1978, 08-17 Permit App: N0156 ResidenceJob # 94
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 structure of aos
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 N. 25 Mullan, Suite 304 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Assoc. , Inc. Address N. 25 Mullan, Suite 304}o1e 9_22-1690
Legal ascription of Property (Give complete description from deed, tax receipt, etc.) Parcel Number 19 :.T /�
Lot 1, Block 2 - Sunnyvale Addition
ROADWAY R/WWIDTH ia
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone 1 Fire Zone -
95' x 140 Sewage System oust.
Size of Lot septic frame
SE 40' x 24' x 22' x 24' isGe (Fr., conc., r , et
Stories Dimensions XS X ,3' $ 49, 0.00
Total Sq. Ft Valuation
Rooms 5 Baths 1(Fu(1Sase Basementnofu'T Foundation Const concrete Chimney brick Fireplace(
ireplace brick
(Kind) (Number
Heat. System elec. b/bd.Type of Roofing comp. Ext. Finish wood Int. Wall Finish gyp. bd.
Use of Bldg. single family dwelling - unfinished basement No. of Units 1 Bedrooms 2
garage attached -- t:-c}t -T-r i f '
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
41
NORTH
see attached
as sh
SOUT
tify infoymat. on sub
Owner orent
COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
NSewage Permit
-8
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
d is correct a7 there are no other structures located on this property except
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DN 1`4-A x'/7M7
Your street address will be f, 4/(21 G 61\11-0.—)Nj ..OAJ The zone is s/t (cL-F FAM)
Sewage Permit Number Issued Building Permit Receipt 339 Issued
RemarksC?/S6
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
Carl Ka pen &
Associates, Inc.
N. 25 Mullan, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
PLOT PLAN
Requested Price 7' -7' 95D
Lot Cost
ELEVATIONS:
Crown of Street t
Finish Floor '''136—
Scale:
-/3 r
Scale: /���o
Basic: I Sq. Ft 3-c Legal 1 2i
1000 31.6: I . ter!
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