1976, 08-17 Permit App L5091 ResidenceGinty of Spokane, Washington
914/41-/
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201 2 '--
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE.$21.00
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 CONSTR., INC Address N. 2312 Pines Road Phone 928-$660
Architect Address Phone
Engineer Address Phone
Contractor KAPPFN CONSTR., INC. Address N. 2312 Pines Road Phone 928-8660
Legal Description of Property (Give complete description from deed, tax receipt, etc 1 S. 70' of the N. 210' of
Lot 5, Block 13 of Harrington's Addition
DESCRIPTION OF WORK: New XX Addition
Size of Lot 120.4' x70000'
Stories _2-Dimensions 36x24
Remodel Moving Bldg. Zone
Sewage System Sept i c
Rooms .S ig Baths 1 Basement U 1 1 Foundation Const
(Full, part, none
Heat. System
Use of Bldg.
Pi PCtri C Type of Roofing
comp -
concrete
Ext. Finish
single family dwellinrunfinished basement
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.
wood
Fire Zone 3
rY�oast. frame
(Fr., Conc., Br., etc.)
m
N
NORTH
Total Sq. Ft 894 Valuation $28, gUn.0n
Chimney none Fireplace none
(Kind) (Number
Int. Wall Finishgyp bd_
RESIDENTIAL — COMMERCIAL
See attached plot plan
SOUTH
No. of Units)._Bedrooms 2
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
n+ Heating Permit
fir Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
I hereby certify information submitted is correct and there are no other structures located on this property except
as shown. / /(,
Owner or Ag t 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
Your street address will be ,�j J 4 _ l Tp The zone is (749
Sewage Permit Number Issued Building Permit O�S� Cc ( Receipt, S 36 Issued
Remarks
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-8660
PLOT PLAN
Requested Price a:28, 95 Lj
Lot Cost +,1 goarr__
70
1-
ELEVATIONS:
.;rown of Street- n-21
Finish Floor
v,
Basic: ;Sq. Ft.
L BHA Ca eT e ;`Jo6 # PA/
L 2i
Mortgage Co. ti_
Dower Co. ;Water Co.
L
umber
42,
;Excavator
r
Address:
F— /3
Scale: f//=020
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