SPRAGUE E 7018 Time Oil Co Convenience Store
a~ ►
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Contact Perrtun Name ~ Bueines9 Name
Xddres e e-'~ L~ _ - - Add re s~s
Phone v _ Phone
County' Contact Person Phone No. 45-6-3600
✓
CUMMEEtCIAL BUII.DING PERMI-T lZEVIEW
Thie building permi[ review is intended to appraise you of the impro,v,ements (roadvay, side-
walk, curb, etormwater, etc.) wh•ich must.be conetructed in aesociation with youc buildYng
-Qermit. This checkliet wil l be filled out by the Eng•ineer' e etaf f end a copy .will be
returned to you et the time that the permit ia initi-aled by the Eagineecing Department.
All requiremente shall be-completed prioc •to issuance of the building permit. All un-
checked boxee require additional research or information to mak,e a determiaatioo.
1. Stormwater Draina qeConsideratione'
A. #er guf'dTinee~tor "Itormwater Management 1981" both on and off eite.
~
1. 208 Consideratione* Yes ~ Nv
I
2. Flood hazard zone consideratlons** D Yes 'El No
3. Storm Orainage Plan ~ Yes ~ NO
I-I. Planning Action # ,
l. Bezoae, Conditional Use or Veriance on property ~ Yes D No
2. Are requiremente of plauning action incorporated ~ Yes ~ Iio
iato eite plan
~
~
I11. =Right of Way
1. Does permit necesaitate R.O.W. dedication D Yes D No
2. Did zoae change require R.O.W. dedication El Yes 0 No
~
Q No
3. Radius a[ corner El Yes
IV. Couaty,xoad Improvemente
l. Roade need to-be improved. How wide ~ Yes ~ No
2. Curb n Yes D No
3. CRP/eID agreemeat ~ Yes ~ -,No
4. Plans for improvemeate provided ,D Yes n No ,
5. Sidewalk ~ Yes ~ -No
i
V. Parking Plan 6 Approach Location
° 1. Qeview and sign of f by Traf-f ic ~ Yes ❑ N°
2. Approach Permit from Engineer' e Off ice Yes H° j
3. State or City si8n off Yes El No ~
~
~VI. Field Review: Preliminary Comments
. 'I
~
,
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~ A?.' ~~an~d within [he Ayuifer Sensi[ive Atea~~ where deemed feasible by the Count~y Engi- ~
neec, ghall incurparate stormwater tre.atment to mitigate the poten[ial for gr-ouridwater
degredation. (See Guidelines for Stocmwater Man-agemen[ 1981, Spokane Baar.d -of Cournty
Connmiesioner'steeolu[ion No. 89=1-592, as amended. )
A* The purpose of flood hazacd zone review is, to minitnize lossex due to floodinb in -spe-. ci'ftc. -areae deRlfgna[ed by nood kiaze~rd boundar-y meps uci, E-i~le at tlie Couit[y- KiiS'ineer,'s
Offi~ce. - (SeP Spokane Hoard 'of. County Commi"ss.ionec's Resulution No. 81=07,24;, 4a
amendedo)
- ~
PLAN NUMBER APPL ICAT ION / PERM IT PERMlT NUMBEA
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTM 811 JEFFERSON 1 SPOKANE, WASHINQTON 892601(609) 458•3875
APPLICANT; COMPLETE NUMBERED SPACES - PRESS HARDTO MAKE 3 COPIES
STREETADDRESS PARCEL N0, ~
1. '~'jl0 ~ SP~f~E ~
Z• Lor eLocK sueoIvisIoN LEQAL DESCRIPTION; 4O~s ~ o2- a,,ol +he. e'/z oF
LO 'Ir 3 6XL, ''11Fi Nt+P-T~ZO' W
H rnE" ~F AwD aLSo
OWNER PHONE PHONE L,OfS Ot :10 CINLI. thE C9-A. OF L0j jAL1 I NI BLDC-t- I
3, Tz:ME otL- CoM:?aNy Mru.Erts PAP-IL. AmDtErc-n
MAllINO AODRESS ZIP Adua1 SelBacke In Feet to; 2.q 51
_-W. CoM rh O QQar, W aT, 5Ea rrLE NoM (p ~South f y~ ~E83t 5 0 ~ Wmt Z 5
CONTRACTOR UCENSE EXPIRES PMONE 9lzeal Paroel Ipna Clesailleetlon FtwIdantlal q
4. 13.5 x'L So C.q M rn, oornffwc+ai 0
AOORESS Z1P TypeQorot, Oocupancy SPInkiered
dYes DNo DRep'd.
