1976, 11-23 Permit App: L6314 ResidenceCounty of Spokane, Washington JOB #105
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE .4.32.110.
PERMIT REQUIRED. A land use or structure permit is required byCounty 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 moaning 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 Pinpc Road
Architect Address
Engineer Address
Contractor Kappen Construction, Inc. Address
N. 2312 Pines Road
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Veradale Heights
Lot 2. Block 1,
Phone
Phone
Phone
Phone
11th
928-8660
928-8660
Add. to
/tri tied sty ys�1—.a ¥o 2 -
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone -J- Fire Zone .3
Size of Lot 125' x86.23' x125' x86 23' Sewage System septic Const, frame
(Fr., Conc., Br., etc.)
Total Sq Ft 1004 Valuation$30,950 00
Stories 1 Dimensions 40' x24'
Rooms 7 BathsBasement full Foundation Const roar rP tP Chimney neap Fireplace none
Fu I. part, none)
(Kind) (Number
Heat. System el ec. b/bdType of Roofing comp. Ext Finish wand Int Wall Finish gyp hd
Use of Bldg. Single family dwelling -unfinished basement No ofunitsLBedrooms 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.
NORTH
RESIDENTIAL - COMMERCIAL
See Attached
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informatioq submitted is correct and there are no other strut ures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
mils IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be /'7, ,&e.€ AeDQC7 The zone / A.2 % ,/ 5v
Sewage Permit Number Issued Building Permi6 3i/ Receipt LL ?/I7, Issue
Remarks
Form 523 Rhin. Code
1
KAPPEN,CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price
Lot Cost
N
ELEVATIONS:
Crown of Street -0- 7G'
Finish Floor ..-7Z-
1-
Basic:Sq. Ft.
'Y —
/oo /2 e L /op,/
FRA -Base v !-366-F
L / e S
Scale:
L
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dater Co.
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y :Excavator
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Address:
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