1978, 09-04 Permit App: N0450 Addition•
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 7C/
GENERAL REQUIREMENTS PERMIT FEE .
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.
• WATEhl 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 Allan B. Simpson Address N. 1325 An knr Rd. Phone 92(217
Architect Neil Id. Simpson Sr.
Engineer Address Phone
Contractor Nei? :7. Simpson .jr.
Address T. 93C)3 Rrnadw�y Phone 92)1-0356
Address L. )303 Brondway Phone92)1-n35A
Legal Description of Property (Give plete description from deed, tax receipt, etc.) Parcel Number
1� (rrn. icrs irr. dist. pt _ of R9`2 Rrr, pt sennr of al/2 tl�. N. 1(
119.01 ft. N. of S. ,. cor. of N.1/2h. ; to sh cor of 1/2 ti e to .,v
# 07554-0916-1 and # 07551-0920-0 see attached
rrl _i
)(7.3 ft_ th t Til:—)
;;c S,.
ROADWAY R/W WIDTH
DESCRIPTION OF WOR : New Addition
Size of Lot 6051 x 1691
Remodel C Moving Bldg. Zone / Fire Zone -3
Stories _Dimensions 261 X 5t31 includes 261 x 261
Rooms _3_ Baths
Heat. System
Use of Bldg.
1Basement full
(Full, part, noneT
elect f. a. Type of Roofing Finish T-1-11
residence — NF V.) ADDi• a 14o.1 .SD F+oB
Foundation Const.
Sewage System 56•(-"hn c Const. frame
t (Fr., Conc., Br., etc.)
Total Sq.Ft 1 08 '% %7 cv
5 Valuation i000--
ga age
('L) MIT'
•
Ch
imney N-4 Fireplace bri ek
(Kind) (Number
Int. Wall Finish drywall
No. of Units ...IBedroomsl new
4 existing (old)
Roo 1.k d r 6 A -T f f�(4JAL d 4-777NE E) 606" IU: 6 k
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.
rn
col
NORTH
SEE ATTACHED
SOUTH
I hereby certify informationsubmitted is cor -et and there are
as shown.
State License No.
SI-MP-SN-1,1231KZ
Ind. Ins. Acct. No.
W -ctj
IDENT A COMMERCIAL
REQUIRED
Plumbing Permit Gold Seal
re Heating Permit 1 & 14
HSewage Permit Pi rerel to
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
9/7"F „a/Lel.°
other structures located on this property except
Owner or Agent V Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks /
DO NOT WRITE BELOW THIS LINE
N PMRV E — Kom7
Issued Building Permi
The zone is t-6 R iC t4Li%f l`AL
Receipt Issued
•
Form 523 Bldg. Code