1973, 02-15 Permit App: K576 Residence 8...9.6- 4,?- dam//
County of Spokane, Washington
BUILDING CODES DEPARTMENT, COURTHOUSE. SPOKANE, WASHINGTON 99201 Job #11
APPLICATION FOR LAND USE OR STRUCTURE PERMIT ®u
GENERAL REQUIREMENTS PERMIT FEE D--).--
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
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 car. not bring action to enforce covenants or dedications.
APPLICANT FILL IH BELOW THIS LINE
Nme of ownerKappen Construction, Inc. Address South 25 BJ ake Rnac3 sone WA 4-07`]1
A ehitect_ Phone Engineer Phone
Contractor Kappen Construction, IncAddress m . t _ . _ Pe. : Phone WA 4-0771
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
___ Trot 11 , Block 1 , ALOHA ADDITION— 3 S (72 C 5-7(
DESCRIPTION OF WORK:New X Addition Remodel Moving Bldg.Zone I Fire Zone'--
Size of Lot 80 x 130Sewage System Sewer Stories 1
Const. frame Dimensions 24 x 40 Total Sq. Ft. 1 ,004 Valuation $23,50O
(Frame,concrete,brie ,etc.)
Rooms 6 Baths Basement full Foundation Const. concrete Chimney Fireplace
(Full, part, none) (Kind) (Number)
Heat. System el ectric Type of Roofing compositiortikt. Finish WOOd Int. Wall Finish gy Sum bd
Use of Bldg. residence No. of Units 1 Bedrooms 3
Garage or Carport Attached none -Private Detatched
0 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-
tem, d water supply lines.
1State License No.
NORTH Ind. Ins. Acct. No.
see attached
REQUIRED
Plumbing Permit
en Heating Permit
owl
in aDn Sewage Permit
-I
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
SOUTH
I hereby • :rtify inf. matt. .ubmitted is correct and there are no other structures located on this property except
as shown.
- L _ —f /`. February 15, 1973
Owner or Agent / Date
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
street address will be /7 3 �� g. 3 a; `-trThe zone//,.sr'-
Sewage Permit Number Issued Building Permit ;S'06 Receipt t� Issued
Remarks rYr_ -7 ' Li //Ct fG
c-
Form 523 Bldg. Code
KAPPEN CONSTRUCTION , INC.
qS. 25 Blake
Spokane, Washington 99216 Requested Price
) Wa 4-0771 Lot Cost 3,500.00
p`. PLOT PLAN
‘\ ELEVAT16NS: ,
Crown of Street 4-. 110
. / : Finish Floor f a� /o '
80'
1;12' '�J /zi
A A
0
CD d-
M r
1 40 ' i
27 ' F • F --r.:2.10' 13
c.; B-1004 c.,
t.ci,
L ." porch i — -22, �,
_
a) y
3
30' Y --YY. V° _ .-/-. q°
ll
r35 59
oe(, V W
A
r F e y0' ,. 48.45
Scale: 1 "=20'
Basi: 1004 T Sq. Ft. 1004 Legal Lot 11 , Block 1 , Aloha Addition
FHA Case # ', Job # 11L r
,
Address:
J.
F
Mortgage Co. Sherwood&Roberts SPECIAL INSTRUCTIONS:
Power Co. 1 Water Co. A'
Model
_ a
Plumber : Excavator
Eller-Rosa