1991, 08-27 Permit App: 91005350 Addition SPOKANE COUNT, �����' ������ �D� ��U���U�K��
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VV. 13O3BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorizea
provisions included herein and agree to comply with same.All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91005350 APPLICATION DATE= O8/27/91 PAGE= 01,
****** THIS' IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
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SITE STREET= 9812 E 9TH AVE PARCEL4= 20543-1517
ADDRESS= SPOKANE WA 99206
PERMIT USE RESIDENCE ADDITION - FAMILY ROOM' UTILITY ROOM/ & BEDROOM
PLATO= 002367 PLAT NAME= SHERWOOD FOREST (WHISPERING PI
BLOCK= 5 LOT= 17 ZONE= UR 3.5 DI%T#= E
AREA= 000000O8 F/A= F WIDTH= 87 DEPTH= 135 R/W=
0 OF BLDG%= 1 4 DWELLINGS= i WATER DIST =
AVY= P D PHONE= 509 928 2465
= 98i2 E 9TH AVE
ADDRESS SPOKANE WA 99206
CONTACT NAME= PETE BUSTER PHONE NUMBER= 509 534 5604
BUILDING SETBACKS : FRONT= EXIS LEFT= 15 RIGHT= 26 REAR= 40+
****************************** REVIEW INFORMATION **************************
DEPARTMENT REVIEW COMMENTS APPROVAL COMMENTS
-----~_--- -------_-------_---_---------- /
BUILDIN� PLAN REVIEW REQUIRED rL::rT::'T::::f:':::: ::
BUILDING SETBACK REVIEW REQUIRED ' ---��` '
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BUILDING ENERGY PLAN REVIEW REQUIRED �-�����'- ~�T� ��'
HEALTHDI%T INCREASE IN LOT COVERAGE -����� � -�--------� -�'-� � � '
PLANNING INADEQUATE FLANKING ST SETBACK A- It «/
******************************* BUILDING PERMIT *.191**������*-* � ,*��*���#�$1*
9 V
CONTRACTOR= HYDROCARBONSPECIALTY CONT INC PHONE= 509 534 5684
STREET= P 0 BOX 13040
ADDRESS= SPOKANE WA 99213
NEW= REMODEL= ADDITION= X CHANGE OF USE:
DW-LL UNITS= i OCCUP . LD= BLDG |fGT= STORIES=
BLDG W X D = X SQ FT= 871 SPRINKLER= N
REQ PARKING= 4:HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RES ADD R-3 VN 071 28743.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
________ __________
SIDEN IAL VALUATION Y 278.00
STATE SURCHARGE Y 4 .50
COUNTY SURCHARGE Y 44.48
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
BUILDING PERMIT PERMIT 326.98 .00 326.98
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326.98 .00.0O 326.98
PROCESSED BY : JULIE SHATTO
PRINTED BY : JULIE SHATTO
******************************** THANK YOU *********************************
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NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it thathe use described on the front of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure to request required
inspections and obtain the necessary approvals prior to progressing beyond the point where inspections are required may
necessitate removal of certain parts of the construction at the owner's/permittee's expense. At a minimum, the following
inspections ARE REQUIRED by County Code
1FOOTING —when forms and reinforcement are in place and prior to placement of concrete.
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks are
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
|i"os, while setbacks for yards abutting streets are measured from the property line or the center line of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway right-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areas,the County
can own as much as 20 feet of right-of-way between your property and the actual improved ote*llcu,b. The
responsibility to comply with applicable setback provisions lies solely with the permittee— neither Spokane
County nor its authorized representatives assume any responsibility for the verification or location of your
property lines.Please verify their location prior to locating your structure.Failure to properly locate the structure
may require its relocation at the owner's/permittee's expense.
2, FOUNDATION--when forms and reinforcement are in place and prior to placement of concrete.(Blocking for a
manufactured home is required to be inspected prior to the installation of skirting.)
