1976, 10-20 Permit App: L5919 Residence• •
County of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
JOB #335
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $44.00
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 mast conform with the
Spokane County Building Code and Zoning Ordinance. Construction is subject to inspection.
NATER. 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.
t 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 928-866(
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction, Inc. Address N. 2312 Pines Road Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc) 1 Qt 1, Block 3 Forest Meadow
First Addition
/o4Ad i.Ie
33-L6a
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone l Fire Zone
Size of Lot 102.25'x139.43'x105.34'x164.02' Sewage System septic Const.o frame etc.)
Stories 1 Dimensions 42'x8' x22' X24' x1O' x26' Total Sq. Ft 162n(Kind)Valuation 'Fr., 41,950
Rooms _Baths 2 Basement fitLI Foundation Const concrete Chimney brick Fireplace 1
(Full, part, none) (Number
Heat. System elec. f/a Type of Roofing shake Ext. Finish wood Int. Wall Finish gyp_ bd_
Use of Bldg. single family dwelling- unfinished basement No. of Units 1 Bedrooms 3
double garage=528 sq. ft.
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 watmr supply lines.
NORTH
RESIDENTIAL — COMMERCIAL
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
to
Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Date
DO NOT WRITE BELOW THIS LINE
Your street address will bee / /M6
(,
Sewage Permit Number Issued Building Permit
Remarks
The zone is
...e/c.9,7.4
/ Receipt 3 ? Z% Issued
1
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Wasihington 99216
928-8660
PLOT PLAN
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Requested Price `;' a CD -
Lot Cost (P, 255)
gaiic: ; Sq. Ft.
FAA -Case ; !-JOE,
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1 -
ELEVATIONS: 4
Crown of Street-rs 9
Finish Floor +Sq11—
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Legal Lc tt
Address:
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