1976, 09-20 Permit App: L5485 ResidenceCady Spokane, S okane, Washhgfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 JOB #331
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT 1,4111190
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an./
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.
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
Name of Owner Kappen Construction, Inc. Address N. 2312 Pines RoadPhone 928-8660
Architect Address Phone
Engineer Address --�.� Phone
Contractor Kappen Construction, Inc_ Address N_ 2312 Pine Orad '1Mone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 1OCk 5 Lot 9'lerwoOd Forest
070 —0?S —Y k
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone / Fire Zone 3
Sewage System _ septic FFonsConcf Ba etc.)
Stories _LDimensions 42' x24' x42' x22' x24' x26' Total Sq. Ft 1620 Valuation $41,460 -nil
Rooms _Baths 11/2 Basement full Foundation Constconcrete Chimney brick Fireplace 1
(Full, part, none) (Kind) ' (Number
Heat. System elec. f/a Type of Roofing Shake Ext. Finish WAOd Int. Wall Finish gyp_ h&
Use of Bldg. single family dwelling -unfinished basement No. of Units a Bedrooms 3
garage=528 sq. ft.
Size of Lot 125' x80'
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
N
NORTH
RESIDENTIAL — COMMERCIAL
See Attached
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information d is correc and there are no other structures located on this property except
as shown. e 9 ` � — 7C.
Owner or Agen
Date
A LAND USE OR STRUCTURE PERMIMUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be
Sewage Permit Number
Remarks
DO NOT WRITE BELOW THIS LINE
qi: cf.J.
Issued Building Permit„( !c S Receipt( •/ / Issued
,„„The zone is
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC. - ita 0/
North 2312 Pines Road Requested Price
Spokane, Washington 99216 Lot Cost
928-8660
Qscifil
Basic:
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PLOT PLAN
1 -
ELEVATIONS:
Crown of Street
Finish Floor
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,o qa -286-
s
35
2
39
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1
Scale: /":.:(20
Sq. Ft. /0 fa X.07' /le 1)600Q - dke 7°
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