1976, 02-25 Permit App: L2764 ResidenceC44nty of Spokane, Wash fon JOB
#306
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._$44.D.Q
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of anA
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 KAPPFN CONSTRUCTION, INC, Address N. 2312 Pines Road phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPEN CONSTRUCTION, INC. Address N. 2312 Pines Road mom, 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
Lot 7. B1 ock 1, Forest Meadow Addi tion
33— 44)
DESCRIPTION OF WORK: New XX Addition Remodel
Moving
Bldg. Zone / Fire Zone
Size of Lot 251.53' x144.30' x64.03' x801 x88.15' x 136.48 Sewage System septic«,St frame
r., Conc. Br., et
Total Sq Ft 1620 valuation $34,95b
Rooms 6 Baths 2 Basement full Foundation Const concrete Chimney briCkFireplace 2
—1751i. part, none—) (Kind) (Number
Heat. System F A Elect. Type of Roofing shake Ext. Finish x Sia wood Int. Wall Finish
gyp board
Use of Bldg. Single Family Dwell i ng w/attached garage No. of Units 1 Bedrooms 3
Stories 1 Dimensions 42' x241
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
To
N
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 and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
`\. THIS IS NOTA PERMIT.
as shown.
February 25, 1976
DO NOT WRITE BELOW THIS LINE
Tour street address will be 7 .d ' .L 2.46i-cti-"y
Sewage Permit Number Issued Building Permit 7�
Remarks
The zone is
Receipt ( S
Form 523 Bldg. Code
KAPPFI CONSTRUCTION, INC.
Nort 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price,'
Lot Cost $4500.00
,0
a
ELEVATIONS:
I Crown of Street
Finish Floor
1-
2c/
0
0
asic: 1092-R ;�q. �E 1092
AA-Case`1o6 1None 306
1.
Lor8
Scale: 1':=20'
ortgage Co. GREAT WESTERN
ower CoP. 'Water Co.
Tvuln6erHarty 1 �osssaugh
L L
Legal Lot 7, Block 1, Forest Meadow Addition
Address:
Forest Meadow Drive
3 Bedrooms, 2 Baths, 22'x24' Garage, Full Basement