DE81(iNER PHONE NowGbrot. Vsluallan Remodeled Veluetlon Total BIOp. FIOOr Area
5. ~yoo ~
AOOAESS ZIP Main Floor Upper Floors GaroQal6taaape GreenAouaa
6CHANGE OF USE FROM TO Q~ver Dedk Uncv, Duck Fln, Bssement Un}ine Basement
.
TYPE No. Floore No. fln. Rooma No. OwolUnpe
7, OF NEW ❑ ALT. 0 AO'N. Q RPI. ~ MVE.
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL 0 OTHER G ~tl~~ empt. Requlre0 Yee0 NoC Number
~ Reaelved resC Non ,
OESCRIBE WORK / SAorellne~lflood Hazerd Plaro RcqulroA i~:
8• ~Of1ViElV(.~ STDIt'& 1cD0 xYeet7 NotAppHc.r- Racalved
V! UATION SOURCE GAS EIECTRIC WATER SEWA(3E
9. ~!Z uTi~mEs PAIVATE~C7 sEwER Q a`Privato ~ FEES COLLECTED
I hereby certily that I have read and examined this appilcatfon and have read the "NOTICE" provisions included on
reverse aide, and know the same ta be true and correct. All provlslons ot laws and ordinances governing thia type ol
work wlll be camplied wfth whether specified herefn or nol. The granting of a permit does not presume lo give au• Buildlnp
tnorlly to vlolate or cancel the provislone of any ather staie or tocal lew regulating constructlon or the pertormance
ol construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS piumbinp
SIGNATURE OF / APPLICATION
OWNER OR AGENT ~,T=e- ri~ DATE Meen.
SPECIAL APPROVAIS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL OATE Ptan Chak ~
lCErn+ Heatlh
SEPA
,KAlanninp
Modulul
MfG. Home
Flre
Pr~e+rent, ~
<Enpinoer OtAor (Specllr)
UtiUlixt
TOTAL $
SEPA
WHEN MACHINE VALIDATEO IN THIS SPACE,
s PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMiT.
PERMIT IS NULL AND V41D IF WORK HAS NOT COMMENCEO
~,ih'"p , IN 180 OAYS
► pATE ISSUED PERMIT N0. TOTAt
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~ Job i °"Pa. Q,j Ca
impson. Gnginerefts, Inc.
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N.. 909 Argonne Rd.
Spokane;, Washington ~ 99206 . Figured by ~
(509) 926"1 322 Checked by Date
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C~LARENCE E. SIMPSON ENGI.NEER, I NC.
, CIVIL ENGINEERS.ANO L-AND SURVEYORS _
N. 909'Argon,ne Rood
Spoka.ne, Washington 99206
Tel,ephone: 926-1322 -
TO: G
-Qe, En T o►--s -
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SUBJECT:
C~~.~~ ~ ~ _ T ~ ~ ~ ~C-o . ~C~~ ~
_DATE:
.
A~G_G~~f'l ~I S ~u~r i..:~'~~r IC. ~'{1q,,•~ ~ ter- ~ ~~ts 1 u/'Q~. ~vY~ ~7 -
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SIgned
~ - TIM'E OIL COO
To
P:O. BOX 24447
TERMlNAL ANNEX
SEATTLE, WASHINGTON 98124
- - - - ' I2061285•2400 SU,BJECT~'~~ix~ .DATE: - I.S
/~63
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RETURN 'TO - j SIGN.ED',
gPf1Ed~~l! i~lup~l !#0[,,1Nt~t~
MATO 9'1983 .r ~.....~.s.... • i
-
,DATE _ SfGNED
ibi ,THIS-COPY FOR.PERSON ADORESSEO
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- TIME Olt COa
TO • P.O. BOW24447 '
- TERMINAL ANNEX .
SEATTtE, WASH{NG?ON 981,24.
