1976, 09-20 Permit App: L5483 ResidenceCotonfy of Spokane, Washi tgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 JOB #327
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._ irareiriAg
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 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 Kappen Construction, Inc. Address N_ 2312 Pines Road Phone
Phone 928 -8660
Architect Address
Engineer Address Phone
Contractor Kappen Construction, Inc_ Address N. 2312 Ines _Road �,Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, et. Block , Lot 14)Sherwood Forest ',
070 -as -Sty
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone f Fire Zone
Size of Lot,80' )(139.89' Sewage System septic r}�oust. frame
(Fr., Conc., Br., etc.)
Stories EImensions 22x38x48x24x26x14 Total Sq. Ft 1776 valuation$44,550.00
Rooms 6 Baths 2 Basement ful 1 Foundation Const concrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number
Heat. System Pi PC. f/a Type of Roofing shake Ext. Finish Wood Int. Wall Finish qyp• bdo
Use of Bldg. single family dwelling _unfinished basement No. of Units 1 Bedrooms 3
garage =528 sq. ft. 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
—1
NORTH
RESIDENTIAL — COMMERCIAL
See attached
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
—i
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ertify inf coati n submitted is correct and there are no other structures located on this property except
illas shown.
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
51;, ,icy DO NOT WRITE BELOW THIS LINE
Your street address will be l.- 7.Z! i� �lr
" di The zone is
Sewage Permit Number Issued Building Permits {�(?j Receipt 3r Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928 -8660
PLOT PLAN
Requested Price ,IY rC /J
Lot Cost '7100. 1
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Mortgage Co. Qbm,rnQvce,
Power
�J3J3 ;Water Co.
PTum6er `Excavator
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ELEVATIONS:
'Crown of Street
Finish Floor
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Legal BiK. 3
Address:
Scale: I��= 2O
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