1977, 04-06 Permit App: M1380 ResidenceCAnty of Spokane. Was>on
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ------ 4200..........
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.
NATER. Nater 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. I
RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the laid
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. 992n6 Phon,928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Constr. Inc Address 2*31 2 N- pines Rd. 99206 Phone 99R -R660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 11, Block 4, Guthrie`s Valley View 5th Addition Parcel # 17553-1411
DESCRIPTION OF WORK: New x Addition Remodel Moving Bldg. Zone Fire Zone
—
Size of Lot 20. 32x74.22xl20x85xl l 9.85 sewage system septic tanonst. frame
Fr., Conc., Br., etc.)
Stories --LDimensions 40x24, 22X24 Total Sq. Ft. 1570 valuation 35.950.00
Rooms 7 Baths 2Basement ful 1 Foundation Const. concrete Chimney none Fireplace 0
Fu 1, part, none] (Kind) (Number
Heat. System Elect. bb Type of Roofing COMP_ Ext. Finish wnnd Int. Wall Finish gyp - hd.
Use of Bldg. single family dwelling -unfinished basement, garage No. ofUnitsl_Bedrooms 3
attached
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 acd streets; (5) dimensions of buildings; (6) location of sewage sys-
Ktem and water supply lines.
M NORTH RESIDENTIAL — COMMERCIAL State Li nse No.
M
N
—1
1004 1042 sq. ft. house
528 sq. ft. garage
1570 sq. ft. total
see attached plot plan
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
in Heating Permit
a
N Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify in or
as Shawn' r
SOUTH
ti n bmitted is correct and there are no other structures located on this property except
April 6, 1977
Owner or
Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOTA PERMIT.
.- DO
NOT WRITE BELOW THIS LINE•
Your street address will be
l C/ I
11 �>lr�-r% V
The zone is
Sewage Permit Number
Issued
Building Permit ht OkG Receipt Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
Requested Prices 95��
Lot Cost 2, 4777
PLOT PLAN
I
y" { .2G r
3,
Iic(l..
ELEVATIONS: r
Crown of Streett
Finish Floor
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Address:
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