1973, 02-21 Permit App: K580 Residence County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT 2_ 3 ".'
GENERAL REQUIREMENTS PERMIT FEE
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.
RATER. Water supply must be approved by the County and State Health Departments. Where work on water connections disturbs
.be 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 Resoiutioos Nos. 45-133 and 47.235.
t:t:T-OACK FROM PROPERTY LINES. In most zones and under most ci.rc;;nc,,tances, a sot-back from the front property line, of at
:cast 25' is required, a 5' side yard, 15' side yard from a flanking street, and a 25' rear yard are required.
'::A'TE HIGHWAYS. Where the structure abuts a State Highway, clearance must be obtained pp:rta.iuing 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
l performed in accordance with stakes. Points of ingress and egress must be approved by the County Engineer.
1/ MOVING OF BUILDINGS. A permit is required to move an existing building. When a building is moved on a County or State l
Highway, clearance must be obtained from the County Engineer andior State Highway Department.
ACCESSORY BUILDINGS. Accessory buildings (garages, sheds, etc.) require a separate pE rmit.
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 owneiKappen Construction, Incjddress South 25 Blake Road PhoneWA 4-0771
Architect Phone Engineer Phone _
Contractor Kappen Construction, Inc . Address.__S_outh__ 25-Blake-Road__-_____ PhoneWA 4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 1 , Block 2 , ALOHA ADDITION --- V—( -----_1 _
DESCRIPTION OF WORK:New x Addition Remodel Moving_ ____Bldg.Zone_ ( Fire Zone'
Size of Lot 77 . 7 x 130 Sewage System __sgy r Stories 1
Const. frame Dimensions 22x28 + 18x24 + - Total Sq. Ft. 1084 _vajuatior$25 , 5 0
(Frame,cgncrete,brick,etc.)
Rooms b Baths r)-✓ Basement part Foundation Const. _concrete Chimney - _Fireplace -
(Full, part, none) (Kind) (Number)
Heat. Systeme l e c t r i c Type of Roofing c O m p O S i t i O I1 Ext. FinishW O O d
Int. Wall Finish gypsum board
Use of Bldg._ residence
_. No. of Units. 1 Bedrooms 3
Gargge or Carport Attached none Privwe 1),,u,l hcd--- none
i---6) PLOT PLAN
Draw sketch with dimensions showing: (1) property lines; (2) street Of road locations; (3) location of existing and
oposed buildings; (4) distance to property lines and streets; (5) dimensions of buildings; (6) location of sewage sys-
tem and water supply lines.
NORTH State License No.
Ind. Ins. Acct. No.
see attached
REQUIRED
Plumbing Permit
en Heating Permit
m _
c/► cm Sewage Permit
-4 --
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
C I hereby certify information submitted is correct and there are no other structures located on this property except
as shown.
`QiC } �l/Y�— — — — I5ekru a ry21, 19 7 3
1 Owner oriiggrit Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
1 DO NOT WRITE BELOW, / THIS LINE _� : !
Your street address will be / /°- 2 (o 1''� The zone is '_ —�_
Sewage Permit Number Issued �n Building Permit ,� Receipt L Issued
Remarks z.tt1 ,i G 2i l'yG� Lel
/2- _1
form 520 Pfd . Code
KAt PEN CONSTRUCTION, INC . 9
S. 25 Blake
Spt)kane, Washington 99216 Requested Price ,
Wa 4-0771 Lot Cost 3 ,500.00
PLOT PLAN
T ELEVATIbNS: ,
N ; , Crown of Street i-, yc7
! : Finish Floor-,240 ; r6,3 ?
+.1057.95' �,
�
R=20'
11
1
o 1- b it°' a- !:1c•
40'
22.95 — F, rI�I . _ (., 3i — 151
B-1084-S - ,
0
N
18'
.0-ou 42" porch- 22'
42" wa- k fi i, 1,2'
c c 30 '
•r
Ni j(
r
3 cu . R=20'
w rts yu
0 3 f,
`�'r�
33RD AVENUE 57.55'
Scale: 1 "=20 '
Basic: 1084-S T S9. Ft. 1084 Legal Lot 1 , Block 2, Aloha Addition
FHA Case # ; Job #4 Address:
Moitgage Co. Sherwood&Roberts SPECIAL INSTRUCTIONS:
i
Power Co. Water Co . ',
'
Model
Plumber : Excavator
Eller-Rosa