1977, 01-25 Permit App: L6758 Residence County of Spokane, Washington Job #5
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.$.40.00
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 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.
1 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.
j 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. Phone 928-2660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction Dar_ Address N. 2312 Pines Rd. Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) 1 of 13, Block 3 Guthries
Valley View 5th Add.
DESCRIPTION OF WORK: New )( Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot,., 85'x129.30'x76.78'x106.59' Sewage System $Pati C Const..Cfra Be., etc.)
Stories . dimensions 36'X24'x2?'x24' Total Sq. Ft.1422 Valuation $33950.00
Rooms 5 BathsFull, part, none) (Kind)1 Basement full Foundation Const.. concrete Chimney none Fireplace 0
(Number
Heat. System elec. b,/bC ype of Roofing comp. Ext. Finish wood Int. Wall Finish WPC, bd.
Use of Bldg. single family dwelling-unfinished basement No. of Units i.Bedrooms 2
double garage =528sq. 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 water supply lines.
NORTH RESIDENTIAL-COMMERCIAL State License No.
Ind. Ins. Acct. No.
See Attached ,
REQUIRED
Plumbing Permit
in Heating Permit
rw a
H N Sewage Permit
.4 .4
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.
4.-77
Owner or Ag t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6 i DO NOT WRITE BELOW THIS LINE
Your street address Will be ge /1//0 LIII)1 The zone is L4.
Sewage Permit Number Issued Building�'Permit 7 a ceipt,SS(Issued
Remarks
1.
Form 523 Bldg. Code •
.:,":'PEN CONSTRUCTION, INC.
et).
North 2312 Pines Road Requested Price ,;'` c/So )
Spokane, Washington 99216 Lot Cost ‘V,042 `-`
// 928 -8660
i PLOT PLAN
ELEVATIONS:
(A)
Crown of Street4-'JS --lY
2_
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T SU / Legal Lo /3 iik 64 kr;t�11 a I I e y /2 et.J S YJ-N0iCil,
FHA „''ase , 1-306 1
Address:
1
ortgage Co.(?
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ower Co. L ater Co. 2 6e-d ) 10a , i i,nc c n i S k e_ d )
P .. st ; �Qt c� bis n-�
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