1978, 04-24 Permit App: M6012 Residence7
P-96
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 J
/,d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
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
Name of Owner Larry Pep] inski Builder. Inc.Address P 0. Rnx 14410 Phone 92R-Angn
Architect Address Spokane Was hi ng ton 99214 Phone
Engineer Address Phone
Contractor Larry Pepl inski Address Cama Phone same
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number f ri(/, U Aal/- et 04211
Lot 7, Block 1 Peplinski's First Addition
Roadway R/W Width 60'
DESCRIPTION OF WORK: New XX Addition
Size of Lot 90' x 140'
County of Spokane State of Washington
Remodel
2.2.k.2.5-
Stories
z,kasStories S/EDimensions 25' x 46' - Double Garage Under
Rooms _Baths2 Basement 50% Foundation Const Concrete
(Full, part. none)
E.w . Type of Roofing Comp
Residence - Double Garage (Under)
Moving Bldg. Zone —1— Fire Zone . 3
Sewage System S.T. Const. Frame
(Fr., Conc., Br., etc.)
Total Sq Ft 2300
valuation 47+900
Chimney (Krick Fireplace 2
ind)
( Number
Ext. Finish Wood Int Wall Finish Drywal l
No of Units 1 Bedrooms 3
Heat. System
Use of Bldg.
Draw sketch with dimensions showing: (1)
.proposed buildings; (4) distance to property
tem and water supply lines.
NORTH
PLOT PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
See Attached
.SOUTH
I hereby certify information submitted is correct and
as shown.
LARRY PEPLINSKI BUILDER INC. BY
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON TH EMI
THIS IS NOT A PERMIT.
c9�4,FOf3 DO NOT WRITE BELOW THIS LINE
State License No.
233-01-18973
Ind. Ins. Acct. No.
356-2377000
RESIDENTIAL. — COMMERCIAL
REQUIRED
L & L
Plumbing Permit
rw Heating Permit
• Sewage Permit Walker
A & M
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
her struc ures
located on this property except
Aril 24 1
8
Date _
ES BEFORE CONSTRUCTION COMMENCES.
Tour street address will be North 14 D.5— Larch Road
Sewage Permit Number Issued Building Permit
Remarks
C
e zone is Single Family
Receipt ,sa.(0 Issued
Form 523 Bldg. Code
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