1976, 03-15 Permit App: L3753 ResidenceCanty Spokane, S okane, WasIgfon
JOB -
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE
P2RMIT 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
Spgtne 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
32.00
r
Name of Owner Kappen Construction, Inc. Address N. 2312 Pines Rnad Phone 928-8660
Architect Address
Engineer Address
Address
Contractor
Kappen Construction, Inc.
N. 2312 Pines Road
Phone
Phone
Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc
Lot 3, Block 1, Mission Pines Subdivision
/ S' c7/— 16 3
DESCRIPTION OF WORK: New XX Addition Remodel Moving
Size of Lot 79.84`x148.28' Sewage System
Stories __Dimensions 401)(24'
Rooms L. Baths 1Basement f u1 1 Foundation Const
el ec. (Full, part, none)
concrete
Bldg. Zone / Fire Zone 3
septic fonstf frame
Fr., Conc., Br. et
Total Sq. Ft 1004 Valuation
Heat. System baseboardype of Roofing comp. Ext. Finish
Use of Bldg. sing1e.,family dwelling/;
PLOT PLAN
wood
Chimney
noneFireplace none
(Kind) (Number
Int. Wall Finish 9Yp. board
No. of Units 1 Bedrooms 3
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 street :• (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certifyipformation spbmittQd is correct and there are no other structures located on this property except
as shown. c%///
March 15, 1976
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION
THIS IS N(5.T A PERMIT.
44-, 1144
DO NOT WRITE BELOW THIS LINE
0,
COMMENCES.
Tour street address will be
Sewage Permit Number Issued Building Permit
Remarks
The zone is 1—
7r(3 Receipt 'Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price. ,fso
Lot Cost 40-6
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4-�
79.2s/'
Ocl
4'�4' "'G'','
4/,
1900 l
40'
/ooh -R
FF 411
a.
M
aa'
79. g471'
Aasic: :Sq. Ft. ,/
t /� a0 v , , /061
FAA -Ease ;3o6 #
L
Mortgage
Pov.'er Co.
:Rater Co .
0i4M1
PTum6er :Excavator
c,,r
r
oa Ave:.
1 -
ELEVATIONS:
Crown of Street•U8
Finish Floor +P/:
Lk -
14 -1:4014
Scale: /=aa'
Legal Lora, / .s,s,pn( 23itie5 �ue1
Address: 2..2 o
771 c,r ,t.r .1-1-1141
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