1977, 04-05 Permit App: M0362 Residence Cnty of Spokane, Washton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT CDJOB
GENERAL REQUIREMENTS PERMIT FEE .__ L1J 42,00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of
kind or alter any building or structure already erected, or to change a land use. Construction must conform with t
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
jleast 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. Kappen Constr. Inc. Address 2312 11_ Pines Rd. 99206 Phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone 928-8660
"-egal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 6, Block 5, Sherwood Forest Portion of Parrel # 20543-9027
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone /' Fire Zone -,
Size of Lot 44.04'x37.08'x137.44'x81 'x137,44' Sewage System septic tan*onst, frame
(Fr., Conc. r. etc.)
Stories 1 Dimensi ns 62x24 _Total Sq. Ft.1570 Valuation 3�,9 .00
Rooms -Baths Basement full Foundation Const. concrete Chimney free—s cj 1
(Full, part, none) (Kind) (Number
Heat. SystemFl ect_ FA Type of Roofing shake Ext. Finish wood Int. Wall Finish gyp. bd.
Use of Bldg. single family residence No. of Unitsl_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 Lice se No.
r 0
Ino. Ins. Acct. No.
1042 sq. ft. (house)
528 sq. ft. (garage)
REQUIRED
1570 sq. ft. Plumbing Permit
in Heating Permit
m
to LA Sewage Permit
r -a see attached plot plan .4
i Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I her certify in ormation submitted is correct and there are no other structures located on this property except
as shown. ,�
l , ,,,,. i ;," �•, ,, / . /. April 5, 1977
Owner or Agent / Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
L hAr 6 DO NOT WRITE BELOW THIS LINE ,(�
Your street address will be& '�j/s r /(5 -4- (7--Ne---- The zone is -f" L.
Sewage Permit Number Issued Building Permit/I/ 136,2- Receipt . 'I (4 Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC. �-
North 2312 Pines Road uested Price ` ' '
Spokane, Washington 99216 .0 Cost 7f0P ��
928-8660
PLOT PLAN
1 0 T A ✓ 'E ELEVATIONS:
`� Crown of Street -t9s
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FHA Base : JOB # Address:
-------------------L--- •u-`=-� ---------
Mortgage Co. CC M I) r C f.
Power Co. : tater Co.
Plumber ; Excava or
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