1978, 07-27 Permit App: N0034 Garage County of- Spokane, Washington -�l
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 f').--7
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APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 COVENANT. 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 Lar r•t,/ T. h e%n Address /a/it 1 � �
• ' phone 5 '/ 706,Y
Architect / Address Phone
Address Phone
Engineer r
Contractor A.,.,,.,�-x-i Address S• S�1 lit,N I U Stt' Phone "t aR--SSI O
Legal Descripti of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 2.5 '12.— 2 3�{.a
1-o T 6 (C.-o C-k. 3 ) x"r-c,Qc-r 0 L 5 A EA)I,"V L ti
e1-0.fi 06 UV...V.,-2.- ?‘" C P I.-el---St po 167 5 a-`^9-- C-ac�.,w�tA l UJ-1"1-, cc'iX21 to
RO'ADtIA'i VW WW It0 i
DESCRIPTION OF WORK: New , Addition Remodel Moving Bldg. Zone/ / Fire Zone
•
Size of Lot 2'7 ' X wZ�
a I
" Sewage System / < <L' Cons.C , Br., etc.)
Stories Dimensions . O Total Sq. Ft. 2'.-1� Valuation 4)MO,Co
Rooms Nil Baths BasementI Foundation Const. C.OI C r 6t E.. Chimney Fireplace sf i7
(Full, part, none (Kind) (Number
Heat. System Type of Roofing C, 0\r•CV'e• Ext. Finish -T 1 Ir t Int. Wall Finish
Use of Bldg. Qi Ni$,LoJ3,�/ c t ��9) r'ZQ-O LCNo. of Units Bedrooms
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
2 3--01 s.0 - Wz--EC,--423gz.P
LIT Co 63Ncc'k 3 I hnof^rCty A ITtotJ Ino. Ins. Acct. No.
c_.ru.v-��ye4._ .-2_5-to Eye, 6-f7-7 YW`F5"
P%-."1" b c\v.v..e.. .`‘ )t, '/ off' 91,-14\S t e I SecK. RESIDENTIAL-COMMERCIAL
cou.ny� tv+P, , 4ia REQUIRED
LOT-
,...5.5.
o
OST 4S 5. �8' 0 , I ` `O Plumbing Permit
,�� �C . ,. re Heating Permit
ut < `41 I\ " AN K 3�5��4"%i- to Sewage Permit
!.O / .4
.4O ' �O . Q
N 1=o tti N C�c;6,T lG 1- '. qt-
A •(t Plans Received
Citj-Al2AQ� t '11 mcr9 A, 71/<,'I°
'' 8th. P.ot: CJ Plans Checked
K . 3$:(, Ore u-S-� I*-13!q� --�
Plans Returned
‘76
(z-o •o Plans Picked Up
Cr �� C` Plans Mailed
` .r1'Z i . 8-tk. SOUTH $ +►i- i+vt" T60b0
I hereby certif information sub d is r t and there are no other structures located on this property except
as shown. wIP t � 1� �� — �7
.er or Agen ate
A LAND USE OR STRUCTURE RMIT UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
en Your street address will be 0,. ' � I 43 c The zone is qG1 i ._ S U'
Sewage Permit Number Issued Building PPrmfI1i Rece t 5_)/ ' Issued
Remarks
,;,.,,ll /1,34
Form 523 Bldg. Code
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____..
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APPLICATION FOR CERTIFICATE OF EXEMPTION
PLEASE PRINT OR TYPE
1 . Applicant's Name: Larry G-, , etr Phone: Res: Cl DL.- 70 Bus: 9', q -I/5o
Address: / ,-,.. -7;a l �, / City: ! vp K(zAie State: \&)q, ZIP:gQ (.(Q
2. Legal Description of property for which this "Certificate of Exemption" is being applied
for: Section ,„.. Township S Range 4/4
cry 7
. Ado 8!o c. 3 (I\0-t``'oc.,v.S C�Cil. c. c,. Lei' ,
T .\- cwt. 4- .+r a - =� 0 •---.c.)
-� e-)0 r`-k V•-,.`,AL 1 ----- ti\\ cv-- p k.......,S `S us_,��tlL?`\.S i)(--LcC:e_ .. 5(-LI-,D3(( 1
Th
3. Parcel Number (From Tax Statement or Assessor's Office): # �, `�y.....1,-..21111111231(8
4. Size of said property: Square Feet: /S'c 70 Or Acres:
5. Intended use of said property: el-)2 Li CAA- . ) . v_ ► ,i • -e (-)-C ,
6. For which of the following reason(s) do you believe you qualify for a "Certificate of
1 Exemption"?:
(For each box checked, please submit the listed documentation required to substantiate
Iyour exemption. In addition, please submit an assessor's 22. and an ownership micro
run of your property, both obtainable from the Tax Assessor's Office, with your ap-
plication).
0 A. Division of land ten (10) acres or larger
DOCUMENTS OF PROOF: 1 ) Assessor's map and ownership micro run as requested
above.
EB. Minor boundary or lot line adjustments
1 DOCUMENTS OF PROOF: 1 ) Adjusted legal description; 2) Copy of sales/contract
1 agreement.
1 0 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
1 contiguous.
1 DOCUMENTS OF PROOF: 1 ) Copy of tax statement; 2) Copy of deed or dated copy of
1sales/contract agreement
DD. Division of land created prior to March 13, 1978, which is five (5) acres or
i larger.
1 DOCUMENTS OF PROOF: 1 ) Copy of deed or dated copy of sales/contract agreement.
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.
i
i D 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-
1' tract agreement. 2) Notarized affidavit attesting to said relationship.
t 7• Additional comments which maysubstantiate
i your qualification for an exemption:
i
i
1
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.
111. IV* 6r
Signed: 11 f I_ sate: 7 /42222/1
NOTARY SEAL Notary: _I 1, , . Date: 7 /77 /
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APPLICATION NO. E—O7_ - -
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.
APPROVAL DENIAL
- Certi icae 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-
1 dinance Section 3.3`4, . dinance Section , for the follow-
1 Approval of said "Certificate of Exemption" ing reasons:
I and issuance of building permits, shall be
1 subject to the following conditions: 1 .
6 The applicant shall comply with all re-
quirements and regulations of the Spokane
County Zoning Ordinance.
2.
0 The applicant shall comply with all re-
i 4
quirements of the Spokane County Health 1
1 District regarding the placement of on-
site water and/or sewage systems.
7
-J.
According to the Spokane County Short Plat
1
1 4. 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- i
I ance prior to issuance of building permits.
This "Certificate of Exemption" is and shall y
run with the land and shall be applicable to t
M
the applicant, owner, their heirs, succes-
1 sors or assigns.
APPROVED THIS DAY OF40;4/44?' , 1q2E. DENIED THIS DAY OF 19
i
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i
ISho Plat Administrator Short Plat Administrator
1' SPOKANE COUNTY SPOKANE COUNTY
PLANNING ; R�QUNIYJpFFERSON STREET PLANNING DEPART-
MENT S ;'1"^"-N ONE;WASHINGTON 992 MENT STAMP
SP
i
;:f THIS CERTIFICATE MUST ACCOMPANY
`\,., ' YOUR BUILDING PERMIT APPLICATION