1995, 10-13 Permit App: 95008441 GaragePROJECT NUMBER= 95008441 APPLICATION DATE= 10/13/95 PAGE= 01
******
THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 7107 E 5TH AVE PARCEL#= 35241.3407
ADDRESS= SPOKANE WA 99212
PERMIT USE= DETACHED GARAGE (36 X 40)
PLAT#= 000735 PLAT NAME= EMPIRE HEIGHTS ADD
BLOCK= 2 LOT= ZONE= UR -7 DIST#= G
AREA= 00013970 F/A= F WIDTH= 110 DEPTH= 127 R/W= 60
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= SCOTT, RICHARD L
STREET= 7107 E 5TH AVE
ADDRESS= SPOKANE WA 99212
PHONE= 509 922 1464
CONTACT NAME= RICK SCOTT PHONE NUMBER= 509 353 6016
BUILDING SETBACKS: FRONT= 72 LEFT= 15 RIGHT= 59 REAR= 15
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS: ;ft /
BUILDING SETBACK REVIEW REQUIRED �'_Lt_fi /
A CF. --�
_&-PY? 2/ela
INCREASE IN LOT COVERAGE PA- ' l */-
COMMENTS:
IILLTHDI
COMMENTS:
******************************* BUILDING PERMIT *******************************
CONTRACTOR= SPOKANE STRUCTURES INC
STREET= 510 N MULLAN RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 927 0655
NEW= X REMODEL= ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= 16 STORIES= 1
BLDG W X D = 36 X 40 SQ FT= 1440 SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
GARAGE
U-1 VN 1440 17280.00
PROJECT NUMBER= 95008441 APPLICATION DATE= 10/13/95 PAGE= 02
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 189.00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE Y 37.80
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 231.30 .00 231.30
231.30
.00 231.30
*********************************************************4*******************
* SITE NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
SITE ALSO INCLUDES 35241.3415
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address?
ASSESSOR'S tax parcel number?
. I 0-2 S+A 352-y 1, Sl5
Legal description as it appears on the property deed 1
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Lag 04L X310J_
OWNER or OCCUPANT
cLa ct 1_ S c. -++
Mailing address
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Phone
coq -92z -/S/6(
City, state
544 a v -e(
1�GCr �-r
/
project? RC1 Phone
9zz-i y
Whoohhould we contact regarding this
(c -t: Q
What work is being done under this permit?
S -bp- -(2
Zip
.353- 60 4
one
Inspector district
Pro . - rty size
Right of way width
Water district
Building;;
Building height
/;
# of stories
Contractor
Dimensions
26 w- 92
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Mailing address
2nd floor area
/3'V'
Unfinished basement aria
-Finished basement area
Architect/Engineer
Garage area
rf�L
Size of decks, etc.
What is the heat source?
What is the cost of your project?
st17 X00 c�
(Manufactured Home
Sian
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm _+
Tent
Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Li tat C+nrono Taniir,Q
ISwimrrmina Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
okane County does not discriminate on the basis of disability in the admisaion to, or treatment or employment in, its programs or activities.
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Site Plan
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
N
❑ Underground utilities
❑ North arrow
0 Septic tanks & wells
APPLICATION FOR
CERTIFICATE OF EXEMPTION
APPLICATION NO. to »3 9
sr-
COMPA43ITON FILE NO. Wee`- (I �% - 9 S
Business Phone:
1. Applicant's Name: (Rk ck cc o#4 Home Phone:
Address: E , 7 /O 7 53/44 A-cr2
City: -S6(20 Ka,.,v State: 60 A- Zip: 99232 _
2. LEGAL DESCRIPTION of property for which this "Certificate of Exemption" is being applied:
NOTE: if the property is bei divided or changed - - - provide the NEW LEGAL DESCRIPTION below.
