1976, 07-09 Permit App: L4932 Residence,-. JOB # 319
Ccanty of Spokane, Washington
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 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 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
1 APPLICANT FILL IN BELOW THIS LINE \
Name of Owner Kappen .Construction, Inc. Address N. 2312 Plnes Rd. y'/ I ("Phone 928-8660 (.
.,Architect - Address Phone
6 Engineer Address Phone
Contractor same as above Address Phone
Legal Description of Property (Give complete description from deed, tax receipt etc 1 35y,j - OaC 3
Lot 3, Block 2, Forest Meadow 1st Addition
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone _/_ Fire Zone
Siz Lot 90'x204.51' sewage System septi r Const. frama
/�{,�'9 48' x381 x221+261 x241/Fr., Conc., Br., etc.)
Sto i6S �', Dimensions1248 42 950
6 2
full concrete Total Sq Ft nonea Firepn 2
Rooms Baths Basement Foundation Const Chimney Fireplace
(Full, part, none) - (Kind) (Number
Heat. System FA elect Type of Roofing shake Ext Finish WOOd Int Wall Finish gyp bd
Use of Bldg. single family dwelling, double car garage No of Units I Bedrooms 3 '
Basement unfinished
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
RESIDE TIAN L - COMMERCIAL
see attached plot plan
State License No.
n K ON F/CC
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
w Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. •
tie •'(-I • 7/9/76
Owner' or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS 1S NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be -I 2 I I �,w ,JThe zone is �F1j.QMC- dI-Q-t�
Sewage Permit Number Issued Building Permi '-/137-Receipt r,}� Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North_2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price
Lot Cost tocooav
Art
C
J
02 o4 S/'
7,
991
5
—i
1 -
'ELEVATIONS:
Crown of Street Y7_4:
Finish Floor
4
39'
`pIva
'76. on/
.e
8 T y9
i
t
Basic: ;Bq. Ft. +
/Ails,- Alz. 1 /0744
IRA -Case / `J66 #
Csn/d. L _ 03/% •
Mortgage C d-st-n/hsac ,
Power Co. . a er Co. '
CO al L ii2 ((J
Plumberr - ;Czc/av,,ator
/t erg L 145"/ e919/iG9
i
ilk
19-7-
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Scale
-
Scale: �= o'
F
r
Legal
Lora, .2/ac,E'Lt, Aso zEsr /hFAoav f'Lc:-,
Address:
ciED, 020474/J Doc9.3LE GAKAGE
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