1978, 08-17 Permit App: N0158 ResidenceJob # 96
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
$74.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or
kind or alter any building or structure already erected, or to change a land use. Construction mast
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
structure of any
conform with the
Name of Owner Carl Kappen & Assoc., Inc.
Architect
Engineer
Contractor
Address N. 25 Mullan, Suite 304 mime 922-1690
Address Phone
Carl Kappen & Assoc., Inc. Address N. 25 Mullan,Suite 304 Phone
Address mine 922-1690
Legal'Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number • CT Ci 'T Sl/- Id 3
Lot 5, Block 2 - Sunnyvale Addition
ROADWAY Vit mom60'
DESCRIPTION WORK: New X Addition Remodel Moving
Size of Lot 128.21' x 152.32' x 68.93' x 140.00'
Stories 1 Dimensions 40' X 24' X 22' X 24'
Rooms 7Baths 2 Basement full Foundation Const concrete
Fu I, part, none)
elec. b/bdrype of Roofin comp. Ext. Finish wood
single family dwelling - unfinished basement
Bldg. Zone , / Fire Zone
Sewage System septic Const. frame
1570 (Fr., Conc.$ �,,gt 6.00
Total Sq. Ft Valuation
Chimney brick Fireplace brick
(Kind) ( u her
Int. Wall Fini$h gyp' a'
Heat. System
Use of Bldg. No. of Units Bedrooms
garage 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 and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
see attached
as sh
cert ify
informati
Ow
TH
bmitted,isco rect and there are no other struct % es
Al(%h ff�� 4A-- re
State License No.
Ind. Ins. Ins. Acct. No.
ER SIDENTI - COMMERCIAL
REQUIRED
Plumbing Permit
n� Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
lgcated on this property except
Date
A LAND USE OR ST'fUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
UN MA -r P/)71-12
DO NOT WRITE BELOW THIS LINE
Tour street address will be N '4 U5 C t) N KZ—Jig RCAPThe zone is 5 11\16/- FA -111 19/
Sewage Permit Number Issued Building Permit Receipt 53 1( Issued
Remarks
Y 0/:5-2
Form 523 Bldg. Code
Carl Kappen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
PLOT PLAN
ort rl
Requested Price
Lot Cost
ELEVATIONS: /
Crown of Street 7 5 •
Finish Floor f 9-?=
J9'
I=4
0
ry,;:?5�,' Sq. Ft. 1%0
Job # �6 I Address:
A4201704
FHA Case #
Mortgage Co.ize
Rawer Co.
Plumber
! Legal /10 T1 /
W er Co. //" Y-, c--/ i? •P
F helob
Excavator
60211
N
i
Scale: / s a0
P �17� ei7