Section ,` Township 5 Range within Spokane County, Washington.
rm,,1e c #71-s 2wei . 4, / Z f, 2212 3 anted LU 2e mc o-4 L 2y o M 1.ct Z
continued on back
3. Existing tax parcel numbers) .3fi o?u /.0 390 7 . 3S// S�
4. Total existing acreage 133 i 97 0 sq 61r5. New property size: (sq.ft. or acres)
6. Zoning: IC/Z'-`l / 7. ComprehensivePlanCategory: LLl-hci�
8. Existing or intended use of property: _/7..9.4.-rae,-,.L c
. continued en back
9. Existing road frontage name: elf* Arita Feet of Frontage
NOTE: Minimum Road Frontage must extend into or be adjacent to the property as required per ZONING. If access is
by Private Road, a copy of recorded Private Road Easement must be provided with this application and the AUDITOR
RECORDING NUMBER entered as "Existing road frontage name" above.
lo. I,L P1 r Lc. 2c4 I c ca (print name), swear under penalty of perjury
that the above responses are made truthfully and to the best of my knowledge. I also agree
to fumish any further documentation that may be required by the Planning Department. 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 on this application. I also have provided written permission from both property
owners, if thisapplicationis f r a "minor lot line adjustment."
SIGNED: �1��--c11-1--1n 4- t3 t (49 5
Applicant Date
STAFF ONLY
THE PLANNING DEPARTMENT ISSUES THIS "CERTIFICATE OF EXEMPTION" AS INDICATED
BELOW FOR THE PROPERTY DESCRIBED AB,QVE, URSUANT TO SPOKANE COUNTY
SUBDIVISION ORDINANCE, SECTION
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 ZONING CODE of Spokane County.
2. The applicant shall comply with all requirements of the Spokane County Health District and/or Utilities
Division and/or County Engineering Division regarding wastewater disposal, on-site water or public water
systems and - cess and roads, respectively.
3. If above legal is new, the applicant shall file SEGREGATION APPLICATION with the County Assessor as
soon as possible after this application is approved. Not required when denied.
4. If private road is used, no building permit can be issued until the standards Chapter 3.05.050 of the County
Code have been complied with for the location and construction of the private road.
5. The applicant shall comply with the following additional conditions:
continued on back
6. THIS CERTIFICATE OF EXEMPTION IS FOR AND SHALL RUN WITH THE LAND, AND SHALL
BE CABLE TO THE APPLICANT, OWNER, HEIRS, SUCCESSORS OR ASSIGNS.
THIS /3 DAY 6F 19 95
RECEIPT NUMBER - DATE
Xek
Spokane County Planning Department
THIS CER l it-ICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY, WASHINGTON
SPOKANE COUNTY PLANNING , 1026 W. BROADWAY, SPOKANE, WA 99260 (509)456-2205
THIES CIERIWICATIE MUST ACCOMPANY YOUR IBUEDI G PERMIT APPLICATION
SALE/DEVELOPMENT/DIVISION SEGREGATION
This application is to be completed in its entirety before processing.
1 ...Ai Vlil 1\YIIIVVI\al •
(�
APPLICANT
Name (ic..I_otr L. S<o-4-E
Address P i/n") 544 fiCr-to
City Cr to A„ -Q
Stote GOA- Zip 992(2
Phone (so9)9Z2-yfe6q Work (5f9) 353-60l6
OWNER (IF NOT APPLICANT)
Name .SA -me -
Address
city
Stole
Zip
APPLICANT IS:
ilk Owner t 1 Purchaser
❑ Lessee ❑ Other *
Name
TAXPAYERS)
C LA.r, oJ: L Coc'1'4
Address F• 7 /n"? 54A 4,g
City Cin Kae Q
State (,,t) A- Zip 9Q Z( Z
Nafyte . _
Address r" CcL1 a✓+fir (�� ~ _
CitY
CUONtYPSSBssorofspe ,old
Stpte- _. tr7111 .�1
UF SPOKANE
Address — 9
City
State Zip
Add sheets if more taxpayers
inrcumer l alsI true `r9Dy c e f that
ow on f9
le in rin offs
�:r1c caveat
copy
Tax Status:
(Year) age
NOTES: // QQ
Edimite)
PLEASE READ BEFORE SIGNING: Division of land for the purposes of sale or lease must be divided in
accordance with applicable stale and local laws governing such divisions. (Contact your Tocol city or county
planning department for futher Information) Complete this form and return together with supporting
documents (if any) to the Spokane County Assessors Office at West 1116 Broadway, Spokane ,W4 99260.
Telephone:456-3696
"This segregation application is for the sale lease or tronsfer of property info more than one owner -
/43k
(Dote)
shi conlroct, dged of nv'y,�ce or for financing arrangments': ( Please sign below.)
r «�
Applicants Signoture `owner oragent)
PLANNING DEPARTMENT REVIE\
Approved Date:/)73`9
❑ Denied
deeTta
(Official
Date received:
Checked by:
Field Book number
Approved by:
(Signature)
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