2001, 10-11 Permit App: 01008898 C of OCertificate of Occupancy Worksheet
Last Update: 10/11/01
Updated by: J.D. LARSON
Address: 2A13 N GIRARD RD
Project #: 01008898
Parcel #: 35124.2802
Site #: 11327
❑
Owner: CALSBEEK, MARLENE
Contact: CAL.SBEEK,MARLENE
(509) 924-8421
Address: 2313 N GIRARD RD
Architect:
❑
SPOKANE, WA 99212 Contractor: OWNER
( ) - 0
Occupant:
ty
Permit Use: CONVERT BASEMENT && UPGRADE CLIENTS ON MAIN FL OF ADULT CARE
CO Use: A` 14r
REQUIRED APPROVALS
❑
Occupancy: LC -3 Construction Type: VN
�i'�'
Fire Sprinkler ❑ FireAlarm ❑
Assembly Area
Room # / Location
Occupant Load
❑
HS Bolts/
Soil /
Final Report
Special Inspection Agencies:
NREC Concrete Masonry
Steel Welding Drainage
Received By
APPROVED FOR #2 GROUND FLOOR SLEEPING
❑ ❑ ❑
❑ ❑ ❑
Demolition
RMS. FOR # 4 TENANTS WITH CLASS II &III EVAC.
❑ ❑ ❑
❑ ❑ ❑
Free Standing Signs
CAPABILITY & 1 BST SLEEPING RM. FOR
❑ ❑ ❑
❑ ❑ ❑
On Building Signs
#2 CLIENTS WITH LEVEL 1rC. CAPABILITY
❑ ❑ ❑
❑ ❑ ❑
NREC
Inspector: ERICKSON, ART
❑
Coordinator: DAWN DOMPIER
❑
Date Complete Intials
Date Complete Intials
❑
Mechanical
❑
Drainage
❑
❑
Landscaping / Irrigation
❑
❑
Parking / Paving
❑
Plumbing
❑
Smoking
❑
ty
❑
Fire Sprinkler
REQUIRED APPROVALS
❑
Fire klarm
❑
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: 10/11/01 Updated by: J.D. LARSON
Approved for TEMPORARY CO - Field Inspector.
Conditions:
Date: Code Coordinator:
Expiration Date: Fee:
Approved for FINAL CO - Field Inspector.
Conditions:
MAIL CO TO:
ADDRESS:
Date Comments
PHONE:
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Certificate of Occupancy Worksheet Last Update: 10/11/01 Updated by: J.D. LARSON
Address: 2513 N GIRARD RD Project #: 01008898
Parcel #: 35124.2802 Site #: 11327
Owner: CALSBEEK, NIARLENE Contact: CALSBEEK, MARLENE (509) 924-8421
Address: 2313 N GIRARD RD Architect:
SPOKANE, WA 99212 Contractor: OWNER ( ) - 0
Occupant:
Permit Use: CONVERT BASEMENT & UPGRADE CLIENTS ON MAIN FL OF ADULT CARE
CO Use:
Occupancy: LC -3 Construction Type: VN Fire Sprinkler ❑ FireAlarm ❑
Assembly Area Room # / Location Occupant Load
HS Bolts/ Soil / Final Report
Special Inspection Agencies:
NREC
Concrete
Masonry
Steel
Welding
Drainage
Received By
APPROVED FOR #2 GROUND FLOOR SLEEPING
❑
❑
❑
❑
❑
❑
Smoking
RMS. FOR # 4 TENANTS WITH CLASS II &III EVAC.
❑
❑
❑
❑
❑
❑
❑
CAPABILITY & 1 BASEMENT SLEEPING RM. FOR
❑
❑
❑
❑
❑
❑
❑
#2 CLIENTS WITH LEVEL 1 EVAC. CAPABILITY
❑
❑
❑
❑
❑
❑
❑
Inspector: ERICKSON, ART
❑
Utilities / Liberty Lake Sewer Dist.
