1976, 01-29 Permit App: L2509 ResidenceJOB # 27
Co.lnty of Spokane, Wasllidgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS
PERMIT FEE 42.00
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 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 2312 2312 N. Pines, Rd. Phone 928-8660
Architect Address Phone
Engineer Address 99206 Phone
contractorKAPPEN CONSTRUCTION, INC. Address 2312 N. Pines Rd. Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 1, Block 2, 13th Addition to Veradale Hts.
t,,,-
DESCRIPTION OF WORK: NewAddition
Size of Lot See attached plot plan
Remodel
Moving Bldg. Zone
Sewage System septic
( Fire Zone c.
onst. frame
(Fr., Conc., Br., etc.)
(stories __Dimensions 62x24 Total Sq. Ft 1570
(Kind) Valuation 30,950.00
Rooms 6 Baths 2 Basement
(Full, part, none) full Foundation Const concrete Chimney none Fireplace
(Number none
Heat. System Elect. bbType of Roofing comp, Ext. Finish wood Int. Wall Finish gyp„ bd-
Use of Bldg. single family residence with attached garage No. of Units LBedrooms 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.
m
N
NORTH
COMMERCIAL
1042 sq. ft. in house
528 sq. ft, in garage
1570
SOUTH
m
N
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby ce'y information suitted is corrt and there are no other structures located on this property except
as shown.
er or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1/29/76
DO NOT WRITE BELOW THIS LINE
Your street address will be
Bolivar Road
Sewage Permit Number Issue Building Permit
Remarks 040
The zone is
Receipt / R 79 Issued
.)1 e
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
N. 2312 Pines Road
Spokane, Washington 99206 928-8660
PLOT PLAN
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Lot Cost
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Price 30, 93-0
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ELEVATIONS:
Crown of Street -5i_
Finish Floor _LLLE____
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FHA Case # , Job #
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Mortgage Co.
Power Co. Water Co.
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SPECIAL INSTRUCTIONS: 3 .EFL,
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