CE-201-91
.
. , . .
BLDG. PERMIT or - FILE # 9r
,
Date to Review Time #
Date Received
Project Name
No. Lots No. Acres v .
SITE ADDRESS .~G~GI~LY~,~ PARCEL #
Sponsor's Name Phone # x
r
~ -
; .
,
Address ,~G~, ,Gt'Zr,11 - i l ork #
,
Date conditions mailed
Contact person Phone #
FLOOD ZONE Yes No
Engineer / Surveyor's / Architect's Name
Water _ Address
Sewer _
School _
Planning Contact Person Phone #
Date Submitted Description Initials
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APPLICATION FOR CERTIFICATE OF EXEMPTION
APPLICATION FEE - $15.00 APPLICATION NO,
1. Applicant's Name: Su 11 i van S o ut h P a r tn e rs h i p Home Phone: (509) 92 4- 3 518
General Partner: Kenneth J. Tupper BusinessPhone: , 928-199
Addte= _F 174q CTnr~UP City: , =kan P S tate: .LA Zip: 9921~
2. Legal description of property for which this "Certificate of Exem tion" is being applied:
Section: 25 Township .2 5.14 o rt h Range 44 W• Muvithin Spokane County Washington.
Beqi nni nq at apoi nt 301.meetNorth an 20.00 feet. East of the -~lest
guarter corner ot sairT-Secti on._T5;. -thence South 89-'737427East, paral'ie7 w th the centerfine o~- 1 t venue, /13.35 feet to the Southwest
corner of Ri d9enont Estates:No 4, lst Addi_ti on,. .as per p l at ther.eof -
recorded i n Vol ume ly ot P1 ats pa9e.27;. thence the next 3 co urses .
aon the Westerl.y ~i ne of sa~' d Ri d~emont Estates. ~~o. 4, lst Addi.ti on,
1) P~orth 00u39`38" East 125.00 feet; 2 South 891)32'42r-East 15.00 feet;
:3j North 00u39'38" East 300.00 feet to the Northwest corner of sai d
,
3. Tax parcel number 4 5 5.. 906 0 4. Property size: (sq. ft or acres) 6. 0 2 Ac re s
5. Zoning: I IQ*1 C; 6. Comprehensive P lan category: U r b a n
7. Inwnded use of property: .C.h,1rr h
8. For all 33(b)(2) and 33(c)(d) exemptions, the Spokane County Health District must complete the following:
A preliminary consultation has been made to discuss the Certificate of Exemption. The applicant has been
informed of appli le requireme ts and standar~ds.
~
Signaatre Date
9. I, the undersigned, swear under penalty perjury that the above responses are made wchfully and to the best
of my lrnowledge. I also agree to farnish any further documentation that may be required by the Subdivision
Administrator, 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 issve in reliance on this
applicatioa .
SIGNED:
~
Date
~
NOTARY':.
Not3r; Aublic in and for the State of WasF.in n Bate
Residing at
MY aPPointment exp NOTARY SEAL
STAFF ONLY - THE SUBDIVISION ADMINISTRATOR FTNDS THAT THIS "CERTIFICATE OF EXEMP'I'ION" IS
APPROVED/DENIED FOR SAID PROPERTY DESCRIBED ABOVE, PURSUANT TO SPOKANE
COUNTY SUBDIVISION(S) SECTION
THIS CERTIRCATE OF EXEMP'I'ION SHALL BE SUBJECT TO THE FOLLOWING CONDTTIONS
AND/OR FINDINGS:
1. The applicant shall comply with all requirements and regulations of the Spokane County Zoning Code.
2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities
Department regarding wastewater disposal and on-site wat,er or public water systems.
3. 'Ibe applicant shall comply with the following additional conditions:
THIS CERTIFICATE OF EXEMP'I'ION IS AND SHALL RUN WITH THE LAND, AND SHALL BE
APPLIC;At'sL.E 1O THE APPLTCANt, OVJNER, T'HEIR HEIRS, SUCCESSORS OR ASSIGNS.
APPROVEDiDENIED THIS DAY OF , 19 .
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509)456-2205
CERTIFICATE 4F EXEMP'I'ION ISSUED BY SPOKANE COUNTY, WASHINGTON
I T
APPLICATION NUMBER:
TAY PARCEL NUMBER:_ 4 5 2 5 2_ 9 06 ~
This CERTIECATE OF EXEMP'I'ION is an official document and shall run with the land and be applicable to
the applicant, owner, their heirs, successors or assigns. ,
2. Legal Description - continued
~ P,i dg_emont FStatPS No. 4. lst Addi .i on :-"thPn _ North 990.32' v" 4-Jest 80.00
feet; thence South 00039' 38" G-lest 70.00 fP_Pt : thence North 3903?' 4?" UPSt L48. 35 fe
to the East ri qht of wav 1 i ne of Sul 1 i'van Road thPnr South 00039'-34JP-t
355.00 fP.P.t t0 the Poi nt of Eeqi nni nQ;
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8. Additional Comments - continued
. .r~h' t►0!'c+ tlir•'ti,,'TtZS?!-'SAIiE~ 'rlk~'!':Lf'a P•3'~~`~1t7!' pm'% l1iiZ z~~.
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a . _ _.st- -.V _ ~ _ . . . . .5~~"~~r.~"`3e''~.~'~'{L~J~'`:1~ • ~!"'~;~!r' . t .:sr----"r'~pr*,'r. ',.~:'i~' !'t~`};r' T i'~'G. ~
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Conditions and F'mdings - continued
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rev 2/9 1;sam
91 P 393017 02/19/91 02i19i9; 24.97 ouED 24.91 PAio s
SEG#=90-1737 DEE0/1=820025371 LAST SALE INfO: DAiE=11/03/90 PRlfE= 125,200.00 Nl,r1BER=9002-0391
YR81T=1990 STRIES= 1.00 BDRMS= 3 8A1N5= 2.50 BAAEAI= 1530 c
LTAREA= 1.00 PROPLODE=1000 ` i
DOUGLASS, IANfIE & HAAIEY W 5707 RlFIE flUe Da SPOKANE, WA 99208
RIDGEMONT ESTATES N0. N4-1ST aDDI1I0N LT 6 8lK 4 43253.0
45252.9057 UPPER COLUhgIA CORP XR UPPER fOl fORP PF
Z SEVENTH DAY ADY SAS
S 3715 GROVE RD 1E%1"=UNPD TD140
PROP=0000 SPOKANE, WA 99204-5319 ADDAESS UNKNOWN SPO R
SaSS= 1.58 tNSV1 1.58 uEEo
TD1400 55,400 LAND VAL 55,400 ASSR VAL 55,400 TAXA9LE Y
RE= 1,060.42 ASMT 3.16 SASS .00 PAID 1,063.58 tW0 RE L
ID=A038
SEGa=88-0203 DEEDN=870001476 LAST SALE INFO: DA1E=10/23/87 PR![E= 217,500.00 NLPgER=8701-4763 1
PROPfODE=0000
UPPER fOl CORP S 3715 GAOVE*RD SPOKANE, uA 99204-5319 45253.0
25-25-44 PtN Of NW1/4 OF NW1/4 DAf; 8EG At rN COR SEC 25 1H EAlG rNE N lN SD SEC 870.OOFi TN S A1 R/A 10 SD N lN ETC.
PR
,5252.4058 SCHROEDER, LES E& JEANETTE SUll1YAN SOUTN E SAS
INCOMPIETE TD140
SEGGED E 12615 KIOUA Ct MORX=4IASHINGTON MUTUAI SAV BANK SLHROEDER LES E 1E!cM=UNPD R
PROP=0000 SPOK{WE, uA 99206-9312 ADDAESS UNKNOWN SPo 5
TD1400 252,600 LAND VAL 252,600 ASSA VAL 252,600OOxPAID .00 tNPO RE Y
.00
RE=
SEW=90-1737 DEEO#=820025311 LAST SALE lNFO: DATE=47/27/90 PRlfE= 30,000.00 Nl,rMeER=9001-2943 A.
