1977, 04-05 Permit App: M845 ResidenceCatty P of Spokane. Washlgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
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 gork 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 I State
Highway, clearance must be obtained from the County Engineer and/or State Highway Department.
$42.00
,-..•.•
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc. ) require a separato 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 Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone928-8660
Arcpit t Address Phone
Engine r Address Phone
CGntractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 8, Block 6, Sherwood Forest Portion of Parcel # 20543-9027
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 100' x153' x39' x150'
Stories 1 2 Dimensions 22x24, 18x26, 28x20
Rooms 6 Bath 2 Basement full
Foundation Const
t 1 ec. FuII, part, none)
Heat. System Forced Ai rType of Roofing Shake
Use of Bldg. single fami,'y residence
Moving Bldg. Zone I Fire Zone 3
Sewage System septic tanonst. frame
1556 Fr., Con59 B5.5d.cob
Total Sq. Ft Valuation
concrete Chimney free-epl�adCe g 1
(Kind) (Number
Int. Wall Finish gyp- hd- -
No. of Units]_ Bedrooms 3
Ext. Finish wood
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
V1
NORTH
RESIDENTIAL — COMMERCIAL
22x24 = 528 sq. ft. (garage)
18x26 = 468 sq. ft. (house)
28x20 = 560 sq. ft. (house)
1556 sq. ft.
see attached plot plan
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby rtify informatio submitted is correct and there are no other structures located on this property except
as shown. '
Owner or A ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(31-4,1. DO NOT WRITE BELOW THIS LINE
Your street address will be
1J L1 -s 144 0.,m
April 5, 1977
The zone is
Sewage Permit Number Issued Building Permit /),5'/5 Receipt S)4 4') Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
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PLOT PLAN
juested Price ‘1"
Lot Cost
7 r3" D
3.0,
f r7(/
4\(, l
1/"
L/ I
ELEVATIONS:
Crown of Street -1q > -
Finish Floor X79..
y
Scale:) - a
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FHA Case # 'JOB Address:
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Mortgage Co.
Power Co.
PT tuber
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pater Co.
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;Excavator
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