1978, 05-07 Permit App: M6522 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $143,00
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.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner R H Honver Address S 3509 Sundown Phone 928-24g6
Architect Address Phone
Engineer Address Phone
Contractor R.H. Hoover Address E. 9211 Mission Phone
928-4970
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -&'.�/'3g7Sy/-73@d
Lot 8 and N.W.2 Lot 7, Block 2, Broadmoor Estates /4°7
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 175' X 1307'X28?+16xx34'+441 x28'+24'X34' Sewage System S (Fr., Conc.Frame
atcb)•
Stories Dimensions Total Sq. Ft. Valuation
Rooms 9 Baths3 Basement part. Foundation Const.. concrete Chimney brick Fireplace 1
Fu 1, part, none) (Kind) (Number
Heat. System GFWA Type of Roofing Shake Ext. Finish Wood & brick Int. Wall Finish dry
Use of Bldg. Single fam. residential .ti /2.1.40 cp6 • No. of Units'Bedrooms 4 +_
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existingtand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH 40(6c" State License No.
223-01 RH-H0-0 -313LZ
Ind. Ins. Acct. No.
See att. plot plan
RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing PermltB3
1 m Heating Permit Uni ted
ns to H Sewage Permit W
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
--- SOUTH
I hereby.,certify information s_ r,, ted orrect and there are no other structures . a -d on this property except
as shown. ,,a:- ...-' /��� / - r-
G.- Owner or ?'.5'...t / — D- e
A LAND USE OR STRUCTURE PE• IT MUST BE ON THE PREMISES BEFORE/CO .STRUCTION COMMENCES.
THIS IS NOT A PERMIT. 1
( Q-c.., `"kit, may` DO NOT,WRITE, ELOW THIS LINE
l v
Your street address will be c25 ..- _I % `/_ ..„7. 1.7� The zong.- _/
Sewage Permit Number Issued Building Permit , / Receipt ::ued
Remarks I
Form 523 Bldg. Code
I \
-,Nsi)
APPLICATION FOR CERTIFICATE OF EXEMPTION
}
PLEASE PRINT OR TYPE l3
1 . Applicant's Name: J ?'Yfc:�/O[ // C,G(�C'y' Phone: Res: Bus:627` 13.35
Address: S c ,e_•entaLA4? ice City: �p[s 1,--a, State: elk_ ZIP: q9 206
2. Legal Description of property for which this "Certificate of Exemption" is being applied
for: Section Township Range
.. _____ A _____ _ 0I -.
--, -- -�-_— -- - �-iitr.� --- - � ��
t
3. Parcel Number (From Tax Statement or Assessor's Office): #3 2.51/1-1111&-/3074/173757'
5 -1— '-/3d 7 73757
4. Size of said property: Square Feet: -4,f1/6 /9jPro- Or- _- --
5. For which of the following reason(s) do you believe you qualify for a "Certificate of
Exemption's?
(For each box checked, please submit the listed documentation required to substantiate
your exemption. In addition, please submit an assessor's rima and an ownership micro
run of your property, both obtainable from the Tax Assessor's Office, with your ap-
plication).
DA. Division of land ten (10) acres or larger
DOCUMENTS OF PROOF: 1 ) Assessor's map and ownership micro run as requested
above.
B. Minor boundary or lot line adjustments
DOCUMENTS OF PROOF: 1 ) Adjusted legal description; 2) Copy of sales/contract
agreement.
("� land a L.- ct, t o
IL-_II C. The reconveyance of old lots, tracts, or parcels of lcu.0 Wii_�. _ 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 pr
} larger.
DOCUMENTS OF PROOF: 1 ) Copy of deed or dated copy of sales/contract agreement.
0 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:
` !d L.f P ,4i p>''Ci✓'e / It cvl e p`ict D/ (; 1-6 A)e 1yj Z,�T/r c' i
I, the undersigned, swear under the penalty of perjury, that the above responses are made
i 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-
kmation is required. I also understnad that, should there he any willful misrepresentation
1 or willful lack of full disclosure on my part, Spokane County may wit draw any a royal that
4 it might issue in reliance of this application.
F i4
Signed. . Ir , i jig ,�1� ,�/..-,.._',��yy ��'�� Date: Ov�T///9 �
/ .
NOTARY SEAL Notary: ,V' ', 0/-/1,- L.
Date: v- / 0 /
CEI "1 E n. l '
SPG'(A,yc Cu- ilTY
PCANNINP ;EP„?TAnENT
4 /
APPLICATION NO. (•`C=-033-7 k/
SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APPLICATION
iWhereas, 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 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.
4.11
PPR)V DENIAL
- Certificate of Exemption - - 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
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 0. 3h . dinu ce 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 .
i • The applicantShall comply with all ro" 1
quirements and regulations of the Spokane g
County Zoning Ordinance.
2.
2. The applicant shall comply with all re-
quirements of the Spokane County Health
:dist Viet regarding the placement of on- a
site water and/or sewage systems.
3. t
3.
•
According to the Spokane County Short Plat
4. Subdivision Ordinance, the division of
land that you propose to develop is defined i
as a Short Plat and you will be required to
comply with the requirements of said Ordin- 1
ance prior to issuance of building permits.
This "Certificate of Exemption" is and shall P
run with the land and shall be applicable to
the applicant, owner, their heirs, succes- r
t
sors cr assigns. k
APPROVED THIS a DAY OF , 19�. DENIED THIS DAY OF , 19
--6
hort Plat Administrator Short Plat Administrator
SPOKANE COUNTY SPOKANE COUNTY
PLANNING DEPART- ac. r t PLANNING DEPART-
MENT STAMPLY vrs'j MENT STAMP
r
THIS CERTIFICATE MUST ACCOMPANY
YOUR BUILDING PERMIT APPLICATION a,
r
Vr--.
4
"-...1.-------
5
�t•�� 9y`-- •1
1 'e >
r ',.f , 3.e„,,c// � l
Z0
/' /20
N
Z
r4 STO,ky N .2y, Zo
1 H2O
y --)C,iK
r ''''' __ ..
/ .
,, ___.(,_,
\ 1
` _________ ...,,. .
� _3 5 , _ c am
_I
0
2vth
' : -ig-. 0
10
L0 N,Wr /2 L, r7e. 2_ 132DADMOc7,.Z• �S7f1TES ,?,rl• N40o/E.
Baa 3s`