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2008, 12-16 Permit: 08004798 Adult Family Homefer Spokane Valley® BUILDING DIVISION 11703 E. Sprague Avenue, Suite B-3 Spokane Valley, WA 99206 Site Information Project Information Site Address: 12022 E MAXWELL AVE Parcel Number: 45161.0141 Subdivision: Block: Lot: Zoning: R-2 SF Res Suburban District Owner: LOWELL, JAMES A Address: 12022 E MAXWELL AVE SPOKANE VALLEY, WA 99206 Building Inspector: NORTH Water Dist: MODERN Project Number: 08004798 Inv: 1 Issue Date: 12/16/2008 Permit Use: ADULT FAMILY HOME Applicant: LOWELL, JAMES A 12022 E MAXWELL AVE SPOKANE VALLEY, WA 99206 Phone: (509) 924-9443 Contact: LOWELL, JAMES A 12022 E MAXWELL AVE SPOKANE VALLEY, WA 99206 Phone: (509) 924-9443 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Building Permit Contractor: OWNER License #: OWNER HOURLY REVIEW FEE FOR BUILDING INSPECTIONS CALL (509) 688-0054. 1 $58.00 Total Permit Fee: $58.00 Payment Summary Total Fees AmountPaid AmountOwing $58.00 $58.00 $0.00 Processed By: DAVIS, JENNA Printed By: PATRICIA PRINCE Tran Date Receipt # Payment Amt 12/16/2008 Page 1 of 1 16805 558.00 PERMIT NOTICE The ownership of a Spokane Valley Development Permit will inure to the property owner. The permit applicant, by definition, is the property owner or an authorized agent of the property owner. It is the responsibility of the applicant/permittee that the use described on the front of this permit complies with applicable codes and that required inspections are requested. Failure to request inspections as listed below and obtain the necessary approvals before 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 City Code: 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 setback from property lines. Minimum setbacks are established by City of Spokane Valley Ordinance. Curb lines and fence lines are not necessarily indicative of property lines. The responsibility to comply with applicable setback provisions lies solely with the permittee -neither the City of Spokane Valley 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. FOUNDATION - when forms and reinforcement are in place and prior to placement of concrete. PLUMBING - after rough -in, before covering, and final. MECHANICAL - rough -in of piping, before covering, metal chimneys before concealment, and final. FRAMING - after all framing, bracing and blocking is in place, rough electrical, plumbing and mechanical systems are complete, and prior to concealing. FINAL - when complete and prior to occupancy and/or use. 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 completed prior to final approval of a building or issuance of a Certificate of Occupancy. 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. PLUMBING REVERSALS FOR SEWER CONNECTIONS - prior to cover. RIGHT-OF-WAY/APPROACH - prior to placement of concrete/asphalt or, if gravel approach, after completion. In addition to the above, any plumbing or mechanical systems or matenal which would be concealed by framing, drywall, concrete, etc. must be inspected prior to cover. Check with the Building department for `special inspections" in conjunction with commercial projects. FOR INSPECTIONS Please give one working day/24 hour notice. Different parts of your project may require permits and inspections from more than one agency. Building, plumbing (includes interior reversals for sewer) and mechanical, City of Spokane Valley Building Division 688-0054 Road cuts for utilities or driveways, City of Spokane Valley Public Works 688-0195 or State Dept of Transportation 324-6000 Permits and inspections for eiecincal Along. Stale Department of Labor Permits and inspections roc Sewer Connection. Spokane County Utilities Division And Industries 324-2640 477-3604 Permits and inspections for on-site septic systems. Spokane Regional Fire spnnkler and alarm systems and private access road inspections, Spokane Valley Health Distnct 324.1560 Fire Department 892-4122 State law RCW 19 122 requires that pnor to any excavation the -CALL BEFORE YOU Die' center must be notified. Call before you dig at least 2 working days in advance. 