1978, 11-20 Permit App: N1530 Residence1
Job # 107
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $45.00
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 99206
Name of Owner Carl Kappen & Assoc., Inc. Address 11-7—Z5—Mu an, Sul e 3U4 Phone 1922=1690
Architect Address / ( (9_6 U 44 ,t_g ;-6 Phone
Engineer Address r c -TG' 2- / Phone
Contractor Carl Kappen & Assoc., Inc. Address ,_N 2 Mullan, Suite p1 304�Pone 922..1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number/11W P?3•540-0/49hileVA9
Lot 3, Block 2 - Snoopys$ Addition
ROADWAY R/W mom 50'
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone 3
Size of Lot 80' X 12,O.�I' X 78.33' X 130.21' Sewage System septic �onsConframe
Stories SE Dimensions 36' X 24' X 5' X 8' Total Sq. Ft 900 Valuation $+'2,90.00
Rooms 5 Baths 1 Basement full Foundation Const concrete Chimney none Fireplace none
(Full, art, none) (Kind) (Number
Heat. System elec. b/bdType of Roofing comp. Ext. Finish wood Int. Wall Finish gyp• bd •
Use of Bldg. single family dwelling - unfinished bsmt. No. of Units 1 Bedrooms 2
deck attached
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
m
NORTH
see attached
I he e
as shown.
SOUTH
State License No.
Ind. Ins. Acct.
SIDENTIAL - COMMERCIAL
REQUIRED
Plumbing Permit
n+ Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
fy infor do sub d is correct and there are no other structure located on this property except
:�� ,/ i7
Owner or Ag4tit ' Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LI
Your street address will be S e 9 0 . �4 raj The zo e is d.fi1 es.
Sewage Permit Number Issued Building Permit Receipt Issued
Remarks 71 l C33 3 (`/5
I
Form 523 Bldg. Code
Carl Kappen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
PLOT PLAN
•
Requested Price 4' 9 5-o
Lot Cost 9, 5-oo
ELEVATIONS:
Crown of Street
Finish Floor
Scale: /'- 4.70
Basic,
Sq. Ft. 9od
FHA Case #
(Mortgage Co.
`Power Co.
Plumper
1
Job # /07
Legal
Address:
th.2
Water 9o.
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