1977, 04-05 Permit App: M0442 ResidenceCounty of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT JOB # 355
PERMIT FEE
GENERAL REQUIREMENTS
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 mus 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 Siate
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 Constr. Inc_ Address 2312 N. PTnes Rd_ 99206 Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Constr_ Inc. Address 2312 N. Pi nes Rd_ 99206Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc 1
1 Lot 5. Block 6. Sherwood Forest Portion of Parcel # 20543-9027
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone 3
Size of Lot 39.20'x52.80'x125_'x72.51'x146_59' Sewage System septic tanitonst. frame
Fr., Concq 9Brmcgoc.60
Stories SE Dimensions 62x24 Total Sq. Ft 1528 Valuatio J,'
Rooms 5 Baths 1 Basement ful 1 Foundation Const concrete Chimney free- u� i9 1
(Full, part, none) (Kind) (Number
Heat. SystenElect. FA Type of Roofing shake Ext. Finish wood Int. Wall Finish ayd
p• •
Use of Bldg. si ngl e fami ly resi dence, cr , « _,____-- No. of Unitsl_ Bedrooms 2
PLOY PLAN
property lines; (2) street or road locations; (3) location of existing and
lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
t and water supply lines.
m
ut
NORTH
RESIDENTIAL — COMMERCIAL
1000 sq. ft. (house)
528 sq. ft. (garage)
1528 sq. ft.
see attached plot plan
Ind. ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
NSewage Permit
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.
r
Owner or Agent
April 5, 1977
Date
A LAND USEOR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES..
THIS IS NOT A PERMIT.,
wiper
Tour street address will be .. WS- LS d h/ 1I A00(4 ' The zones J F R
Sewage Permit Number Issued Building Permit 49 qc./ 2/Receipt S / C- / Issued
Remarks
DO NOT WRITE BELOW THIS LINE
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
2o6;nkor
Requested Price
Lot Cost 70—r
wo,
1,0
-71
ELEVATIONS:
1-
Crown of Str:;et4-
Fi ni sh Floor -717/P727.1-t7
----------------------Scale_
Basic:``------ ------ �Sq. Ft -•-------------Legal------------------' - ------
FHA Case ;1o6 Address:
Mortgage Co.
L
.S'
Power Co.
PiTumber
;Water Co.
L
lc
;Excavator
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