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2002, 03-05 Permit: 02000965 C Of O Worksheet:Certificate of Occupancy Worksheet Last Update: 3/5/02 Updated by: J.D. LARSON Address: 2617 S DAVIS RD Project #: 02000965 Drainage ❑ Parcel #: 45274.0137 Site #: 41952 ❑ Owner: BROWN, NANCY Contact: HEATHER BERG ❑ Plumbing (509) 891-1386 Address: 2617 S DAVIS RD Architect: SPOKANE, WA 99216 Contractor: OWNER RF,QUIRED APPROVALS ( ) - 0 Occupant: ❑ Fire District ❑ Fire I Iydrants / Lock box ❑ Permit Use: CHANGE OF OCCUPANCY TO LICENSED CARE FACILITY Critical / Hazardous Materials ❑ Special Inspection CO Use: Grading ❑ Record drawings/Stormwater ❑ Demolition Occupancy: LC -1 Construction Type: Fire Sprinkler ❑ FireAlarm ----- ❑ ❑ SRI B): Schools / other Assembly Area Room # // Location ❑ Occupant Load ❑ NRLC ❑ ❑ Special Inspections ❑ C <r�h �'�2 �l,Grr�i�•�! Soil / Final Report Special Inspection Agencies: HS Bolts/ NREC Concrete Masonry Steel Welding Drainage Received By ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Complete Intials Date Complete Intials ❑ Mechanical ❑ Drainage ❑ ❑ Landscaping / Irrigation ❑ ❑ Parking / Paving ❑ Plumbing ❑ Smoking ❑j2rAccessability ❑ Fire Sprinkler RF,QUIRED APPROVALS ❑ FireAlarm ❑ Fire District ❑ Fire I Iydrants / Lock box ❑ WA DOT ❑ Critical / Hazardous Materials ❑ Special Inspection ❑ Grading ❑ Record drawings/Stormwater ❑ Demolition ❑ Utilities / Liberty lake Sewer Dist. ❑ Free Standing Signs ❑ SRI B): Schools / other ❑ On Building Signs ❑ SRHD: Food Handling ❑ NRLC ❑ ❑ Special Inspections ❑ Certificate of Occupancy Worksheet Last Update: 3/5/02 Updated by: J.D. LARSON Approved for'1'Ii.MPORARY CO - Field Inspector: Date: Code Coordinator. Expiration Date: Fee: Conditions: Approved for FINAL CO - Field Inspector: Date: Code Coordinator: Conditions: MAIL CO TO: ��� ��I PHONE: USE YES NO ADDRESS: Date Comments Certificate of Occupancy Worksheet Last Update: 3/5/02 Address: 2617 S DAVIS RD Parcel #: 45274.0137 Owner: BROWN, NANCY Address: 2617 S DAVIS RD SPOKANE, WA 99216 Occupant: Project #: 02000965 Site #: 41952 Contact: HEATHER BERG Architect: Contractor: OWNER Permit Use: CHANGE OF OCCUPANCY TO LICENSED CARE FACILITY CO Use: Updated by: J.D. LARSON r r (509) 891-1386 ( ) - 0 Occupancy: LC -1 Construction Type: fN Fire Sprinkler ❑ FireAlarm ❑ Drainage Assembly Area % Room # / Location ❑ Landscaping/ Irrigation Occupant Load �t Of.1 ❑ Plumbing ❑ Smoking ❑ Accessability ❑ Fire Sprinkler REQUIRED APPROVALS ❑ FireAlami ❑ Fire District Soil / Final Report Fire Hydrants / Lock box ❑ HS Bolts/ ❑ Critical / Hazardous Materials Special Inspection Agencies: NREC Concrete Masonry Steel Welding Drainage Received By Demolition ❑ ❑ ❑ ❑ ❑ ❑ SRHD: Schools / other ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Date Complete Intials Date Complete Intials ❑ Mechanical ❑ Drainage ❑ ❑ Landscaping/ Irrigation ❑ ❑ Parking / Paving ❑ Plumbing ❑ Smoking ❑ Accessability ❑ Fire Sprinkler REQUIRED APPROVALS ❑ FireAlami ❑ Fire District ❑ Fire Hydrants / Lock box ❑ WA DOT ❑ Critical / Hazardous Materials ❑ Special Inspection ❑ Grading ❑ Record drawings/Stormwater ❑ Demolition ❑ Utilities / Liberty Lake Sewer Dist. ❑ Free Standing Signs ❑ SRHD: Schools / other ❑ On Building Signs ❑ SRHD: Food Handling ❑ NREC ❑ ❑ Special Inspections ❑ Certificate of Occupancy Worksheet Last Update: 3/S/02 Updated by: J.D. LARSON Approved for TEMPORARY CO - Field Inspector. Date: Code Coordinator. Expiration Date: Fee: Conditions: Approved for FINAL CO - Field Inspector , f Q�!te: Code Coordinator. Conditions: / MAIL CO TO:><,'`9 PHONE: USE FRAMF,?"YES- NO ADDRESS: Date Continents oil �,