1973, 02-15 Permit App: K567 ResidenceCounty of Spokane. Washington .-
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE. WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
WATER. Nater supply must be approved by the County and State Health Departments. Where work onwater 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 PROM 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 enfojceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL 111 BELOW THIS UNE
Name of Owner Kappen Construction, Inc. AddressSouth 25 Blake Road
Architect Phone Engineer
Contractor
Kappen Construction, Inc Address Snilth
Legal Description of Property (Give complete description from deed,
Lot 1, Block 1 ,ALOHA ADDITION
e ase
25 Blake Road
Phone WA 4-0771
Phone
Phone W.A.
4-0 /1
1
tax receipt, etc.)
33Sy2 6S (
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 89 ( X 125' �j Sewage System Set^rer Stories p
Const Frame Dimensions fig ,3-‘14-2-2 'c Z. g +_ 22 -x27 -Total Sq Ft /se ? Valuation 7 0 `3
(Frame, concrete, brick, etc.)
Rooms In Baths 2 BasementfUll Foundation Const concreteIFuChimney
electric 11, part, none) ODI OS1t bon
Heat. System Type of Roof in p Ext. Finish
Use of Bldg. regi dent,e� G(,e�✓ �(
Garage or Carport Attached
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance.to property
tem and water supply lines.
NORTH
Fireplace
(Kind) (Number)
wood. Int. Wall Finish gypsum hd
No. of Units I Bedrooms
Private Detatched —
PLOT PLAN
property lines; (2) street or road locations; (3)location
ffexistingsand
lines and streets; (5) dimensions of buildings; (6)
) location
SOUTH
en
M
y
I hereby certify informatioi Submitted is correct and there are no other
as shown.
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
structures located on this property adept
F
Owner or Agent Vr/ Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOTA PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be ^ 3d 6 6
Sewage Permit t-:TNumber _ _. I sued
Remarks vee'o-w 441-
Building Permit
e zone is -- --�--
Receipt Issued
of(.�
L.._ tan ni ,
KAPPEN CONSTRUCTION,iLNE.
S:1.25 Blake
Spokane, Washington 99216
Wa 4-0771
PLOT PLAN
Requested Price
Lot Cost 3,500.00
T ELEVATIONS:
N `Crown of Stree
I % Finish Floor 4-
32ND
105.14'
Scale: 1"=20'
Basic:1084-S ; Sy. Ft. 1084 Legal Lot 1, Block 1, Aloha Addition.
Job # 20
,.
'4
Mortgage Co. Sherwood&Roberts
FHACase #,
Power Co.:
Plumber
Water Co.
1 Model
.; Excavator
Eller - Rosa
L
Address:
SPECIAL INSTRUCTIONS: