1977, 09-20 Permit App: M3441 Residenceiii✓
V lil `Your street address will be
(fir Setage Permit Number
l Remarks
Clnty of Spokane, Was*gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $30.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ...,,
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
whiare enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Hca',t— c Lion Address E. 9212 Montgomery, Suite_ -C n��Q ,�'
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen_&_Associates, Inc..Address E. 9212 Montgomery #402 Rime 922-1690
Legal Description of Property (Give complete description from deed, tax receipt ole
Lot 3, Block 5, Midilome'Addition 33 -2S44 -
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 130.00' x 70.00' x 150.00' x 90.00'
Moving
Stories SF_Dimensions 24' X 40' x 22' X 24;
Rooms 5 Baths 1 Basement Full Foundation Const Concrete
Fu I, part, nonce
Elec. b/bdrype of Roofin Comp. Ext. Finish Wood -
Single Family Dwelling - Unfinished Basement
Bldg. Zone / Fire Zone
Sewage ,stem Sower Const.Frame
5-c,_2_, (Fr., Conc., %(., e'£.
9
Total Sq Ft Valuation 0.00
Chimney none Fireplacen One
Heat. System
Use of Bldg.
(Kind) (Number
Int Wall Fin"sh gyp• b •
No of Unit_ Bedrooms L
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.
NORTH
RESIDENTIAL - COMMERCIAL
See Attached
SOUTH
I hereby certify information submitted is corre
as shown.
T
N
y
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
are no other structures located on this property except
Owne, or Agent Date
�q1 LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
nIIHIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS L NI�EEl44/
J j1
The zone isterrt�f-�/ _/lila nc I. =
Issued Building Permit Receipt ,00.P.-1 Isued
' 3
arctic)
607)
Form 523 Bldg. Code
•
Carl Kappen & Associates, Inc.
E. 9212 Montgomery,`,Sui'te 402
Spokane, W. 99206 V.922-1690
PLOT PLAN
Requested Price3 9,9ro-J'%'
Lot Cost 7 apo '
Basic: S9 Ft.Legal L L f 3
)W r
-A G S tr7aLni 7-
9o.00'
ELEVATIONS:
Crown of Street/ 'S
Finish Floor - 97
Scale:
g9 2 L ,994-
FAA -Case A ; Jo6F f`•
r Address: < v
_ 4,Mortgage Co. y'#II__2
' JC'CI� L/)G �.f' �'✓lp�1 bo�✓n�. /%Gi7., t/i 1^i 1!� i-
PowerCd. ; 4later Co.•
g t
q,. Plumber ; Excavator .
• � n-,.. 1 1