1996, 09-24 Permit App: 96008079 Change of Use to Adult HomeAPPLICATION INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
What is the JOB SITE address? ASSESSOR'S tax parcel number?
7 1(..) S 130n 'A k A • 0 f ri. Tck c),(,c(
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
' c v C. 5 eci ■ -7 7
Mailing address City, state Zip
7 / c s i ck 0 a 4 L rr c cAc3 L. 11.0 ; 14- g ci b
Who should we contact regarding this project? Phone
q0,✓\ 3 5--,,, F01 I. 7 7 vi -
What work is being don der this permit? p o y\ r.
�c__A etc i -o 3 kiV Oa a �� , CA r,, i '" i
Lone
Inspector district
Prope size
Right of way width
Water district
(
Building
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
A State Contractor license #
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler Tent
Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks
Swimming Pool
(Circle one) Above - ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public /semi - private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Site Plan
INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
❑ All existing & proposed buildings
❑ Underground utilities
❑ North arrow
❑ Septic tanks & wells
PROJECT NUMBER= 96008079 APPLICATION
DATE= 09/24/96 PAGE= 01
* * * * ** THIS IS NOT A PERMIT * * * * **
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1710 S BANNEN RD PARCEL # = 45262.0802
ADDRESS= SPOKANE WA 99206
PERMIT USE= CHANGE OF USE /REMODEL - RESIDENCE TO ADULT FAMILY HOME
PLAT # = 001451
BLOCK= 7
AREA= 00000000
# OF BLDGS= 1 #
PLAT NAME=
LOT=
F /A=
DWELLINGS=
OWNER= BAYES, KEVIN
STREET= 1710 S BANNEN RD
ADDRESS= SPOKANE WA 99206
LEMEN AIRPARK ADD
2 ZONE= UNK DIST #=
F WIDTH= DEPTH=
1 WATER DIST =
CONTACT NAME= KEVIN BAYES
BUILDING SETBACKS: FRONT= NA LEFT= NA
F
R /W=
PHONE= 509 891 7749
PHONE NUMBER= 509 891 7749
RIGHT= NA REAR= NA
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEPARTMENT
REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
T>
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR= OWNER
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= X
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
DESCRIPTION GROUP
ADULT HOME
REMODEL
LC
LC /R3
TYPE
VN
VN
PERMIT TYPE FEE AMOUNT
BUILDING PERMIT .00
.00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
SQ FT
PHONE=
ADDITION= CHANGE OF USE= X
BLDG HGT= 8 STORIES= 1
SPRINKLER= N
CRITICAL MAT= N
VALUATION
.00
.00
AMOUNT PAID AMOUNT OWING
.00
.00
.00
.00
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
PROJECT NUMBER= 96008079 APPLICATION DATE= 09/24/96 PAGE= 01
* * * * ** THIS IS NOT A PERMIT * * * * **
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 1710 S BANNEN RD PARCEL # = 45262.0802
ADDRESS= S
lit=k:AM0.37
PERMIT USE= CHANGE OF USE /REMODEL - RESIDENCE TO ADULT FAMILY HOME
PLAT # = 001451 PLAT NAME= LEMEN AIRPARK ADD
BLOCK= 7 LOT= 2 ZONE= UNK DIST #= F
AREA= 00000000 F /A= F WIDTH= DEPTH= R /W=
# OF BLDGS= 1 # DWELLINGS= 1 WATER DIST =
OWNER= BAYES, KEVIN
STREET= 1710 S BANNEN RD
ADDRESS= SPOKANE WA 99206
PHONE= 509 891 7749
CONTACT NAME= KEVIN BAYES PHONE NUMBER= 509 891 7749
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** REVIEW INFORMATION * * * * * * * * * * * * * * * * * * * * * * * * * * * **
DEPARTMENT REVIEW REQUIREMENT
BUILDING PLAN REVIEW REQUIRED
COMMENTS:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** BUILDING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE= X
DWELL UNITS= 1 OCCUP. LD= BLDG HGT= 8 STORIES= 1
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
ADULT HOME LC VN .00
REMODEL LC /R3 VN .00
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT .00 .00 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 .00 .00
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** THANK YOU ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
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011R ADDRESS 15 !7(C S 40tAier
OUR FAMILY IYIEETI11G PLACE
eas
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MIX t ,,) was se._- oOwe .atvee.
Draw in each bedroom Indicate whose bedroom it is
Show the way each one will escape from their bedroom
If bedrooms are on upper floors or in the basement and a
special escape device is necessary, such at a "knotted role
or ladder, etc. ", indicate this on your plan.
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to , (t Y ?w ; P H O II E
11 NET CLEAR OPENING • 5.7 SOUARE FEET
21 NET CLEAR OPENING HEIGHT- 24 INCHES
31NET CLEAR 41 FINISHED SILL OPENING WIDTH 44 INCHES ABOVE
FLOOR
1 -7 10 S. ac{;nnta i2
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