1978, 10-03 Permit App: N0907 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT tf-p
GENERAL REQUIREMENTS PERMIT FEE I'
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 mast 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.
f APPLICANT FILL IN BELOW THIS LINE
Name of Owne .../Me.". F L. '� I ,_'i Address :' 7-2- - one �o� 6 �9 7
Architect _� Address C.. .I' . FPhone
Engineer Address Phone
Contractor a—(2— Address Phone
Legs Description ofoperty (Give complete description from deed, tax receipt, etc.) Parcel Number 4 --- I _
E '"i 3 /d ' °1g' ,z 2'1 d Gc17z ��', /dot
of
ROADWAY R/W WMDtH -=.0
DESCRIPTION OF /
WORK: New 1/ Addition Remodel Moving Bid . Zoe / Fire Zone
Size of Lot / 6 y 47.2 Sewage System 1� + Coast
.
Stories Dimensions o2g '/ " '+ , Y X.2 ' , _ _,,.....A.Total Sq. Ft. �� Valuation
Rooms Baths (Fut B set erns /4 Foundation Const. (71W1-21, Chimne Fireplace
,..../ (Kin N umber
Heat. System G/ O / 4 Type of Roofing I pfit, El t. Fi ish _..e1(/ Int. Wall Finish ��CC��L�
Use of Bldg. r„n c__i--J a7 x' --� No. of Units`Bedrooms 2
D51 PLOT PLAN
ir 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 State License No.
ak (M :JQ
Ind. Ins. Acct. No.
., _>4),/, itaeild _
RESIDENTIAL MMERCIAL
REQUIRED
Plumbing Permit
m Heating Permit
no to N Sewage Permit
-I -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby���z��ttify informationiosubmitted is correct and there are no other structures 1 ated on this property except
as hown`�G� 6 /uts 7s-
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRI E BELOW THIS LINE
• /
Your street address will be /7/.5-/.5- , L. Zt Lia,i1t,, 1' The zone _
Sewage Per t Number Issued Building Perm Receipt !
Remarks �}11.0.!--T
�� � alit /'Issued
Form 523 Bldg. Code
-
BEFORE THE BOARD OF COUNTY COMMISSIONERS OF SPOKANE COUNTY, WASHINGTON
RESOLUTION NO. 78 1; "tEE
IN THE MATTER OF )
DEDICATING ONE FOOT )
STRIP ON WALNUT ROAD
COUNTY ENGINEER'S ROAD FILE NO. 2155 RESOLUTION
WHEREAS, In the dedication of streets within Mission Hills First Addition
No. 1093, one (1 ) foot strips were reserved and dedicated to Spokane County as general
County property; and
WHEREAS, The County Engineer has received a request from adjoining property
owner for access; and
WHEREAS, The County Engineer recommends approval of this access request.
THEREFORE, BE IT RESOLVED By the Board of County Commissioners of Spokane
County, Washington, that the following one (1 ) foot strip be and is hereby
dedicated for road purposes :
The south 70 feet of the North 170 feet of the one foot strip
shown as Lot 10 Block 2 of Mission Hills First Addition. Located
in the Southeast Quarter (SE 1/4) of Section 8, Township 25 North,
Range 44 E.W.M.
BE IT FURTHER RESOLVED That the County Engineer is directed to cause a
copy of this resolution to be recorded in the Office of the County Auditor.
PASSED AND ADOPTED By the Board of County Commissioners of Spokane County,
Washington, this 2nd day of October, 1978.
BOARD OF COUNTY COMMISSIONERS
OF SPOKANE COUNTY, WASHINGTON
•
HARRY M. Q ED,CHM:
RAY W. CHRISTENSEN
•
ATTEST: VERNON W. OHLAND
CLE' IF THE BOARD
4010:,4
of "or 1=-ACALL 41/
PEPUTY /'
. APPLICATION FOR CERTIFICATE OF EXEMPTION
PLEASE PRINT OR TYPE
1 . Applicant's Name:.i 1-1,4 7r 7 t/V (r L J_ Phone: Res: 9',%'L.; --x,/9 7OBus:
Address: E77 •3A,20,4 ,Jl-Ii4 c City: S744IT-4N (am- State: )1/4¢J'// ZIP:yy�."kJ
2. Legal Description of property or which this "Certificate of Exemption" is being applied
for: Section Township 5 Range
® _ — Pt.. 1 a 13/e / e /z i ti 3/- 1 w /z.
Ciice . A/ do Ad • ,S. 200
3. Parcel Number (From Tax Statement or Assessor's Office): # 0 tj-'y'v - o;i :Q' V
4. Size of said property: Square Feet: i S'"v-,_ Or Acres:
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 i
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).
QA• . 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.
QC. 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
ZD. 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.
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:
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
or willful lack of full disclosure on my part, Spokane County may withdraw any approval that
it might issue in reliance of this application.
ii
I Signed:= �^�% r cJ- � ? Date: l' / -3 ei / 2.1-
/
Notary: a' :30 /
NOTARY SEAL T.o tart':� `�, ��� -e� Date:
1
APPLICATION NO.(F 6s -- - i
SPOKANE COUNTY SHORT PLAT SUBDIVISION ORDINANCE
NOTICE OF ACTION ON CERTIFICATE OF EXEMPTION APPLICATION
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 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.
------Y-
APPROVAL 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 Section2.2S .3 / '/3.38/ PCW S8172/O 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 .
(9
The applicant shall comply with all re-
quirements and regulations of the Spokane
County Zoning Ordinance.
2.
4 6)
The applicant shall comply with all re- 1'
quirements of the Spokane County Health i
District regarding the placement of on-
site water and/or sewage systems.
3.
Z
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. 6
This "Certificate of Exemption" is and shall B
run with the land and shall be applicable to
the applicant, owner, their heirs, succes-
sors or assigns.
•
APPROVED THIS /1 DAY OF , 19/E. DENIED THIS DAY OF , 19
I
/ ( rt Plat dministrator Short Plat Administrator
SPOKANE COUNTY SPOKANE COUNTY
PLANNING DEPART- PLANNING DEPART-
MENT STAMP MENT STAMP
i
THIS CERTIFICATE MUST ACCOMPANY -
\ YOUR BUILDING PERMIT APPLICATION
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