1978, 04-06 Permit App: M5719 Residence */i(p
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $40._QO
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 47235.
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 /920
Name of Owner Carl Kappen & Assoc. , Inc. Address N. 25 Mullan, Suite 304 Phone 922-1690
Architect Address Phone
Engineer Address Phone
Contractor Carl Kappen & Assoc. , Inc. Address N. 25 Mullan, Suite 304 phonB 922-1690
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel Number -3
Lot 4, Blk. 2, Carter Addition
R/w LA./t 0 rbi 6-0
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 80' X 148.64' X 80' X 148.76' Sewage System Septic Cpnst..Conc.,frame
o etc.)
Stories SE Dimensions 24' X 36' X 24' X 22' Total Sq. Ft. 1428 Valuation $40,950.00
1 full concrete none none
Rooms Baths Basement Foundation Const.. Chimney Fireplace
Fu I,
part, none- (Kind) (Nu ber
Heat. System
elec. b/b Ype of Roofing comp. Ext. Finish wood Int. Wall Finish -_9YP• bd.
Use of Bldg. single family dwellin - unfinished basement No. ofUnitsLBedrooms 2
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.
/ D NORTH State License No.
77 OK ofF/4-e.
Ind. Ins. Acct. No.
see attached
RESIDENTIAL-COMMERCIAL
REQUIRED
Plumbing Permit
wr Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
i//°/2 g 6:1S1
SOUTH
i
I here¢y tify//in//ff?or ti submit is orr��cct and there are no other structur located on this property except
as shown. ' C ?�il`L �i`)
Owner or ent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
7.4/(724,0, DO NOT WRITE BELOW THIS LINE
r'.J C.•. � f f-
Your street address will be 3 0 6A.,-- 1/(46-44,4-a./k- /l,et- The zone is,*(S.,/-1441-€•-•
Sewage Permit Number Issued Building Permit--2-;; / / Receipt //Of Issued
Remarks
Form 523 Bldg. Code
. , CH
Carl Kcappen & Requested Price 4' 93-a
IAss�cicares, Inc. Lot Cost 7, s'n c,. Q o
N. 25 Mullan, Suite 304, Spokane, WA 99206
--^M Phone (509) 922-1690 PLOT PLAN
T
iELEVATIONS:
Crown of Street /O1, O
TI Finish Floor 4" / 73. 0
0
0 14 $ • 71
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Scale: /
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Basic: 1 Sq. Ft. t i g
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FHA Case # Job # Address: ` (/ / ---___
�° >, . o /�l / ,ea•�
Mortgage Co. D( a b 4 Y yv,, l ) KJ a , it _j , Jj, t;, 4,k.
Power 4xt.. gede / ' --g - i, \
!! . 1 Water >o
Plumb1 r
1 Excavat9r