1977, 01-25 Permit App: L6759 Residence 7
County of Spokane, Washington Job #6
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE_SRAM
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 Kappen Construction Inco Address N. 2312 Pines Rd. Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction Inc. Address N.. 2312 Pines Rd- Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lot 12, R1 ock 3 Guthries
Valley View 5th Add., J /
112 d ao-7,ss3
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone
Size of Lot 90'x13?.30'x90'x1990 30' Sewage System CPpt i C Const.f ramp
(Fr., Conc., Br., etc.)
Stories_Dimensions 40'x24'x22'x24' Total Sq. Ft. 1 570 Valuation$35950.00
Rooms _Z__Baths__ Basement full Foundation Const.. concrete Chimney nOnP Fireplace n
(Full, part, none) (Kind) (Number
Heat. System elec. b./b-eipe of Roofing compo Ext. Finish wood Int. Wall Finish gyp- hd-
Use of Bldg. single family dwelling-unfinished basement 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 State License No.
Ind. Ins. Acct. No.
See Attached
REQUIRED
Plumbing Permit
m Heating Permit
Ira Xis
ut to Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify informatio submitted is correct and there are no other structures located on this property except
as shorn. �,
,[lrrner or gent 0 , Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
6,�,, ,,y i,or( DO NOT WRITE BELOW THIS LINE
Your street address will be E. 19//6 VPilley �py The zone is o_'
Sewage Permit Number Issued /Building ermitoP'7 'Receipt5:S py sed
Remarks
\ I
IForm 523 Bldg. Code •
AAPPEN CONSTRUCTION, INC. ee' )
/North 2312 Pines Road Requested Price `3.SS,'
Spokane, Washington 99216 Lot Cost ‘"^^ r
928-8660
PLOT PLAN
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