1976, 05-24 Permit App: L3972 ResidenceCfilty of Spokane, Was!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
JOB # 57
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 30.00
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. Address N. 2312 Pines
Phono922-R6iSO
Architect Address Phone
Engineer - Address Phone
contractor Kappen Construction, Inc. Address
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 2. Block 1, John Henry Subdivision
Phone
/3 -a5 --f/-/
DESCRIPTION OF WORK: New • XX Addition Remodel
sae of Lot 76' x 160.90'
Stories Dimensions 24' x 40'
Rooms 6 Baths 1 Basement full ;
"—Mill, part, none)
Heat. SysterrPl ec b. b. Type of Roofing COMP
Use of Bldg. single family dwelling
Moving Bldg: Zone Li_ Fire Zone .`'3
Sewage System septic Const. frame
(Fr., Concc., Br., etc.)
Total Sq Ft 960 valuatiok6,950
Foundation Const concrete
Ext Finish
wood
Chimrlb9ne Fireplace none
(Kind) (Number
Int Wall Finish gyp bd
No of Units Bedrooms3
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
RESIDENTIAL — COMMERCIAL
see attached plot plan
SOUTH
w
-4
y
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
I hereby certify infor tion submitted is c rrect and there are no other structureslocated on this property except
as shown.
Owner or Agent %.-,Da e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
(9 /zip . DO NOT WRITE BELOW THIS LINE
Your street address will be ( sued J l/-/ �� fi'tud
Issued Perni The zone is .= �•d
Sewage Permit Number Buildit 7 L Receipt (J(erlt,/Issued
Remarks
Form 523 Bldg. Coda
::;
KAPPEN CONSTRUCTION., INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price
Lot Cost
73 rood wa
r0
St
'11
1•
960 -Ra a4/`
FFcn
'/0'
?ru^ \.
41 A2
6� 16' 6' j 6'
y6�
Basic: 5q. Ft.
960 -RB 900 Legal See tutiteAor/(Pareettil
FAA -Case ;Jot 71
as s -a
.2
a3
310ekte?
€10 earb)
1 -
ELEVATIONS:
Crown -of Street # 3
Finish Floor 1agar
Scale: / /
Mortgage Co. dow»ieice.
Power Co.
;Wafer Co.
PTum69r - :Exgavator
4 0466aa ie
rt
r
Address:E. $roadway
3 &eiroon, , , .ea 4
1:141Y AridSetnew*
BROADWAY
38 Z.1-
7G9s
\1
- -
PARCEL 2..
0
6' O•
01
cs
.9
7622
JN /z. oc wl etc+
2.49c
L EGAL DESCRIPTION
Thc West 76 .cee.t of the East 323 feel
of The. N k2. of the. N Y2. of Tract 17 of Ve.ra-.
For: 1_0(J15 P. ILL wro
Bui idin9 Permit Only
1
SCALE 1"=5CIF
11 - 14,- 75
CLARENCE E. c,IMPsoN ENGINEERS -MG.
9o9 ARCIoNNE ROAO
SPOKANE VVASI-IINOTON
97Z0C,