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1979, 02-14 Permit App: N1974 Residence Cour ,I of Spokane. Washin -s'on BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99260 APPLICATION FOR LAND USE OR STRUCTURE PERMI GENERAL REQUIREMENTS PERMIT FEE 1 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. RES yRICTIVE 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 Northwest Const- Ser_ & Assoc.Address jL. 70R ArgDDe suite G Phone 922-1705 Architect . . A8cEdssq� Z G _ Phone Engineer_ Address Phone _ Contractor Same Address, Phone Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 21543-9299 N. 65' of W. 130' of the S. 235' of SE4 SE4 SWk of S.21rya, 25m,, R.44 _ DESCRIPTION OF WORK: New X_ Addition Remodel Moving Bldg. Zone . / Fire Zone 3 Size of Lot 65' X 1 10' Sewage System_Septic_ Fonstonc.ns ., etc.) StoriesSplibimensions . 32' X 25' (a A 10 l- .-< Total Sq. Ft. Valuation 40 000.00 Rooms �— Baths—.L. Basement gull Foundation Const. Concrete Chimney (Full, part, none) (Kind) Fireplac(NNone Heat. System FEB Type of Roofing Crop Ext. Finish Cladwood Int. Wall Finish Drywall Use of Bldg. Sing)P Fermi ly RPq l enrP( No. of Units 1 Bedrooms 2 ROADWAY R/W WIDTH 5�! 7 PLOT PLAN 6 d Draw sketch with dimensions showing: (1) property lines; (2) street o l tides; (3) location of existing and proposed buildings; (4) distance to property lines and streets; (5) dimensions f uildings; (6) location of sewage sys- tem and water supply lines. NORTH State License No. On File Ind. Ins. Acct. No. See Attached On File RESIDENTIAL- COMMERCIAL REQUIRED Plumbing Permit en Heating Permit �+ a to H Sewage Permit -I -I Plans Received Plans Checked Plans Returned Plans Picked Up Plans Mailed SOUTH ` I ereby c- fy information submitted is correct and there are no other structures located on this property except a shown. �,-.,--= v2 Owner or Agent Date A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOTA PERMIT. PERMITS ARE NON-REFUNDABLE AND NON-TRANSFERABLE Id� DO NOT WRITE BELOW THIS LINE ,; .: I fYour street address will be e zone is WAIIIIILO.ff Sewage Permit Numb•r Issued Building Permit Receipt 7,;:4,e__ .ued Remarks 'i. 1 , Fon» 591 P,Irir, Coria APPLICATION NO. ` Q ____ SPOKANE COUNTY SHORT PLAT SUBDIVISION O DINANCE ~�4 �`` ,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 release 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 i all other information available, the Short Plat Administrator hereby takes the following acticn - on this "Certificate of Exemption" application, pursuant to the Spokane County Short Plat Subdivision Ordinance. • APPROVAL DENIAL. - Certificate of Exemption - - Certificate of Exemption - 1 The .Sho -Administrator finds that a . The Short Plat Administrator finds that a "Certi.ficate of Exemption" should be and here- "Certificate of Exemption" should not and here- by is issued for said property, as described by is not issu d for said property as described on the reverse side, pursuant to Spokane on the reverse side, pursuant to Spokane County 1 County Short Plat Subdivision Ordinance Short Plat Subd'vision Ordinance Section Section 3. 3. AT. $ . , or the following reasons: l Approval of said "Certificate of Exemption" o and- issuance of building permits, shall be 1 ' subject to the following conditions: - 1 .- The applicant shall comply with all require ments and regulations of the Spokane County Zoning Ordinance. 