1999, 06-16 C of O6/16/99
SPOKANE COUNTY
DIVISION OF BUILDING AND PLANNING 99003729
Permit No.
t'
Building Address:
4.011
Approved for 3 ground level sleeping roans for 5 tenants with Class T
o» ' Additional Information:
Xt:*M' a evacuation capability (L.C. owner: Mike Carver)
16325 East 22nd Avenue
Legal Description: Parcel No. 45255.0222
Owner: Dwaine E. Klein Address: Route 1 Box 95, Edwall, Wa. 99026
Occupancy Group: [.0 Land Use: UR -3.5
VN
Construction Type: Occupant Load:
Occupied As: Adult Family Croup Home
This Certificate is issued pursuant to Section 109 of the Uniform Building Code and is to indicate the above
described structure is approved for occupancy.
21.1 -
tiding Official's Signature
THIS CERTIFICATE MUST BE PERMANENTLY MAINTAINED IN THE BUILDING OR STRUCTURE REFERRED TO ABOVE
- If the building or structure is used for any occupancy other than that listed, an application for change of use shall first be made to the
Division of Building and Planning.
Pre -Final Date: °%"/Y 9
CERTIFICATE OF OCCUPANCY
RELEASE REOU]REMENTS
District -ii, 0/ -
Permit Number 37
' 9 - 9
O
�� /✓ems (/ste� ..rs)
,/,���
Building Address: / G .3.),5_ ,- .2),,/ A/e f p3
Architect:
.s -j i),2 -2.,? --,7
Legal Description: s -i),2 -2.,? --p
Contractor:
Owner & Address: jo ,,, e HA, " 4' . /
v )( 7 5-, f-44 // A/4- 7W1
Plans Examiner: ( / lir
Building Inspector: / 2' Y.
Occupancy Group: /.- C
Land Use: U 3 S
Mechanical Inspector:
/
Construction Type: V
Occupant Load: LC ex e.,,,,,
Plumbing Inspector:
Occupied as: Ark / /- , / U 'd ri
P
Special Inspection Agency:
Additional information:
/ pro./e/ 4r 3 ft -9,1,i
NREC Inspector:
71e./rue/ -51ct/i ry r'Q ids' r S ,,a, (S
Compliance Coordinator: �� '
/
Aii /% 04.5.1.I N✓at ✓ 4AC rya -' /
Other:
(.i. C- /2 j . PI, ke Co. ✓er\
REQUIRED APPROVALS
ITEMS REQUIRED
❑Mechanical #
❑Mechanical #
Complete/Date Initial ACTION TAKEN
0
44i64e. plan pulled for file
OLandscape plan pulled for file
Complete/Date
❑Mechanical #
❑Drainage plan pulled for file
❑Plumbing #
❑Sprinkler/alarm #
Cher plan pulled for file rzeot
❑Notice of completion to Assessor
h,‘
❑Demolition #
❑Final inspection w/corrections
OReinspection w/corrections
❑Other
❑
❑
ONREC final
OUnauthorized occupancy
(Initiate compliance)
❑
❑Special inspection final(s):
Compact/Concrete/Masonry/
Bolting/Welding/
OLandscaping/irrigation
APPROVED FOR
TEMPORARY CERTIFICATE OF
OCCUPANCY
Date
OHydrants/knox box/lane
0
Inspector.
REVIEWED BY
❑ 208 drainage
❑
Fee
Expiration Date
OEngineer certification/208
Conditions
OParking/paving
'Accessibility ra,v,r,',/ 4, eve/7"
❑Critical materials/containment
OFire District
❑Utilities
❑Health District
P TOR
B OCC IPANCY
Date: 6i //y/7 2
❑Fast Track Certification
OOther
Inspector.4� J ,r/ p i 84-5
Conditions
REVIEWED BY
[/a/
Release date:
Mail to:
Copy to:
T.C.O.:
C.O.:
f ?',e? LBf✓1/ a/ s /e- Crp��jclf
CONSTRUCTION PLANS/ROUTING
Comments
Date
Date
Date
Active File
Field
90 Day Hold
Compliance
pk. winword/certificate of occupancy
fe%// e ms pier' 14
/16".c ex/96J np T /a./
res `%- /e?P
`�� / j
EVACUATION PLAN
NOTE: AT THE SOUND OF ALARM(S), EVERYONE IS TO MEET AT HIS OR
HER OWN DESIGNATED MEETING AREA
IN CASE OF FIRE:
1) Isolate and secure fire utilizing the nearest available fire extinguisher.
2) Call 911, If needed.
3) Evacuate ALL Residents utilizing routes per Fire Plan Map.
NOTE: Evacuate Residents nearest to the hazard first.
4) Use Blankets, Sheets, Washcloths, etc...to protect residents during evacuation.
5) As Time and Environment allow, close all windows and doors.
Fire Ext
Driveway
STREET
SITE PLAN
16325 E. 22nd
Veradale, WA 99037
.. EAST 22ND AVENUE