1977, 04-04 Permit App: M0414 Residence County of Spokane, Washington JOB # r/Oc 349
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 44.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
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.
SEWAtIE 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 Inco Address 2312 N. Pines Rd. 99206 Phone928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kapppn Construction Inc. Address 2312 N. Pines Rd. 99206 Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Int 4, Rinck 5, Ratchford Acre Tracts Parcel # 24543-0504
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg: Zone r Fire Z ne
Size of Lot 125.08'x313.19'x160. 'x74.32'x300.21 ' Sewage System" ti c tank onst, frame
d' (Fr., Conc., Br., etc.)
Stories' Dimensions 42x26, 22x24 Total Sq Ft. i .- Valua ipn 47 950.00
Rooms 6 Baths 2 Basement tU I I Foundation Const. concrete
Chimney i I
(Full, part, none) (Kind) ( umber
Heat. System Elec. F/A Type of Roofing shake Ext. Finish wood Int. Wall Finisil gyp. �O'3
Use of Bldg. Si nqle family residence , 6 r'�`t (L---t- No. of Units_' Bedrooms
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 State License No.
0 A o A/ F/,4
Ind. Ins. Acct. No.
House - 1092 sq. ft.
Garage 528 sq. ft. REQUIRED '
1620 sq. ft. Plumbing Permit
l
in Heating Permit
'"
1 t^ w Sewage Permit
..t -4
N j Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
April 4, 1977
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(L,.'vT. 11/t. DO NOT WRITE BELOW THIS LINE
11 Your street address will be /1 7 , �� 4 i .0L�, / The zone�iis '_i- 1,� �:,x� `-
Sewage Permit Number Issued Build mg Permit Q��y Receipt`s lj .. Issued
Remarks ( ,
Form 523 Bldg. Code
r
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road Requested Price 5i-4 9 s7
Spokane, Washington 99216 Lot Cost 6. s,-,
928-8660
• PLOT PLAN
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PTumGer ;Excavator