1978, 03-29 Permit App: M5516 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 3 L
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 CBC-RC Address P.O. Box 2704 T.A. Spokane Phone 838-6567
Architect Address Phone
Engineer Address Phone
Contractor
CBC-RC Address p phone P.O.Box 2704 T A. Spokane 838-6567
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number /" .7 - 414
Legal Jescription too long - see attached ,1/54y 7 —J5y 94, — _2//a / 0%/o !
iv / 9 vql . 4..srt� e11741 ` .4- ",t £ 4, Oho " ' ? ' .. r11$7..e
.d11.E1 `iio19:4-6,1, / q . /
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone '"1
Size of Lot 80 X 1 50 Sewage System sept i c tankFonst. Frame
Fr., Conc. Br., etc.)
' ' 8' 10' 1032 1+0,006.00
Stories 1 Dimensions 28 x 34 X Total Sq. Ft, Valuation
Rooms 5 Baths1 Basement full Foundation Const. concrete Chimney 2 Fireplace 2
Full, part, none) (Kind) (Number
Heat. System FAE Type of R fing comp T1-11 Ext. Finish Int. Wall Finish sheet rock
Use of Bldg. SF res i dence c__, - -er,"- No. of Units Bedrooms 2
A iv t o . PLOT PLAN
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.
RC CO N 279 B H
Ind. Ins. Acct. No.
See attached plot RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing Permit
rn Heating Permit
to H Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up '
Plans Mailed '
SOUTH
I hereby cer if. information subm ted is orrect and there are no other structures located on this property except
as shown. /
A
.er or Agent r:to
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
�I S11 OTA PERMIT.
Yourr street address will be 6, ///./DONOTWRITE BELOW THIS LINE -h1,---
�Z/_t-ems The zone is
Sewage Permit Number Issued Building PermittWil, Receipt Issued
Remarks
J
Form 523 Bldg. Code
(9e-0oGg- 7
iee" 72"N\
SPOKANE COUNTY SHORT SUBDIVISION ORDINANCE
-CERTIFICATE OF EXEMPTION-
Whereas, the Board of County Commissioners did, after public hearing on March 9, 1978
adopt the Spokane County Short Subdivision Ordinance, and
Whereas, the Board of County Commissioners inadopting 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 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 from jf.7(. 47-1.S -i4o-rk.
for a 'Certificate of Exemption' for certain property located in the unincorporated
teritory 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
finds that a certificate of exemption should be and hereby is issued for the following
property /0 /) z c ' <Lcx.,4 /9? d - u r k L( 9/ /i i-V < <1741/757//
¢1L C tGLe _/05' Ceed-V R /0 RO/ d 37 1 -4A /2 8'1
/r9 l�
61/p f SCS PS ) & 3 (/_
and shall be subject to the following conditions: cct+.wi Q) � rc.�
( ' i DGR est�c.c i� ; Z c r> ,� �/ off f 'CO vY Lt cx0_a n) (r
& tom?t n+�.c L C� rr.®r_et JO 0 -Cc:ack�-en-� 0 f112. {£JlJt.Lf l
GA-ci o.S f6) eve
Thid 'Certificate of Exemption' is and shall run with the land and shall be applicable
to the applicant, owner, their heirs, successors or assigns.
DA'Thll THIS q DAY OF /2/1-1,A-vet, , 19 .
7/ .
Short at Administrator
.01)
i
r
I
,. .
4
.‘..'-, i x.7 HI &\/ EN;..)Z
Ic• i
s4---- /
L E..G, I_ DC R i ,`:-.•--H 11\-;
CONCRETE- pkiviC - - 1
. 1 • i
, tr im AL-i< -ro 6 C
, 1 SE 6. rarTA C H E D
i • • :
1 - 4" ABovt,. c.,•izAo.s• -
' - rep or.x i
11 > ! I r • 1 1 1 12 EJ --r 6'4"
I i
N 0-1-E....•
! , ,
1 I ,
I ,
i---
/ ,i0.7.' r -r) I r--r 1 r---, s, $
t,„ n 4, 1 k ' ` ' '3 1 °,4
iai.14) _33 ____ ___ _ 10. P \..,.__C , K , , ! " It__
, -,.., ,......,
I
kil 111. ---2:t,'` I r •
3 7 ,ti .
(,-- t ' k...
I 4 --
, - so GAL
7 71L
„ - ."---#. 1----.
i 1 ;
.
:,--, , 1 I ; ____/..\ rj:
J uu 0
.y, ,
.
N ;
1 I
l;\i
... # .
I
1 I t I
1 1 1 1
1 1
, 1 1
# !
I
I
1
# I
I 1 1
4- I 1 # 1
I
1 1
#1,
1
1 ..,
N.4, '4, , _
I '*
I I t
I so
All1. N,
--*--- ,
\; •
37'
...
r.
CLRT1F ICHTL
I certify that I have surveyed ani 5tcsked the north half
of the north half of Tract 199 , dPPURILI ; 11Y , except the west
91 feet , except the east 474 feet and except the north 25 feet ;
ALSO the north 20 feet of the east `37 feet of the west 128 feet
of the south half of the north half of Tract 199 , OPPORTUNI11 ,
in Spokane County , Washing-ton, as shown hereon.
V : gene Cameron
Professional Land Surveyor
R . C . Construction �,�� �
Box 2704 T . A . N
Spokane ��-p� "ski
November 23 , 1977
�J ,
'S: t3Fi
�.f • C f[ 'C
2,1\—
40'
40' 0— /N1 I C A?ES /R ON P/PE
SC4 L£ : /-=-100'
— ' SIXTU ,AVENUE 0
`o 91 77.7Z�
A r
IA .
40.68 TRA C
37 /99
W
W
0.
0 SEVENTL/ AVENUE
45' I