1Z0.61285•2400
, - - : _ ~ -
JIIDATE: l'r~
Foi.n:t
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SPO,KANE CCUiiIY Eti91REEA . ,
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~s TH15 COPY fOR PERSON ADORESSED , ~
.
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COUNTY ENGtNEER
' ~ 't ' ~ .~;-z. ROBERT S. TUR:NER
'
. _ p'~~ , ' , ~ ~ .•ti COUNTY ENGINEER
• : . , . . - : , 4 . - . 3i'JL*4bAL&ar~ ~%VjLA%auN4va•tPv 89260 ~
DeVelOpm9DC Nmei ~ if dG~ ~s •i C r7C C`~J~ r~
74 l~ E c~jo rxZ9 qC
Developor:,
DeaY Sir:
To brieg ~the above titlsil developmrant_ ioto complisACe vith Reeolution'No. 78-0212.
an ofgeite roa6aay i"rovemnt bond is robuieed. A proliminary review of tb• pro -
poeed . dev0lopeont, plan hes baeo made •ad.oa -evtiaeste of the ~ aoet of the roedway
imprDveae4ts i• am follove:
0
G1irb b Guttec / 3 el A:. JP= 9 S
siaeweibc_ / 3 0 L~ Jlz~_
craaing ;L S- ZBo g 200
Svrlaeing ~/P" $ ~ 8 7'
Pavias. ~ To_tis ep- $ Draioage
O ther
Bub -total ~Engioeariag
Amouot of Ioproveoseae Bood $ 2. 5-0 ~
.
A bomd. ia 'tho sbov• amount met bs filed vith [his -o[fi'am prior to tbo Lseuance og,
a building persit.. Your erchiteat or •agiaeor met prepsro aod obtain apptnvil 'froo. .
tbfs- oFfice'of . tbe plaae for t!e mbove =romdway ieprovaeeata. fta eontraceor mst
-obt-ikio a pe cnit ce -coo•c evcc chs improvaswot• oad.s1 so aaest call fot_ iimspeotioa
48 ,,houro ,prioc to conatnactioa. Yhe boad vill 6• celeasod only upeio motiefoctory
, co~le tioo of the -teqof red iatp ravemat e-. Y feddieiooail lafomae aoo or advieo i's
,de.oirsd, pleaee cootect thio ofliae.
VAry ttuly youtm.
-Ro.bert S. Turnet. P. B.
County L►bgimser
.
Hy: _ _
Public.,Works Bui:ding North ~3t 1 Je~fferson Street Sp ane,, ~ ashington ' 99260 (509) 456-36W
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SP°ka , 920322
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i • • ~ . -inrpson Engineens, Inc. Job Qt
N. 909 Acgonne Rd.
8pokane, Washington ~,99206 - Fieured by C-g Date 9,_( La.3
• (509) 92fr1322 ~ -
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, Contact Person Name S1LA-S (-_6Q~ 8ueiness Name
Address P. QA OpC ac ,c4) Addrees
~
Phoae _aL a ~U'/4'Q Phone
phone No. 456-3600
County Gntact rerson 0
COMMEBCIAI, BUILDING PERMIT REVIEW
This building permit review is intended to appraise you of the improvemente (roadway, eide-
walk, curb, etormwater, etc.) which must be coastructed in $seociation with your building
permit. 't'his checklist will be filled out by the Engineer's etaff and a copy will be
returned to you at the time that the permit is initialed by the Engineering Department.
All tequirements shall be completed prior to issuance of the building pera4lt. All un-
checked boxes require additional reeearch or information to make a determination.
1. Stormwater Drainage Coneiderations
-A. Per guideTines--ior "Stormwater Management 1981" both on and off eite.
~
l. 208 Considerationa* ~-1 Ye8 ~No w
LJ
2. Flood hazard zone conaideratioAS** D Yes ~No
~
3. Storm Drainage Plan jn~-YeB [j No
II. Planning Action # ,
1. R one, Conditioaal Use or Variance n property ~ Yes ~fNo
.
