1978, 06-15 Permit App: M6846 Residence •
APPROVE�3r AS NOTED IIIP
Spokane County Bldg. C
Date _ ode Dank-
Date
ept unty of Spokane, Washington
bye�n i ' DING COD S DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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/ % • ION FOR LAND USE OR STRUCTURE PERMIT /////I
GENERAL REQUIREMENTS PERMIT FEE/ 7
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. Construction is subject to inspection.
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, of at
least 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
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 buildings (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.
A CANT FILL IN BELOW THIS LINA" y.2f .
Name of Owne `T. /.. .4 .._ /✓'i Address ��'--�/_ � Phone 7'
Architect Address Phone
Engineer Address Phone
Contractor _____>21/2/1X-,-9Address \ Ph°�e
Legal cription offro ( iv c plate descri ion deed ax re ei t, etc.) Par t mbe ,1 D � i�
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DESCRIPTION OF -•R.•fN A�d/di i em 1 Moving Bldg. Zone _ Fire Z
Siz of Lot / — )7,.Z55-77 /�/1 /X� ��1 Sewage System - I Const. �/ ..
..�. / , / / /,w, Fr.. Conc./�Br. etaA1A1 ete
torie= 7 Dimensions-2Q e!' To I Sq. Ft. ;i'.� Valuation</�/77J1�'-
Rooms BathsBasement._ / ..• •oun atio Const. -�I - _.- .17/ Chimney Fireplace
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Fu�art, n. (Kind)
(Numbs
Heat. System Type of Roofin Fini /.,� __ iWall Finish ,C�
U=` • =.,•9. r Q,./_//e-1... 1 ���� ` /� No. of Units_.Bedrooms
6r11711) PLOT PLAN
D sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
•, :.osed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
Z/ / /
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RESIDENTIAL-COMMERCIAL
REQUIRED '
Plumbing Permit
n+ Heating Permit
a
N'" N Sewage Permit
H -4
Plans Received
Plans Checked
i
Plans Returned . k
Plans Picked Up
Plans Mailed
SOUTH
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I hereby certify information submitted is correct and there are no other structures loc ted on his property except
as lain.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
11-41_ 14/0 le DO NOT WRITE BELOW T S LINE
Your street address will be y , ✓� �i //ice _� _ _ter / /
The zone i A, — 0
I�ewage Permit Number Issued Building Permit - `6 '%i Receipt L Issued
Remarks ,
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APPLICATION FOR CERTIFICATE OF EXEMPTION
PLEASE PRINT OR 'l itt;
Getrud
...�... -....rte �. .-,._
1. Applicant's Name: reI. Tupper Phone: Res: 926.-3060 Bus:
Address:East ]3409 Y i:llesley City: Spokane State: stash. zap: 99216
2.- Legal Description of property for which this "Certificate of Exemption" is being applied
for: Sectioni . Township (Q Range 41-41-
-421)
j4 f. 1) JA) iffrAVL)
-------' 111!"22 _.t0 14a ,
•
3. Parcel Number (From Tax Statement or Assessor's Office): #34644-064 I /400
4 Size of said property: Square Feet: Or Acres: .51 •
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 map and an ownership micro
run of your property, both obtainable from the Tax Assessor's Office, with your ap-
plication).
0 A. Division of land ten (10) acres or larger
DOCUMENTS OF PROOF: 1) Assessor's map and ownership micro run as requested
above.
0 B. Minor boundary or lot line adjustments
DOCUMENTS OF PROOF: 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 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 or
larger.
DOCUMENTS OF PROOF: 1) Copy of deed or dated copy of sales/contract agreement.
E. 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.
0, 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 relationship.
6. Additional comments which may substantiate your qualification for an exemption:
Legal description- by Simpson Eng neP ne
I, the undersigned, swear under the penalty of perjury, that the above responses are made
4 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-
mation is required. i also understnad that, should there be any willful misrepresentation
or willful lack of full disclosure on my part, Spokane 0-matymay withdraw-a iy-appr+ove that
it might issue in reliance of this application.
Cup
Signed:✓�' Le o /6,n) Date: .4 / /
,,,"�,..., � ‘vsl y: d � ."6-1,t7Date: / 6 /
NOT.��s'Y� Notary:,1 . >. '1 \ 1
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v -APPLICATION NO. y, 4 --41, ,
SPOKANE COUNTY SHIP PLAT SUBDIVISION ORDINANCE
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APDL/CATION •
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 fox - "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!! appliationi purammat-to the,,Spakane County;Short
Plat Subdivision Ordinance.
4f0Ell0
DENIAL
- Certifica e o a► emption - - Certificate of Exemption -
The Short Plat Administrator finds that a The Short Plat Administrator finds that a
"Certificate Of Exemption" should be and "Certificate of Exemption" should not and
hereby is issued for said property,rtas de- hereby is not issued for said property as
scribed on the reverse side, pursuant to described on the reverse side, pursuant to
Spokane County Short Plat Subdivision Or- Spokane County Short Plat Subdivision Or-
dinance Section 3.3/3(3). diaance Section , for the follow-
Approval of said 'Certificate of Exemption" ing reasons:
and issuance of building permits, shall be
subject to the following conditions: 1.
1. The applicant shall comply with all re-
quirements and regulations of the Spokane
County Zoning Ordinance. •
2.
2. The applicant shall complq with all re-
quirements of the Spokane County Health
District regarding the placement of on-
site water and/or sewage systems.
3.
3. e L7 ,44..iu4
u:ter-�. tA.A3/LA-. �4t�' -Ca CI
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According to the Spokane County Short Plat
4. 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 -regUirements-of said Ordin-
ance prior to issuance of building permits.
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 I DAY OF , 197e. DENTED THIS DAY OF , 19 _
Qk....<5,A.Co--Petan--c._-')_,,
Short Plat Administrator
,,Q o. Short Plat Administrator „
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SPOKANE CNTY SPOKANE COUNTY .z,. ,f� �
OUi
PLANNING DEPART- PLANNING DEPART- �� • ''-.).-to,---•
!art STAMP i moy PLANNIIIC DEPR MENU stue . -w
SHOW"1111..w'r
%:
THIS CERTIFICATE MUST-ACCOMPANY •
YOUR BUILDING PERMIT APPLICATION
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