1978, 09-11 Permit App: N0654 ResidenceCotof Spokane, Washington
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 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 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 el906
Name of Owner
Architect
Address
4 3
Address
Address Phone _
Engineer_ r /(o Phone — 7 ��
((�� �,. vt S UYl Address' J 3 ( 9 I2�i q
Contractor Da `-UQ 7j � 3 1/ % — C7 ? / S
Legal Description o Pro erty (Give completNeldescrip i f om deed, tax r ceipt, etc.) (Parcel Number- ,•,-
3 .S
•
oc�
Phone On -6 PI
Phone
DESCRIPTION OF WORD: New DT Addition
Size of Lot ._/3-6 X 110
Storiescc.:9'` Dimensions ir4 / y c 2'
RoomsBaths 3 Basement u 1 f
(F II, part, none)
Heat. System 2 F ype of Roofing
Use of Bldg. 51 v� CO/�.�[l^^ 1
ROADWAY R/W C
WIDTH -(4 i
Remodel Moving
Sewage System
'! d(
fatAi`[ C x, 4 (X Z`{ Total
S�,Ae142
i q If
Ext. Finish /
Foundation
Const.
tLSieCjii
Bld. Zon: / Fire Z ne
KI Const. f -u i^4U
(Fr., Conc., Br., etc.)
aluation 6SerO
Fireplace-- 1
( ind) (Nummberi
N
Int. Wall Finish (
Sq. Ft
Chimney
No. of Units Bedrooms 3
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.
NORTH
50U TH
'tted is correct and there are no other structures located on this property except
I hereby c ify informat;on sub
as shown.
State License No.
---fn.& "c7( /¢
Ind. Ins. Acct. No.
ESIDENTIA>- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
q/0a/7( El
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE
THIS IS NOT A PERMIT-..-,\ PERMITS ARE NON-REFUNDABLE
/'v1 �` r"t/ 7) DO NOT WRITE
Your street address will be
Sewage Permit Number_
Remarks
____ Issued
Date
PREMISES BEFORE CONSTRUCTION COMMENCES.
AND NON -TRANSFERABLE.
OW THIS LINE
evil% e zone is
Receipt
I
PLEASE PRINT OR TYPE
i
1. Applicant's Name: fo/trif lE aivAG€1. Phone: Res: 924. $/4
Address: S 374 Rt Dorf 14 EW IP City: SP RAA/e State: bi/A . ZIP:942/,
2. Legal Description of property for which this "Certificate of Exemption" is being applied
for: Section 3"Z., Township Z S Range iey
APPLICATION FOR CERTIFICATE OF EXEMPTION
Bus:
se %/¢ e,Ed
3. Parcel Number (From Tax Statement or Assessor's Office):
4. Size of said property: Square Feet: HO X / c O
5. Intended use of said property: ,SP
zSif/-o9/s,
Or Acres:
o. 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:
0 E. The purchase of one
21F.
DOCUMENTS OF PROOF:
1) Copy of deed or dated copy of sales/contract agreement.
separate and distinct parcel of land prior to March 13, 1978.
1) Copy of deed or dated copy of sales/contract agreement.
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.
Additional comments which may substantiate your qualification for an exemption:
1, the undersigned, swear under the penalty of perjury, that the above responses are made
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
i 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 County may withdraw any approval that
t might issue in reliance of th.- application -1
Adteg---ea CreA---
�'./l1`C -t')-
NOV RY. BEAL
Signed:
Notary:
Date:
Date:
^% . eisAer poic
/�/
7 / /( l7.B
APPLICATION NO.
O.i . -7
•
SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APPLICATION
Whereas, the Board of County Commissioners did, after public
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 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.
hearing on March 9, 1978, adopt
- Certifica - • xemption -
The Short Plat Administrator finds that a
"Certificate of Exemption" should be and
hereby is issued for said property, as de-
scribed on the reverse side, pursuant to
Spokane County Short Plat Subdivision Or-
dinance Section 3.3.#1k340/84/5"M/72/0
Approval of said "Certificate of Exemption"
and issuance of building permits, shall be
subject to the following conditions:
6) The applicant shall comply with a1L re-
quirements and regulations• of the Spokane
County Zoning Ordinance.
Q 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 1/ DAY OF /.,r„ , 197R.
SPOKANE COUNTY
PLANNING DEPART-
MENT STAMP
ort Plat -Aflminist
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.
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 Ordin-
ance prior to issuance of building permits.
DENIED THIS DAY OF
Short Plat Administrator
SPOKANE COUNTY
PLANNING DEPART-
MENT STAMP
THIS CERTIFICATE MUST ACCOMPANY
YOUR BUILDING PERMIT APPLICATION
eth E
J.
PIONEER NATIONAITITLE INSURANCE
A 'ICOR COMPANY
Filed for Record at Request of
TO
•
THIS SPACE RESERVED FOR RECOP.DER'S USE
Mrs. Kenn
Gudgel
4.1C Z3 2 38 fN! °7g
ti,SH.
S 3718 Ridgeview 9920(
REVENUE STAMPS
4t)( 1)2
FORM L 56 R
Quit Claim Deed
THE GRANToxs, Kenneth E. Gudgel and Helen D. Gudgel, husband and wife,
for and in consideration of $1.00 and other valuable consideration
convey and quit claim to Barbara L. Walter and Forrest L. Walter, husband and wife,
the following described real estate, situated in the County of Spokane
State of Washington including any interest therein which grantor may hereafter acquire:
The Northwesterly half of Lot Three (3) and the Southeasterly 55 feet of Lot Four
(4), Block Two (2), PONDEROSA 2nd ADDITION, according to Plat Volume 8, paoe 43,
records of Spokane County, Washington.
Dated this
STATE OF WASHINGTON,
County of Spokane
93.
day of
nneth F. Gudgel
•
Helen D. Gudgel'
(SEAL)
On this day personally appeared before me Kenneth E. Gudgel and Helen D. Gudgel
to me known to be the individualS described in and who executed the within and foregoing instrument, and
acknowledged that they signed the same as their
uses and purposes therein mentioned.
free and voluntary act and deed, for the
GIVEN under my hand and official seal this 7 day of (Gc t., C
Notayy Pubt..e in and 6oh the State o6 wasa.i,ngZo'n,
ne.e ding at Spokane
i