1992, 02-06 Permit App: 92000670 MH s
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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 authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 920006 70 APPLICATION DATE= 02/06/92 PAGE:::: 0
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK. WITHOUT A PERMIT
SITE STREET= 10010 E 9TH AVE" PARCEE...O : 20544-0913
ADDRESS= SPOKANE WA 99206
PERMIT USE= DOUBLE WIDE MOBILE HOME
PLAT:*::::: 002704 PLAT NAME :::: UNIVERSITY PLACE
BLOCK= 9 LOT=- i 2 ZONE= UR....:,,5 D I S T N::=:: E..
AREA= F/A F' WIDTH= 145 DEPTH= 75 R/W- 60
OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= OGILV.IE:., JACK F PHONE= 509 928 0927
STREET=C"= 1001o E 9TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= JACK OG..YILVIE PHONE NUMBER= 509 928 0927
BUILDING SETBACKS : FRONT= 25 LEFT= 10 RIGHT= 25 REAR= 26
* :.x*****•N:****************** •** REVIEW INFORMATION •R•*•p:•*****************. **ar.•*r:
DEPARTMENT REVIEW COMMENTS APPROVAL.. COMMENTS
BUILDING SETBACK REVIEW E,E-.frUI:E REQUIRED
___....... :_.�_ _.g a_.........
ENGINEER I:NL E:E4 NEW COUNTY ROADAPPROACH f�- c� e
".Q. �--.�lA! r rl
* **************************** MOBILE HOME PERMIT *************************•>t:
CONTRACTOR= UNKNOWN PHONE=
STREET= UNKNOWN
ADDRESS= UNKNOWN WA UNKNOWN
YR/MAKE= 1979 T I I.ON MODEL=
SE: REAL_: w WIDTH= 24 LENGTH= 64 HEIGHT= 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
INSPECTION FEE 2 100.00
,'TATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 18,00
PERMIT TYPE FEE. AMOUNT AMOUNT PAID AMOUNT OWING
MOBILE HOME PMT 122.50 ,00 122.50
122,50 -00 122.50
PROCESSED BY : WENDEL..; GLORIA
PRINTED BY : WENDEI_. , GLORIA
******>ik***xii•* *********' **p;**** THANK YOU ***** :•****. **a:•*** :•*•M•.R**r:****
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NOTICE
It is the responsibility of the permittee, not Spokane County, to see to it that the use described on the fr nt of this permit
complies with applicable codes and requirements and that required inspections are requested. Failure t 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 minim, m, the following
inspections ARE REQUIRED by County Code:
1. FOOTING—when forms and reinforcemenare in place and prior to placement of concrete
NOTE:This inspection includes review of the structure's setbacks from property lines.Minimum setbacks
established by County zoning regulations.Typically,side and rear yard setbacks are measured from property
lines, whilesetbacks for nd abutting ttmeasured from the line the i of the
roadway right-of-way,whichever provides the greater setback from the center line of the roadway ripht-of-way.
Curb lines and fence lines are not necessarily indicative of property lines.In some residential areasdthe County
can own as much as 20 feet of right-of-way between your property and the actual improved stre t/curb.The
responsibility to comply with applicable setback provisions lies solely with the permittee—neith r Spokane
County nor its authorized representatives assume any responsibility for the verification or loca ion of your
property lines.Please verify their location prior to locating your structure.Failure to properly locate t,e 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 framing, bracing and blocking is in place,and prior to concealing.