456-8000. PERMIT EXPIRATION AND REFUNDS All permits shall expire by limitation and be declared void if a) work is not started within 180 days of obtaining a permit, or b) work is abandoned for 180 days or more after beginning work, or c) after two years from the date of permit issuance, regardless of whether the work is finished. If a permit is expired for time, a new permit may be obtained for half the permit fee based on the value of the remainder of the work to finish the original permit All refund requests must be made in writing by the original permittee to the Building Official no later than 180 days after the date of fee payment. 100% refunds will be granted for any fee erroneously paid or collected. Refunds of not more than 80% of a permit fee may be authorized when no work has been done under the permit issued. Refunds of not more than 80% of a plan review fee paid may be authorized when an application is withdrawn or cancelled prior to the plan review being completed. Owner / Agent Date Jt -/b -tit Staff Approval Date SECTION`S INSPECTION CHECKLIST Note: Checklist to be completed by building department in the jurisdiction home will be located. YES NO Home licensed (or applying for license) on or after July 1, 2001 0 0 SLEEPING ROOMS 0 0 Sleeping Room #1 0 S 0 NSI 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside 0 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 Sleeping Room #2 0 S 0 NSI 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside 0 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 Sleeping Room #3 0 S 0 NSI 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside 0 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 Sleeping Room #4 ❑ S 0 NS1 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside 0 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 Sleeping Room #5 0 S 0 NS1 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside ❑ 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 Sleeping Room #6 0 S 0 NS1 0 NS2 Bedroom door is openable from the outside when locked 0 0 Closet doors are readily openable from the inside 0 0 Smoke alarm is installed in the bedroom 0 0 Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) 0 0 Sleeping room window has a maximum sill height of 44" 0 0 GENERAL Bathroom doors are openable from the outside when locked 0 0 Smoke alarms are installed on all levels of the dwelling ❑ 0 All smoke alarms are audible in all parts of the dwelling upon activation of a single device 0 0 Access road and water supply approved by Fire Department 0 0 0 PASSED 0 CORRECTIONS REQUIRED 0 PERMIT REQUIRED INSPECTOR: DATE: Application and Inspection Checklist developed by Washington Association of Building Officials (WABO), in cooperation with Department of Social and Health Services (DSHS) for use by both departments and licensors. APPLICATION AND INSPECTION CHECKLIST - Adult Family Home Code References: 2006 IRC Section R325 (WAC 51-51) APPLICATION NUMBER: Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed. SECTION 1 - PROPERTY INFORMATION SITE ADDRESS: /Z012 �=L X �.! L f l V C ASSESSOR'S TAX/PARCEL #: SECTION 2 - APPLICANT INFORMATION PROPERTY OWNER NAME: :Tx e.5 L O u Q 1 l DAYTIME PHONE: 7 L/ '1 — 3 3 LICENSEE NAME (IF DIFFERENT): DAYTIME PHONE: SECTION 3 — FLOOR PLAN A complete floor plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary) cls+� 1Ej,<H Ar t EVAST Ooh /2 - cit 'r aoRoodl QFARoari 4, 11 OOM RbOtl r r- of 10E 3 STo(tAefi Gl(t u614 (a 1SF1 /fth2 6uksr BRTrt 4 -ALL F(zou! Zoo M Liu106- 134 cf� Li\.1106- 00-1 i3<0200ey Dku cr76 S h1EL1JL RFMoq, .62 CF /t" to (f -A, 46-6 p�Ni�b k 17c f{ELJ L.CT,Or d2 Pe'y 10 Nce ti 13k d 2toh Q/2oDot # SECTION 4 — DISCLAIMER/SIGNATURE BLOCK 1 certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am requesting or I am authorized by the owner of the above premises to request inspection for the operation of an Adult Family Home at this location. I further certify that I have made application to the Department of Social and Health Services for an adult family home license and that I have also made application to the applicable jurisdiction for the appropriate license(s) to conduct such business at this location. I further agree to hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation of such claim), which may be made by any person, including the undersigned, and filed against the jurisdiction, but only where such claim arises out of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information supplied to the jurisdiction as a part of this application, NAME/TITLE: ❑ PROPERTY OWNER d APPLICANT 0 LICENSEE DATE: fl—it _% g-