2. The applicant shall comply with all require- ments of the Spokane County Health District regarding the placement of on-site water and/or sewage systems. 3• 44 44 It According to the Spoka•`- County Short Plat Sub- division Ordinance, t'edivision of land that you propose to devel •p 'T defined as a Short • l Plat and you will b= req fired to comply with the requirements o, said rdinance prior to issuance of build'ng perm ts. 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 THIS Y OF " , 19! DENIED THIS DAY OF , 19/ _ _ t Short Plat Administrator Short Plat Admini trator , SPOKANE COUNTY SPOKANE COUNTY PLANNING DEPART- PLANNING DEPART- a MENT STAMP MENT STAMP 1 , ,THIS CERTIFICATE MUST ACCOMPANY < I . YOUR BUILDING PERMIT APPLICATION APPLICATION FOR CERTIFICATE OF EXEMPTION APPLICATION FEE - $5.00 " PLEASE PRINT OR TYPE • 1 I . App.1•icant-`s Name:-��-,, ;-_ C,.Jr, S, v-u c Zs Phone - Res : Bus Address: 11 . `"1- 1 . .- -� Ai nno ' � ° City:,s�,,,k „ State: cif). ZIP: c3C),Q 2. Legal Description of property for which this "Certificate of Exemption" is being applied for: Section ?/ Township 2 Range 1tl 4.1 / 7s- i1. (•5' Mi 130* .3 ais' gr .3e SE S/ sw 3. Parcel Number (From Tax Statement or Assessor's Office: # 9,54V7 4. Size of said property: Square Feet: 15 Or Acres: 5. Intended use of said property: _5 ,' ,� jy /� � )) 4, 2i1;(1 6. Zoning of said property: 7. 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 applicati37. — A. Division of land ten (10) acres or larger DOCUMENTS NEEDED: (l ) Assessor's map and ownership micro run as requested above. B. Minor boundary or lot line adjustments DOCUMENTS NEEDED: (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 NEEDED: (1 ) Copy of tax statement; 2) Copy of deed or dated copy of sales/contract agreement CD Division of land created prior to March 13, 1978 E. Division of land for the purpose of housing public utilities facilities F. The purchase of one separate and distinct parcel of land prior to March 13, 1978 DOCUMENTS NEEDED: (1 ) Copy of deed or dated copy of sales/contract agreement. G. A division of land to a spouse, son or daughter DOCUMENTS NEEDED: (1 ) Copy of deed/Quit Claim Deed or dated copy of sales/contract: agreement. 2) Notarized affidavit attesting to said relationship H. A division of land within properties zoned Residential Office, Local- Business, Commercial , Industrial , Manufacturing, or Freeway Commercial DOCUMENTS NEEDED: (I ) Copy of survey 8. 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 documenta- tion 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 information is required. I also understand 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. S IGNED: --e„Pr',„,J (7 A „„,1p,cr,, DATE: //y / NOTARY: DATE: /f / 7 I NOTARY SEAL Requested Price Lot Cost 9, , put). Vt . PLOT PLAN . © 6..5 1 1 I 1 1 i 9 E / 411) , vil it:,",iiki - ‘, e "° - i 1 Slobt \i Io L'6 he if+ v} iM _,.3..? ' b c. "' 0 ' va- w4I K Shet i ; h \ , uo,t .* \,, U �k \ v , t ; , A $ i +o S , ... ELEVATIONS: K" Crown of Street 4 O 01-d .-t-Ci-- Finish Floor ^ Scale: Basic: Sq. Ft. Legal lgii,S 79ii i ,.5 ' opc,.s. /3o ' S . )35 5; ki S k S44) -5 ,/ , 7-5 , e /y Model : Job # Address p .24 13 5 . / 5 / 5 Wood,..,.--d Mortgage Co. Parcel # Backwater Valve: Special Items: r.� 3/..5113 -.v c1 1; L , ' Power Co. Water Co. Garage: Front Alternate: wwID riN)a'c.( Zr". No11f. I1 ? rd C ) p Plumber Excavator Sewage; Fire Place: A,-e:A._s Lots} UMlley S . -' 1\1O n.)c_._ wire rnnu u 1 -7