1976, 02-25 Permit App: L2775 Residence County of Spokane. WashkAton JOB #
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 311
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ,
GENERAL REQUIREMENTS
iPERMIT FEE $51/00 •
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 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 pt,m1B 928-8660
Architect Address
Phone
Engineer Address
Phone
Contractor KAPPEN CONSTRUCTION, INC. Address N. 2312 Pines Road phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 12kuyRlnrk 3_, Rotchford Acre Tracts
susf/3- a3/2—
DESCRIPTION OF WORK: New XX Addition Remodel Moving Bldg. Zone / Fire one
Size of Lot 1490991x319.94 Sewage System septic l Const. Zone e,,
x24' (Fr., Conc., Br., etc.)
Stories Dimensions .' � _Total Sq. Ft. 1960 Valuation $39{450
Rooms Baths 2t Basement full Foundation Const. concrete
Full, part, none) Chimney brick Fireplace 2
(Kind) (Number
Heat. System F A El ectaype of Roofing shake Ext. Finish wood Int. Wall Finish gyp. board
A: of Bldg. Si ngl e Family Dwell ilk.., w.Jattaihed garage �( No. of Units L Bedrooms 4
/' PLOT PLAN �,,,<„1.
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.
REQUIRED
Plumbing Permit
mg
m Heating Permit
to See Attached Plot Plan N Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby certify information sub tted is correct and there are no other structures located on this property except
as shown. �p
`‘ �" o .9tJ, 6ebruury 25. 1976
Owner or Agent Date
*•-A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES. t e'
THIS IS NOT A PERMIT.
6--,1A_, 14/ .E DO NOT WRITE BELOW THIS LINE
Tour street address will be - /31//7 /6 .r.4_, �4,1 a C !'LU 0�
�he zone is
Sewage Permit Number Issued Building Permit Remarks 7 S Recei t 6 tikU
Remarks
l P Issued
Form 523 Bldg. Code
KAP.PF' CONSTRUCTION, INC.
Norfh 2312 Pines Road ® Requested PriceZ3 4. 4 a
Spokane, Washington 99216 Lot Cost OD
928-8660
PLOT PLAN
ELEVATIONS:
) , Crown of Street
/C/9 99 / i_ Finish Floor
0
0
1 2 i 0, / ,�
ct 53'
0 0°- :,) \
it , Co \
Ta
T
7 0 C) l' 'moU
L
tl
0
2
11
C
*
) /yam yy , 1
/(9th t- ✓E/UV a-
Scale:)''= 0 '
basic ; Sq. Ft. �
_ �L' -3� 1
FHA Ca�e-1------ `Jo6 # /L �u L Legal �p�' �- -����iQ��.f'�'J/:�,�.'i��? ,T _,, �-
3 I / Address:
L r
Mortgage Co. (' r i i'? -,{ t ,1 -!�/l
E
Power o. ; Wate Co. I "1 hC rOL_))/i i,
_ r V �',� t % i/ r„..,) -, /, /.'/- �), d ��
PTu , er ;Excavator /