3. FRAMING —after all haming, bracing and blocking is in p|aoo, and prior to concealing.
4. INSULATION — prior to the installation of drywall.
5. PLUMBING after rough-in, before covering, and final.
8. MECHANICAL— rough-in of piping, before covei^0. metal chimneys before concealment, and final
7. FINAL --when complete and prior to occupancy and/or use. Please provide 24 hours notice.
NOTE:In addition to inspection of the structure,this inspection includes review of site improvements(typically
depicted on the approved site plan)required by ordinance or as a condition of approval of this permit,Items such
as the installation of fire hydrants,fire department access,on-site drainage("208 swales"),road improvements,
parking,and landscaping are common requirements of a permit/site plan which must be completed prior to final
approval of a building or issurance of a Certificate of Occupancy.
In addition to the above any plumbing or mechanical systems or materials which would be concealed by framing, drywall,
, nonomte, etc., must be inspected prior to cover. Check with the department for "special inspechono" in conjunction with
commercial projects.
CALL 456-3675 FOR INSPECTIONS.
TO INSURE PROMPT SERVICE, PLEASE GIVE 24 HOUR NOTICE.
YOUR INSPECTOR IS
UNDER CERTAIN C|RCUMSTANCES, PARTS OF YOUR PROJECT MAY REQUIRE INSPECTIONS FROM OTHER
AGENCIES:
• road cuts for utilities or drives, State or County Engineer's Office
456-3600
• on-site waste disposal system, Environmental Health District
456-6040
• construction in a flood plain, County Engineer's Office
456-3600
• electrical wiring. State Department of Labor and Industries
456-2792
• sewer connection, County or City Utilities Department
456-3604
EXPIRATION
Unless otherwise noted, this permit will be considered null and void by limitation of the work authorized by the permit is not
commenced or is stopped for a period of 180 days, unless a written request for an extension of the permit is received and
approved by the Building Official prior to expiration.At a minimum an inspection should be requested at least once every 180
days to assure the validity of the permit. A permit may be renewed within one year of the date of expiration for one-half the
original fee, subject to certain limitations— please call us if you have any questions
MISTAKES?
If you think we've made an error in processing this permit or in conducting inspections pertaining to it, or find erroneous
information in the permit,please bring it to our attention immediately by filing a written request for correction within 10 working
days of discovery.All such requests should be directed to the Department of Buildings at the address found on the face of this
Spokane County ,
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ( ( G 12
J/LQ4 LL)
STREET ADDRESS: j Z ? w�
CITY/STATE/ZIP: S,c� .4- -A e-ei. / / '/
SUBDIVISION: 6 5
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: D/•qti.q C .t- u .:,� PHONE: -c'eg' - Z
MAILING ADDRESS: J 4 g"/ e
CITY/STATE/ZIP: ,:. ,,i7.1)--....9 ,--3--,y G�C---1i1
CONTACT: A )3 c i S --1 PHONE: -.C.>`/ - S 6
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: ,�O� S ��t! - •
K-1- � r` ? ' >717^�� �P2
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: )4s/0{40 v g 9. i-r en
CONTRACTOR: Al, 5. O. j, PHONE: - 5-3 (1- S-‘ ' V
MAILING ADDRESS: J.. ,c57,. "90-k / 3- V ' S -D//tis�;z -e--,c--.
ARCHITECT/ENGINEER:i.cm , 7''Gl?AS, ."„v/ PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE: _
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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SPOKANE COUNTY PLANNING DEPARTMENT
APPLICATION`FOR ADMINISTRATIVE EXCEPTION
(OTHER THAN LACK OF PUBLIC STREET FRONTAGE)
a:•
" '' FILE NO.: AE - / 7.7_51
A. GENERAL INFORMATION
hist-( '
Name of applicant: P.c 7 154)s T Agent: IV
Mailing address: e O- r'e ',, / 3 d
J
City: 5�o4 -va-,.z, State: w-"2, 7.TP Code: 9 9'Z'3
PHONE-Home: Work:
If applicant is not owner of property, need written authorization for applicant to serve ar agent.
Legal owner(s)' name: P/-9-4- c� a. "a Phone: 9 Z 7-z y L .�
Authorized agent(s)' name: P' :z . gv s Phone: Ss V .5-6 0 31
7
Parcel No(s).: gZO 3. 15 17 "' Section: gO Township: Range: V 7-- .
Legal description: I-a77- /-7 /3G /r S Suers-eu:O 69.1 `'/c .es /�'
`kh.•
Current zoning: t,l 7-14° Comprehensive Plan: C.' '5r, .1.0 ', { s -`
Arterial Road Plan; 9 zx r4 v h" Loc 4 L A c 4-X s s
3� s.
