Loading...
1978, 07-27 Permit App: M7454 Residence i I . County of Spokane, Washington BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 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. 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. s nd ents ng with the hlareVenforce enforceable throughrs civiluld check action. CountysOfficialsof ocanants or not bringdactionntoaenforcemcovenanttsior dedications. whiAPPLICANT FILL IN BELOW THIS LIN �7 / Name of Owner 1�I%/f� � Address /51--aa 9 .'1J F ' Phone 9cq s'-2(a /4P. Architect Address Phone Engineer � Address Phone Contractor >C 1�`�7�� Address Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number O a;7 64,2 - `S //,g 7, --/ .p { 7 / , 7.24-1---- cL__ ,. ..o a2e le 1.44z-±KUAUVal Blvd WIDTH 5O `/ DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone Fire Zone 7�' « /�p -f- Sewage System .S 7 const. �1p Size of Lot ` rr� Fr., C Br., etc.) _ rK.36 5X /`I 2Xd y 6'KO Z Total Sq. Ft. /57a/a valuatio �.6 oorl°° Stori es�D i mansions Rooms/�� BathsFu IB part�o� Foundation Const. �s � �- L(!A t Chimney (Kind) Fireplac(Numbef� • Heat. System .2. P/9 Type of Roofing "....42-727, Ext. Finish T / // Int. Wall Finish sR e a BRdg. .• • ! _♦ / -" dit/ _� .-, •_ 1o. of Units_Bedr oms A. �'+'„-.�. 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. State License No. NORTH 0-666-72€'kY .e)- 7 G-"" , Ind. Ins. Acct. No. • 4E—SIDENTI —COMMERCIAL • a' 3 6 l A • REQUIRED y Plumbing Permit `'1 m Permit \ m �. C)---70- - Sewage Permit N {A .4 NQ 1 r Plans Received Plans Checked 1 1 Plans Returned 1 Plans Picked Up 2.5" Plans Mailed t 1/21/ a ����-e.�►�-._e.� SOUTH 7 itAltuf I hereby certify infor.; ion submitted is correct there are no other structures 1. ated on this property except as shown. sl YAAA III' ' A Owner or Agent . Da e A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTR CTION COMMENCES. THIS IS NOT A PERMIT. _j, I DO NOT WRITE BELOW THIS LINE , / / / . Your street address will be / 2770/ �• ./..,...6._/, I I / The zone is _ /r-4 Sewage Permit Number Issued Building Permit ' Receipt - 04 Y AlIssued ii Remarks 11 - . I . Form 523 eldo. Code i iAPPLICATION FOR CERTIFICATE OF EXEMPTION PLEASE PRINT OR TYPE Toc �.t 1 . Applicant's Name: '3l!G(.i� t. /0C-66y Phone: Res: q L 7 z 6 / i-Bus: Address: [; /le0o9 Acf(fvr C.0 City: $ /9a ffAi1 (� State: ^/4 5/1 ZIP: gq L/C, 2. Legal Description of property for which this "Certificate of Exemption" is being applied for: Section G Township 2. 5 Range 414 e..c.-.41 .5 -• fir _,Ii; 1 - n R r .FJ-[ ,d 4. n-4--r.cn,:. 446)6%-t A /16 r .4..4,z ' 3 C.) I-/1.2nt AlVvz (}1.f'„f' l/•t dro 3. Parcel Number (From Tax Statement or Assessor's Office): # 0Z ., `f Z 5 / / L- 4. Size of said property: Square Feet: /1 G z. 2_ Or Acres: 5. Intended use of said property: I)/L, /1/„„6„,r . 6. 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 Iyour exemption. In addition, please submit arassessor's mea and anownership 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 1 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 1 agreement. I [I] 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. i DOCUMENTS OF PROOF: 1 ) Copy of tax statement; 2) Copy of deed or dated copy of 9 sales/contract agreement 1 s 0 D. Division of land created prior to March 13, 1978, which is five (5) acres or i larger. 1 DOCUMENTS OF PROOF: 1 ) Copy of deed or dated copy of sales/contract agreement. 12 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. j Cl 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- t tract agreement. 2) Notarized affidavit attesting to said relationship. 1 7• Additional comments which may substantiate your qualification for an exemption: 3 4 I, 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 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 i or willful lack of full disclosure on my part, Spokane County may withdraw any approval that it might issue in reliance of this application. Signed /� ./�_,_,� ..lam Date: 7 / Z£ f !; NOTARY SEAL Notary: 0J , . /I Date: -j /o,‘ /X ;,,, ti f.-,. if 1,i,../ gt,,, LI,p. j SPOKANE COUNTY I PLANNING DEPARTMENT ` a • 0 ' APPLICATION NO. ( -'O7 3-Z SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE ---Th OF ACTION ON CERTIFICATE OF E IPTION APPLICATION Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978, adopt County Spokane Short Plat Subdivision Ordinance, and 1 Whereas, the Board of County Commissioners in adopting this Ordinance did provide for certain iactivities to be exempt from short platting activities, and ' Whereas, the Board of County Commissioners did further provide for these certain activities 1 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" 1 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 t action on this "Certificate of Exemption" application, pursuant to the Spokane County Short Plat Subdivision Ordinance. .., ..) APPROVAL DENTAL - Certi . - .. -xemption - - 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, as de- hereby is not issued for said property as ' 1 scribed on the reverse side, pursuant to described on the reverse side, pursuant to t Spokane County Short Plat Subdivision Or- Spokane County Short Plat Subdivision Or- dinance Section 3,3 h . dinance 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 . © The applicant shall comply with all re- - - —quirements and regulations of the Spokane ICounty Zoning Ordinance. ! / The applicant shall comply with all re- t quirements of the Spokane County Health i District regarding the placement of on- 1 site water and/or sewage systems. ot dt$7404, 1,;d. 404 4.,,.,,zii....„Liiizt7t.:. 4!4° 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 requirements of said Ordin- ance prior to issuance of building permits. This "Certificate of Exemption" is and shall e run with the land and shall be applicable to 1 the applicant, owner, their heirs, succes- ; ! sors or assigns. APPROVED THIS 77 DAY OF5641.. , 1970• DENIED THIS DAY OF , 19 • 6 I 4‘... S t Plat Administrator Short Flat Administrator - SPOKANE COUNTY SPOKANE COUNTY p PLANNING DEPART- 41s li :5/319i7 PLANNING DEPARTMENT MENT STAMP 1 NIRTH 811 JEFFERSON STREET SPOKANE, WASHINGTON 9923 i .- THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION