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1992, 10-05 Permit App: 92008429 MH
SPOKANE COUNTY DEPARTMENT OF BUILDINGS- W. 1303 ROADWAY AVENUE SPcKA WASHINGTON 99260 n, (509) 456-3675 I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local laws regulating construction. SIGNATURE OF APPLICATION OWNER OR AGENT DATE PROJECT NUMBER= 92008429 APPLICATION DATE= 10/05/92 92 I AI;i::.. *li**•b:•* THIS IS Nc:tT A PERMIT **:m •r:* PENALTIES WILL BE ASSESSED ,:sr"D FCIR COMMENCING WORK WITHOUT A PERMIT SITE STREET= 13018 E OLIVE AVE PtAisem'CEL0 : 45153.2111 ADDRESS:::: Sr'(:iKAi.NE WA 99216 'PERMIT P"RM:tT U.`.>F.E:-: :l:NSTAi._►_.. CLASS A MOBILE HOME PLAT,::::: 001858 PLAT NAME= OF POi'1:TUN T TY ;'i,lTt .,'TR <. 1 ? 1 BLOCK= > it..1:) ..1. ,::: 11 ZONE= UR 3,5 t)1: T . AREA= t,i:01.r 640 1"/A= i_ WIDTH= 12. DEPTH= 140 R/W= 50 OF BLDG;;-:: 1 F DWE::i...L.1:NGS-: WATER DIST OWNER.= t• 1:L.t..:1:; AN , TOM STREET= g$ 210 N LAKESIDE :D ADDRESS= ELK Wt; 99009 PHONE= 509 292 2501 C'ON'TACT NAME= TOM OR TERRY G71...1...1:G;ANFP'H•1O 1: NUMBER= r,09 535 5 1,; ,4 BUILDING FRONT= 35 LEFT= �: • :) ,._ S x.***************************** REVIE 1' tF0FiM(T'IOJ••r.•it****lilr••a'*•;F•F'k:lr***rk ***:: DEPARTMENT REVIEW IEW C:t:)iIMENTS BUILDING SETBACK REVIEW REQUIRED ENGINEER R INEW COUNTY ROAD APPROACH PLANNING INADEQUATE FLANKING ST SETBACK It * 'r: l; N: •it ; n ;ti H It i@ * It It li li• lE h ii li ii iM • lr fir: lG MOBILE i 1l')Mr' CONTRACTOR= OWNER YR/MAKE= 1992 Gt..EiNR1:VE"R 4140 APPROVAL C::Cif"iM1:::CJT _ lC lt' frk:' lac l[ l@ mak' 3l 1..h..j: X. Ai' :If. PHONE= MODEL= WIDTH= 26 LENGTH= Hi= HEIGHT= 10 ITEM DESCRIPTION QUANTITY FEE AMOUNT INSPECTION FEE 2 100,00 STATE SURCHARGE Y 4,50 COUNTY SURCHARGE Y 18.00 PE::Rii1:T. T.Y1='1": FEE AMOUNT AMOUNT PAID AMOUNT OWING • MOBILE HOME PMT 122,50 .00 12:; ,50 • 122..5 ,00 122,50 PROCESSED BY: JOHN LARSON 1-'H;.1:tl Ti::.0 BY: JOHN I.. AR C)rf l4 li lf• li• ii ii• * ii• li• lk lk H ii• . * * * * N: fi: * l,:• * ••n: ri * * .k• * ii• * THANK Y O UJ •)(•**l'.** *X**h:.) *:a* .jA:»•l'il+ifi. :li•lt•lel'vN:,kk:„:n:i+:. Spokacle county DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: '/ 5 / S 1 1 j STREET ADDRESS: a . 1 3O 1 F C` L \JP_ CITY/STATE/ZIP: cS k -v% cP hj W 9"j I SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: QS-% DEPTH: ! 3 7 R/W: if OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: S°% s3S 10(1Y wRk OWNER:' \r) rn G l LL -1 C� AN PHONE: .OV -,c/D.._- ?so(/ ., MAILING ADDRESS: %i/t, 3 yOl / 6 /,J„,'-Q-- CITY/STATE/ZIP: G` 1®o CONTACT: e b L T�� PHONE: - P 5-0(/ SETBACKS: - FRONT: 3S- LEFT: 3oZ RIGHT: REAR: PERMIT USE: csLet.s. OA ****************************************************************************** CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: A PLEASE PROVIDE THE FOLLOWING INFORMATION FOR, ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA $ BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R SLAB ON GRADE R FURNACE EFFICIENCY RATING PLEASE INDICATE ON YOUR PLANS: The location of the radon vent, and the location of the vent fan area. ******************************************************************************* SQUARE FOOTAGE: MAIN FLOOR SECOND FLOOR BASEMENT - FINISHED UNFINISHED GARAGE CARPORT DECKS ADDITIONAL AREAS: ****************************************************************************** LENDER/BOND HOLDER: ADDRESS CONTACT PHONE SPOKANE COUNTY PLANNING DEPARTMENT APPLICATION FOR ADMINISTRATIVE EXCEPTION (OTHER THAN LACK OF PUBLIC STREET FRONTAGE) A. GENERAL INFORMATION Name of applicant: Mailing address: ©M G; LC( % A/t g0-ai0 FILE NO.: AEx - /2 - fa Agent: Y N Ito �O A City: C.12 State: L k) A ZIP Code: ` d7 00 PHONE - Home: P2'7' -ASO Cf Work: S3 S "' /0 (IV If applicant is not owner of property, need written authorization for applicant to serve as agent. Legal owner(s)' name: l N1 G i LL; i9N Phone: a`7-e� Authorized agent(s)' name: in Phone: Parcel No(s).:5/S3 '--C I / / Section: Township: Range: Legal description: C� PS' . 