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Home My WebLink About1996, 07-16 Permit App: 96005509 Change of OccupancyPROJECT NUMBER= 96005509 APPLICATION DATE= 07/16/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 2313 N GIRARD RD ADDRESS= SPOKANE WA 99212 PARCEL#= 35124.2802 PERMIT USE= CHANGE OF OCCUPANCY (R-3 TO LICENSED CARE) PLAT#= 001674 PLAT NAME= MOORE'S SUB BLOCK= 2 LOT= 2 ZONE= UR -3.5 DIST#= H AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 152 R/W= 40 # OF BLDGS= 1 # DWELLINGS= 1 WATER DIST = OWNER= CALSBEEK, MARLENE STREET= 2313 N GIRARD RD ADDRESS= SPOKANE WA 99212 CONTACT NAME= MARLENE ALS EK BUILDING SETBACKS: FRO 1w 5/ LEFT REVI PHONE= 509 924 8421 PH NUMB = 9 924 8421 RIGH RE _ EW INFORMATION ******** **************** DEPARTMENT REVIEW REQUIREMENT ---------- -------------------------------------------------------------- BUILDING FLOOR PLAN REVIEW A-) C,7' COMMENTS: `'I ' /(" - q to BUILDING SETBACK REVIEW REQUIRED UlJ l Alia COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE aibmkd V l 7 (�( COMMENTS: ri0 1 ( 1 1, is BUILDING PERMIT CONTRACTOR- OWNER NEW= REMODEL= DWELL UNITS= OCCUP. LD= BLDG W X D = X SQ FT= REQ PARKING= #HANDICAP= ITEM DESCRIPTION ------------------------- STATE SURCHARGE CHANGE OF USE/SAFETY INSP PHONE= ADDITION= CHANGE OF USE= X BLDG HGT= STORIES= SPRINKLER= N CRITICAL MAT= N QUANTITY FEE AMOUNT -------- ---------- Y 4.50 Y 50.00 PROJECT NUMBER= 96005509 APPLICATION. DATE= 07/16/96 PAGE= 02 . PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING ----------------------------------------------------- BUILDING PERMIT 54.50 .00 54.50 ------------- ------------ ------------- 54.50 .00 54.50 ******************************************************************************* * PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING 2 CLIENTS TO BE LEVEL I PROCESSED BY: CAROL FRAZIER PRINTED BY: CAROL FRAZIER ****************************s*** THANK YOU APPLICATION INFORMATION What is the JOB SITE address? a3/,3 G tRinizi, Pci . Legal description as it appears on the property deed ASSESSOR'S tax parcel number? 3K! 2-1-1 . 25'02. OWNER or OCCUPANT Marieie CaI5beek Mailing address Phone 99' V GIYAR,/ R4 Who should we contact regarding this project? YYI a r Je vl N _ C.G )s h e ale City, state What work is being done under this permit? _ 10,/ - Phone Zip Contractor Building height Dimensions # of stories TOTAL SQUARE FOOTAGE WA 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? Ma n ufactured Horn Sign Width: Length: What is the square footage of the sign face7 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 _ Paint booth Fire Alarm Tent Fireworks display _ VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address 'Fuel, Storage', Tanks .�Jvvi'riiililii `jrOO (Circle one) Above -ground Underground Contents of tank(s) Contractor Size / gallons Size / gallons Private Public/semi-private Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address COMPLETE ALL APPLICABLE INFORMATION Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. m N) D r 0. m n vprq t PROJECT NUMBER= 96005509 APPLICATION DATE= 07/16/96 PAGE= 01 ****** THIS IS NOT A PERMIT ****** PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT ---------------------------------------------------------------------------- SITE STREET= 2313 N GIRARD RD ADDRESS= SPOKANE WA 99212 PARCELI= 35124.2802 PERMIT USE= CHANGE OF OCCUPANCY (R-3 TO LICENSED CARE) PLATO= 001674 PLAT NAME= MOORE'S SUB BLOCK= 2 LOT= 2 ZONE= UR -3.5 DISTI= H AREA= 00000000 F/A= F WIDTH= 100 DEPTH= 152 R/W= 40 #` OF BLDGS= 1 0 DWELLINGS= 1 WATER DIST = OWNER= CALSBEEK, MARLENE PHONE= 509 924 8421 STREET= 2313 N GIRARD RD ADDRESS= SPOKANE WA 99212 CONTACT NAME= MARLENE ALS EK PH NUMBEk':-:9 924 8421 BUILDING SETBACKS: FRO T= LEFT= RIGH = U RE _ REVIEW INFORMATION DEPARTMENT REVIEW REQUIREMENT ---------- -------------------------------------------------------------- BUILDING FLOOR PLAN REVIEW Com" COMMENTS: '7'&I BUILDING SETBACK REVIEW REQUIRED)CISTI�I(s� COMMENTS: HEALTHDIST INCREASE IN LOT COVERAGE &/` 0-/ 7 ''��1�/�-w, COMMENTS: / / . BUILDING PERMIT CONTRACTOR= OWNER NEW= REMODEL= DWELL UNITS= OCCUP. LD= BLDG W X D = X SQ FT= REQ PARKING= #`HANDICAP= ITEM DESCRIPTION ------------------------- STATE SURCHARGE CHANGE OF USE/SAFETY INSP PHONE= ADDITION= CHANGE OF USE= X BLDG HGT= STORIES= SPRINKLER= N CRITICAL MAT= N QUANTITY FEE AMOUNT -------- ---------- Y 4.50 Y 50.00 Aging and Adult Services FmmP FIRE SAFETY EVACUATION PLAN Viamaw An Adult Family Home shall have a posted plan for evacuation to safe areas in event of fire. Draw a plan for your home in the space provided below. Indicate escape routes and designate where staff and residents should meet outside the residence. Indicate location of fire extinguisher(s) and smoke detectors. Instructions: Sponsor completes and posts in a conspicuous location J/% 1-,,( maG N�fv i, L s tL _-� — � �- n►optv� rh i yLU \ RZ 2I � r CU p o y 60 . f s,j 0S'e (?(,V -C 3ZI _LA.Dl V _- S�(.1I DSHS 21-OS4 (6190) '57 6 d<jV 3-7I n .Z. 2-6% I IAY 16 NY 1 117, )60 US, )60