1971, 02-08 Permit App: I3403 Residence Job #136
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 ef�
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.__.__
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or stry tune 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 Carl L. Kappen Address N. 122 University Road Rm Moe WA4-0771
Architect Phone Engineer Phone
Contractor Kappen Construction, Inc. Address N. 122 University Road Rm 102Phone WA4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 7, Block 2, Vera Terrace Addition g. —2,5- ---4'747
6A 7?-/ a 9 C)9 D '7
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg,Zone Fire Zone
Size of Lot 66.48x145.98x86.50x125.87x20.02 Sewage System epticStories 1 i
Const. Frame Dimensions 60x24 Total Sq. Ft. 1940 Valuation 25,250.00
(Frame,concrete,brick,etc.)
Rooms 8 Baths 2 Basement full Foundation Const. concrete Chimney brick Fireplace 2
(Full, part, none) (Kind) (Number)
Heat. System electric Type of Roofing comp. Ext. Finish wood Int.Wall Finish gYp• bd.
Use of Bldg. living residence No. of Units 1 Bedrooms 4
arage or Carport Attached garage attached Private Detatched
f�,� PLOT PLAN
,4f1 Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
7th 66.48 411 ---
1 s . •c 'o.
20.02 3b� '
_13_ 40' 20' 11.50' REQUIRED
(-- r
A Plumbing Permit
c24' t � Heating Permit
—. to 24 1c, Sewage Permit
civ , l ' 20' -"
Plans Received
Plans Checked
Plans Returned
91' Plans Picked Up
Plans Mailed
SOUTH 86.50
I hereby cert'$y information submi -(1-As correct and there are no other structures located on this property except
as shown.
Owner or Agent Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION CO r ENCES.
THIS IS NOTA PERMIT. n
DO NOT WRITE BELOW THIS LINE � 4
Your street address will be / l J a T E) % V e zone is f
Ar- ',•
Sewage Permit Number Issued Building Permit , U Receipt Issued
Remarks
Form 523 Bldg. Code