1978, 04-06 Permit App: M5686 Residence41 •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE ._.$27...1111.
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 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 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
.�
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Parcel
Number
' Phone
-
-s-�
Lot 1, Blk. 2, Carter Addition
g/i,U iA1
DESCRIPTION OF WORK: New +- ddition
Size of Lot
Stories SE Dimensions 24'X 36'
Rooms 5 Baths 1 Basement full Foundation Const
Full part, none)
elec.
d,ppe of Roofing
single family dwelling - unfinished
Remodel Moving
Sewage System septic Const. frame
900 (Fr.. Conc. $36,950.00
er
Total Sq. Ft Valuation
Chimney none) Fireplace u�nnone
ber
comp. Ext. Finish wood Int. Wall Finish gyp. �a'
Bldg. Zone _L— Fire Zone
Heat. System
Use of Bldg.
concrete
basement No. of Units Bedrooms 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.
NORTH
see attached
SOUTH
I hereby certify information submitted
as shown.
i /L'A.e
Owner or Age
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE
THIS IS NOT A PERMIT.
(I -At. 71(-012,11
m
a
us
incorrect a there are no other
17
State License No.
O ff 0/11
Ind. Ins. Acct. No.
RESIDENTIA
- COMMERCIAL
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
structures located on this property except
DO NOT WRITE BELOW THIS LINE
AASII
ate
CONSTRUCTION COMMENCES.
7 r,
Your street address will be . d 24
Sewage Permit Number Issued Building Permit ____,}Receipt
Remarks
The zone is,
//Z) H Issued
Form 523 Bldg. Code
Carl Kappen &
Associates, Inc.
N. 25 Mullan,‘Suite 304, Spokane, WA 99206
Phone (509) 922-1890
Requested Price 26, 9.0
Lot Cost r4 S D O • t�
PLOT PLAN
TELEVATIONS:
Crown of Street
Finish Floor
Scale: // '
Basic: Sq. Ft.
PO ?"
FHA Case # Job # 7/
Legal
Mortgage Co. 6,40,,,,e roriv
Powe o.
= Water o. U
I umber
•
71' I
47 / ►-41Ack , C(.r - Odd t I' c )u
Address: ,i (720
e a .b d v lM , I .b a, u t -f , k) I R 0/
{ Excav�r
1 /C d Set