❑
Free Standing Signs
❑
SRI ID: Schools / other
Coordinator: DAWN DOIVIPIER
On Building Signs
❑
SRHD: Food Handling
❑
NREC
❑
Date Complete Intials
❑
Special Inspections
❑
Date Complete Intials
❑
Mechanical
❑
Drainage
❑
❑
Landscaping / Irrigation
❑
❑
Parking/ Paving
❑
Plumbing
❑
Smoking
❑
❑
Accessability
❑
Fire Sprinkler
REQUIRED APPROVALS
❑
FireAlarrn
❑
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
❑
SRI ID: Schools / other
❑
On Building Signs
❑
SRHD: Food Handling
❑
NREC
❑
❑
Special Inspections
❑
Certificate of Occupancy Worksheet Last Update: 10/11/01 Updated by: J.D. LARSON
Approved for'I'VIMPORARY CO - Field Inspector: Datc: Code Coordinator.
I-xpiration Date: Fee:
Conditions:
Approved for FINAL, CO - Field Inspector: Date: Code Coordinator:
Conditions:
MAIL CO TO: PI IONE:
ADDRESS:
Date Comments
` SPOKANE COUNTY DIVISION OF BUILDING
AND CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE - SPOKANE, WA 99260-0050
Site Information Project Information
Site Address: 2313 N GIRARD RD Project Number: 01008898 Inv: 1 Issue Date: 10/10/01
SPOKANE, WA 99212 Permit Use: CONVERT BASEMENT & UPGRADE CLIENTS ON
Parcel Number: 35124.2802 MAIN FL OF ADULT CARE
Subdivision: MOORE'S SUB Applicant: CALSBEEK, MARLENE
Block: Lot: 2313 N GIRARD RD
Zoning: UR-3 Urban Residential 3.5 SPOKANE, WA 99212 Phone: (509) 924-8421
Owner: CALSBEEK, MARLENE Contact: CALSBEEK, MARLENE
2313 N GIRARD RD
Address: 2313 N GIRARD RD SPOKANE, WA 99212 Phone: (509) 924-8421
SPOKANE, WA 99212
Setbacks -Front: EXIS Left: EXI Right: EXIS Rear: EXIS
Building Inspector: BARRY HUSFLOEN S
Water Dist:
Group Name:
Project Name:
Permits
Building Permit Contractor: OWNER License 9: OWNER
Change of Use CHANGE OF USE/SAFETY INS $50.00 STATE SURCHARGE $4.50
Dim: X Stories Total Permit Fee: $54.50
Sq Ft:
Grp: LC-3 Type: VN
FOR BUILDING INSPECTIONS CALL (509) 477-3675.
Payment Summary
Total Fees AmountPaid AmountOwine Tran Date Receipt # Payment Amt
$54.50 $54.50 $0.00 10/10/01 8086 $54.50
Notes / Conditions of Approval
2 LEVEL I CLIENTS IN BASEMENT & 4 LEVEL H & III CLIENTS ON MAIN FLOOR
� FILE
Processed By: DAWN DOMPIER PERMIT
Printed By: WENDEL, GLORIA Page 1 of 1
NOTICE
It is the responsibility of the applicant/permittee, not Spokane County, to see to it that the use described on the front of this permit complies with
applicable codes and requirements and that required inspections are requested. Failure to request required inspections and obtain the ,necessary
approvals prior to progressing beyond the point where inspections are required may necessitate removal of certain parts of the construction at the
applicant's/permittee's or property owner's expense. At a minimum, the following inspections ARE REQUIRED by County Code:
1. FOOTING - when forms and reinforcement are in place and prior to placement of concrete—all structures, including manufactured homes.
NOTE: This inspection includes review of the structure's setbacks from property lines. Minimum setbacks are established by County zoning
regulations. Typically, side and rear yard setbacks are measured from property lines, while setbacks for yards abutting streets are measured from
the property line or the center line of the roadway right-of-way, whichever provides the greater setback from the center line of the roadway right-of-
way. Curb lines and fence lines are not necessarily indicative of property lines. In some residential areas, the County can own as much as 20 feet of
right-of-way between your property and the actual improved street/curb. The responsibility to comply with applicable setback provisions lies solely
with the permittee—neither Spokane County nor its authorized representatives assume any responsibility for the verification or location of your
property lines. Please verify their location prior to locating your structure. Failure to properly locate the structure may require its relocation at the
owner's/permittee's expense.
2. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete.
3. FRAMING - after all framing, bracing and blocking is in place, and prior to concealing.
4. INSULATION - prior to the installation of drywall.
5. PLUMBING - after rough -in, before covering, and final.
6. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final.
7. FINAL - when complete and prior to occupancy and/or use. Please provide 24 hours notice. All permits require final inspection.