No •
2. Are re irements of plauning action incorporated Yes 1-1
into site plan
III. Right of Way
1. Doee permit necesaitate R.O.W. dedication Yes ~¢Nb
~
2. Did zone change require R.O.W. dedication El Yes Lj No
3. Radius at corner El Ye6 ~ No
IV. County Road Improvements
1. R,oads need to be improved. flow wide B/1"Yee E] No
"
2. Curb a Yes n No
3. CBP/RID agreement ~ Yes LU'No
4. Plans for improvements provided n Yes D No
5. Sidewalk ~ yee ~ No
V. Parking Plan & Approach Location
1. Iteview and sign off by 1Yaffic ~ Yes No
tZ. Approach Permit from Eagineer'e Office ~ Yes ~ No
3. State or City sign off ~ Yes ~ No
VI. Field Review: Preliminary Comments ,
* All land within the Aquifer Sensitive Area, where deemed Eeasible by the County_Engi-
neer, ehall incorporate stormwatec treatment to mitigate the potential for groundwater
degradation. (See Guidelines for Stormwarer Management 1981, Spokane Board of Count;
Commisaioner'e Resolution No. 80-1592, as amended.)
The purpose of flood hazard zone review is to minimize losses due to flooding in ape-
cific areae designated by Flood Hazard Bnundary maps on file at ehe Coua[y Eagineer's
Office. (See Spokane Board of County Commissioner's Reeolution No. '$1-0726, as
amended.)
~
~
,
. . '4L • - . -I
APPLICATION FOR CERTIFICATE OF EXEMPTION . ~ : ~ ~
APPLICATION FEE - $14.00 qpp~_ICATION ~~0. ~
PLEASE PR1NT OR TYPE
-~t
1. App 1 i can t' s Name : r c'., . ~ Phone - ,A11 8us
Z I P .
Address : 1~0 Po;c TFr-r--j-:-j.1 ..i, t, :f C i ty : t~l~• S t a t e
2. Legal Description of property for which this "Certificate of Exemption" is being aoplied
for: Section Township Range
.j
1 L2 :al i I;J. 1 , L~J Lr - , , i N~'~tM` f, _ lI
rl-:.1~ 1.~:~ l•; rJ~ l.~-J , a / . . ~ l.R.l,. 1 11:Yr, tl • . ~i ~_l ~.l- J~ L.r vJ
~ ~ r~•
9 .w '_o .^.l!d J~ Tal.f Lo~ l,• .a~~ l . 2_`.f.~~~ ^ ~ ~._'.~cl i~~} 1lv~ ~ 1 ~,~1~'► ~lf, ~l'c~.,~.i1f'.
•
~po.J
3. Parcel Number (From Tax Statement or Assessor's Off i ce: # E;•,rt,, ~r '-I~''";'
4. S i ze of sa i d p roperty: Square Feet : 1', ~7Or Acres :
5. Intended use of sa i d property: c;,, i•;;.
6. Zoning of said property:
7. For which of the following reason(s) do you believe you qualify for a"Certificate of
Exempt i on"? : '
(For each box checked, please submit the listed documentation required to substantiate
your exernption. ln addition, please submit an assessor's map and an ownership micro run
of your property, both obtainable from the Tax Assessor's Office, with your application).
A. Division of land ten {10} acres or larger
DOCUMENTS NEEDEO: (1) Assessor's map and ownership micro run as requested above.
Minor boundary or lot 1 ine adjustments
DOCUMENTS NEEpED: (1) Adjusted legal description; 2) Copy of sales/contract
agreement.
C. The reconveyance of old lots, tracts, or parcels of land which were separate and
distinct when purchased, although the purchase thereof makes the divisions
contiguous.
DOCUMENTS NEEDED: (1) Copy of tax statement; 2) Copy of deed or dated copy of
sales/contract agreement ~
D. Division of land created prior to March 13, 1978
E. Division of land for the purpose of housing public utilities facilities
F. The purchase of one separate and distinct parcel of land prior to March 13, 1978
DOCUMENTS NEEDED: (1) Copy of deed or dated copy of sales/contract agreement.
