1977, 04-06 Permit App: M1136 ResidenceC$nty of Spokane. Wasl!gton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ...24..110
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ally
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 M 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
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 1 i
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
or State
Name of Owner Kappen Constr. Inc. Address 2312 N Pines Rd 99206 Phone 928-8660
Architect Address Phone
Engineer _.. - Address - Phone
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone
928-8660
Legal Description of Property (Give complete description from deed, tax receipt etc
Lot 6. Block 4. Guthrie's Valley View 5th Addition. Parcel # 17553-1406
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 80'x130
Stories SE Dimensi s 32x24
Rooms _ Baths Basement 'FU I 1 Foundation Const concrete
(Full, part, none)
Heat. System Elect. BR Type of Roofing rnmp. Ext. Finish wind
Use of Bldg. single family dwelling. unfinished basement
Moving Bldg. -Zone —/ Fire Zone
Sewage systenSeDti c tank Const. frame
800 (Fr.. Conc.,,,Br., tc.l)OO
Total Sq. Ft. Valuation - '
Chimney no
(Kind) one Fireplace , 0
(Number
Int Wall Finish gyp hd
PLOT PLAN
No of Unitsl._ Bedrooms 2
Draw sketch with dimensions showing: (I) 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.
COW
1
NORTH
R6$IDENTIAL}- COMMERCIAL
see attached
I here» certify 1
as shown.
-lLiJ
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rrr Heating Permit
NSewage Permit
-1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed '
�rmati
April 6 n submitted is correct and there are no other structures Located on this property except
pri 1977
1j`/
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT
od,f /1306\vtan r
Your street address will be The zone cite
Building Permit r‘ /�.,3(, Receipt O. S'71ssued
Remarks
DO NOT WRITE BELOW THIS LINE
Sewage Permit Number Issued -
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
A, Spokane, Washington 99216
928-8660 .
PLOT PLAN
Requested Pricec- 9
Lot .Cost & a:.)
Basic: 200 S
FRA -Base R
Mortgage Co.
ifXory
/3.n 66.9a'
Sq F .
Job #
L
.L
Power Co.)
CO
}
'numberj, 'Excav t
J
zy
*F& 9
3a•
8c)
y'
c,' 11,'
)1
-1
t
7Y
ELEVATIONS:
;Crown of Street
I Finish Floor
y
to
)
'
TM c.(_ Lc,
Cipier Co.
Scale: 7;
Legal).] 6 $e. 4/ bu-(-hrres Uct tel View 51/
Address: