1976, 02-25 Permit App: L2765 ResidenceCity Spokane, okane, WasIgton JOB #304
P
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__$40..OQ
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of 07
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 e
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
Phone
Name of Owner KAPPEN CONSTRUCTION, INC. Address N. 2312 Pines Road phone 928-8660
Architect Address
Address Phone
Engineer 928-8660
Contractor KAPPEN CONSTRUCTION, INC_ Address N_ 2312 Pines Road Phone
Legal Description of Property (Give complete description from deed, tax receipt, etc )
Lot 5, Block 2, Forest Meadow Addition .���*
.�� �.
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone — Fire Zone ..
P frame
z of Lot 126.4R' X156 53' X 131 , 2O' X143 _ 99' Sewage System septic C (Fr., Conc. Br., etc.)
48'X38' Total Sq. Ft 1488 valuation 38,950
S iesDimensions
Fireplace brick2
Rooms �_ Baths z Basement fU11 Foundation Const concrete Chimney
(Full, part, none) (Kind) (Number
Heat. System F A Elect.Type of Roofing shake Ext. Finish WOOd Int. Wall Finish qyp. board
3
Use of Bldg. Single Family Dwelling w/attached garage No. of Units 1 Bedrooms
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 Plot Plan
rv` 44
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
m Heating Permit
)10
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
CHIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
Tour street address will be ,d1 -4/4,5- %J.(4i Z wi(_ x9
Sewage Permit Number Issued Building Permit
Remarks
The zone is
Receipt 0 y( Issued
KAPPEN CONSTRUCTION, INC. le
North/2312 Pines Road Requested Price 3',93D
Spokane, Washington 99216 Lot Cost $4500.00
928-8660
ELEVATIONS:
Crown of Street'Z-
Finish Floor
N\!7;,
• �i
'do
Basic: :Sq. Et.
1248-4L ' 1248
FRA -Case 1 ;Jo6 1
None � 304
Mortgage Co. GREAT WESTERN
Scale:
1"=20'
Legal Lot 5, Block 2, Forest Meadow Addition
Address:
Sundown Drive
Power Co. ;Water Co.
W.W.P. L
VTumuer ;Excavator
Harty - L_ Loshbaq h
3 Bedrooms, 2 Baths, Full Basement, 22'x24' Garage