1st E 8616 Pring Corp - Service Dr. Add & Remodel C
(THIS IS NOTA PERMiT)
BUILDING PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE 4NLY TH�SE PARTS OF THE FORM YOD UNDERSTAND f
COMPLETE IN INK
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�Please return this original and your bu�lding plans to the Department of Bu�lding and Safety)
SHAOED AREAS ARE FOR DEPARTMENTAL USE
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�EPARTIVIENTAL REVIEW
Approved A p oval Hold
�Enrlronmentel Health Appllcatio�
W.1101 College
Room 200
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Plannine/Zo�ing
N. 721 Jetterson
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t cerfity Maf I Aave examined thls applicatlon and "state that the i�formation contained tn it and aubmiited
by ms or my agent to compite said ap callon is tr d aorrect
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Contact Person Name �5* Buetness Name
�dd�+�ee Addrese E. Q�,lp
Phone �r Pho�e
County Contect Person Phone No. 456-3600 Date
CO�i�fERCIAL BUILDING PERMIT REVIEW
This bu�lding pecm�t review is inte�deci to appraise you oE tlie improvements (roadway� side
walk� curb. storm�•atec. et�.) which muat be construc[ed i� essociatlon wiCti your building
permit. Tt�ie checkllst will be filled out by [t�e Ettibt�eer's staf� and a copy w11.1 be re-
turned to you at the time thet t�ie necmt� is initialed by tl�e En�ineering Departin�nt. All
requirer�ents eha�l be completed prior to issuaii�e of tl�� butldin� permiC. All unchecked
boxea requlce ac�ditional research or infocmetion Co make e determinetio�.
I. Scocmwa[er Draina Considerations
�er gu�deT�nes�or "�tormwater Ma�egement 1981" both on a�d off site.
I. 208 Consideratio�s* Yea a No
2. Flood tiazard zone co�siderations** Yee No
3. Storm Dralnege Plan Yes No
II. Plan�in� Ac[!vn
1. Plat, short plat, rezone, Co�ditioaal Uee or Variance Yes No
on property. Planning Numbec
2. Are requlremente of planning action incorporaCed a Yes No
inta site plan
III. R�i ht of Wa�r
1. Does permit necessitate R.O.W. dedlcation Yea a No
2. Did xone change require R.O.W. dedicaLiort a Yes No
3. Radius at corner Yes a No
IV. County Road Improvements
1. Roada need to be impcoved. Ha�r wide Yes No
2. Cucb Yes a No
3. CRP/RID agreement (Copy of deed, contract, or a Yes a No
title report required.)
4. P1ane for improvements provided q Yes a No
S. Sidewalk Yes p No
Y. Parking Plen b Approach Locatioa
1. Reviev and aign off by Traffic Yes a No
2. APpcoach Permit from Engineer's Office Yes a No
3. State or City eign oEf Yes No
4. Is this road on 6 Yeac Plaa a Yea No
VI. U��D A�reement: Yes No
VII. Field Review: Prelicainaty Comments
All 18�d vi[hin the Aquifer Se�sitive Acea� where deer�ed fea�ible by the Coun[y Engi-
aeer� ehell incorporate etormwatec treat,Qent to mitig�te [lie pntential for gcoundwatec
degradetion. (See Cuidelinee for Stormwater Management 1981, Spolcane B�ard of County
Coa�coiesioner'• Reeolution No. 80-1592, ae amended.?
Tt�e pucpose oE flood haaard aone review is to minimize losses due to floodicig tn spe-
cific ereae deeignated by Flood liazerd Bouodary maps on file at [he Cou�ty Engiaeer'e
Office. (See Spokane 8oacd of Gaun[y Commissioner's Reaolutioa No. 81 as
amended.�
8/22/85
�er