4. INSULATION prior to the installation of drywall.
5. PLUMBING—after rough-in, before covering, and final.
6. MECHANICAL— rough-in of piping, before covering, 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,
concrete, etc., must be inspected prior to cover. Check with the department for"special inopoodoou" 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|RCUk1GTANCEG, 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: ';'fi 2 0 V Q 9/3
STREET ADDRESS: /C2C2)/4 z==-7 , 72/ ,44/
CITY/STATE/ZIP: 5/9e2Ye l AJC, 9 �
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: T<z-c fl PHONE: c=`9 - .21(- G''i.7 7
MAILING ADDRESS: /G/o ff � , T Ai/e
CITY/STATE/ZIP: SSD 7A'.A9 JLC; GC�/�• g��
CONTACT: S A me /4c PHONE: - -
SETBACKS: - FRONT: 2S' LEFT: /0 RIGHT: 7S REAR: 26
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: 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:
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area 0/0:
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
Basement- Finished:
Unfinished:
Garage:
Carport:
Decks:
Additional Areas:
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SPOKANE COUNTY PLANNINOr'DEPARTMENT-
APPLICATION FOR ADMINISTRATIVE EXCEPTION
(OTHER THAN LACK OF PUBLIC STREET FRONTAGE)
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FILE NOIs i -"e-i, ,,,,,-,•!:' -
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A. GENERAL INFORMATION • ) ,-:•„••:,,c:N7,--..c,
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Name of applicant: .TA K fr-", 06 ;1.1),b- Agent '''''4-.1. ' '''''A
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Mailing address:address: /0/or 4---, 8"1--- Aide,*
, ;,-,J, =, . , 1.,, ,t,-- ' -" • i4,Iirt.t.,"%,4tr kit`'.. '
City: 59a Ne S1tate* te_49- • 71-p Code4-t
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PHONE-Home: '2 ii"- 092 7 ''Work: ' • ' t'.i-k; -..:'• ':::'it''',1'.',. .','•-g.:1:1 ;::.
I applicant is not owner of property, need written authorization for applicant foierve'cis'a:
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Legal owner(s)' name: (7-4-og F; CaiLiii& - '.: '' -Phone: ?26- 0?
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Authorized agent(s)' name: ----- '' ... --,.,,,,* , . ',,,Y::,-' '
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Parcel No(s) 46 zo i67 Section20 ..-.*-1,itr'mkyV,,',i,7f,,v,4,,cc:-,i- '.,:4.1-,c;';-,,p'.,.-fY-.1.,-,.,e4:4,,..,,i.,-e-..rw,-.-'4'':,'11 4-0.41.4,",:, "-*- *--s•_-.-.1'.,:::c,*-,:-
Township:'/ '-.,s--
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Legal description: , , - • r diet 4- -/i id-17i '* AtiAiLts ext:5-;5-4..;L,c-i--":P;'.' ' ''.;..i:
ii4mi,-(5. 4=-4s-r- .SF - /3/c•aA- 9 . '.--f'•I'''''ll'.,'..4'4 ' ' -'':,?<2.1,g t'• :,/"';,'.• !' '-'41;',.. ;,'''''t;' .'''....,:77<-7..1777:7$1.::;,"?',
e.,, ..% < ' •..,'', •4 4 -1 141)41.15k.5
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Current zoning: kg- '3. -.a ', Comprehensive,Plan:-3,;u` ut. b •0... t5li,---;A.,.„0,-;,::;::';',-":2`,,if •
.• .?' , • , 1. ''',,S4','`; '14:.' - , .....1;,--.7.0,, • , - -4,7,7-*77.-•-';‘,7710:* -
1 1 J , 4'4,. ,.4, ' ).:`1 pp'',.* '-' ' - ',:,.‘1‘§.k• le-t4i6.. ,,,.
Arterial Road Plan; (Deer ( .,?...et SS "!` ' ;.% 14'''' -'.. r.1:: -u11,:,:1-,k7,A-,2-•
''.- - t .',., fr oi,e.,--kW,.. • r.;:::
Current use of parcel: artea.„5- ,..<,,74 ex/97.7•Ai, .57250etit 'Shed' -' t'-.' ' ''''-'11171'sh'''k;ska.:,4i4-11;:t'..,4/'','''',';..1--;'
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Street Address of Subject Parcel:_ lae3/4" ..... 9...d ,we „5-70c. I•
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B. SPECIFIC INFORMATION ,,, , = , ,- - . : ' ' i'' LIT r.I'POir,t'.
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Administrative exception requested(5,1_escribe in terms og standard from whichse ' g re4ef) kiV.,-.4 .. .
,,A,,..vp Code jec7-,11-/-Kee,04 a c.c2//s. ic";oie 4 kese, )117--ch" ;1/.o•7"--
X es'5 7*a/../ 9../2.4 ...r/IA( , ç/?2 eo,e - -"X c e 4 77,,,c, To, ,04/Iebte,„,-' - -..,,,,:
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.,t=,.'et-,It.!4(1°-!.*:•°,r- - ,, .. s cc-4,z-'' - rc'e.--:,..,-,' - -vAtig-t4,-"ttea.,1%.7‘
Applicable chapter/section of Code: I q.: 863. C)('O 3 ,..;. ,41,-:-•-.1,,,}',i-,
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Explain reason for requea§t: 74e Reee..50.A, i• Akeeis. is /,4 47- eve
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--Attach site plan with proper dimensions and other supportive information. -."-4.,
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I swear,under penalty of perjury,that: (1)I am the owner of record or authorized'agent for the p.roposed ate ,{�,' o' F=',
not the owner;written permission from said owner authorizing my action$on his/her behalf is:ittached,Yap r :,,,,�
of the above responses and those on supporting documents are made truthfully and to the best of t ty knowledg',4 1,
�K /"s OGS/vie x - �•:•,......„„
Name: ,
Signed: �/� / Orj ;'t s Y� � 'F4;:'<:;4:; "Si'''.
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State of Washington ) °, :;FF w `tf1 '`
County of Spokane ) gx • , , ,I �. r, s ..
On this day personally appeared before me •
--x
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to me known to be the individual(s)described in and who`executed the wit},.,,and fore o ins enr'�aan'
acknowledged that he/she/they signed the same as his/her/their free and voltintary act and dee54,f e uses , _
Purposes therein mentioned. '° `�" , "
GIVEN under my hand and o this -L day of a v 4(If u, =; , 1 , � ,,N
,4-1`‘‘„‘M.L.P h� '% i' C'`
o-4 •vhksN7•• 11 # � t ;
NOTARY PUBLIC or o as ngton,residing at !t/'l�C- :4;..,7A:
•
i0i ent expires " _ / /ff9%ta
Srp �j -tj
PLANNING DEPA' ' , '\� 4 _ .:: •NNEL ONLY,'. File No:': ,,
THE PLANNING DEPAR ...1...--°1•T. All "' THIS"ADMINISTRATIVE EXCEPTION"FOR THE PROPERTY ':::.,i..,,_,n:',,-",
DESCRIBED A§OVE,PURS • • -• =' •NING CODE OF SPOKANE COUNTY,SECTIONS 14.506.000 ANDh, �,
14.506.020 1 ,r f p�
THIS ADMINISTRATIVE EXCEPTION IS SUBJECT TO THE FOLLOWING CONDITIONS AND/OR ULATIONS, x
sus
1. The applicant shall comply with all requirements and regulations;of the Zoning Code r , £
2. The applicant shall comply with all requirements of the Spokane County Health District and/or UtilitiesF;�
Department regarding wastewater disposal and on-site water or public water systems: , r x, z
3. The applicant shall comply with the following additional conditions: 1 %
a.- exr
THIS ADMINISTRATIVE CEPTION SHALL RUN WITH THE LAND. ,: i,r f
DATED THIS 2 DAY OF 19 ��
X '
THIS CERTIFICATE MUST ACCOMPANY-'Y, g1.., ...! 1 . ) -,-. - '' ' I 4', !,:,,,-:','•.- 4: . .,,,:„.
OUR. BUILDING PERMIT ;APPLICAT .• a );
IF APPLICABLE ' ,i • 4 ? s f sM . i.
NOTE: THE APPLICANT OR AN INTERESTED PARTY MAY FILE AN APPEAL WITHIN;20 CALENDAR DAYS QFt 1 1#�
ABOVE DATE OF SIGNING. APPEAL MUST BE ACCOMPANIED BY A$100.N FEE. APPEALS MAY BE F :ED
THE SPOKANE COUNTY PLANNING DEPARTMENT,BROADWAY CENTRE BUILDING,NORTH 7 JEFFERS• !i. r' " :��'
STREET, SPOKANE, WA 99260 (Section 14.412.041 of the' Zoning Code of Spokane County) ,t 1, "
• ,, ",':-
SPOKANE COUNTY PLANNINJ DEPARTMENT, 721 NORTH JEFFERSON,SPO 1 ,WA, 8 5 t , y ,„�.
