1976, 07-09 Permit App: L4933 ResidenceJOB # 318
Canty P okaneof Spokane, Wash9 ton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE '-2-1-9e-
PERMIT
2`'PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of an7
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 Rd. y,"/,;2/47Phone 928-8660
Architect Address Phone
1k Engineer Address Phone
Contractor same as above Address Phone
4 Legal Description of Property (Give complete description from deed, tax receipt, etc.) 3 .3-6-4A3 01 0
•
Lot 10, Block 1, Forest Meadow 1st Addition
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone Fire Zone.5
Size of Lot 148.47' x102.25' x107.46' x89.70' Sewage Systen5e'r. Const. frame
Fr., Conc.,
Dimensions Total Sq41157:R
(Kind)
Rooms 6 Baths 2 Basement ful 1 Foundation Const concrete Chimneynone Fireplace 2
—Will, part, none) (lumber
Heat. System F.A• elect Type of Roofing shake Ext. Finish wood Int. Wall Finish gyp bLI
Use of Bldg. single family dwelling, double car garage No. of Unil 1 Bedrooms 3
Stories 1 Dim 40'x24'
basement unfinished
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.
RESIDENTI
m
to
-4
NORTH - COMMERCIAL
State License No.
CCK dN /--i/J-
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
Heating Permit
HSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information subm tted is correct and there are no other structures located on this property except
as shown.
Owner or Agent
7/9/76
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
• L. W
,_4sf 60 -
Your street address will be
Sewage Permit Number
Remarks
LINE
Issued
The zone i
sX�Q,
.5-� s
Building Permi ___,44:2)*_. Receipt sued
/eDt3 Ly z�5
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington. 99216
928-8660
PLOT PLAN
Requested Pri ce'�
Lot Costc`-
'basic: 1 Sq. Ft.
/oq,2-1e 1 i09,2 -
FRA -Case / ; Jo6 / ��
&A/U, 1
Mortgage Co. 6,,-/j2`neree / ,
Poweruo�P ;Water Co. �
MTum6er " :Excava or
ar L ,LoshbaujX)
1
ELEVATIONS:
Crown of Street Q —
Finish Floor 179
0
Scale: J"= 3o'
F
r
Legal 4T / O 2/oc,t 6 /-or.--/-
Address:
/.3ec/roofi,
J ,t9a /4 ,L"u // ,L