1976, 08-16 Permit App: L5097 ResidenceCounty of Spokane, WaslLi ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE$27,00
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 KAPPEN CONSTR., INC. Address N. 2312 Pi nes Road Phone 928-8660
Architect Address Phone
Engineer.Address Phone
contractorKAPPEN CONSTR. , INC. Address N. 2312 Pines Road Phone q2R-Rti60
Legal Description of Property (Give complete description from deed, tax receipt etc 1 Int ? Mork 1, 11th Add. to
Veradale Heights
-1)44✓tc cid / �S(/L — 2. tf-n 4
DESCRIPTION OF WORK: New XX
Size of Lot 125'x86.23' -
Stories 2 Dimensions 24x36
Addition
Remodel Moving
Sewage System septic Const. frame
(Fr., Conc., Br., etc.)
Total Sq Ft 891 Valuation $28,950.
Bldg. Zone / Fire Zone
Rooms Baths 1 Basement full
Full, part, nonel
electric Type of Roofing
single family dwellin
Heat. System
Use of Bldg.
Foundation Const
concrete
comp. Ext. FinishWOOd
g- unfinished basement
•
Chimney (none Fireplace none
(Number
Int Wall Finish cIYp• bd.
No of Units 1 Bedrooms 2
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 plot plan
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby cert' y information su fitted is correct and there are no other structures located on this property except
as shown.
«Xaa
Owner or Agent
Sl/6,911
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSNtUCTION
THIS IS NOT A PERMIT. -
DO NOT WRITE BELOW THIS LINE
� ,r/
Your street address will be 144:31' J�
Sewage Permit Number Issued Building Permitceipt ?Sj4� Issued
Remarks
The zone is
COMMENCES.
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price '=?8 91-370--r`
Lot Cost d10200°2 -
,:Y
Z.
Basic:
/Dr'
39, .
a ✓9
1-
ELEVATIONS:
Crown of Street -E9
Finish Floor «iL,
C oudPirL
274-S 30
FF_"802;
FRA -Base -f
Sq. Ft.
L. f
l'
,
h j
O
Scale. //C- aD
57
Legal
r
Legal /pT.3�
Address:
2/a -L /j /l eQ /Add h demeia/e ,
4esi ed, ).
'.Mortgage Co.
2. Power Co.
J
Number
0/72 /ne PC
;Water Co.
L C-6/754)7:4-47,4
;Excavator ,
(7
cl t --/-ti
Aged Q4 ru// &a seAns. 4-7 -;;:'
3 le , 2occ6is/ /t/ efJ
vt,