Current use of Parc- R ,�s ,f /7 •, 77.9 G. - t.. r i :.5 i T• ,
B. SPECIFIC INFOMATION, , f, s.
Admeidistrativd e�ption request-• (describe in terms of standard from which seeking relief) ,,, ,
/4 13"/Via`
' -S x >*- X3.9 c.4-4'`fL...,--/c...- e- s-7-.• X.4.•7' s.c 7''03-o.c., 4 = =,A,-;-
T 4 n Pdv�L,., T / s 1a-,' ^-.✓ 04-,e, T/4, .t) Y27• .a.v eeac,s ,'-i:i G
vM _ I y, 4/6. ?ec- AI. 3.
Applicable chapter/section of Code I '"/. 5^O�, e' z O p
Explain reason for request: 0. '/ r 4- /V-..----./c v. 2 T ati../.. ` LJ/
FL••►-vJC i.t, GL S' TiZ Ied r 'sx7- ag.Q• . & / L-,.c 4- eie/x ttii r 4 7 "0
Attach site plan with proper dimensions and other supportive information.
' Page 1 of 2 '
I swear,under penalty of perjury,that (1)I am the owner of record or authorized agent for the proposed site;"(2)if
not the owner,written permission from said owner authorizing my actions on his/her behalf is attached;and(3)all
of.the above responses and those on supporting documents are made truthfully and to the best of my knowledge.•
%
Name: o -�
Signed:" !` .� d� ���
qr
State of Washington ) "'
) ss:
County of Spokane ) :»
i �/�
On this day personally appeared before ine AOT7) bt36-7----)
to me known to be the individual(s)described in and who executed the within and foregoing instrument,and '<
acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and .4
purposes�therein
mentioned. * ,
• __ : Is t
y_ tt Ft
GlAiktfdl iffitt f=, i and official seal this c--2 day of ��� 19 it' ,4
`'OF VJAS/1 ./ , .Y
s :.,?` /us di. 0.1.N,
• �_;';� sy¢,'y. - tea$__'-'-_‘''''j:
'''': .^��, ` ij'� !E:
•r0YARY `i' ( for the state '1 Wt. ashington,residing at �'
i s „ek; <:.
�f 4;<FS APR•t;��sr, My,a pointment expires .6 � r�' ,4;,:,..,-..4,-:,A
k� 44 01 ••y pugs ; ,
PLANNING DEPARTMENT PERSONNEL ONLY File No:` AE -;rl1O7 F
THE PLANNING DEPARTMENT APPROVES/DENIES THIS"ADMINISTRATIVE EXCEPTIONn_1;ORTHE PROPERTY
DESCRIBED ABOVE,PURSUANT TO THE ZONING CODE OF SPOKANE COUNTY,SECTIONS 14.506000 ANDY ¢f` ;`
14.506.020 -� ii . rm
THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDTIIONS AND/OR STIPULATIONS .
The applicant shall comply with all requirements and regulations of the Zoning Code. F "�`>x
2. The applicant shall comply with all;requirements of the Spokane County Health District and/or Utilities r
Department regarding wastewater disposal and on-site water or public water systems. ''''i'`T. ,�,_
3. The applicant shall comply with the following additional conditions:
THIS ADMINISTRATIVE EXCEPTION SHALL RUN WITH THE LAND.
}
DATED THIS Z p DAY OF al*o-14— -, 19 , �s�Y
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
'k IF APPLICABLE
NOTE: THE APPLICANT OR AN INTERESTED PARTY MAY FILE AN APPEAL WITHIN 20 CALENDAR DAYS OF THE
ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED BY A$100.00 FEE. APPEALS MAYBE FILED AT
THE SPOKANE COUNTY PLANNING DEPARTMENT,BROADWAY CENTRE BUILDING,NORTH 721 JEFFERSON!--
,._
STREET, SPOKANE, WA 99260 (Section 14.412.041 of the Zoning Code of Spokane County)
SPOKANE COUNTY PLANNING DEPARTMENT,721 NORTH JEEFERSON, SPOKANE,WA 99260
(509) 456-2205
,: .r ted.
AE App.
Rev.1/91 Page 2 of 2
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