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1978, 10-05 Permit App: N0918 Residenceto'# Couq& of Spokane, Washin n BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 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 performea 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. APPLICANT FILL IN BELOW THIS LINE Name of Owner k 1�/j , Address /C' (f _ Phone Architect _ Address_ Phone Engineer_ Address_ Phone _ Contractor. Address. Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number - umber_/t.,r- /c. r- F i < . 1 c ;- <�! F ��, / �, f' ---- ' / iy �� ; ��r> D I C,,_5 DESCRIPTION OF WORK: New_ Addition Remodel Moving Bldg. Zone .. Fire Zone Size of Lot , ZG- F> a / f �' _� Sewage System S /Const. (Fr., Con Br., etc.) Stories_ Dimensions �''� L_ x� -� �- X- I Total Sq. Ft. %, f .� Valuatidfi,- TC (- Rooms— Baths__ Basement 1 L Foundation Const. C -&-L,` `�T� Chimney_ 4 Fireplace (Full, part, none) (Kind) (Number Heat. System / A Type of Roofing i; Mme_ Ext. Finish iC 'tJ Int. Wall Finish L&� 7-1-? ` <-./l - Use of Bldg. ti i 1 6 Ljiff, . j /� i / � � No. of Units Bedrooms _Z�' ROADWAY R/W WI 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. I- I :,f 0 - �Zi C l�� IIp1 �t M NORTH SOU TH State License No. tlf- (_-Ik-A�5y�1B Ino. Ins. Acct. No. aziIDENTIAL COMMERCIAL REQUIRED Plumbing Permit rn Heating Permit HSewage Permit Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed I hereby certify information submitted is correct and there are no other structures located on this property except as shown. Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. PERMITS ARE NON-REFUNDABLE AND NON -TRANSFERABLE Al I MW DO NOT WRITE BELOW THIS LINE Your street address will be Sewage Permit Number Remarks Issued V__re zone is Ila—sLaN�� Building Permit Receipt _, lKa issued Faun 591 RLI., r-4. + APPLICATION FOR CERTIFICATE OF EXEMPTION qX= PRIM OR TYPE Applicant's Name: LARRY GOTTSCHALK Phone; Res: 924-8068 Bus: Address: -- East 12925 22nd- City: Spokane State: WA ZIP: 99216 Legal Description 9f property for which this "Certificate of Exemption" is being applied for: Section ]k Township Range Parcel Number (From Tax Statement or Assessor's Office): Size of said property: Square Feet: 1,1,964 Or Acres: zrGr Intended use of said property: residential i. 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 ap- plication). A. Division of land ten (10) acres or.larger DOCUMENTS OF PROOF: 1) Assessor's map and ownership micro run as requested above. B. Minor boundary or-lpt line adjustments DOCUMENTS OF PRWF: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. DOCUKCNTS OF PROOF: 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, which is five (5) acres or larger. DOCUMENTS OF PROOF: 1 ) Copy of deed or dated copy of, sales/contract agreemekit. E. The purchase of one separate and distinct Parcel. of land prior to March 1j, 1978. DOCUMENTS OF PROOF: 1) Copy of deed or dated 'copy of sales/contract agreement. F. A division of land to a spouse, son or daughter DOCUMENTS OF PROOF: 1) Copy of deed/Quit Claim Deed or dated copy.of,sales/con- tract agreement. 2) Notarized affidavit 'attesting to said rela�tionship. Additional comments which may substantiate your qualification for an exemption; See Attached the undersigned, swear under the penalty of perjury, that the above responses are made .-uthfully and to the best of my knowledge. I also agree to furnish any further documen- ition. that may be required by the Short Plat Administrator and I _hereby agree to waive ie five (5) day approval period as specified in the'Shu—rt Plat , dinance iF further infor- ition is required. I also understnad that, should there be any willful misrepresentation - willful lack= df- disclosure on my part, Spokane County wi draw any approval that might issu Ninre -Igi�c-e of this applicati n. ----------- Signed: hV te: WARY SPAL 0lu Date. -- K-7 Y 01E C()%JJA1X ' ?WJ%JtAG awo,", APP ICATIC0 NO. S C�iI!iE COY Molm. BEAT ammr laf ORDINANCE NOTICE OF ACTICK ON CERT:CFSUM OF =WTION APPLICATION Whereas, the Board of County Commissioners did, after public hearing on March 9, 19789 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 activit .es -to receive a "Certificate of Exemption!' from.the Short Plat Administrator mp .prior to lease of a building permit, and Whereas, the Short Plat Administrator has -received "a requesti-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 actioii on this "Certificate of Exemption" application, pursuant to the Spokane County Short Plat Subdivision Ordinance. XPROPNxem=ption - Certif o - The Short Plat Administrator finds that a "Certificate of Exemption" should be and hereby is issued for said property, as de- scribed—on e-scribedon the reverse side, pursuant to Spokane County Short Rlat Subdivision Or- dinance. Section 3. u)a. a2/0 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 - w/ td t' n of the S ok W qulremen s an regula io s p ane County Zoning Ordinance. 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. 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 DAY QF__..•,- IK at Kdministrator SPOKANE COUNTY PLANNING DEPA1& NG d�f�j ' STAMP -�pKpNE COUN'� R1ANI Oto sTREV NORTH 811 JEFFE 9920L 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• x 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 Ordia- ance prior to issuance of buildinj permts. DENIED 'I7B', DAY OF 19 Short P�a-;A z��israr SPOKANE- COUNT�Ym rl.ltid7l� 0PEPART- MENT STAMP ':.f 044;644\\• Iz