1976, 02-25 Permit App: L2772 Residence 4=101111111111.1117-
7
Col nfy of Spokane, Wash.a gton JOB #313
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
1 , GENERAL REQUIREMENTS PERMIT FEE $44,00
i PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of amyl
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 KAPPEN CONSTRUCTION, INC- Address N. 2312 Pines Road phone 928-8660
Architect Address Phone
Engineer Address Phone
Contractor KAPPEN CONSTRUCTION. INC. Address N. 2312 Pines RoadPhane 9[8-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 20. Block 3. Rotchford Acre Tracts
# a s---s/3- 63 40
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone Fire Zone
Size of Lot 150'x300' Sewage System septic Const. frame
(Fr., Conc., Br. et )
Stories_._Dimensions 42'x24' Total Sq. Ft. 1620 Valuation $33,450
Rooms _fL Baths . Basement full 1 Foundation Const. concrete Chimney brick Fireplace 2
uI, part, none) (Kind) (Number
Heat. System F A El ect„Type of Roofing shake Ext. Finish wood Int. Wall Finish gyp. board
Use of Bldg. Single Family Dwe_]1_i,.g w/attached garage
No. of Units 1 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-
em a water supply lines.
NORTH RESIDENTIAL —COMMERCIAL State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
f See Attached Plot Plan mHeating Permit
toN Sewage Permit
.11 y
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information submitted is correct and th e are no other structures located on this property except
as shown.
(%�� i cc '
9� February25, 1976
'c Owner or Agent Date
k A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
-yet DO NOT WRITE BELOW THIS LINE
Tour street address will be '
��`�7c1 �� /�� The zone is
Sewage Permit Number Issued Building Permit �� .0�geceipt Issued
Remarks T� C
Form 523 Bldg. Code
IKAPPEN CONSTRUCTION, INC.
North 2312 Pines Road Requested Price-273 23/3-0
Spokane, Washington 99216 CD Lot Cost ,,,
928-8660
PLOT PLAN
ELEVATIONS:
Crown of Street
(2) /5-0
sO ' Finish Floor
131'
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