60)(--g. S cE 8 PT Tl� F- / 4 ea 4 -Nd i4- Lc_ 41 '• &,;zo �. Z A 4k ! Current zoning: (JI ie 3, _5 Comprehensive Plan: L"/Z 64 y7 Arterial Road Plan: We 0o 4-.1 D — ,4 ,%,</,ell Current use -•.of parcel: S ire1ef,,Address ofubject Parcel: /30 /T iFe QL i v& (//4 c sthi 7 B. SPECIFX FORMATION Sok exception reque ted (describe in erms of standard from which se iv 4. �i0, , 4 ,/. iil�l � GG�� ve Gw e� GG�/ i4', -7a6 O ? 5 (2 Applicable chapter/section of Code: / 6/6, 3 ( 0.) kin relief): 4 4 i ! - Explain reason for request: C.LAsS , MAN A -Ac 72.1 ed //cm Attach site plan with proper dimensions and other supportive information. Page 1 of 2 I swear, under penalty of perjury, that: (1) I am the owner of record or authorized agent for the proposed site; (2) if not the owner, written permission from said owner authorizing my actions on his/her behalf is attached; and (3) all of the above responses and those on supporting documents are made truthfully and to the best of my knowledge. Name: — M - t 1 1 A.tA • Signed: State of Washington ss: County of Spokane • On this day personally appeared before me to me known to be the individual(s) described in and who executed the w -.• :ed that he/she/they signed the same as his/her/their free and vo 1u . mentioned. ♦, and and official seal this d yb n and foregoing instrument, and ntary act and deed, for the uses and and for the state of Washington, residing a My appointment expires R WAS�`� ING DEPARTMENT PERSONNEL ONLY File No: AE 0 - /, - ga THE PLANNING DEPARTMENT APPROVES/DENIES THIS "ADMINISTRATIVE EXCEPTION" FOR THE PROPERTY DESCRIBED OV PURSUANT TO THE ZONING CODE OF SPOKANE COUNTY, SECTIONS 14.506.000 AND 14.506.020 THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDITIONS AND/OR STIPULATIONS: The applicant shall comply with all requirements and regulations of the Zoning Code. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities Department regarding wastewater disposal and on-site water or public water systems. The applicant shall comply with the following additional conditions: / I' .41A�p Ored7 // NP o'q n{ RakulLdf e% 5.2..'5- /gif >/j/Air* /�f%t .Do.i /C/ �4ee AC/ /.2,1U / THIS ADMINISTRATIVE EXCEPTION SHALL RUN WITH THE LAND. r� DATED THIS 51°` DAY OF QL , 19 g4- •Z� C W I THIS CERTIFICATE MUST AC,e QMPANY YOUR BUILDING PERMIT APPLICATION // IF APPLICABLE NOTE: THE APPLICANT OR AN INTERESTED PARTY MAY FILE AN APPEAL WITHIN 20 CALENDAR DAYS OF THE ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED BY A $100.00 FEE. APPEALS MAY BE FILED AT THE SPOKANE COUNTY PLANNING DEPARTMENT, BROADWAY CENTRE BUILDING, NORTH 721 JEFFERSON STREET, SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County) SPOKANE COUNTY PLANNING DEPARTMENT, 721 NORTH JEFFERSON, SPOKANE, WA 99260 (509) 456-2205 RP -AE App. Rev.10/91 fer/,-- ; Ptige 2 of 2 GRAVEL \\\ \\\\\\\`\\\\ Bundle Planting Engineers �J Health Utilities Other: ADDRESS: € . ,1 30( 61t,1J'e. ZONE: n 3; GOAD WIDTH: i FRONT:z D -RAKING: SO COMMENTS:'446 6"E -.� E _:t REVIEWED BY. ZONING IS 3.5 RESIDENTIAL 551 SETBACK FROM CENTER OF. MCDONALD _RD. & OLIVE AVE TO THE HOUSE 3 . REAR YARD. BACK YARD REQUIRES 20' SPACE 4. WEST CORNER REQUIRES 5` SETBA.0 41"6" LEGAL: NORTHWEST DESIGN & EQUIPMENT CO APPROVED DY DATE; IO -d 92. DRAWN or 1,1 CORNER OF MCDONALD RD &.. OLIVE AV SPOKANE . VALLEY' SPOKANE WA N(tE POST.18A8 Di 24 x38 DRAWING Hum DI991-1 n