1977, 04-06 Permit App: M1364 ResidenceCanty of Spokane, WasSgton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 32.00
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.
iACCESSORY 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 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. Address2312 N. Pines Rd. 99206 phO1�28-8660 ,(
Architect Address Phone d
Engineer Address Phon
Contractor Kappen Constr. Inc. Address2312 N. Pines Rd. 99206 Pnnne9l�-8660
Legal Description of Property (Give complete description from deed, tax receipt etc 1
Int 9, Block 4. Guthrie's Valley View 5th Addition Parcel # 17553-1409
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone 3
901x120'x85x120'
Size of Lot frame
Sewage System Septic tan 1004 Fr., Conc., B�2 eb`5b• 00
Total Sq Ft Valuation
Rooms 6 Baths 1 Basement full Foundation Const concrete Chimney nnnne Fireplace
(Kind) 1Number
comp.Ext. Finish wood Int Wall Fini h gyp- Dd•
finished basement No of Units Bedrooms 3
Stories 1 Dimensions 40x24
Fu I, part, none)
Heat. System Elect. BB Type of Roofing
Use of Bldg.
le - .0
r, 11
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.
NORTH
RESIDENTIAL - COMMERCIAL
see attached plot plan
SOUTH
State License No.
• eA
Ind. Ins. Acct. No.
,REQUIRED
Plumbing Permit
In Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
�I hereby /gert if informs mitts correct and there are no other structures located on this property except
as shown. /C 0-MV-0-0%-/tart
Owner or Agent
April 6, 1977
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Your street address will be L / g2jot. 'Y L yv NA�1t The zone �1r,5,..,,� r�
Sewage Permit Number Issued Building Permitt1-3� Receipt ______SJisaued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
rt
Requested Price 3/7 D
Lot Cost C:'Lt 1, '`
1 -
ELEVATIONS: 1
Crown of Street -t - AW
Finish Floor 1-1,-;:"--
_1
v,: