1973, 02-15 Permit App: K579 Residence . County of Spokane, Washington
BUILDING CODES DEPARTMENT. COURTHOUSE. SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT Job #8
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GENERAL REQUIREMENTS PERMIT FEE .6
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
th surface, shoulders or ditches of County Roads, permission must be obtained from the County Engineer's Office.
SE AGE SYSTEM. Permits are required in all cases by County Resolutions Nos. 45-133 and 47,235.
S T-BACK FROM PROPERTY LINES. In most zones and under most circumstances, a set-back from the front property line, of at
ast 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 L
! 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 South 25 Blake Road Phone WA 4-0771
Architect Phone_ Engineer Phone
Contractor Kappen Construction, Inc. Address South 25 ?lake Roams _ Phone WA 4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Lot 14, Block 1 , ALOHA ADDITION 3 ;3 }r- -$7- -----C) "/1(
DESCR ON OF WORK:New X Addition Remodel Moving Bldg.Zone / Fire Zone'
Size o '5-X 130 Sewage System sewer Stories 1
Const. frame Dimensions 24 X 40 + 14 X 22 Total Sq.Ft._.',1 ,312 ,,,--)m.3.1 2valuation$ , " iL
(Frame,concrete,brick,etc.)
Rooms h Baths 1 Basement full Foundation Const. concrete _Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. systemelectric Type of Roofing composition, Finish Wood int. Wall Finis ypsum lad
Use of Bldg. residence No. of Units_1 Bedrooms 3
Ca • e or Carport Attached 14 x 22 garage Private Detatched --
ip PLOT PLAN
D w s etch with dimensions showing: (1) property lines; (2) street or road locations; (3) location of existing and
osed 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.
REQUIRED
Plumbing Permit
en Heating Permit
m
uiJP
Sewage Permit
-i to
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby tify info tions minted is correct and there are no other structures located on this property except
as shown. _
Februar •
Owner or Agent D'ste P
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
DO NOT WRITE BELOW THIS LINE
{ i /(30 e 33 /
Your street address will be The zone is
Sewage Permit Number Issued Building Permit.Jet'-7 Rare ipt C —_Issued
Remarks C.., - _ - —
Form 523 Bldg. Code
KAPPEN CONSTRUCTION,' INC .
S. 25 Blake
Spokane, Washington 99216 Requested Price
Wa 4-0771 Lot Cost 3 ,500.00__.
PLOT PLAN
ELEVATIONS:N Crown of Street -t-,o9
Finish Floor 4-,2,/0 '
57.80
R=20 /0 ' r./v '
An
A
CO
40' 14'
!_,F = -2/6 _
12' B-1004 N N 12 '
—Z2-1-- ► porc 14-r,14" •
/o cu 42" wa l k
•r-
2 '
25' cu
+� s.
3 3
R=20cu7- oF�'--
cuRb
H�' 58.20
33RD AVENUE Scale: 1 "=20'
Basic: 1004 Sq. Ft. 1004Legal Lot 14, Block 1 , Aloha Addition
FHA Case # ; Job # �-
8 Address:
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Mortgage Co. Sherwood&Roberts SPECIAL INSTRUCTIONS:
Power Co. ' Water Co. '*
Model
a
Plumber Excavator
Eller-Rosa