1977, 12-06 Permit App M4414 ResidenceI hereby certify Ygformation submitted is corr ct and
Owner or Agent
Casty of Spokane, Washigton
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON 99201
APPLICATION FOR LAND USE OR STRUCTURE PERMIT
GENERAL REQUIREMENTS PERMIT FEE $32.00
PERMIT REQUIRED. A land use or structure permit is required by County Resolution to erect a building or structure of ant.
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 can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of Owner Carl Kappen & Assoc., Inc. Address N. 25 Mullan, Suite 304 Phone 922-1690
Architect Address Phone
Engineer Address Phone '
Contractor Carl Kappen & Assoc., Inc. Address N. 25 Mullan, Suite 304 Phone 922-1690
Legal Description of Property (Give complete description from deed, tax receipt. etc )
W. 109.00' of E. 327.00' of N. 120.00', Tract 30 Plat "A"
Greenacres Irrigation District
172/, 2J2 5/
DESCRIPTION OF WORK: New )( Addition Remodel Moving Bldg. Zone / Fire Zone A
Size of Lot 120' x 109' Sewage System Septi cio1004 (FConst. Frame
r.
Stories 1 Dimensions 24 x 40 Total Sq. Ft Valuati,Conc.
on $ ° jj�
"• 00
Rooms ` Baths 1 Basement Full Foundation Const Concrete Chimney none Fireplace none
—Willi, part, none) (Kind) (ripper
CI Int. Wall Fini h GYP • uu •
No. of Units 1 Bedrooms 3
Heat. System Elec. /b Type of Roofina Comp. Ext. Finish Wood
Use of Bldg. Single Family Dwelling - Unfinished 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.
NORTH
RESIDENTIAL - COMMERCIAL
See attached
SOUTH
as shown.
State License No.
d K
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
▪ Heating Permit
D
sn Sewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
there are no other structures located on this property except
/Z/ur6/777
Date
A LAND USE OR STRUCTURE PERMIT MUST BE ON THE PREMISES BEFORE CONSTRUCTION COMMENCES.
THIS IS NOT A PERMIT.
Your street address will be / '7 Q p
Sewage Permit Numbe
Remarks
Form 523 Bkia. Code
DO NOT WRITE BELOW THIS LINE LI
The zone is
Receipt 4 g
-Building PermiL Number
Zone Classification
Public Road Frontage
Setbacks
Lot Area
Segregations
Parking
PLANNING DEPARTMENT CHECKLIST ***
a0
OK
dK.
(19A'n,,c,
C �4
:one Change Conditions !rr%
Ccnditional Use Permit iUhl
Variance /1) 14 •
From information provided by the applicant, the proposed use does comply with the
Spokane County Zoning Regulations; if it is determined that this approval is based
on incorrect information, this approval shall be adjudged invalid.
Signet
Dated
Carl Kappen &
Associates, Inc.
N. 25 Mullen, Suite 304, Spokane, WA 99206
Phone (509) 922-1690
Per PLAN
'ED PRICE :'93,1 RSa
LOT COST ? - SO °
ELEVATIONS:
Crown of Street 4,/3
Finish Floor o".,/,e_
n
f Q
t CS
•
fi
28"
riaiic7n+v
/oa`7 RB
Fr= 0-44°
ya'
qco
/2'
39' I
4' 1 6"
/09'
`4pCk lPc
1
Basic: /ODD/- QB ! .Ft.. / Legal: / a-P%oa' r
F'H No • I Job No • Address:
i 1 2_ /1e1i 4 /' fw e,,,,, ,
Nbrtgage Co , L �r}�Or Scale: 1 General Info:
&I-1e 22 4A 1e /4'' .=.10' -� e,%a�, �` z 1�.2artins
PoweS Co: ! Water Co: u//./• ew ,,' �Gva>f3
.Excavator: 1 -o't
______I__to eo.rsf,':
Plunbet :
orp_M_M_--NM_*.
41.