1978, 07-13 Permit App: M7168 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 00
GENERAL REQUIREMENTS PERMIT FEE 70 XX
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of any
kind or alter any building or structure already erected, or to change a land use. Construction must conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
the surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
STATE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pertaining to set -back and ingress
and egress.
COUNTY ROADS. Work on street right-of-way may not be performed until staked by County Road bepartment and work must be
performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate permit.
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
`lE_ SPoi(ANF R2. 99206 u
Name of Owner =.A 7 N Uo N I-1 NsoAddress 14szN3 . EL --Y Phone L} '3 D ! h
Architect Address Phone
Engineer Address Phone
Contractor LAYNC Jol-INI.SoN Address '-(SZ 3 • ELY phone 72L4 30�,
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 01531- —6136"
NORTH 7o FEET OF 50LT1- 04= BLoc ( q9 oRcHA P Avg. ADDI i -Jot)
PAD tu#Y Wi OTH- 320—
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot '76 X 4.5-0
Moving Bldg. Zone I Fire Zone .3
G oust. FRAME.
Fr., Conc., Br., etc.) ob
Ft /1141 Valuation "iLi/0� x>o
Chimney /VEL Fireplace 1
(Kind) (Number
Int. Wall Finish MY WALL_
No. of Units Bedrooms 3
Sewage System
Stories SAE -Dimensions 116 X 2-1/ X 12.X? X 23 X ZD X 13 LC X I $� Total Sq.
Rooms 5 Baths . - BasementSRT Foundation Const CONGM-TI
(Full, part, none
Heat. System EL.E.Ct ype of Roofing row).Ext. Finish 1—II I
Use of Bldg. R>c.SlD LIA-cTALi4,eD DELK -. C-tkr-446E- 11NJ)PP...
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
I hereby c
as shown.
SOUTH
State License No.
61. of F
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w� Heating Permit
▪ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
T/ 4/7 9.4
ify informs on ubmitted is correct and there are no other structures located on this property except
uL
Owner o /'gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMITL
l'J MA49
DO NOT WRITE BELOW THIS LINE
Your street address will be ' IK�4h KOAP/ W. 3 340 The zone is A-6g1CUl-Tu12a/SW. ,
Sewage Permit Number Issued Building Permit )\ ! I Receipt zi7o.3 Issued
Re rks
r_nee/ 7,7S- 'N4'' (it :,r
Form 523 Bldg. Code
30p
RESIpE-Ncr_
961
•--PKOPostrp
/
,
/
A
az
ez
-p�
I hereby c
as shown.
SOUTH
State License No.
61. of F
Ind. Ins. Acct. No.
RESIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
w� Heating Permit
▪ Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
T/ 4/7 9.4
ify informs on ubmitted is correct and there are no other structures located on this property except
uL
Owner o /'gent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMITL
l'J MA49
DO NOT WRITE BELOW THIS LINE
Your street address will be ' IK�4h KOAP/ W. 3 340 The zone is A-6g1CUl-Tu12a/SW. ,
Sewage Permit Number Issued Building Permit )\ ! I Receipt zi7o.3 Issued
Re rks
r_nee/ 7,7S- 'N4'' (it :,r
Form 523 Bldg. Code
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SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXEMPTION -
Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978
adopt the Spokane County Short Subdivision Ordinance, and
Whereas, the Board of County Commissioners in adopting this ordinance did provide for
certain activities to be exempt from short platting activities, and
Whereas, the Board of County Commissioners did further provide for these activities
to receive a 'Certificate of Exemption' from the Short Plat Administrator prior to
the release of a building permit, and
Whereas, the Short Plat Administrator has received a request from
for a 'Certificate of Exemption' for certain property located in the unin'orporated
teritory of the County of Spokane, and
- Whereas, the Short Plat Administrator has reviewed the evidence presented by the
applicant and all other information available, the Short Plat Administrator hereby
finds that a certificate of exemption should be and hereby is issued for the following
.�. '/7_ Lk ,9- cLc
property /t% '7t7
/1(a 4414.:&A.,
f
and shall be Subject to the following conditions: (1) The applicant shall comply
with all requirements and regulations of the Spokane County Zonis$ Ordinance.
(2) The a •licant.shall com•1• with all re•
• ...._ . _ . , 1 •
District regarding placement of on-site water and/or sews s'stems.
‘7,141.4c:..4 dc.
•11
This 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DATED THIS /3
DAY OF
kane Coun y S
, 19 7 .
Short Plat Administrator
rt Plat Subdivision Ordinance, Section,f ) aaR-/G
TRTA CERTIFICATE MUST ACCOMPANY YOUR WILDE% PEkRMIT APPLICATION..