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2002, 06-13 Permit App: 02004758 Change of Use
Project Number: (/2004758 Inv. t • Application THIS IS NOT A PERMIT Date. 6/13/2002 Page 1 of 2 Penalties will be assessed for commencing work without a permit Project Information: Permit Use: CHANGE OF USE TO A LICENSED CARE Contact: CAMPBELL, SABRINA FACILITY FOR 6 CLIENTS Address: E. 211502 MORRIS LN C - S - Z: OTIS ORCHARDS, WA 991127 Setbacks: Front Leff Right Rear: Phone: (5119) 226-0229 Group Name: Site Information: Project Name. Plat Key: 002392 Name SKYVIEW ACRES ADD District: F Parcel Number: 45284.0723 Block' SitcAddress: 11709 E LENORA DR SPOKANE, WA 992116 Location:: SPO Zoning: UR -3.5 Water District' Arca: 0 Sy Ft Urban Residential 3.5 Lot: Owner Name CAMPBELL, SABRINA Address: E. 20502 MORRIS LN OTIS ORCHARDS, WA 991127 Hold: ❑ Width 105 Depth: 180 Right Of Way (ft): II Nbr of Bldgs: 1 Nbr of Dwellings' I Review Information: Perm, 201 Ltoa Septic vstem Review Released=Bv: Opc pcct/. shtu&s 7 bedro&is Sewage system designed Ito I bedrooms only. 11 Nr' S o Feel`( {cltLv/ci3Nj 7'o2 Ir ow- To 2tit_t534(r.. chr, 04 ;h_.5 - Operator RMB Printed By RMB 1,111,.- - h Print Date. 6/13/2002 Project Number 02004758 Inv: Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 6/13/2002 Page 2 of 2 Contractor: OWNER Building Permit Firm: OWNER Phone: Building Characteristics Const Category: Change Of Use Group: LC -1 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 I Y OR BLANK $4 50 Notes: Payment Summary: Permit Type Building Permit Permit Total Fees: $54.50 Fee Amount Invoice Amount $54.50 $54.50 $54 50 $54.50 Amount Paid $000 Amount Owing 554.50 $0 00 $54.50 Disclaimer: Submittal of this application certifies the owner (or person(%) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will he complied with. Subsequent issuance of a permit shall not he contrued to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local haws or ordinances. Signature: Operator: RMB Printed By: RMB v" Print Date: 6/13/2002 :r AMI Sromit County PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: //709 fr 7 ZEN(,72-4- ,()v9i l /e Assessor's Tax Parcel Number(s). 5 ^ i /e (7 Legal Description: �+ �, / ^�j(g `/ 7 cam( 641/-0(A) k(.?t 940 Project Description: 4dS/ 4a44f/ % �xc O Building Permit O Change in Use O Grading 0 Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) 1:7Qtherr- ag tc/ Department Use Only O Apphcan <<7f�4A4.a_ / WStcr Districr/Punnor. Saner Omuta/Pun-got . Roadwidth.. :.r - ; Scr4'cts Front' _ Rear. Re School District fire Drstrkt Zoning fading 'WitteRae OWNER/APPLICANT INFORMATION WO. n,r. Phnne b�/ /�� ,//� ��j� 7{ (, `V0��f ly"YJ(L//Vq 0110P1e/7 a.: q'i%ir P O Apphcan <<7f�4A4.a_ Phonc Fa.. Alnling.\JJra\. a,0crI2 di2(0 filets Ma,hng AJJress- Dim. mums 3n, Suu • YtipI Ar c - " / (iGlS 4(% 9�CZ°" Cm. Stam, Zip Finished basement sq (t ❑ Cumrxinr 1'Mro` fav O Amhi cc'irnginctr Phone fading 'WitteRae Ithaing addrees I leat eource (Js cmc t -m. c 1c) <:m. Stan %lp . Cin. Sum lap 1\":\ Stan t..int rat nr het net _ Contact name Building Information Building h, tou to peal, ff of .mno Alun floor a 11. y t Unfinished bssament sq. ft. Dim. mums 1 n al habiwbh ,pact' 2 ' sq.floorft. Finished basement sq (t Occur Inc? group (1mst me mm n re Garage sq ft. Dt el, Ng It Cost of pr, cu I leat eource (Js cmc t -m. c 1c) &kwvl' LS cbu ote occu.pavic ' r�.u� ba a4- `1" cutCctJ..„- IQas4-- I ao 57 - - tc &-P-1 $© sR �4 tl PROTECTION AND OPENINGS BETWEEN DWELLING AND PRIVATE GARAGE SHALL HAVE: MATERIALS ONE-HOUR F/RE- RES STIVE CONSTRUCTION PPROVED ON THE GARAGE SIDE 8 2I NO OPENINGS OTHER THAN SELF-CLOSING TIGHT FITTING DOOR OF EITHER: AI 13 8' SOLID WOOD_ OR 8) ONE HAVING AN APPROVED FIRE PROTECTION RAT!NG OF NOT LESS THAN 20 MINUTES LeA p4 �T`t Duet I Ali/t S MFS kv/V^ awes, -J Z O w it •w w O w CC d W m LICrVSe--b rA-c(Li FOPS 6 LcAie L- H I III acieoyS 3118 eor NO 1d2N1 E9 ism NV1c ___ - _ '.� &de THFfiE EEN REVIEWED BY ON 71"),�- .e = w in6 0� .:3. 0 i le LLWZ 1U1 ¢ O O m 100 aD au WD ZS- ¢? W 0 °e < W ry LL _ :EL z 001-¢ nix Wr¢W LLI- th W gZW MOLL 5. <60..... 000 WoZ� p �ZZ wZp OQLL ¢RW0 owU NO Z O Z 1a,ZK ^0 ¢NLL Qm¢ iVo Cl,letris IN)