G. A division of land to a spouse, son or daughter
DOCUMENTS NEEDED: (1) Copy of deed/Quit Ciaim Deed or dated copy of sales/contrac,
agreement. 2) Notarized affidavit attesting to said
relationship
H. A divisivn of land within properties zoned Residential Office, Local Business,
Commercial, Industrial, Manufacturing, or Freeway Commercial
DOCUMENTS NEEDED: (1) Copy of survey
8. Additional comments which may substantiate your qualification for an exemption:
1, the undersigned, swear under the penalty of perjury, that the above responses are made ~
truthfully and to the best of my knowledge. I also agree to furnish any further documenta-
tion that may be required by the Short Plat Administrator and I hereby agree to waive.the
five (5) day approval period as specified in the Short Plat Ordinance if further information
is required. I also understand that, should there be any willful misrepresentation or
willful lack of full disclosure on my part, Spokane County may withdraw any approval that it
'might issue in reliance of this application.
V'v S IGNED.'~~.~-1 l'> ;c-d-,-..DATE: 6
- NOTARY QATE:
NOTARY SEAL
,
DAT E RE C E I V E D: U,`.-'•_.~ ~
. .
~
APPI:ie'A.tION ND.r.1µ .2 '!N~ f` .
SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APPLICATION
~ Whereas, the Board of County Commissioners did, after public hearing on March 9, 1976, adopt
, the Spokane County Short Plat Subdivision Ordinance, and
Whereas, the Board of County Commissioners,in adopting tl-lis Ordinance, diC provide for certair
activities to be exempt from short platting activities, and
, .
Whereas, the 8oard of County Commissioners did further provide for these certain activities
to receive a"Certificate of Exemption" from the Short Plat Administrator prior to the releasF-
of a building permit, and
Whereas, the Short Plat Administrator has received a request for a"Certificate of Exemption"
for certain property located in the unincorporated territory of the County of Spokane, and
Whereas, the Short P1at Administrator has reviewed the evidence presented by the applicant and
all other information available, the Short Plat Administrator hereby takes the following actio-
on this "Certificate of Exemption" application, pursuant to the Spokane County Short Plat
Subdivision Ordinance.
~
CA PROVA L~ DENIAL Certte. of Ekemption - - Certificate of Exemption -
.
~ The Short Plat Administrator finds that a The ShOrt Plat Administrator finds that
' "Certificate of Exemption" should be and here- "Certiff•cate of Exemption" should not and here
~ by is issued for said property, as described by is no~ issued for said property as 4scribe-
on the reverse side, pursuant to Spokane on the re~erse side, pursuant to SpokaCount
County Short Plat Subdivision Ordinance Short Plat\Subdivision Ordinance Sectlon
# Sect i on 3 c-I for the fo 1 1 ow i ng rea ons :
Approval of said "Certificate of Exemption" 1
and issuance of building permits, shall be
subject to the following conditions:
,
~ 1. The applicant shall comply with all require-
,
, ments and regulations of the Spokane County
Zoning Ordinance.
2. The applicant shall comply with all require--
►
ments of the Spokane County Health District
regarding the placement of on-site water
~ and/or sewage systems.
~
3 • ~ ~rn.,~.'~. n~~~, ~v ~r'~,C. , .
,
According to the Spoka eaCounty Short Plat Suh
~t" 'rI
d i v i s i on Ord i nance, the~d i v i s i on of 1 and tha t
,
. . L 4 y ~ ~ Q►n~, L~ C . ` : i y► % . . y o u p r o p o s e t o d e v e 1 o pIli s , d e f i n e d a s a S hor t
P l a t a n d y o u w i l l b e r eq u ire d to comp ly wi t h
the requirements of said Ordinance prior to
~ issuance of buildingjapermits.
,
i This "Certificate of Exemption" is and shall
# run with the land and shall be applicable to
( the applicant, owner, their heirs, successors, !I
, or assigns.
~
,
APPROVED TH I S ZLDAY OF 19DEN I ED TH I S DAY OF 19r
i ~ ~ \
/ la; ; L !f ~ . ~ ~~✓r.+~~~~,
( Short P at Administrator Short Plafi Administr tor
>
4eSPOKANE COUNTY ~1
SPOKANE CdUNTY
1 PLANNING DEPART- y PLANNING~ODEPART-
MENT STAMP MENT STAMP
1 . ,r , . . . . .
~ ,THIS CERTIFICATE MUST ACCOMPANY
YOUR BUILDING PERMIT APPLICATION
. ~
1