`-�!j!� ti .ie (509)_456-2205 ' ,M ';',":71,.
/Git�C1 d G14e> 6 44)/1 C-6,5 ‘ .
(�/ ( 'J// /, ' ti e;.} R X3,3';.���
AE App. � ,;.,,,,...0.44-4,‘;',',%-M
Rev.1/91 ( 3 /1 ge 7_ Nt 7l/h l & 1 '
4 ',C.-","fri"-N-.'
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APPLICATION FOR CERTIFICATE OF EXEMPTION
APPLICATION FEE-$18.00 APPLICATION NO, „(,'F /6% -i/ 2 0)
1. Applicant's Name: Pvb eti:7• rid . C 0iV R il J) Home Phone: 7% • 68.3/
Business Phone:
Address: S 1C 2 /'1 EP. / /.D R h .
City: ' i<'w.ve State: ie/'I Zip: J 1 2c,
2. Legal description of property for which this"Certificate of Exe�o "is being applied:
Section: 20 Township -2 5 Range within Spokane County,Washington.
lril,Vi vr°A s—;1/4 n a e „ i ~ ,
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(3 9
'E E ,t2) - _
3. Tax parcel number "7 'Jro2D . o/.- 094'” ro Jrty. Prosize: (sq. ft or acres) 7.5
?: :';;6
S. Zoning: '' �
r 3• - 6. Comprehensive Plan category: t''27,‘,---)---
7.
'h:-,7. Intended use of property: R eS r ra e4,-7-1 P.)
8. I,the undersigned,swear under penalty of perjury that the above responses are made truthfully and to the best
of my knowledge. I also agree to furnish any further documentation that may be required by the Subdivision
Administrator. 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.07 /
SIGNED: . C - --71-
a. eo-r-L-I-r-c--e-e--- 1' / &/ i'Z--
Date
NOTAR :!fit'. .i . Ar, :A < '�.)j�L._
Notary Publi• rn,,j,�i�rfor the tate of W. hington G�1�'l�• L'D��.,�
Residing at 'Ali .o, ..- �i� : °� WAsy/4 .
My appointment �xpires 1t�.( � � J ,1 �,
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f • go Y �AL
•
STAFF ONLY tikkv?y pa.0\:-
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ka \.
.1- . -'s DIIVISION ADMINISTRATOR FINDS THAT THIS"CERTIFICATE OF EXEMPTION"IS
1/4_APPROV •/DENIED FOR SAID PROPERTY DESCRIBEDABOVE,PURSUANT TO SPOKANE
•• ` SUBDMSION(S)SECTION . ?� . ') ',//
THIS CERTIFICATE OF EXEMPTION SHALL BE SUBJECT TO THE FOLLOWING CONDITIONS
AND/OR FINDINGS:
pe applicant shall comply with all requirements and regulations of the'Spokane County Zoning Code.
he applicant shall comply with all requirements of the Spokane County,Health District and/or Utilities
T
Department regarding wastewater disposal and on-site water or public water systems.
C) The applicant shall comply with the following additional conditions: •
,. t .,tear• i, l
THIS CERTIFICATE OF EXEMPTION IS AND SHALL RUN WITH THE LAND,AND SHALL BE
APPLICABLE TO THE APPLICANT,OWNER,THEIR HEIRS, SUCCESSORS OR ASSIGNS.
4-1
APPRO f ENIEI1 THIS / DAY OF 4Z,6477 , 19 `?v'� .
f
7)/--,,, ,7 .,/ e/q/.7?<.-- ,-,
THIS CERTIFICATE MUST ACCOMPANY YOUR BUILDING PERMIT APPLICATION
SPOKANE COUNTY PLANNING DEPT.,721 N.JEFFERSON,SPOKANE,WA 99260 (509)456-2205
CERTIFICATE OF EXEMPTION ISSUED BY SPOKANE COUNTY,WASHINGTON
•
APPLICATION NUMBER:
TAX PARCEL NUMBER:
This CERTIFICATE OF EXEMPTION is an official document and shall run with the land and be applicable to
the applicant,owner,their heirs,successors or assigns.
2. Legal Description-continued
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• 8. Additional Comments-continued
Conditions and Findings-continued
rev 2J91;sam
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