1976, 03-17 Permit App: L2976 Residence ®- Coity of Spokane. Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 65.00
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.
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
Highview Acres Inc. 773-4281
Name of Owner , Address' • '• - • _ • _ _ _ Phone
Architect Industrial Drafting Address • • rs Phone 928-7755
Engineer Landmark Surveyors Address Limb rrty__Lake, Wash• Phone 255-6159
Contractor Robert Pielaet Address Rt-2, Post Falls, Id-83854 Phoneri-73-4281
Legal Description of Property (Give complete description from deed, tax receipt, etc.) eq.67-6-114)?' 0637
Lot 11, Block 2 Ridgemont Estates Spokane County, Wa.sbington
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone — Fire Zone 3
SS .f L.t approximately 118 x 180 (irregular) Sewage System sewer pFrn.sConc Bmre etc.)
1 Std a-E! Dimensions 26X53 W/ 300' deck (basement garage) Total Sq. Ft.2996 Valuation 49,900.00
Rooms —Baths 2 (Full,Basementnofull Foundation Const. concrete Chimney son_ Fireplace(Number
Heat. System Fes' Type of Roofing shake Ext. FinishSimpSon #316 Int. Wall Finish drywall
Use of Bldg. dwelling residential No. of Units 1 Bedrooms 3
.f: ,i_"t; .:.,i., 'I 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.
State License No.
,i s a- rrerlerr9a ZS' ' *-6/ i3O 223-01-8698
1� Ind. Ins. Acct. No. _
°a Employers Ins. of Wausa'rl
rn ; 2316-00-036761
j
s,�= �j.�'i'd.S ! REQUIRED
'� Plumbing Gold Seal Mech.
'Z q \ Permit ...
lt71
A & M Heating
_w/o/ >Amy* Heating Permit
a Mi Sewage Permit
Cl
a --• Plans Received
ti ® a Plans Checked
< Sr )'3 t) Plans Returned
- -4' Plans Picked Up
\l/ Plans Mailed
6
S b 7 84,U4i�- , ec �d7l
I her y ce ify for tion s tted is correct and there are no other structures located on this property except
as shown. � �EZ March 17, 1976
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
l'�,�,r, ',10 DO NOT WRITE BELOW THIS LINE
Your street address will be ,�, L
..� j x ('fit .i.,.>_, ,,o, 1" The zone is,,j ' l-t"�u
Sewage Permit Number _ Issued Building Permi Receipt 3(,..,, t Issued
Remarks 6/�-* ._J�r^-•-e) . 7
Form 523 Bldg. Code