PROPCODE=0000 T
SUll1VAN SOUTH E E 12929 SPRAGUE AYE SPOKANE, WA 99216-0736
25-25-44 W112 Of FN1/4 M!D N480FT OF W726F1 OF NE1/4 Of Ntil1/4 EXL P1N OF NU1/4 OF NN1/4 DAF; BEG AT NU LOR SEC 25 TH E1C. 45253.0
-
45252.9060 SPOKANE YlV fHURCN/NAZARENE SULIIVAN SOUTH E I~U~PD PR
E 1080~► BAOADWAY AVE TEX SAS
PROP=1000 SPOKlWE, WI 99206-5001 ADDAESS UNKNOWN SPO TD140(
SASS= 7.21 LNSV1 7.21 uEED . R,
TD1400 237,400 IMID VAL 237,400 ASSR VAL 237,400 E)cMP VAL E)cr'IP=EX10 . S,
" RE= 14.42 SASS .00 PAID 14:42 uNPD RE yi
90 R 265238 03/25/91 05/08/90 4,195.44 OuED 4,237.40 PAID 41.96 INTR
40 P 410952 03/25/91 05/08/90 3,908.55 OuED 3,947.63 PAID 39.08 INTA G)
SEG#=90-1737 DEEDx=820025311 LASt SAIE INFO: DATE=01/15/91 PRlCE= 101,185.00 NlJ'BEa=9100-0614 ' T
PROPCODE=1000
SPOKANE VAIIEY CHURfH E 10804 BAOADUAY AVE SPOKANE, uA 99206 45253.0
25-25-44 W112 OF NN1/4 AND N480FT OF W726FT OF NE1/4 OF N411/4 EXL PTN OF NN1A OF rN1/4 DAF; BEG AT rN COa SEt 25 TH ETC.
- ~ PRi
SAS'
~ TD140i
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JoB tD: 013048 SPOKANE fOUNTV 1AEASURER'S tAx ROII - REaI E51AtE AS OF 03/31/91 PAGE 670 Jpg ID:
45253.0101 BOITJES, flOYD G e fOrwlE L 80lTJES, FLOrD Gt f0NrI1E l SE
S 2406 TihBERLANE DR MORX=WASHINGION MUTUAI SAV BANK AOLIJES FLOYD 1E)IPkUNPD YA
PROP=0004 VERADALE, WA 99037-9016 TIMBEAIANE DA S 2406 YER LT
SASS= 1.00 CNSV3 1.00 WEED TF
TD1400 21,000 I.AND VAL 49,000 IMPR VAL 70;339,88sASM1` 2.00 SASS 70,000 .00XPAID 1,341.88 U~D RE _ _TI
RE=
DEEDN=751126031 LAST SALE [NfO: DATE=07/18/90 PRlCE= 93,375.00 Nt,N6ER=9001-1437 45253.07
YRBLT=1971 STRIES= 2,00 BDAMS= 4 BA1NS= 2.50 BAREAI= 1370
LTU1H= 80 L1DP1H= 150 LIAAEA= 17000.00 PROPCODE=0000 PAC
BOLTJES, fLOYD G e CONN[E l S 2406 TIMBEAIANE DR YERADALE, IJA 99031 SAS!
1IMPERI_ArlE L1 A1 TD140(
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UrvicL' c)f' T1I1: Cc~UNTI- LNGirvi.f I: • A U{Vlti{ON (lf l l ll:. I'UNI.1C WOKKS Un'Alil'T.11iN1
I:oni1d C. 1iorni~iiin, i'.[:., Cou»ty l:n1"ii1rCr Dennis M. Scott, 1'.L•., Direcior
FACSIMILE COVER SHEET
DATE:
1 !
TO:
DA u E~
ATTENTION: t t
CITY/STATE: ~ PO r, ~9-Aj ~ W /9
FAX NUMBER:
NUMBER OF PAGES (INCLUDING COVER SHEET): ~
FROM: ~}T' `k►~4 2~
. ~
COUNTY FAX NO.: (509) 45 6-4715
MESSAGE/SPECIAL INSTRUCTION:
Please contact ~N. at (509) 456-3600, should anY prohlems occur
with transmission or TeCelpt OC faCSlI11iIt',.
