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2001, 06-13 Permit: 00004866 Temp C of OSPOKANE COUNTY DIVISION OF BUILDINGDAAND CODE ENFORCEMENT a - i. TEMPORARY 00004866 Date Certificate of Occupancy Permit No. EXPIRATION DATE: 8--15-01 Building Address- South 1423 Burns Road L cel No. 45234.4803 Occupant: Occupied As• Adult Fasinly Group Hoare ITN Occupancy Group: LC Occupant Load: Construction Type - Owner: Bre F i ebe Address r roe aha 1e, WA 99037 Additional Information:d ae aoma fo c enants with Class 1 Jacuation capability. 1,...porat Ancy' .*:gosis #3 & #4 with installation of q qualifying atigr r belo h andovs. On or before _ TRT meeting al;-.t'9aspy egress ten' % t This Certificate is issued pursuant to Section 109 of the Uniform Building Code and to the signed acknowledgment statement. Acknowledgment Statement: I understand that should the condition(s) not be - .:< ... an additional charge of 10 percent of the buildin st1,1,-“" minimum fee of $35) will be assessed to renew + t=r ,x<< of Occupancy. This amount shall be paid to tip- br<, and Code Enforcement prior to the issuance of ,.._, L. ,, ,,..t ,:. ”.lcare. - in ad itr3c=n. 1 understand that failure to comply with the condinot f s *nd r a consequence I could be subjected to the penalty provisions contained,ut Tule 3"of the Spokane County Code. r B ; _. '! / - Owner Authorized Agent Building 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 Code Enforcement. Form *13560 ry 10/00 `;;;$$W•.s, iii,: i$%$i5'.% 11/27/00 SPOKANE COUNTY DIVISION OF BUILDING AND CODE ENFORCEMENT Date Building Address: Legal Description: Owner: Bre F'ebe lkorn TEMPORARY Certificate of Occupancy EXPIRATIONDATE: 6/15/01 t� Swett 1423 Burns goad - Permit No. Parcel No. 4 13 Occupancy Group: Construction Type: VN Occupied As: Conditions for Occupancy: evacuation capability. Temporary Occupancy is granted for roans #3 & #4 with installation Address: 1423 S. Br. I.0 Land Use: :or 4 Occupant Load: '}ale, Via 99037 sleeping r y. 6 3 with Class I of a -itialifying step sur c3elofi t.rs, ipe windows. On or be., the € :,iratio.. ..s,i c u,ke r 'tib t of the This Certificate is issued pursuant to Section 109 of the Uniform Building Code and to the signed acknowledgment statement. Acknowledgment Statement: I understand that should the condition(s) not be completed by the date indicated above, an additional charge of 10 percent of the building permit fee (but in no case less than the minimum fee of $35) will be assessed to renew or extend the Temporary Certificate of Occupancy. This amount shall be paid to the Spokane County Division of Building and Code Enforcement prior to the issuance of any subsequent certificate. In addition, I understand that failure to comply with the conditions may result in revocation and as a consequence I could be subjected to the penalty provisions contained in Title 3 of the Spokane County Code. By: Owner/Authorized Agent Building 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 Code Enforcement BUILDING AND CODE ENFORCEMENT James L. Manson, C.B.O., Director Bre Fiebelkorn 1423 South Bums Road Veradale, WA 99037 A DIVISION OF THE PUBLIC WORKS DEPARTMENT Gary Oberg, Director November 27, 2000 RE: Certificate of Occupancy of the Adult Family Group Home Dear Bre Fiebelkorn: The Certificate of Occupancy issued on October 25, 2000 was issued in error and is hereby revoked. A Temporary Certificate of Occupancy is enclosed to allow use of your facility until necessary corrections can be made. Thank you for your patience and cooperation in this matter. WCB:fmh Enclosure Resp t / 4 William C. Benish Codes Administrator 1026 W. BROADWAY • SPOKANE, WASHINGTON 99260-0050 PHONE: (509) 477-3675 • FAX: (509) 477-4703 • TDD: (509) 477-7133