1973, 04-04 Permit App: K1095 Residenceb
County of Spokane, Washington 56
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 60
GENERAL REQUIREMENTS PERMIT FEE -S3 ---- — ----------
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. 45133and47.235.
SET -BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set -back from the front property line, of at
least 251 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 oi.'dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner—Kappen Construction, Inc S. 25 Blake, Spokane
Address Phone WA4-0771
Architect— Phone Phone
Contractor Kappen Construction, In(Addr6ssS. 25 Blake, Spokane phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 10, Block 3 Ponderosa Heights Addition
13 -� S q- I — /Q-0
—7
DESCRIPTION OF WORK: New— X_._ Addition —Remodel —Moving Bldg, Zone--/ Fire Zone
Size of Lot 135' x 87' --Sewage Sys I tem Septic TankStories 1
Const. Dimensions 26 x 42 Total Sq. Ft. 15 9 6
_V,],,ti,, $ 3 0, 9 5 0
(Frame, concrete, brick, etc.)
Rooms ---6-- Baths 1-1 h2sement Fu 11 Foundation Const. Concrete Chimney none Fireplace none
(Full, part, none) (Kind) tNumbei;)
Heat. System Elect ricType of Roofing Shake —Ext.Finish wood Int. wall Fimsh gyp boar a
Use of Bldg, Residence ---No. of Units 1 Bedrooms 3
Garage or Carport Attached. 21 x 24 attached double garagep,i,,t.eDetatched
0 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.
26 x 42 = 1092 sq. ft. basic
21 x 24 = 504 sq. ft. double garage
1596 sq, ft. total
I
State LicAse No.
Ind. Ins. Acct. No.
Plumbing
M Heating Permit
)p
4A Sewage Permit
-4
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
+!- �' a
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
,as shown. , � './ f / — ,
Owner or Agen't Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be 4/
A. a- ------ne zone is
Sewage Permit Number Issued Building Permit Receipt -- Issued
X -4--
Remarks 1
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, -INC.
S. 25 Blake
Spokane, Washington 99216 Requested Pri ce � ,* Z. -z "O
Wa 4-0771Lot Cost
PLOT PLAN
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1 Crown of Street
Finish -Floor -
114 9 1
inishFloor114.91
rt 0 16
/ R _ 201 n
i
concrete A �driveway
o \ B-1092
ci00
d C0
16' ,
135'
rte.
r
Scale.
-------------- -------- ------------------------------------------------------------------ -----
Basic: 1092
T - 1 Legal Lot 10 Bloc
FHA Case # + Job # 50 ----k 3 onderosa Heights Addition
�. Aduress,
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-------------1---------------- r --------------------------------- ----------------------------------
Mortgage Co. SPECIAL INSTRUCTIONS:
-T-------------;-------------- -,
Power Co. I Water Co. /double garage, self -clean range, shake
TAW P' WWP ' roof, intercom
_
--------- ---4- --------------' �
Plumber'i: Excavator
Hard '.Loshbaugh x