1991, 01-18 Permit App: 91000194 ResidenceSPOKANE COUNTY BEPAliTMENT OF BUILDINGS
W: 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(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, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 910O0i94
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SI TE STREET= 11219 F SUNDOWN DR PARCEL4= �3543-i602 a�`^~
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE%IDENCE W/GARAGF
PLAT t= 003423 PLAT NAME= FOREST MEADOW 2ND ADD
BLOCK= 2 LOT= 102 ZONE= UR -3.5 DI%Tt= E
AREA= 00000000 F/A= F WIDTH= DEPTH=
4 OF BLDGS= i 4 DWELLINGS= i
DATE= 01/18/91 PAGE=
APPLICATION
33 64(3-/41o/
OWNER= PERSON, J GRANT
STREET= 4221 % HOLLOW RD
ADDRESS = SPOKANE WA 99206
CONTACT NAME= LARRY THOMP%ON PHONE NUMW-R= 924
BUILDING SETBACKS: FRONT= 25 LEFT= L5 RIGHT= 5 REAR= 20
***************************** REVIEW INFORMATTqN **********��**************
DEPARTMENT REVIEW COMMENTS
- - - - - - - - - -
BUILDING PLAN PLAN REVYEW REQUIRED
BUILDING SETBACK REVIEW REQUIRED
Q EER APPROACH/FLOOD PLAIN/DRAINAGE
HEALTHDI%T NEW OR ADDITIONAL WASTE WATER
/ PLANNING LAND USE ACTION REQ'D/INVOLVED
APER
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22
****************************** BUILDING PERmIT **************************�
CONTRACTOR= LARRY THOMP%ON BUILDER
STREET= 13809 E 43RD AVE
ADDRESS = SPOKANE WA 99216
NEW= X
DWELL UNITS -
BLDG W X D =
REQ PARKING=
X
REMODEL=
OCCUR. LD=
%R FT=
OHAHDICAP=
PHONE= 509 924 2507
ADDITTON= CHANGE OF USE=
BLDG HGT= STORTE?=
SPRINKLER= N
CRITICAL MAT= N
******************************* MECHANICAL PERMIT **********************^*w*
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS- UNKNOWN WA UNKNOWN
*****************************
PLUMBING PERMIT
CONTRACTOR= UNKNOWN
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
PHONE=
******************************
PHONF=
************************************************************»***************
SITE NOTE' TOPIC = CONDITIONS DEPT = F4UiLDINC
*********************************)k************A-*************4
SITE ALSO INCLUDES PARCEL NO 33543-16Oi
FROCE%%ED BY: JULIE %HATTO
PRINTED BY JULIE %HATTO
»******************************* THANK YOU *********************x*******v*�*
NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code:
1. FOOTING — when forms and reinforcement are in place and prior to placement of concrete.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are
established by County zoning regulations. Typically, side and rear yard setbacks are measured from property
lines, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County
can own as much as 20 feet of right-of-way between your property and the actual improved street/curb. The
responsibility to comply with applicable setback provisions lies solely with the permittee — neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2. FOUNDATION — when forms and reinforcement are in place and prior to placement of concrete. (Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING — after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5. PLUMBING — after rough -in, before covering, and final.
6. MECHANICAL — rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL — when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically
depicted on the approved site plan) required by ordinance or as a condition of approval of this permit. Items such
as the installation of fire hydrants, fire department access, on-site drainage ("208 swales"), road improvements,
parking, and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
concrete, etc., must be inspected prior to cover. Check with the department for "special inspections" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN CIRCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring, State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration. At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations — please call us if you have any questions.
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit, please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery. All such requests should be directed to the Department of Buildings at the address found on the face of this
permit.
4)1'191 W L J r- L,x .
,-, Spokane County
II-) DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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/ INFORMATION WORKSHEET
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PARCEL NUMBER:
REE T ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: ci LOT: 1¢ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
MAILING ADDRESS:
PHONE:
CITY/STATE/ZIP: ,t'
CONTACT: PHONE:
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: _ PHONE: -
MAILING ADDRESS:
ARCHITECT/ENGINEER: �, : r .' PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BIIILDING HGT: STORIES:
BIIILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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APPLICATION FOR CERTIFICATE OF EXEMPTION
cE-
APPLICATION FEE - $15.00
APPLICATION NO.
`�]� �r n�PLEASE PRINT OR TYPE
jJ
1. Applicant's Name: i Com' / C/ 7/f ( //5A/ Home Phone: 9cP8 C / e 0
? , O /L. L-
. Q Business Phone: /F.3 /000
Address: 5,p
. / J7
City: 5,PD t( /q/v6- (.(1%t Gl qv'(- d State: Zip:
2. Legal desdipti n of property for which this "Certificate of Exemption" is being applied:
Section h Township (2_5 Range 1-'1 within Spokane County, Washington.
5/2 5c6- 33--2S"_ei/oTS / 04,,oZ B/ocjc 2-
GS"� A-frek oceS?nr:f ,i//trzeki
3'�3 �ol
3. Tax parcel number. 3 33 4. Property size (square ft. or acres): .20 ore ,of
5. Zoning: OR 3 , 5 6. Cgmprehensive Plan category: (1Q ,319
7. Intended use of property: , 's lcfe,-.7 * ak
8. Additional comments which may substantiate your qualification for an exemption:
9. I, the undersigned, swear under penalty of perjury that the above responses are made truthfully and to the best of
my knowledge. I also agree to furnish any further documentation that may be required by the Subdivision
��.m-Atln:it�yc,�rator. I also understand that, should there be any willful misrepresentation or willful lack of full
�POF� pd1a�e ' j, y part, Spokane County may withdraw any approval that it might issue in reliance on this
Aicw
:..IG s 6: 11 L-4-e-../Acaime ' DATE:
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NO ''. i .4. _ DATE.
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STAFF ONLY
DATE RECEIVED: /
THE SUBDIVISION ADMINISTRATOR FINDS THAT THIS "CERTIFICATE OF EXEMPTION" IS
APPROVED/DEM-ED FOR SAID PROPERTY DES RIBED ABOVE, PURSUANT TO SPOKANE
COUNTY SUBDIVISION(S) SECTION 3 .�
THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS AND/OR
FINDINGS:
1. The applicant shall comply with all requirements and regulations of the Spokane County Zoning Ordinance.
2. 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.
3. The applicant shall comply with the following additional conditions:
THIS CERTIFICATE OF EXEMPTION IS AND SHALL RUN WITH THE LAND, AND SHALL BE
APPLICABLE TO THE APPLICANT, OWNER, THEIR HEIRS, SUCCESSORS OR ASSIGNS.
APPROVED / DENIED THIS !2 DAY OF c /C�dl./ , 19 9/.
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THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
SPOKANE COUNTY PLANNING DEPT., 721 N. JEFFERSON, SPOKANE, WA 99260 (509) 456-2205
CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON