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1978, 08-23 Permit App: N0227 Residence County of Spokane, Washington . ; BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 c. -cep, APPLICATION FOR LAND USE OR STRUCTURE PERMIT , GENERAL REQUIREMENTSSt- PERMIT FEE.__ 2. 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 conTorm 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---1--€'D 1.h) )Pk'� Address G -7t_3-2-0 ts1'.. ,f��<-+'f Phone '240 -4--X1-3-6" Architect ' Address Phone Engineer Ki m 1J Address Phone Contractor Address one Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number ".."/..6 '3 -- C (SFT ' \l A 04- Ler ', E /5' •0 TE 1.2,1 r L DESCRIPTION OF WORK: New M Addition Remodel Moving Bldg. Zone / Fire Zone 3 Size of Lot 7-.X .11 ) - Sewage System ConsCFMMl -s/L IJ-, 1 onc., Stories Dimensions / ?4Total Sq. Ft./1=7"4T-----1Valuation Rooms Baths Basement ` r Foundation Const. /L.;.3 t' Chimney Fireplace is Fu I, part, none (Kind) (Number Heat. System 7C • Type of 'oofing '‘..-2> e Ex . Finish--7, "',/—t [ Int. Wall Finish e'-Y 1 :- Use of Bldg. .4- 2r,Z .4 - r" Z ,7AC No. of Units__Bedrooms S it} (oo NNP ER, 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. f--/ c) e'y J 7__' CJ St Li ense No. Ind. Ins. Acct. No. S 16' ' 1-¢ DE L-COMMERCIAL 'Po.''- REQUIRED Plumbing Permit 7( ; p4N\ 11 Heating Permit V ,� ilt- l �7 Sewage Permit I 6.:1417 ! Plans Received ( Plans Checked Plans Returned ( Plans Picked Up 11 Jl vr" l'"*" —1 Plans Mailed I hereby certify information submit correct and there are no other st• ctures located on this property except as shown _ JO Owner or Agent Da, e A LAND USE OR STRUCTURE PERMIT MUST B ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. THIS IS NOT A PERMIT. 014 rAP-P 442-3/'S DO NOT WRITE BELOW THIS LINE Your street address will be s—, 600 0 Ii 'TA AVE— The zone is , )Ci/k)L Z1VL—SU$ Sewage Permit Number Issued Building Perm /1 A, I Receipt S.41)9 Issued Remarks F Form .523 Bldg. Code APPLICATION FOR CERTIFICATE OF EXEMPTION PLEASE PRINT OR TYPE j 1 . Applicant's Name ` , Ael:_,No..... Phone: Res: Bus: `r L., Address:1 2 2.1"` ►E City: State: . t, ►... ZIP:CiGa4 2. Legal Description of property or which thi- "Certificate of Exemption" is being applied for: Section Township Ran:e S / . :>' ` 1 _LILf ]4 . /5! ot- L-01- er T- ,c 15� l l it' "at /fid MEM 1 . Parcel Number (From Tax Statement or Assessor's Offide): # e 4;-, -..V ? (,4:, i 14. Size of said property: Square Feet: 51 /C) () Or Acres: Intended use of said property: vt `- 1 6. For which of the following reason(s) do you believe you qualify for a "Certificate of Exemption"?: (For each box checked, please submit the listed documentation required to substantiate your exemption. In addition, please submit an assessor's mat and an ownership micro run of your property, both obtainable from the Tax Assessor's Office, with your ap- plication). DA. Division of land ten (10) acres or larger DOCUMENTS OF PROOF: 1 ) Assessor's map and ownership micro run as requested above. s Ea B. Minor boundary or lot line adjustments i DOCUMENTS OF PROOF: 1 ) Adjusted legal description; 2) Copy of sales/contract agreement. y QC. The reconveyance of old lots, tracts, or parcels of land which were separate • and distinct when purchased, although the purchase thereof makes the divisions contiguous. DOCUMENTS OF PROOF: 1 ) Copy of tax statement; 2) Copy of deed or dated copy of sales/contract agreement 0 D. Division of land created prior to March 13, 1978, which is five (5) acres or larger. DOCUMENTS OF PROOF: 1 ) Copy of deed or dated cony of sales/ccntraet agreement. U 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. -- DF. 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- tract agreement. 2) Notarized affidavit attesting to said relationship. 7• Additional comments which may substantiate your qualification for an exemption: 1, the undersigned, swear under the penalty of perjl.ty that the above •esponse 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. Signed .-r . _Air -6.- !/'Date: P" / 7 i! Y NOTARY SEAL I�, %ate i ` .Ci Date REC EIVE41 ,,,,._.,_. , ___,____- AUG 11 1978 SPOKANE COUNTY 1 PLANNING DEPARTMENT L .....) APPLICATION NO. (-OZ 7 L 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 1 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 I 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 S_,.ort 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 - Certiic ._ ' xemption - - Certificate of Exemption - 1 The Short Plat Administrator finds that a 0 The Short Plat Administrator finds that a "Certificate of Exemption" should be and "Certificate of Exemption" should not and i hereby is issued for said property, as de- hereby is not issued for said property as Iscribed 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- ? dinance Section2.2$ ft33I -1338/ dinance Section , for the follow- 1 Z 1 Approval of said "Certificate of Exemption" ing reasons: and issuance of building permits, shall be i subject to the following conditions: 1 . a 4 K!) The applicant shell comply with all re- --"'-- quirements and regulations of the Spokane 1 i County Zoning Ordinance. 1 2. • Q The applicant shall comply with all re- quirements of the Spokane County Health i I District regarding the placement of on- site water and/or sewage systems. 3. i 3. i i 4 i According to the Spokane County Short Plat L{.. Subdivision Ordinance, the division of 1 land that you propose to develop is defined as a Short Plat and you will be required to I comply with the requirements of said Ordin- e ance prior to issuance of building permits. 1 This "Certificate of Exemption" is and shall run with the land and shall be applicable to a the applicant, owner, their heirs, succes- , ? sors or assigns., e 1 i APPROVED 'THIS LV DAY OF , 19k. 1 DENIED THIS DAY OF , 19 1 1 f i S % t Plat _ dministrator .cbcrrt P1 ,9.-t. AclItratcr SPOKANE • 'I PLANN�`aG ©`" SPOKANE COLTTT1 811 JEFFERSON STREET PLANiV/5 r ic'.' 99201 PLANNING DE I_��' MENT STAMP Kip WASHWGTON T STAMP 1 8POKX J THIS CERTIFICATE MUST ACCOMPANY \ YOUR BUILDING PERMIT APPLICATION ...