1979, 08-01 Permit: 79-1423 MHPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.
Hi) LAN1 iib
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION
2. Gov4.x43 5u)'//ee 7 -a3 -y3
OWN ell=
3
ADH, 77A/1 IGl4 -r/'/; O2
jt .7(39-
ZJ�
ADDRESS RI
/ IS
L400
PARCEL NUMBER/S
01-0
( 5K 02)
Required SetBacks In Feet /
North j04 (South 110 (East (West
Slze7t arcel / Zon¢ Clarlticat-
DESIGNER
PHONE
Te COJtst.`-
Valuation
cupancy -_
Sprinklered -
DYes ONo ❑ Req'd.
ADDRESS
ZIP
iL t aer_I Basement Area
Building(Cea in q. Ft:
Garage Area Storage
CHANGE OF USE FROM
6.
TO
Split Entry Split Level
Rancher
TYPE
7. OF
WORK
,(�/NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
Ll BLD. ❑ PLMB. ❑ MECH: ❑ M.H. - 0 POOL
0 OTHER
No. Bath
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8
DESCRIBQ WORK
VAL
a C'00 00°
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to?violate or cancel the provisions of any other state or local law reguli ing c. uction . the
performance of construction. �,
DATE SIGNATURE a/..,,..✓ k .I./
L•It»
DATION Source
of
Utilities
c MOTE' -oN
GAS
ELECTRIC
r (6,t E �1b
TER SEWER
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Eiec.:, 7/27/7
Planning
Fire Marshall
Co. Enginee
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
(>11. CS W�1��04
fl pl lop
D gi4Nf
ot
DATES-7-7�OFFICIAI?l�f..i�%i3Z./ G(/NLCZ _'
• APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
DJ
Mobile Home 8h
Other (Specify)
TOTAL $
PERMIT NUMBER
423
DATE
07+ *8600
*8600 to
14222
08-01-79
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08=01-79 142,35 *86,0,021-J
CC
CC
U
W
Cl -
CID
LEGAL DESCRIPTION:
All that "certain real property situated in Government
Lots 2 and 3, Section 7,.T23N, R43E, W.M., Spokane County,
Washington, being more p,8rticularly describedas follows:
COMMENCING at the West ' corner of said Section 7; thence
from said point of commencement N 0°09'32"w along the
westerly line of said section and Government Lot 2, 352.70
feet to the point of BEGINNING; thence from said point of
beginning and continuingN 0°09'32"W, along said westerly
line, 281.32 feet; thence leaving said westerly section
line S 59°02'20"E, 135346 feet,to a point on the
northwesterly right-of-way line of Mullan Road; thence
S 39°56'57"W, along said:northwesterly right-of-way line,
263.98 feet; thence leaving said northwesterly right -of-
way line N 58°03'41" W, 1166.59 feet to the point
beginning and containing an area' of 7.24 acres,more or less.
a
,
SURVEYOR'S CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME OR
UNDEP yr D'PECIEON IN CONFORMANCE WITH THE REQUIREMENTS
(V THE SUPVEY RFCOPGIgG ACT A Tf REQOf5T OF
APPLICATION FOR CERTIFICATE OF EXEMPTION
APPLICATION FEE - S5.00
PLEASE PRINT OR TYPE � J
1. Applicant's Name: �O f� fit,
-J}- Phone - Res:( 7C? /, Bus:540J4,/
Address: ().,21 11 RiAjOno �sf.,.-itipb City: SzjL4„.. State : ds, ZIP: 475 J.ny
2 Legal Description of property for which this "Certificate of Exemption" is being applied
for: Section Township Range
e'i e l% c
Parcel Number (From Tax Statement or Assessor's Office: N —(70\7)
4. Size of said property: Square Feet: Or Acres:
5. Intended use of said property: n
�
% u,r}ie G)'^ i
6. Zoning of said property: .)C✓4 //r/..ori /ftr!-;rt.>l•�/...-t, 1
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 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 NEEDED: (1) Assessor's map and ownership micro run as requested above.
B. Minor boundary or lot line adjustments
DOCUMENTS NEEDED: (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 Claim Deed or dated copy of sales/contract
agreement. 2) Notarized affidavit attesting to said
relationship
H. A division 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:
�<j : 1' pi-npLe P 7",/ "Acre(„( /ni. rA/e y _ r/ 7/ � 2 hit 717� L f -c 1 /•�. v
a 1 ' » D ✓ / q'p 41 l pip d'" / Ax,e 4:),) L /cJ 1 Ile T A' 0
l -t✓• 1 £ r GJ.;,ui �- 4 /tto est- c -4 ea/
I, thwthdersigned, swear (rfnder the alty ofi 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
-s-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.
SIGNED:
NOTARY:
NOTARY SEAL
DATE: % / /6 / 77
DATE: 7//0/
i
APPLICATION NO.
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, 1978, adopt
the Spokane County Short Plat Subdivision Ordinance, and
iWhereas, 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 release
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.
APPROVAL
- Certificate of Exemption -
The Short Plat Administrator finds that a
"Certificate of Exemption" should be and here-
by is issued for said property, as described
on the reverse side, pursuant to Spokane
County Short Plat Subdivision Ordinance
Section
Approval of said "Certificate of Exemption"
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.
This "Certificate of Exemption" is and shall
\run with the land and shall be applicable to
the applicant, owner, their heirs, successors,
or assigns.
APPROVED THIS DAY OF
SPOKANE COUNTY
PLANNING DEPART-
MENT STAMP
, 19 •
Short Plat Administrator
.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 here-
by is not issued for said property as described
on the reverse side, pursuant to Spokane County
Short Plat Subdivision Ordinance Section
, for the following reasons:
According to the Spokane County Short Plat Sub-
division 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 Ordinance prior to
issuance of building permits.
DENIED THIS DAY OF
SPOKANE COUNTY
PLANNING DEPART-
MENT STAMP
, 19 .
Short Plat Administrator