1976, 08-19 Permit App: L5150 Residence 4
County Spokane,S okane, Washing ton
9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT i
GENERAL REQUIREMENTS PERMIT FEE $46.00
, 1 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 LINE
Name of Owner KAPPFN CONSTR. , INC. Address N. 2312 Pines Road /,,,r,Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor
KAPPEN CONSTR., INC. Address N. 231 Pines Road '-w::' one 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Block 2g Lot 13 Rbtchford
I Acre Tracts \
Parcel #24543-0213
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone / Fire Zone-1-'3
Size of Lot 16.7'-7.42'-129.23'X350'X150'x320.82° Sewage System septic cosn . frame
(Fr., Conc., Br., etc.)
Stories 2 Dimensions 241)(26'x14'x24'x38'x48' Total Sq. Ft. 1776 Valuation y,
Rooms 6 Baths 2 Basement _full Foundation Const. concrete Chimney brick Fireplace brick
(Full, part, none) (Kind) (Number
Heat. System electric Type of Roofing. Shake Ext. Finish wood Int. Wall Finish qyp• bd.
Use of Bldg. single family dwelling - unfinished basement No. of Units_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 State License No.
OK ON f/.c..5
Ind. Ins. Acct. No.
See attached plot plan
REQUIRED
C f ) Plumbing Permit
* ..(j--t,t.. :c,' /r / .wry in Heating Permit
N //�� U N Sewage Permit
�' 4 C 4. «:-. a - . _.G -I
C Plans Received
j') `2 1--St-
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
=, SOUTH
I hereb ertify information/ibmitted is correct and there are no other structures cated on this property except
as shown. '1.4 ,_2(71,a(-2-^-" //,/,74
Owner or Aged Da e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(9,u ,,j0,.. ay DO NOT WRITE BELOW THIS LINE
Tour street address will be /'3 a F 5a. .,61,// ./� -/C. 411- ,� The zone is(7(441-,e'
(4i' Catt. --)-td3
Sewage Permit Number Issued Building Permii j<I � Receipt �ftns-- Issued
Remarks ,
Form 523 Bldg. Code
l.11 LUIL r ItICRUUU Requested Price
Spokane, Washington 99216 Lot Cost
928-8660
PLOT PLAN
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