1976, 11-09 Permit App: L6185 Residence•
County of Spokane, Washington
Job # 341
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ‘--q- 3 °-
GENERAL REQUIREMENTS PERMIT FEE
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 t
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.
r RESTRICTIVE COVENANTS. Builders should check provisions of covenants or dedications and easements running with the land
L which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
t1
Name of Owner Kappen Construction, Inc. Address N. 2312 Pines Rd. Phone 928-8660 1
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc. Address N. 2312 Pines Rd. Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc) Lot 2, B1 k. 5 Forest Meadows gdd.
pan ecpla - 33s is-DS'vZ
1r
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 257.41' x90' X241.95' X105'
Stories 1 Dimensions 241)(22' x10' x42' x26' x8'
Rooms ____6_ Baths 11/2 Basement full Foundation Const concrete
Full, part, none)
Heat. System P1PC_ f/a Type of Roofing shake Ext. Finish wood
Use of Bldg. single family dwelling -unfinished basement
528 sq. ft. garage under deck
Moving Bldg. Zone / Fire Zone X71
Sewage System Septi C Const. frame
. , soj- (Fr., Conc., Br., etc.)
Total Sq. Ft 1 Valuation
brick Fireplace 1
$44,950.00
Chimney
(Kind) (Number
Int. Wall Finish gyp. bd.
No. of Units 1 Bedrooms 3
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.
m
N
NORTH
RESIDENTIAL - COMMERCIAL
See Attached
SOUTH
I hereby certify information sub tted
as shown. ,l
d -t 7 te x__6_4_,4, _ -ai 4/2--/--' /� 7 6 j
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCiS.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
(4 -e -14),,--S u.
m
-I
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
is correct and there are no other struct
es
located on this property except
Your street address will
Sewage Permit Number
Remarks
S �..
Issued
The zone is c'
Building Permit J _ r; (Receipt
ssued
KAPPEN CONSTRUCTION, INC.
north 2312 Pines Mad
4 ,pokane, Washington 99216
928-8660
•
Requested Price
Lot Cost
PLOT PLAN
ELEVATIONS:
Crown of Streetei
Finish Floor T�
Basic: ;Sq. rt.
/614-4364 L / Q
WA -Case # ;Job
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Rortgage Co6rcli — td t S -kc r r,
Power Co. :Water Co.
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PTum6er ;Excavator
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Address: �j
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