1977, 04-05 Permit App: M0416 Residence City of Spokane, Wash gton 3
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 9920 -'
JOB # 350
APPLICATION FOR LAND USE OR STRUCTURE PERMI — —
GENERAL REQUIREMENTS PERMIT FEE0«0/ 42.00
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 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.
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.
i 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 N. Pines Rd. 99206 Phone928-8660
Architect Address Phone
Engineer Address Phone
Contractor Kappen Constr_ Inc_ Address2312 N. Pines Rd. 99206 Phone928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.) _
Lt. 2, Block 5, Sherwood Forest Portion of Parcel # 20543-9027
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone / Fire Zone -)
Size of t ; 81 `xl37/2fx2{B4, 18)(26, 28x20 Sewage systenheptic tank const. frame
dimensions F7*J/� 01 AF�Y�//�Ff-/ l,ValuationConBr., etc.)
Stories Total Sq. Ft. 1556 39,950.00
Ro 's Baths 2 Basement fu11 Foundation Const. concrete Chimney free-5 1 1g 1
(Full, part, none) (Kind) (Number
Heat. System Elect. FA _Type of Roofing shake Ext. Finish - wood
Int. Wall Finish gyp•
Use of Bldg. single family residence No. of Units-L 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 a,d streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
- NORTH RESIDENTIAL - COMMERCIAL StateLicense No.
Jy e�
Ind.'1i s. Acct. No.
22x24 = 528 sq. ft. (Garage) REQUIRED -
18x26 = 468 sq. ft. (House)
28x20 = 560 sq. ft. (House) Plumbing Permit
1556 sq. ft, n, Heating Permit
to N g
-+ See attached plot plan -1 Sewae Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby ce 'fy i. or.. io. ..witted is correct and there are no other structures located on this property except
as shown. - /I' ; _ ``/ A.ri 1 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.
e,vk tint cer DO NOT WRITE BELOW THIS LINE
Your street address willbe /� (bAg, 5
`�7�7 �Q C�^-'� ' '^�� The zone
Sewage Permit Number Issued Building Permit-' Receipt to / Issued
Remarks
Form 523 Bldg. Code
i ! r-,)KAPPEN CONSTRUCTION, INC. 31fs y
North 2312 Pines Road Requested Price �.
Spokane, Washington 99216 Lot Cost -7,77P
928=8660
PLOT PLAN
40
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