1976, 06-17 Permit App: L4645 ResidenceChnfy Spokane. t of S . Wash/4 ton JOB # 317
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 36.00
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, q 9,./6
Name of Owner Kappen Construction, Inc address N. 2312 Pines Rd. Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc.Address N. 2312 Pines Rd. Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc) 33=7;4/--, - O303
Lot 3, Block 3, Forest Meadow Rxixax Addition
DESCRIPTION OF WORK: New X Addition Remodel
Jjjsize of Lot136/81' x95.69' x155.36' x150'
/2/
-SLOries'_DimensionS 38 X48 X24 X38
Rooms .6..._ Baths 2 Basement Const concrete
e
(Full, part, non
Heat. System elec. f.a.Type of Roofing shake Ext. Finish wood
Moving Bldg. Zone _/ Fire Zone .-
Sewage System septic onst. frame
1248 (Fr., Conc. Br . c.)
Total Sq. Ft Valuation4
Chimneybasalt Fireplace 2
(Kind) (Number
Int. Wall Finish qYp• bd.
No. of Units 1 Bedrooms 3
Use of Bldg. single family dwelling with attached double garage
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
N
NORTH ( RESIDENTIAL COMMERCIAL
see attached plot plan
m
N
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 and there are no other structures located on this property except
as shown.
6/17/76
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT., _��r
41444 DO NOT WRITE BELOW THIS LIN
Your street address will be
Sewage Permit Number
Remarks
Issued
Building Permit; -.4/64,s
The zone iskii.50. i&' 34n tf. t`A'
Receipt / YA Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price 44 880
11
Lot Cost 75oD2=
1 -
ELEVATIONS:
Crown of Street
Finish Floor
Scale: ' = 1,l
Pasic• :Sq. Ft. / L
_
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FSA base T 1.'355 T�/ 7 Address:
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Mortgage Co. G/lAT ii.,4 5.7.6 v
Power Co. ' ater Co.
PTumbjr :Excavator
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