1973, 04-04 Permit App: K1094 Residenceti
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County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.._C1
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 Kappen Construction, Inc�ddress S. 25 Blake, Spokane PhoneWA4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc .Address S. 25 Blake, Spokane PhoneWA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 9, Block 3 Ponderosa Heights Addition
3ascii — /oo�,
DESCRIPTION OF WORK: New X Addition Remodel Moving
Size of Lot 135' x 871 Sewage System
Const Er an) e Dimensions 40 I X 25' Total Sq. Ft
(Frame, concrete, brick, etc.)
Bldg. Zone / Fire Zone
Rooms 7 Bathsl. i 2Basement Ful 1 Foundation Const Concrete
Septic Tan]]toriesSplit Level
1904 Valuation $28, 950
(Full, part, none)
Heat. System Electric Type of Roofing shake Ext Finish
Use of Bldg.
Garage or Carport Attached
wood
Chimney
residence
21 x 24 attached double garage
none
(Kind) (Number)
Int. Wall Finish $yp board
Fireplace none
No. of Units 1 Bedrooms 4
Private Detatched
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
NORTH
40 x 25 - 1400 sq. ft. basic
21 x 24 = 504 sq. ft. double garage
1904 sq. ft. total
I hereby certify infor,
as shown. _—
SOUTH
Stataense No.
Ind. Ins. Acct. No.
Plumbing Pe
Heating Permit
Sewage Permit
REQUIRED
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
tion submitted is correct and there are no other structures located on this property except
i/ ,4tife/I7A—/
Owner o ent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
ka.
Your street address will be 4" 7
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
Issued
Building Permi-
e zone is
Receipt Issued
Form 523 Bldg. Code
CAPPEN CONSTRUCTION, INC.
S. 25 Blake
Spokane, Washington 99216
ala 4-0771
{
PLOT PLAN
Requested Price 2g-9,=:2)
Lot Cost
T ELEVATIONS:
Crown of Street
Finish Floor
=2O
Basic: 1400
FHA Case #
Sg. Ft. 1904___ Legal Lot 9, Block 3 Ponderosa Heights Addition
T �
Job -# 51
Address:
Mortgage Co.
1• r
Power Co. Water Co.
WWP WWP
a
lumber
_ti as.dx
Excavator
Loshbaugh
SPECIAL INSTRUCTIONS:
double garage, self -clean range,
shake roof, intercom