1977, 04-05 Permit App M0923 Residence, Garage--
County of Spokane. Wash.ngfon
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE 46.00
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 mast conform wi 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 di urbs
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.
i APPLICANT FILL IN BELOW THIS LINE
Name ofner Kappen Constr. Inc. Address 2312 N. Pines Rd. 99206 Phone
928-8660
Architec Address Phone
Engineer Address Phone
Contractor Kappen Constr. Inc. Address 2312 N. Pines Rd, 99206 Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc.)
Vt112013700/N Sherwood Forest Portion of Parcel # 20543-9027
Lot j7., Block 2
DESCRIPTION OF WORK: New X Addition Remodel Moving Bldg. Zone ( Fire Zone
Sewage System septic tankonst fra e
(_c9rSG..i$�O
Stories 1- Dimensions 24x24, 24x28, 24x22 Total Sq. F 1776 Fr.,
Valti
Rooms _6_ Baths_2__ Basement full Foundation Const concrete Ch ey
(Full, part, none) (Kind)
Heat. System Elect. FA Type of Roofing shake Ext. Finish wood Int. Wall Finish 9YP°
single family residence garage attached No. of Unit _ Bedrooms 3
Size of Lot 85'x130'
Use of Bldg.
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 and water supply lines.
en
cn
NORTH
RESIDENTIAL — COMMERCIAL
24x24 = 576 sq. ft. house
24x28 = 672 sq. ft. house
24x22 = 528 sq. ft. garage
1776 sq. ft. total
see attached plot plan
SOUTH
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
en Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby c rtify infor.>xion s witted is correct a d there are no other structures located on this property except
as shown. ,l
April 5, 1977
Owner or Agent
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
vO
DO NOT WRITE BELOW THIS LINE
Your street address will be q 70 l � The zone
Sewage Permit Number Issued Building Permit M 9C.3 Receipt T (,/ Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
Basic:
FHA Case
Mortga%%e Co.
Sq. Ft.
' /77 C.
Job
L
Power J 'Water Co.
t LLB L
Plumber
:Excavator
..__7_L`( 14ti r( L L.,_().s✓'..1e2{.1 ,.
PLOT PLAN
guested Price
Lot Cost
4-
ELEVATIONS:
Crown of Street"'77S
Finish Floor + z-'-
r
Legal/ ) T /
Address:
Scale: / /