1976, 09-20 Permit App: L5486 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 JOB #333
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $44,00
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 mast 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
Architect
Engineer
Contractor
Kappen Constr., Inc,
Kappen Constr., Inc.
Address N. 2312 Pines Road Phone 928 -8660
Address Phone
Address Phone
Address N. 2312 Pines Road Phone 928 -8660
3 Sherwood Forest
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 1 Ot 17, Block
DESCRIPTION OF WORK: New XX Addition Remodel
Size of Lot 139.81' X66 ®36'x99.79' x66.35'
Stories Dimensions 22x24x22x10x42x26x42x8
Rooms 6 Baths 11/2 Basement Foundation Const. COncretP
(Full, part, none
Heat. System elec. f/a Type of Roofing shake Ext. Finish wood
Moving Bldg. Zone
Fire Zone 3
Sewage System cep ti C �r+ oust. fram
(Fr., Conc., Br.e , etc.)
Total Sq. Ft. 1620 Valuation S41 ,450.00
Chimney hr(Kind) l Ck Fireplace 1
(Number
Int. Wall Finish gyp. bd.
Use of Bldg. single family dwelling-unfinished basement - garage 528 g.No. of Units.. Bedrooms 3
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.
m
H
NORTH
RESIDENTIAL — COMMERCIAL
See Attached
SOUTH
I hereby ce tify information sub itted is correct and there are
as shown. //� /
42en tgenten
State License No,
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
• Heating Permit
• Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
no other structures located on this property except
_ � o 7�
Date
A LAND USE OR STRUCTURE PERMIT MUS1 BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be C q 1J6- C-(ecia1. J The zone is
Sewage Sewage Permit Number Issued B ilding Permit The zone
)3 Issued
Remarks
Fr,r,n S71 RI-lr. C'nrie
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928 -8660
PLOT PLAN
Requested Price di 41`0.
Lot Cost pp. 6a
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ELEVATIONS:
Crown of Street
Finish Floor
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