N 811 101crtion 5pok.►ne. W/1 yU,'.oll-OItiO (SpU) 45o-3o00 I AX (50 Q) •15 c-,-,1715
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I f l U ri: O k: Al'J 1:- i_: C.l t.) h•I I`;, I!. " i,
SUE~J~ :ert ; fi
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,
The following "Conditions of Approval" for the above referenced
Certificate of Exemption are skibmitted tc- the Sp-Dk:ane C~Dunty
Planning Department f,=-r inclusic-n in the Conditions of Approval
should the Certificate .=.f Exemption be appr-Dved.
E19 The word "appl i cant" shal 1 inc 1ude the cnwner C-r Clwners 1_1',
the property, his heirs, assiqns and successcirs.
El'38 Dedicatic-n tc- total 55 ft_of_right_!!Jf_way_frOm_the
centerline.L_(Sectir-In Line:).,__i--,f_Si_illiv_an_R-Dad.
E14 N-D direct access shall be a11c-wed fr~~i-ii i:his Iot to Sullivan
Rclad.
.
: . .
~ _ I L_ ' I i - ) 1 ~ .l l.. I i t 1 ' _..~~...i 1_ 1 I i ~ ~ i ' : 1 C 1 ~ ~ I i _ . _i . . l. _I ~ i ' ` j 1 ~ ~ i
appl i r_ant may, w.ith r,ne apprclval ._.f the Cc-l_inty EnqinE: >
jc-in in C-.inc:l t~p zi w.i 1 1.inc1 p~.~r-t.i c.ipant in any petitic,1--,
1' P S~~ 1 l.l t.L C~ f'1 wn.i Ch PI_l rpi:IS F_' .1 S 'tf'I t? fc-iY fTl cl t: .L !_,fl ~:lf c.~ Roc7 d
hTtpYr-'VE.,?fTIE'flt n1sfY":l.f.:f: ('Fi'[P.) fi-iY ~.--i::.,kll`J 11T1pY'oVF_'tiTE?nts, F.?'"
R[:W :;P.:,. i:~;1, J r1F suc_h t.i.me i-in RIn i'
Y►~• ~.l t E:' ~I Y' i-:1 f l~/ F l~' ~ rl C:~ I~ n F:~ r~~~ ITl F_` f l r F' Y~'~ f_' t: l': _t f-3cd fl C't: 1. s_II 1 r.' ~1 ti'y
:;~>~~.~E:~:ir~►t-~ C;~~:~~..~r►ty r f F1E_' l i11~7Y'~-~VE~`(T1F_`t°)t:~~ rF~~:~~.~ i r-c~~.l i~.~..~rk;, <::>irJ~~k~.-:~ i F ,
~ I►~ : i i. r~~ ~ 7 f_ r~(: r- I r~ ci ~ v t i°► I t. E:~~ :t. r i- ~ ~ E:-_ m F r~ t. w i t
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~ 1 A t; ~.•.Iti ~I ~ ~IITr`-'' ,1 • 1I~ ~l~'}~~ ~ i r ri,~.e.~.i,?~.. ~_i{.
; r Pi' ;a f'.I I f-1 4, f:) 1' ~ fr._; l.. f. ra t i l. : C i pf.l h''' r•~)~. t I l.'.~
..lf`1t ~/y f:"~~:? 1.fi1~:31'~?°IE,~F:~'iTli?!'1~~'~A C'U 1.P 4~~!:''a~ ~-t Ll 1`.:1.1.I`1-."+
C. ~ n t 1' o ~ cl f 7d p,::1 'd 7 C.l ri k. _l. 'S t.1, rl i-I cl 6, fyt k? ('1 w 1. 1 1 te 't Ft'a
s~_~le e.:pense ~:r~~ ~p~al.i~ant. _Tl-~is_~?r~C,~+_isns_a Fap .l x.ci b Zw~
tc,~those_impr~~vements_n~►~~_s,ec.~ f.~ r. 3 1 1~!_LPC~. ~_EZ red_ t~:,~hp-
c0nstr~~~ctL-d by,_these_conditionsof_aperc-val_o-jr_xTzf,th o se
et^rnditions_o#_aeLr !nv_!2l_of_PE_14*;'~'Ridgemont~Estates_#~4.
