1976, 10-20 Permit App: L5920 Residence• •
County of Spokane, Washington JOB #336
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE._.4Q�OQ
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 UNE
Name of Owner Kappen Construction, Inc. Address N. 2312 Pines Road Phone 928-8660 I
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction._Inc. Address N. 2312 Pines Road Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc) Lot 5, Block 5 Forest Meadow
pa.%ci*3354/3-os CSS
DESCRIPTION OF WORK: New X Addition Remodel
Size of Lot 165' x150' x95.28' x98.22'
Stories —I -Dimensions 421x10' x22' x8' x26'
Baths 2 Basement ful 1 Foundation Const
(Full, part, none)
Heat. System el ec. f/a Type of Roofing shake Ext. Finish wood
Use of Bldg. single family dwelling -unfinished basement
double car garage=528 sq. ft.
Rooms
Moving
Sewage System
concrete
Bldg. Zone Fire Zone
septic Const. frame
(Fr., Conc.,r.,
Total Sq. Ft 1620 Valuation 41,958
Chimney brick Fireplace 1
(Kind) (Nburgber
Int. Wall Finish gyp• CCI]•
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.
NORTH RESIDENTIAL - COMMERCIAL
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
I�sti
Owner or Agent Date "
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
as shown.
/o
—o
76
DO NOT WRITE BELOW THIS LINE
Your street address will be
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Sewage Permit Number Issued Building Permit
Remarks
'The zone is
Receipt3 T Issued
Form 523 Blda. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
Requested Price
Lot.Cost
PLOT PLAN
1 -
ELEVATIONS:
Crown of Streetr7-7-
Finish Floor
!=
oie E J7
iL{ E S O y u) tet U t
Scale:/t/= 3o�
basic: ;Sq. Ft.
/n? _k ��_L 1 .10 L
FHA -base # J56
---_L_LP it L
Mortgage Co. (re a f` U%k S ie il:
>!51wer Co. ',Water Co.
. 0,u1, k LW,LL),F?
'Pt -umber : Excavat
_)4(L-ra4 -- '
Legal f ��oCK. � Fors i He Q cin cJ
r
Address: