1976, 07-06 Permit App: L4579 Remodelr
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT /3.00
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.buildibg 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 workbn 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 47235.
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
AddresJRt. 2 Post Falls, Id. 83854 ',bonen,-4281
AddressE' 9510 First Phone 928-7755
AddressPhone
Name of Owner Higghvi ew Acres, Ter
Architect Industrial Drafting
255-6159
Engineer Landmark Surveyors Liberty Lak Wash
ContractorRobert Pielaet AddressRt.2 Post Falls, Id. 83854 Phone 773-4281
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 3, Block 2 Donalee Addition to Spokane, Wash.
Parcel No. 15544-4003
DESCRIPTION OF WORK: New
Size of Lot 80.86 x 125
Addition
Remodel_ICC_ Moving
Sewage
Stories SE Dimensions 24 x40 T
Rooms7 Baths 2 Basement full Foundation Const ram -vete
(Full, part, none)
Heat. systemFAE Type of Roofing composition Ext. Finish T1-11
use of Bldg.(residence) Two bedrooms and 2nd bath finished in
level.
Bldg. Zone 1 Fire Zone
System RPPti 0 s. frame
(Fr.Con,tConc., Br., etc.)
otal Sq. Ft. Valuation .00
Chimney m?F;nn Fireplace? 2,400
(Kind) (Number
Int Wall Finish Drywall
lower No of Units 1 Bedrooms 4
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.
S
1-
0
e-"
NS H
5
ZZ
A
-70
`y.a.L."m
/h s2'
I he
as shown.
certlif info
s
I --
L
(�Spo
�Op
State License No.
223-01-8698
Ino. Ins. Acct. No.
2316-00-036761
Employers Ins. of Wausau
REQUIRED
Plumbing Permit Gold Seal Mech.
Heating Permit A & M Heating
Sewage Permit Les Waggoner
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
ibm ted corre t and there are no other structures located on this property except
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(gam 7444,"0-0 DO NOT WRITE BELOW THIS LINE
r/L 9 F
Your street address will be � � / [� The zone is
Sewage Permit Number Issued Building Permit ),?/c-2/9 Receipt Issued
Remarks
Form 523 Bldg. Code