1977, 04-05 Permit App: M782 ResidenceCounty of' Spokane® Was 'ngt®n
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAN® USE OR STRUCTURE PERMIT
GENERAL' REQUIREMENTS PERMIT FEE --- MAP _____________
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 mast 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 andinyss
a d egress.UNTY ROADS. Work on street right-of-way may not be performed until staked by County Road Department and work mube
erformed 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 Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone928-8660
Architect Address Phone.
Engineer Address Phone
Contractor Kappen Constr. Inco Address 2312 N. Pines Rd. 99206 Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) .
Lot 12, Block 2, Sherwood Forest Portion of Parcel # 20543-9027.
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone S
Size of Lot 77 t X136 r x140 r X139 r Sewage Systems Const. frame
1Fr., Con etc.)
Storiesl 2 Dimensions 24X24, 24X28 24X22 Total Sq. Ft. 1776 Valuation 950, 00
Rooms 6 Baths Basement �full Foundation Const.. rnnrretP Chi nerli' y
Full, part, none (Kind) (Number
Heat. System Elect. FA Type of Roofing Shake Ext. Finish Wood Int. Wall Finish vp o hd, ;
Use of Bldg. single family residence garage attar_hed No. of Units -1 Bedrooms 3
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
24x24 = 576 sqo ft, house
24x28 = 672 sqo ft, house
24x22 = 528 sqo ft. garage
1776 sq. ft. total
see attached plot plan
SOUTH
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 information submitted is correct jand there are no other structures located on this property except
as shown.
a.4 Anvil r, 1 a77
Owner or Agent I 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 LINE
Your street address will be 9 o 3 6 ,4-0- r�-9� The zone is T
Sewage Permit Number Issued Building Permit A 732 Receipt. YG 7 Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC. , --
North 2312 Pines R0dd� � /--\ Requested Price
� �
_~ Spokane, Washington 992l6--~ Lot Cost -
928-886O
PLOT PLAN
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ELEVATIONS:
Crown of Street -"-k'
Finish Floor +1-�7,
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