1992, 12-04 Permit: 92010670 Adult Home Safety InspectSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit /application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS /NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit /application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF � APPLICATION
OWNER OR AGENT �" /u��i 646-4241/ DATE %� "' y
PROJECT NUMBER= 92010670
ISSUED PERMIT DATE= 12r'04/92 PAGE= 01
icik**** ********3****ii:3k3t;!•***3i•** PERMIT INFORMATION ******* it**** **ai•fF3Eii•3Eikiiikii• *3E)N3r•
SITE STREET= 11308 E AL.K I AVE PARCEL.Y= 451 63.02 74
ADDRESS= SPOKANE WA 99206
PERMIT USE= SAFETY INSPECTION OF ADULT HOME IN BASEMENT
PLATO= 001858 PLAT NAME= OPPORTUNITY SUB.TR.i21
BLOCK= LOT:: ZONE= UR-3.5 I)ISTO= F
AREA= 0002 4000 F/ A= F WIDTH= DEPTH == R/ W::=
w OF BLDGS= 4 DWELLINGS= i WATER DIST =
OWNER.. KITCHEN, RUTH PHONE= 509 928 8397
STREET= 11308 E ALKI AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= RUTH KITCHEN PHONE. NUMBER= 509 928 8397
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*•***;tiHis * •*;c•itisis*x* *** *• ; *is3r3t* BUILDING PERMIT ie3►*3;:3;•3R *ii• is •3f *it*ikititxiNitis *ie **31*
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE. OF 1. ►SE " -•: X
DWELL UNITS= OCCUP. LD= BLDG HGT=
BLDG W X I) __ X SG FT= SPRiNKL..E:R =:: N
REQ PARKING:::: 4:HANDICAP= CRITICAL MAT N
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
STATE SURCHARGE Y 4.50
CHANGE OF USE /SAFETY INSP T 50.00
STORIES=
** ** * * *****3i3E ***** * *ii*** ***** PAYMENT SUMMARY ii *itieii #1111*** **# #**** *iiic�: **
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
12/04/92 955 54. 50
TOTAL DUE= .00 TOTAL PAID= 54.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 54.50 54.50 .00
54.30 54.50 .00
PROCESSED BY: JI.II...:IE SHATTO
PRINTED BY: JULIE SHATTO
P• •R * it if• 3( it * it * * is i>: * 3@ 3x• 3 •3r * !i• it• 34. 3K' * * it * •A• 3h R• 3 * THANK YOU it iE * ie if a' ii• ii ii• • • : ii• ii• iE 3E 3r ii• ii• 3i• it ii• * # it 3E * 3{• is * i>: ii- *
. ' 4
• PROJECT NUMBER= 92010670
****************************
~--I%%UED PERMIT
PERMIT INFORMATION
DATE= 12/04/92 PAGE= Oi
****************************
SITE STREET= 1i308 E ALKI AVE : PARCELO= 45i63.0274
ADDRESS- SPOKANE WA 9920.6
PERMIT WE SAFETY INSPECTION OF ADULT HOME IN BASEMENT
PLATO= 001858 PLAT NAME= OPPORTUNITY %UB.TR.121
BLOCK. LOT= • ZONE= UR-3.5 DISTO=
AREA= 00024000 F/A=F WIDTH= DEPTH=
0 OF BLDG%= # DWELLINGS= i WATER DI%T =
OWNER- KITCHEN, RUTH
STREET= 11308 E ALKI AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 928 8397
1 /W=
CONTACT NAME= RUTH KITCHEN PHONE NUMBER= 509 928_9397
BUILDING %ETBACK�: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
*«*************************** BUILDINo PErMIT ***************************
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D.=
REQ PARKING=
• REMODEL= X
OCCUP. LD=
X %Q FT=
` OHANDICAP= -
PHONE=
ADDITION= CHANGE OF USE= X '
BLDG HT=
SPRINKLER= N
CRITICAL •MAT= N
%TORIE%=
ITEM DESCRIPTION • QUANTITY FEE AMOUNT
----------_-------------- --------
,STATE SURCHARGE Y 4.50
CHANGE OF USE/SAFETY INSP Y 50.00
.**********40***************** PAYMENT %UMMARy ****************************
PAYMENT DATE • RECEIPTO PAYMENT AMOUNT
12/04/92 955 54.50
9. -
TOTAL DUE= ^OO TOTAL PAID- • 54.50
PERMIT TYPE FEE AMOUNT AMOUNT PAID •AMOUNT OWING
--------------- ------------- ------------ -------------
BUILDING PERMIT 54.50 54.50 .00
------------- ------------ -------------
54'50 54.50 .00
'PROCESSED BY: JULIE %HATTO
PRINTED BY: JULIE %HATTO
***************************** THANK YOU ********************************
1
D
N
G
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y /n)
Certificate of Occupancy issued:
Received application:
By:
Approval granted:
By:
Ninety days after CIO issuance:
Owner /contractor called regarding the return of plans:
Plans returned:
Date:
Received by:
No response from owner /contractor - plans destroyed:
Notes:
P
L
U
B
I
G
G
E
H
P4
I
C,
A
i
r fA
i
O
T
H
E
R
I
* * * * * * * * * * THIS SPACE FOR COMMERCIAL PLANS TRACKING / CERTIFICATES OF OCCUPANCY ONLY* * * * * * * * * *
Date received for C/O processing: Plans pulled for final processing:
Conditions to check: Conditions resolved:
Temporary C/O requested (y /n)
Certificate of Occupancy issued:
Received application:
By:
Approval granted:
By:
Ninety days after CIO issuance:
Owner /contractor called regarding the return of plans:
Plans returned:
Date:
Received by:
No response from owner /contractor - plans destroyed:
Notes: