1977, 01-25 Permit App: L6762 Residence County of Spokane, Washington Job #9
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE$32._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.
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.
1 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.
1 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 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Construction Inc. Address N. 2312 Pines Rc1, Phone q28-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) I nt 9, R1 ock 3 Guthries
Valley View 5th Add.
p✓I:e i'/7S-s-3-/3 0,
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone •----
Size
Size of Lot 75'X122.35'x90'x120' Sewage System septic �y+oust. frame
(Fr., Conc., Br., etc.)
Stories 1 Dimensions 40 X241 Total Sq. Ft, 1042 ValuationS33950-00
Rooms 7 Baths2 Basement full Foundation Const.. Concrete Chimney none Fireplace 0
Full, part, none) (Kind) (Number
Heat. System elec. b/bd Type of Roofing comp_ Ext. Finish wood Int. Wall Finish gyp. bd„
Use of Bldg. single family dwelling-unfinished basement No. of Units...I...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
m Vo
to 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.
r—vf-- ji- et-fz //t 317-7
ner or Ag t Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
O-2L nl y C 1�® DO NOT' WRITE BELOW� � THIS LINE
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Your street address will be / 7 a,O Ig /lE'y lAP}y The zone is --I 4
\sewae Permit Number Issued Building Permit Receipts giro Issued
Remarks
Form 523 Bldg. Code
1
KAPPEN CONSTRUCTION, INC. .
North 2312 Pines Road Requested Price L-6(4 .5-6. o
Spokane, Washington 99216 Lot Cost 1j �°
92' -8660 �� )
j PLOT PLAN )
ELEVATIONS: .1Oa � � ) e`" Crown of Streett77111 � � � i w Finish Floor -ftp'
40 110' 4-77
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