1976, 02-25 Permit App: L2770 ResidenceCanty Spokane, okane, Was>on
P
JOB #303
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $48x00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of nay,
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 Road Phone 928-8660
Architect Address Phone
Engineer Address Phone
928-8660
contractor KAPPEN CONSTRUCTION, INC_ Address N_ 2312 Pines Road Phone
Legal Description of Property (Give complete description from deed,
Lot 4, Block 2, Forest Meadow Addition
3 - (-17
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone ( Fire Zone
Siz Lot 118.83'x156.53'x131.89'x87.71' Sewage System septic onst, frame
(Fr., Conc., Br., etc.)
S� %Dimensions 44'x26' Total Sq Ft 1848 Valuation $36,950
Rooms _$.— Baths 2 Basement full Foundation Const concrete Chimney brick Fireplace 1
(Kind) (Number
Int. Wall Finish gyp. board
No. of Units 1 Bedrooms 3
(FutI , part, none)
Heat. System F A Elect ,,Type of Roofing shake Ext. Finish WOOd
Use of Bldg. Single Family Dwelling w/attached garage
Draw sketch with dimensions showing: (1)
proposed buildings; (4) distance to property
tem and water supply lines.
m
ut
NORTH
PLOT 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-
RESIDENTIAL. — COMMERCIAL
See Attached Plot Plan
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
1
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify informatio submitted is correct and there are no other structures located on this property except
as shown.
()T1 Fehruary 25, 1976
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1/, DO DO NOT WRITE BELOW THIS LINE
Your street address will be oj,
Sewage Permit Number Issued Building Permit
The zone is</ ! Jc7Qitf.0 I�taC
Receipt G �(k) Issued
Remarks
Form 523 Blda. Code
KAPPEN CONSTRUCTION, INC.
North 2312. Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price 3o, 70 0
Lot Cost $4500.00
0
1
ELEVATIONS:
Crown of Street
Finish Floor
3asic
1084-3L
FAA -Case
None
`Sq•Fi.1084
r3,36 303
Mortgage Co. GREAT WESTERN
Power Co.
W.W.P.
number
;pater Co.
Excava
,HartyLoshbaugh
Scale: 1"=20'
r
1 Legal Lot 4, Block 2, Forest Meadow Addition
' Address: Sundown Drive
3 Bedrooms, 2 Baths, Full Basement, 22'x24' Garage