1976, 02-25 Permit App: L2763 ResidenceCanty P of Spokane, Wase ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
JOB #308
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ...$50—al
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with
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 Pi nps Road Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPFN CONSTRUCTION, INC_ Address N. 2312 Pines Road Phone 9?8-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc)
Lot 1, Block 2, Forest Meadow Addition 3 'D.,.S.yLS�
DESCRIPTION OF WORK: New XX Addition Remodel
ize of Lot 93.82'x119.26'x170'x153.51'
Stories Dimensions 401x25'
Rooms _L Baths 2(Basement Foundation Const
Heat. System
Use of Bldg.
Full, part, none
Moving Bldg. Zone 7 Fire Zone 3 onst.
Sewage System septic frame
concrete
Fr., Conc., Br., etc.)
Total Sq. Ft 1960 Valuation $38,950
F A Electjype of Roofing shake Ext. Finish WOOd
Single Family Dwelling w/attached garage
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
Chimney brick
(Kind)
Int. Wall Finish
No. of Unitsl
Fireplace 2
(Number
gyp. board
Bedrooms 4
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
RESIDENTIAL - COMMERCIAL
See Attached Plot Plan
SOUTH
I hereby certify information submi ted �-� is correct and there Ate/
Owner or Agent
as shown.
are
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
no other structures located on this
FPhruary 25, 1976
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
property except
6,14����� DO NOT WRITE BELOW THIS LINE
Tour street address will be 4,
Sewage Permit Number Issued Building Permit
Remarks
The zone is GLti-GLS
ReceiptIssued
Form 523 Blda. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
(a
Requested Price 38, 95()
Lot Cost $4500.00'
:D12,1v
4-
ELEVATIONS:
Crown of Street
Finish Floor
1
lasic: :Sq. Ft.
1400-S 1 1400
1A -Case f r3.66 1
None I 308
Lo
NN
!-
Iortgage Co.
'ower Co.
W.W.P.
GREAT WESTERN
:Water Co.
Tum6er 'Excavator
' Harty Loshbau1h
r
Scale: J1'=20'
Legal Lot 1, Block 2, Forest Meadow Addition
Address:
4 Bedrooms, 2 Baths, Full Basement, 22'x24' Garage
$f