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1978, 09-22 Permit App: N0765 Duplex0 Couy of Spokane, Washinon BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 ay APPLICATION FOR LAND USE OR STRUCTURE PERMIT GENERAL REQUIREMENTS PERMIT FEE 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. Con- struction must have inspections. 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 is required. See current Spokane County Zoning Ordinance for all required set -backs. 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 Department 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 building (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. ` // [J �D %� APPLICANT FILL IN BELOW THISLINE�O. .p.ifo 99 �b Name of Owner ajbeu /_A �I ZA.r 1A.P Address /4 Ff gt;_._r 3 . 4. Phone 9.7_6— 7 -3,-/( Architect Address_ Phone Engineer Address Contractor _.,,(5e piste Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number it.5-6--/- Phone _/, 1:90' rl�cf/� � / _ tor& - A/. /1O` 02 ,r.-4./,6/'�I Lori Intl -/D DESCRIPTION OF WORK: Newjji` _/ Addition Remodel Moving Bld Zone _L Fir one `1 Size of Lot 9 61 X /.� A Sewage System onst' 7-2 /.g-7,: (Fr., Conc., Br., etc.) Qg Stories,,��rrr ��ID D,,,,ttttttttm////ensions 2 1 )i /7 �,,� /p�Total Sq. Ft. ittintr� Valuation DUQ Roomsr s/ Basement /VA Foundation Const j2.fl-"'ite >r Chimney �l/A- Fireplace A— QQ ��--((FFFu 1pllll�. p/arrt, none) -r (Kind) (Numb r Heat. L iQ 1'^/ pe it _Roofing i��'�� Z_.xt. eeFinish QQcVN / Int. Wof llUi Finish Use of Bldg.tCli .� � C.GGL No. of Units B ROADWAY R/W WIDTH41 e) ` .fes_ /0 r edrooms , 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. MAY WS/..0 sT NORTH SOUTH I hereby certify informationatsubmitted is correct and there are no other structures located on this property except as shown. *ism, _ {-(y Owner or Agent State License No. Ind. Ins. Acct. No. RESIDENTIAL - COMMERCIAL REQUIRED Plumbing Permit rn Heating Permit • Sewage Permit N Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed 9/o?9fl , 9fr- 72 Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES, THIS 15 NOT A PER . PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE / 6N 1M1)t' (G DO NOT WRITE BELOW THIS LINE , 6 76S Your street address will be_f old- —e7 Sewage Permit Number Issued Build',g 1-ermit Remarks_cyasi ,L/� Er __b� t¢t .----tAdd-..�.+- 4-1 v i/ ' Form 523 Bldg. Code go* 1 APPLICATION FOR CERTIFICATE OF EXEMPTION PLEASE PRINT OR TYPE 1. Applicant's Name: ALLEN R. OSBORNE Phone: Res: 226-7341 Bus: 926-7341 Address: 10822 Js 20th City: SPOKANE State: WASH ZIP:99206 2. Legal Description of property for which this "Certificate of Exemption" is being applied for: Section 18 Township 25 Range lir The North 130 feet of the west 24 feet of Lot 6 and the North 130 feet of the east 66.66 feet of Lot 7, Block 10, Va1leyview Addition, Spokane, County Wash. 90.33 x 1301 3. Parcel Number (From Tax Statement or Assessor's Office): # 18551-234 4. Size of said property: Square Feet: 11,742 Or Acres: 0.969 5. For which of the following reason(s) do you believe you qualify for a "Certificate of Exemption"?: (For each box checked, please submit the listed documentation required to substantiate your exemption. In addition, please submit an assessor's man and an ownership micro run of your property, both obtainable from the Tax Assessor's Office, with your ap- plication). QA. Division of land ten (10) acres or larger DOCUMENTS OF PROOF: 1) Assessor's map and ownership micro run as requested above. EiB. Minor boundary or lot line adjustments DOCUMENTS OF PROOF: 1) Adjusted legal description; 2) Copy of sales/contract agreement. ElC. 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. DOCUM TS OF PROOF: 1) Copy of tax statement; 2) Copy of deed or dated copy of sales/contract agreement 0 D. Division of land created prior to March 13, 1978, which is five (5) acres cr larger. DOCUMENTS OF PROOF: 1) Copy of deed or dated copy of sales/contract agreement. The purchase of one separate and distinct parcel of land prior to March 13, 1978. DOCUMENTS OF PROOF: 1) Copy of deed or dated copy of sales/contract agreement. DF. A division of land to a spouse, son or daughter DOCUMENTS OF PROOF: 1) Copy of deed/Quit Claim Deed or dated cony of sales/con- tract agreement. 2) Notarized affidavit attesting to said relationship. o. Additional comments which may substantiate your qualification for an exemption: 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 agree to furnish any further documen- tation 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 infor- or willful lack of full disclosure on my part, Spokane County may withdraw any approval that 1 enation is required. I also understnad that, should there be any willful misrepresentation it might issue in reliance of this application. C3 1 Signed: �.�a,,.., �.�E%SJJ-t - Date: 3 / / 78 NOTARY ZEAL Notary: - Date: ' 3/ /22 APPLICATION NO. ( Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978, adopt the Spokane County Short Plat 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 certain activities to receive a "Certificate of Exemption" from the Short Plat Administrator prior to the re- lease 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 Plat Administrator has reviewed the evidence presented by the applicant and all other information available, the Short Plat Administrator hereby takes the following action on this "Certificate of Exemption" application, pursuant to the Spokane County Short Plat Subdivision Ordinance. a ¢() • SPOKANE CO TY SHORT PLAT SUBDIVISION ORDIINCE NOTICE OF ACTION ON CERTIFICATE OF 411) - ION APPLICATION - Certifi xemption - The Short Plat Administrator finds that a "Certificate of Exemption" should be and hereby is issued for said property, as de- scribed on the reverse side, pursuant to Spokane County Short Plat Subdivision Or- dinance Section 3.345,5W00.53./n/0 Approval of said "Certificate of Exemption" and issuance of building permits, shall be subject to the following conditions: The applicant shall comply with all re- quirements and regulations of the Spokane County Zoning Ordinance. f2Ji The applicant shall comply with all re- quirements of the Spokane County Health District regarding the placement of on- site water and/or sewage systems. 3. 4. This "Certificate of Exemption" is and shall run with the land and shall be applicable to the applicant, owner, their heirs, succes- sors or assigns. APPROVED THIS %g DAY OF , 19. rt Plat Administrator SPOKANE COUNTY PLANNI116(taiRtOUNTY N ANNING DEPARTMENT Pte" p STAMP NORTH 811 JEFFERSON STREET flt:SdtkANEI WASHINGTON 99201 --THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION DENIAL - Certificate of Exemption - The Short Plat Administrator finds that a "Certificate of Exemption" should not and hereby is not issued for said property as described on the reverse side, pursuant to Spokane County Short Plat Subdivision Or- dinance Section , for the follow- ing reasons: 2. 3. According to the Spokane County Short Plat Subdivision Ordinance, the division of land that you propose to develop is defined as a Short Plat and you will be required to comply with the requirements of said Ordin- ance prior to issuance of building permits. DENIED THIS DAY OF , 19 Short Plat Administrator SPOKANE COUNTY PLANNING DEPART- MENT STAMP