1972, 04-17 Permit App: J2835 Residence • County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT —3 (
l "%
GENERAL REQUIREMENTS PERMIT PEE
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 mast 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.
1 SEWAGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47.235. r
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 rr, 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 PILL IN BELOW THIS LINE
Name of Owner Kappen Construction, Inc, Address 13524 E. Sprague Ave. Phone WA4-0771
Architect Phone EngineerPhone
Contractor Kappen Construction, Inc. Address _13524 E. Sprague Ave. Phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.) Lot 4, Block 1
----- —Patricia Subdiv' '. i . " :+-Mal . : . - . Vera
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg.Zone Fire Zone
Size of Lot 78' x 1301 —
Sewage System septic tank Stories 1 i/2_
y P
Const. f rallle Dimensions 24' X 40' Total Sq. Ft. 1500 Valuation $21 ,350.00
(Frame,concrete,brick et )//
Rooms 7 Baths 1basement full Foundation Const. concrete _Chimney Brick Fireplace 2
part,, none) (Kind) (Number)
comp. wood gyp. board
Heat. System Type of Roofing Ext. Finish Int. Wall Finish
Use of Bldg. residence No. of Units 1 Bedrooms 4
Garage or Carport Attached nnnP Private Detatched
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.
NORTH s
Ind.
Ins. Acct. No.
a
/6 REQUIRED
Plumbing Permit
m Heating Permit
III
to / X. Sewage Permit
/-6- 8.400 0 Q Plans Received
ts
Plans Checked
IPlans Returned
Plans Picked Up "___
IPlans Mailed
�,oeirlL. SOUTH ger
I here certify information s bmitted is correct and there are no other structures located on this property except
as shown. I ///2 h-7.
, Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IkNOT,,A PERMIT.
NJ W ij DO NOT WRITE BELOW THIS LINE
/
Your street address will be ��'--� The zone is
Sewage Permit Number _ Issued Building Per it Receipt1�sued
Remarks 1 3 J
Form 523 Bldg. Code
N 4, North
t
West __. — East
J
South
-0 __._._._ _.___.__ _ ___ la' _____ _. .___ -0- S21 ,350.00
Lot 4, Block 1 , Patricia Subdivision 1000 sq . ft. Split Ent
Tract 71 , Vera . 4 Bedrooms
6 _,.__ 1 1/2 Baths
{ 2 Fireplaces
r
12' 12 ' 12' E
'
1000 gal .
I
- o
o
,---, CD
+.5 r-- , 40' +.5
Basic 1000
d. St. Gable - 1
15' - :c‘, Floor level +63 '--%% 23 '-___.___
. 40'
+.5 [ ' 144u QJ
. porch + 5 F 42"walk '-
725
Li
I4_....____a_T �__.. -k-
-:-
R_...
Center of Street -0-
_0- - 78� -0- Level Lot
. Curbing
s 14rrrd Avenue
(gravel Street)