , ' ^
t , ' • , . '
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- . F .c . . ~ ~A w.:,~' :~;A+ ^S1J~! ~~y~.-~i =~1 ti~ ,/%~~,Y:L~'!~~v~l~i~.. ~ ._5,~"'~,~1'.~"S.i .iSL` _ :i~~4.7w~41:~ ~ v~. ~~'i 1
- ~+~~"r+. . • , - - . , , y , ~Tef' - , ~ . , . - - . y ~ ~P1~MP:, ~ , j;. ~ . ~ ~
' ' J ~ ~ . ' . , ~ . ' . . , , ~ , ~ . ' . ` . , t . . ' . ~ ~r`* - v~ . ' :lr~~ t,Q,
+ ~ t ' ; l ' - - ' . . , ~ . . . - , , ' ' ~ _ _ ' . ; ' ~
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' ' • • . _ ~ : a . y ~ ~'e l~;r•~4 ',~v t: k X~, +~a 7 d ,~c~~:.~ . , ~ _
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{ ~3).J i w~
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• ~ - L~AKE ~INDUSI'RIAL•~ pl~Ri~► _ . . , . • s , . . . : :K
. . . - . ~
. ~ L~GAL , ~~SCRI PTZON . ~ 7 . - ; - . ' . ~ . : J ~ a
. ~ ~ . . : ~ , °
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~ • ~ • . . ~ . . . . ~ ~ . o
PARCEL # 1 • ~ ~ : . . . ; ` ' ' . . - : , . .
• 4 •i' ~ i~~
~ ~ ~ . Lots 6 , 7 , & 8 , Block~ 3~,` and Lots 13 14 ,°~"~.b ~~15~;~~~ty8lock~r2';' a~nd , ~'M~.~
, vacated Lake Av~nue lyin~q .between said lots, all i~n' Brow~~'~s~ ~ . ~ .t
. . . ~ ~ : . :f :,.,t = ~
Subdivision of Block 11, Ea,st Spokane, in . the County' ~of 'Spokane, ~:t~: v~
, r
State of klashington, as ~recor~ed in Plat 8o~k "C",~ Page :~46;',~0~ . ~
Plats of Spokane County . • ~ : ~ ` 4a';,.~ ~ ~ - • 4r'~~~`~`
. . ~ ~ t::~~ ,
. ~ • . , • t ' . ' , :t 1 ' 'l~~t'~ {l'
^ F
. . . . ,.t 'S. ~~e,,~«~r,lf.~: A~ ~k~
. P~RCEL # 2 . ~ ~ _ ~ ~ : - ` . , •~f
ots 4 b S and the S 1/2 ~ f , I.ots' 16~ P . ~s y~~~ ~
L o Lo t~ 3 elock 3 a nd ~ 1? .~~r-
and the S 1/2 of I~ot 18, except the East 4_6' .of" ~safd,.lo~ts ~~.Block: ~.s.
~•i ~ ~ p
~ 2, and vacated I:ake Avenue ~lying between said lots;~ all-..i~n~~•Brow`~'`s
bd ' ' ' on of Block 11 Ea'st S kane in t ~I ~ ~ '`~~"M~~~
~ Su ivisl , po , he County'; of}o~5~pokane; ;E'~~~ a~~
~State of Washinqton, as recorded in Plat Book "C"; Paqe~. 46~;`' of~~, ~ ' ~;t~~~~`~~.~~ _
Plata of Spokane County . . . ' - ~ ' ~ ~ ' . ~ ~ ~ . r
. . , , :
. . ' 1 ' ' , . . . , • , ~ l~~t ~j~4.~}; x, •V
b t~r ~ Zt)3-1 ; '
• . . ~ ~ ' rl~~ ~'~~5
EL • • ~ ' - . . • , , ~,e
PARC ~ 3 ~ : : , ~ = . ~ . -
~ C `M1 3Tr ri ~ *1
- Lots 11 ~ 12 , Block 2 , ,except the port,ion of ~sai d~ ~ 1otJ 11-~ . ~ . ~Y ~a'~;~.: ~ ~
~ .dedicated for railroad right-of-way; Brown'.s, Subd~vis~fon,1'of .Block° . ~ 'p~
~ ti , 'fa~ili~~~~~,,:i,, Ti~
11, East Spokane, in the _County of ~ Spokane,. St'at~e 'of' Wash'i'ngton', : Y.k,~•-,aJ~~~,
as r corded in - - . ~ ,~ti , < < . ~1.~.~._~~ ~r~
e Plat Book "C"., Page . 46 , :of, P~lat's` •of ' .S~pokane*'~County~.~~ '~a.,%".~s'£'
, • . • ' . . . . . ~ D~ ~ ~ ..v~ ~J, S~S.a~,~ ~5:~
. . . . . ' ri•.v 4 ~ - ~ ~.~5'rj U~
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, . - ~j ' ~1 ° ' . - - - - :°i ~ , - ~M,,.T~fi _ . ' S ~ n~.:~. ~ •vc ~ .~wy .(i ~l p : , '~.,.,,.~.~i+C~ •~'~`~f ~ '
. Ya . . . ' . ` • . . , . • _t~:..~c.,►.,r~ 4.Y.~_.~L.a,:~k.....r.~t.u:••~_.~ti~...d..er.ciu.Lui~~~•.r?~.~le~r~.....n.` .
