1976, 05-24 Permit App L3971 ResidenceColnfy of Spokane, Washington
BUILDING CODES DEPARTMENT, N. 811 JEFFERSON, SPOKANE, WASHINGTON J992OB 01 58
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 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 can not bring action to enforce covenants or dedications.
APPLICANT FILL IN BELOW THIS LINE
Name of owner Kappen Construction, Inc. Address N. 2312 Pines Rd. Phone928-8660
Architect Address Phone
Engineer Address Phone
ContractoKappen Construction, Inc. Address Phone
Legal Description of Property (Give complete description from deed, tax receipt, et )
Lot 3, Block 1, John Henry Subdivision o' /-- — `(y
DESCRIPTION OF WORK: New XX
Addition
Size of Lot 79' x 160.87'
Stories 1 Dimensions 24' X 40
Rooms 6 Baths 1 Basement full
Full, part, none
Heat. System el e _ b. Type of Roofing c amp
Use of Bldg. sg1 family dwelling
Remodel
Foundation Const
Moving Bldg. Zone Fire Zone
oast. frame
(Fr., Conc., Br., etc.)
Total Sq Ft 1004 Valuation27,950
Sewage System septic
concrete
Ext. Finish wood
Chimney none(Kind) Fireplace rump
Int. Wall Finish VP board
No. of Units1_ Bedrooms 3
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 plot plan
I hereby certify infor,
as shown.
SOUTH
tion submitt d i
State License No.
Ind. Ins. Acct. No.
REQUIRED
Plumbing Permit
rn Heating Permit
NSewage Permit
Plans Received
Plans Checked
Plans Returned
Plans Picked Up
Plans Mailed
e s orrect and there are no other structures located on this property except
i
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
Your street address will be
Sewage Permit Number Issued Building 'Perna
Remarks .
--
The zone is -
Receipt CO(.a%h /Issued
Form 523 Bldg. Code
KAPPEN CONSTRUCTION, INC.
North 2312 Pines Road
Spokane, Washington 99216
928-2660
Requested Price
Lot Cost A.,soo
PLOT PLAN
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410'
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79'
Sq. Ft.
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i. 0 mac h d4l-lcl
(lumber ;Excavator
)1/4/4y i Cosh haevh
Power Co.
Gawp
3/aeKlop
(Nlo Garb)
Legal see #aehei
Address:
1-
ELEVATIONS:
Crown of Street cis"..?
Finish Floor a4111.2
E. .8koo/zac,
JeJ,00ni 4psI ;Ks
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Scale: fir- .20r
(f4rce / et?)
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LEGAL DESCRIPTION
i
The N 112 of +k . N I/ Z o f Tro c.* 17 of
Vern exce.p+ 'tkt W ZZ9 fee*,00t-,d
except the E. 3ZS -Fa-et.
For: Louis Rizzuto
Building P^.rm,t Only
0
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a
C.ONKLIN
N
SCALE ; 111:- 50
11-14-75
C L A RENEE E SIMP5on ENeINEE RS,ZNCC,
IV. 909 ARGONNE ROAD
SPOKANE ✓J ASNIMMG TON
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