NOTE: In addition to inspection of the structure, this inspection includes review of site improvements (typically depicted on the approved site plan)
required by ordinance or as a condition of approval of this permit. Items such as the installation of fire hydrants, fire department access, on-site
drainage ("208 swales"), road improvements, parking, and landscaping are common requirements of a permit/site plan which must be com-
pleted prior to final approval of a building or issuance of a Certificate of Occupancy.
8. MANUFACTURED HOMES - Final inspection required when complete, stairs, handrails, skirting, etc. installed, and prior to occupancy; completed
inspection record card must be available on site.
9. SEWERS - prior to cover
10. RIGHT-OF-WAY/APPROACH - prior to placement of concrete, or, if gravel approach, after completion.
In addition to the above, any plumbing or mechanical systems or material which would be concealed by framing, drywall, concrete, etc., must be inspected
prior to cover. Check with the department for "special inspections' in conjunction with commercial projects.
FOR INSPECTIONS:
TO INSURE PROMPT SERVICE, PLEASE GIVE ONE WORKING DAY/24 HOUR NOTICE .
PARTS OF YOUR PROJECT MAY REQUIRE PERMITS AND INSPECTIONS
FROM MORE THAN ONE AGENCY.
• Building, plumbing, mechanical and fire inspections, Division • Road cuts for utilities or driveways, Division of Engineering &
of Building and Code Enforcement Roads - 48-HOUR NOTICE REQUIRED
477-3675 477-3600
or State Department of Transportation
• Construction in a flood plain, Division of Engineering & Roads 456-3000
477-3600
• Sewer connection, Division of Utilities
• Electrical wiring, State Department of Labor and Industries 477-3604
324-2640 or City Public Works Department
625-6300
• On-site waste disposal system, Spokane Regional Health District
324-1560
PERMIT EXPIRATION AND REFUNDS
Unless otherwise noted, this permit will be considered null and void by limitation if the work authorized by the permit is not commenced or is stopped for
a period of 180 days, unless a written request for an extension of the permit is received and approved by the Building Official prior to expiration. Ata
minimum an inspection should be requested at least once every 180 days to assure the validity of the permit. A permit may be renewed within one year
of the date of expiration for one-half the original fee, subject to certain limitations—please call us if you have any questions.
All refund requests must be made in writing by the applicant/permittee (shown on the reverse) no later than 180 days after the date of fee payment.
Refunds of not or;e thap $�°Ihe permit fee paid may be authorized when no work has been done under the permit. No refunds may be authorized
more than 180 ays after fete paVmen> ,� "+
�.� MISTAKE?
If you think we've maae'an error R processing this permit or in conducting inspections pertaining to it, or find erroneous information in the permit, please
bring it to our attention immediately by filing a written request for correction within 10 working days of discovery. All such requests should be directed to
the Division of Building and Code Enforcement at the below address.
Spokane County Division of Building & Code Enforcement
1026 West Broadway Avenue
Spokane, WA 99260
Phone: (509) 477-3675 Fax: (509) 477-4703 TDD: (509) 477-7133
100 "'V11
Project Number: '01008898 Inv: I Application Date: 10/10/2001 Page 1 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Parcel Number: 35124.2802 Block:
SiteAddress: 2313 N GERARD RD
SPOKANE, WA 99212
Location:: SPO
Zoning: UR -3.5 Urban Residential 3.5
Water District:
Area: 0 Sq Ft Width: 100
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Lot:
Owner: Name: CALSBEEK, MARLENE
Address: 2313 N GERARD RD
SPOKANE, WA 99212
Hold: ❑
Depth: 152 Right Of Way (ft): 40
........................................................
Review Information:
Department Review
BUILDING Plan lit
Hold Reasons:
Permit Conditions:
HEALTHDISTRICT Septic System Review
Hold Reasons:
Permit Conditions:
Permits:
for 7 bedrocars
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Change Of Use Group: LC -3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Item Description Units Unit Desc Fee Amount
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Total Fees: $54.50
Project Number: 01008898 Inv: 1
',7414•
Application
Date: 10/10/2001 ' Page 2 oi2
•-•
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Operator: DMD Printed By: DMD Print Date: 10/10/2001
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50
2 LEVEL I CLIENTS IN BASEMENT & 4 LEVEL II & III CLIENTS ON
MAIN FLOOR
s►
PROJECT APPLICATION WORK SHEET
ST'OKANE COUNTY DIVISION OF BUILI-)TNG & CODE ENFORCEMENT
1026 %F,ST BRO,\l)W,\Y ,\VENUE
"fil SPO 509-477 3675 9260
SPECIFIC SITE INFORMATION
Street ;\ddress: 1 3
:assessor's Tax Parcel Number(s):
Legal Description:
Project Description:
❑ Building Permit Change in Use ❑ Grading ❑ Manufactured Home Permit
❑ Relocation ❑ Sign ❑ Tenant (New/(hange) ❑ Other
Department Use Only
Water District/Purve)(rr:
Sewer District/Purveyor
Road width
Setbacks
nlaihng address:
On, State, /it)Cite,
Scla
19/a—
Front: Rcac
School District:
Fire District:
Zoning
Mailing address
_
(\Tailing address
1,ek: Right'.