ROAO NAME & N0.
i ,
~ • PARCEL N0. / 3
• r
.95 pURPOSE
NOTICE TO TNE PUBLIC
a
KNObJ AL L MEN 8Y THESE PRESENTS, Tha tValley Investments
being the owners of the following described lands in consideration of mutual benefits
to be fiereafter derived do for themselves, their heirs, grantees and assiQns, hereby
agree to the followinq:
To authorize the County to nlace their name(s) on a petition for the
forrnation of a ULID b_y petition methoci pursuant to RC1-1 36.96 which the _
petition includes the Owner(s) property and further not to object by
the signing of a protest petition anainst the fo.rmation of a ULID by
resolution method pursuant to RCIJ Chapter 36.94 which includes the
Owner(s) property. PROVIDED, this condition shall not orohibit the
Owner(s) or Successor(s) from objection to any assessment(s) on the
prooerty as a result of improvements called for in conjunction with
the formation of a ULID by either petition or resolution method under
RCV! Chapter 36.94. Thi s statement i nvol ves the fol 1 owi ng descri bed
property:
13532 - 1115 .
Lots 4& 5 and S~ oi Lot 3, Block 3; and Lots 16 & 17 and
the S-2:1- of Lot 18, Except the ~'ast q.6 feet of said L-ots, B1ocY
2, and Vacated Lake I,-venue lying between said Zots, all in
Brovm's Subdivision of Block 11, East Spokane, in the County .
of Spokane, recorded in Plats Book "C" ;Pa.ge 46.
Ir_ Sec 13. Tvrg25North, Range 43E• j'r• r'i• a in Spokane County,
Washington.
These requirements are and shall run with the land and shall be bindinq upon the
owners, their heirs, successors or assians.
. ~
IN WITNESS WHEREOF, said cocporation has caused this instrument to be ezecuted by its proper oPficers
and its corporate seal to bt hereunto affixed this day of
. ~
Valle~ Investments
.
\~Y................................................................................................
Pszsident.
YB y .....................................................................Secsct ary..........
STATE OF Washir_gton
ss. ,
County of Spokane . . .
. , . , .
ROAD NAME & NQ ~AKc It/ ~I 70 '
~
#6 PARCEL N0. ~3 -0
~ e
l~ PURPOSE
921
1 NOTICE TO THE PUBLIC
KNOW ALL MEN B THESE PRESENTS, That I Valley 1nvestments
being the owners of the following described lands in consideration of mutual benefits
to be hereafter derived do for themselves, their heirs, grantees and assiqns, hereby
agree to the followinq:
Join and participate in the formation of a County Road Improvement Dis-
trict (RID) pursuant to RCW 36.88, at such time as a district may be
formed or any Road Improvement Project sanctioned by Spokane County, which
involves the lands herein described. The owners, their heirs, and assigns
further agree not to oppose or protest any legal assessments for said Road
Improvement District (RID) established pursuant to RCW 36.88.
It is further agreed that at such time as an RID is created or any Road ~
Improvement Project is sanctioned by Spokane County, the improvements
required (curb, sidewalk, drainage control and paving to existing pave~ ment) will be at the sole expense of the undersigned owner, their heirs,
grantees and assigns.
These conditions and statements apply to the following described property: .
;
h
~
13532 - 1115
Lots 4& 5 wnd 5j- of Lot 3, Block 3, and Lots 16 & 17 arid the 5~ '
of Lot 18, Except the East 46 feet of said I:ots.. Block 2, and ~aca ~ed I:ake Avenue lying between said Lots, a,ll in Brovm' s
Subdivision of Block 11, East Spolcane, in tre 6ounty o~' Spokane,
recorded in Plats Book "C", Page 46.
In Sec 13, ^1 jqp251'Iorth, Range 43 in Srokz.ne County, Trtash.
~
,
,
, ~
r ~ ~
T .he land and shall be bindin9 uPon the ~
hese requirements are and .hall run with~
owners, their heirs, successors or assigns.. .
7
~ -
IN WITNESS WHEREOF, said corporation has caused this instrument to be exccuttd by its proper officers
and its corporate seal to be hereunto affuced t6is day of
................................Va11e........................................................
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