1976, 01-13 Permit App: L2436 Residence County of Spokane, Washington & 2 c
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 11
GENERAL REQUIREMENTS PERMIT FEE...22
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 easeuents running wall th� land
which are enforceable through civil action. County Officials can not bring action to enforce covenants or dedication .
i//,6761PPLICANT FILL IN BELOW THIS �y /�Name of OwnerMS
��CAddress gi� /. ✓i7�'. r (/, Phone �''�`V �� t1
Architect Address Phone
ingineer y ---, Address p�� -j�) Phone /�,/
ontractor I// if i —/ e.-' Address Vi A - //JF',5 ,�c 'b Phone q4r-1w O
ieg s ripti of Prop (Give Coy te
description fromedi tax receipt, Itc.)
, `'t-c- ,) a z- 4 c'/ 2a5y4' — 05/
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone Fire Zpp��e��
Size of Lot 75 x :/&5 Y Ci '7�Y(/f7`E'..)
Sewage Syste / Const.
,�rr// I� . Fr.. Conc., Br., etc P'E;?
Stories 4 Dimensio s ?F'61 k T a_X.y [Total Sq. Ft. Valuation c5�J 7 0
Rooms Baths 0( Basement /I Foundation Const. NVie�Ye Chimney — Fireplace
(Fig, rt, none) n (Kind) qyffit erHeat. System . 0a of Roofing d Ext. Finish 10400 Int. Wall Finish ' ICJ
Use of Bldg. /%2C/ /f7/X Si /7e € / 9f/007e...-- N . of Units"Bedrooms
PLOT PLAN L'YU / -4- */ r r '�"
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 License No.
Ind. Ins. Acct. No.
e -dtbeAe 1
10 /6•/.-
REQUIRED
i / Plumbing Permit
a/7 m Heating Permit
ril )b
N to Sewage Permit
y -I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby tif in . . :tion submitted is correct and there are no other structures orated on this property kept
as shown. /
/3 7 ,
Owner r gent D e
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
(k)-4tNO-e--Y) DO NOT WRITE BELOW THIS LINE ,
Your street address will be `
' /06/.3
��/✓ 137 aL The zone is
Sewage Permit Number Issued Building Permit Receipt/:X,601,.* Issued
Remarks ,
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
2312 N. Pines Road ,
Spokane, Washington 9920b Requested Price 30, 95C)w
92.8-8660 Lot Cost 'x,300°2--
PLOT PLAN
ELEVATTtNS:
N Crown of Street +/g
L.
Finish Floor + a
rif
75'
{a`/ - --- 303
- Y
-,2
.
� � M M II \
-
7
12' 2, /i 2
` / 900 GRI.l.nN 1 \
DJ a D✓ER 4p,J4
CD
k3 rp.�r 7/74 _ 1"_. `jib 3� \ll
'/0' I 22'
.
F =td/F
—g'
N /09 GARAGE N-5'-
40' l
i rca Y. WR,K Q�
2
1/E egiiki6
C6/./CRETE
. U'
Q
V 1 — 193:,,
It yy
.,.
5.,
1
-- ---J7J T-I' STREET 10
Scale: ) `C— 2o'
Basic: /o42 -R4; Sq. Ft. i0—a , _—
FHA Case # ,lob # -Lr'gal � Lo� UN \,ER51-ry PLACE
��, Address: P , 13fh ST/2E E_--r-
r
Mortgage Co. �DMniE lr,c SPECIAL INSTRUCTIONS: 3 BE DPM, A'r iI) U PSTp/r2S uT/L cr y,
Power Co. Water Co. 5TRA IGF1r G r9 ,1(.5 1200 , DaL, (1,12G,g2,aGE
1
Plumber Excavator
f� ft Ra/ : k o5N3,4u6r44 _ ---
050766 225/ - '7 ?6 tfwn 4'w.liii tw/p!!ng
N019NIH5V/M ` P/vd)IOIg 6.dd'aj9 lis) ; 1od
aVo j 3NNo9Ifb 646 At '
'DAN' S,2133W,tw3 Otary/S •' 3WN.9�Y4$
. . 1477°°
�ls�a 411t9,0144,�► •• a 21,/4
,If°v� Ot ; gcdaA!un 61 a►'a/S 6 4 d 7 f° 24 4caM ays
-1141 40 laat a SL 4-5.3 ayy. Puy ` Q 407 30 Zd 4s.2/11
O fi +11. 40Nt, V4/4 fo 42,21 ;SL 4' '3 • 4 ` L 407 1.0 2% 4ca, .
kit 66 � 9+Trilt 4". 1aat ESL 1sly1 ay* to', Haat aSZ V1n0S ayj ; 1 la,41•4
NOLL d! '7 30 76'0'7
•
oi► =„l : a/tis 71N�iAry 'a i/
,
414, I
_ - 4, - - - - - - -•i ,
ssi ;s1 + I
1
VA 60. 6 107 61 ; 10-
103
A
N I 702VV4 I . 2
o
' � M 8 107 u
• i^ 7.1 Iib
0
IC:
N N
4/116 ;SL • L 107 `�( 1 I
A
t ill ;
- - - - -7 - - - - -
�� — '1 —y
1 