OWNER/APPLICANT INFORMATION
ML„h,,,m „,h, ch—b/ rh;,- n, -.,..,i
❑ Oserer:
Phone: —lq ' O q 0- 1
I as:
13 Applicant: Phone
s
ntaihng :wdress:
�.
r
(st1rA d
nlaihng address:
On, State, /it)Cite,
Scla
19/a—
State, zip
❑ Contractor
Phone
as
❑ Architect' l ingineer Phonc
as
Mailing address
_
(\Tailing address
Cin', Stat, Zip
Cin-, State Zip
V\A Stat, Contractor hcense ss
Contact name
PROTECT INFORMATION
Building Information
Building height to perak
# of stories
Main floor sq. k.
Unfinished basement sq. R.
Dimensions
Total habitable sPaec
21,11 floor sq. ft.
l,inished basement sq. ft.
( )ecuPanec group
Construction tcPr
Garage sq. ft.
Deck sq. ft.
Cost of project
I Icat source (el(ctric, gas, etc.)
Manufactured Home S
Width: Length: What is the square footage of the sign I low high is the sign?
face? '
Ycar:
i%lake:
# of signs
Arca of existing signs
Address
I yes, identi y on fileplan 0 Yes O No
Inspector Phone
O Concrete 0 Welding 0 Bolting O Reinforcement
Relocation Fire Safety
Prceious address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value
Special Inspections Required?
Non -Residential Energy Code Compliance?
Pimm Name Phone
Plans ISsaminer Phone
Inspectors:
Address
I yes, identi y on fileplan 0 Yes O No
Inspector Phone
O Concrete 0 Welding 0 Bolting O Reinforcement
Address
ADDITIONAL SITE INFORMATION
,Are there structures on the property? 0 Yes 0 No
AWhat is the current property size?
I f yes, identi y on .rite plan
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
\\hat is the current use of this property?
I yes, identi y on fileplan 0 Yes O No
0 No
Is your property in a designated wildlife habitat arca?
\Will the site be served by a septic system? 0 Yes 0 No
0 Don't know 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
.Are or will there be wells located on the property?
I f yes, identift on rite plan
1 f yer, identi(, on the .rite plan 0 Yes 0 No
0 \laybe 0 Don't know 0 Yes 0 No
0 Yes 0 No
.Are there any wetlands, streams or ponds within 300 feet of the property?
is there evidence of fill or excavation on the property?
1f per, identi y on ,rite plan O Yes 0 No
0 Yes O No
Are there slopes greater than 30"o on the property? (30 ft rise in 100 ft)
Arc critical or hazardous materials used or stored on site?
Yes 0 No
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property in a designated Stormwater Control Area?
Is public sewer available to the site? 0 Yes 0 No
0 Yes
0 No
Is the property inside the ASA? 0 Yes
0 No
Is public water available to the site? 0 Yes 0 No
0 Yes
0 No
Is the property inside the PSS,\? 0 Yes
0 No
Is the property located within 1000 feet of a Natural Resource arca?
0 Yes 0 No
Date Rcc'ir-cd:
Staff Rcprcncntato1:
METHOD OF PAYMENT
VISA
❑ C.ASI 1 ❑ CI WCK ❑ ❑ ❑
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
D.ATF: FXPIRFS:
B.ANKC ARD NUi11BVR:
\UTI IORIXI?1) SIGN.ATUItV:
TOTAL FEE
M/N/MUM PERMIT FEE M $35.00
PLRASF. \19h1:: CI utciii P:\1'a131.t: 7"o
SPOKANP.COUNII PERVIrr(TNJFR