1970, 02-05 Permit App: I3405 Residence Job # 137
County of Spokane. Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201 d
APPLICATION FOR LAND USE OR STRUCTURE PERMIT O
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GENERAL REQUIREMENTS PERMIT FEE
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 )J
Name of Owner Carl r _Kappen Address N. 122 University Rd. Rm.l((one Wa 4-0771
Architect Phone Engineer Phone
Contractor pPn Construction Address N. 122 University Rd. , Rm.102 Phone Wa 4-0771
Legal s iption of Primer (Give complete description from deed, tax receipt, etc.) /_
Block 2 of 3 era Terrace Addition 2
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone /
Size of Lot 86.50x146 19 Sewage System Septic tank Stories 1
Const. frame Dimensions 62x26 Total Sq. Ft. 1 612 Valuation $23,300.00
(Frame,concrete,brick,etc.)
Rooms 6 Baths 11/2 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 3
Garage or Carport Attached Garage attached Private Detatched-
PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of ,-:isting-hand
proposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6location ' -ewage ys-
te and water supply lines.
7th NORTH 86.50' 1 storm=
Ind Ills... No.
30' II
REQUIRE /
J
'w 12' ---2T----:; 42' -12. Plumbing Permit
=1 '
24' 126' 26' '" Heating Permit
m i\x
vi " 1 (5 N Sewage Permit
�, 62' 1 s
Plans Received
Plans Checked
90 1 Plans Returned
Plans Picked Up
Plans Mailed
SOU TH86.50
I hereby certify information submitted is correct and there are no other structures located on this rty except
as shown. � — if� `7
I. `/C•sv�� ` _ G -4_.. /
Owner or Agent Date
A LAND USE OR STRUCT* E PER 0 UST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THI -e+ N•T A PERMIT.
4 AL NOT WRITE BELOW THIS LINE
Your street address will be ���� -- hi 7''
/ �( e zone is .,, ''
Sewage Permit Number Issued Building Permit 3 Receipt :sued
Remarks I 4/6 / C '7 Ct
Form 523 Bldg. Code