E59 Applicant shal 1 siqn a recctrd Spok;ane C~~unty hloti ce t-► the
PLtblic #6 which speei#ies ttie to],Iowinq:
Thre i-owner or si_iccess-ar in interest agree t~~~ authorize
the County t-D place their name on a petition frjr the
formation F,tf a Road Imprt._-~vement District (RID) by the
petitic-n method pa_trSr_rant tc= Chapter 36. SB RCW, wha. ch
petition includes the owners prc-perty. If an RID is
f-Drmed by either the petition or resolution method,
as provided for in Chapter :36.BB RCW trie owner or
successors f ur t'her agree: (t) tt-,at the improvement
or construction contempl.ated within the proposed RID
i.s #easible, (2) that th+e benefits to be derived from
the formation of the RID by trfe prz_-perty included
therein, trsqether witti the amnunt of any CoLtnty
participationy e.ceeds the cc~st and e;pense of
fc-rm~~tion of the RID and (13) that the property within
the proposed RID is sktf f i cient ly developed _
Prouided, fF_trther, the ownPrs }_.r succ~~sors sVsall
retain the ri4ht, as autl'+or.zzed 1_tnder RCW 36, "f38. 090,
t~~~ .--tb.Ject tc. any assessment .=sn the pr=_.perty as a
reso_iIt .e,-f the .improvements calIer~ ~~.--`r .in c►:~n.junct.ion
w ith the:~ f or mati r~ n of G ra PRI D h y ei t t-ier p rtiti. on i== r
r~sc-i1ut.i.con rrieth+Dd ►inder Ch~.~pter 36_88 F?Ct4_ This
~ r'...,~1]. ~;-r.~. ,vP~ 7 C`i c~ ~p1 4~1.7l~~ tc. l.~1 .-.ri P_i~~~ ~_..,_.V t~ ~l~} Pn~, a nJ_-t
~ ._~....._..J..-__.~~.r_~,..d~~.,..~-lr~__.__._~..r.._._~~~,.........
p E? C_' :1. r-~ 1 Y E~' ~_1 .t 11'' t-~ C~ f~J 1~ r- i-.r 7,; ri_e r t; ( ~f t'JV r"It~':~
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ii 1.k n4.. 1, 111, _i , k,-ti
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t \f I1f1{:f.:11'y r Y it Itt <'1F1d Ilf-,y
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~ i ~ . i ~ ~ ~i i . ~ ~ ~ ~ . I i ~ i ~ , i ' . , . ~ • i ~i t ~ ~ , i . i ~ ~ .
i~~„ ~ i~•.!i~. il~~ ili~~. ,l .j I~„it~~, 1~,i i~•„-
I f i E' par E:: z n g 1t ~i f'1 a 1 1 tJ E' r e cl e s i U n e d
the real iqneci Pi-Dneer Street cc-nsistent witt-, the redesiqn c.f
Ridqemont Estates # 4 Preliminary Plat. The applicant shall
provide appr-Dpriate easements r-r riqht of way, at the descretion
the Cc-i_inty Enqineer, to al 1cow access north/south c-n Pic-neer
Street t~ 1 20th Aveni_te.
SidewalE::s shall be cc-Instructed alonq the frontaqe --.-f A-::_'4th
Aveni_te.
All those conditicnns pr---,vided for in the preliminary plat
approval .=-f PE 14:~--J:' Ridqemont Estates #4 and as amended by the
bi_ti ldinq permit and Certifi cate r-ifi E•r:empti---,n cc ~nditic~ns --Ifi
approva1 are still applicablP.
IMPORTANT MESSAGE
~ ' -
A.M.
DATE J ? TiME P.M.
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