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2000, 11-21 Permit App: 00010674 Change of Use Project Number: 00010674 Inv: 1 Application Date: 11/21/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: CHANGE OF USE TO ADULT FAMILY HOME Contact: THOMAS,SHERENE W/RAMP Address: 13906 E SHARP AVE C-S-Z: SPOKANE,WA 99216 Setbacks: Front Left: Right: Rear: Phone: (509)891-7468 Group Name: Site Information: Project Name: Plat Key: 002772 Name: VERADALE HEIGHTS 10TH ADD District: Parcel Number: 45142.2301 Block: Lot: SiteAddress: 13906 E SHARP AVE Owner:Name: THOMAS,SHERENE SPOKANE,WA 99216 Address: 13906 E SHARP AVE Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: E Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1000 Review In formation: Department Review BUILDING Plan Review Released l3y: 2--t Hold Reasons: Permit Conditions: (AA-A-4--A" (11-,pe4e.yrt HEALTHDISTRICT Septic System Review Released By: _ Hold Reasons: Permit Conditions: Permits: `,•.)01 m . paiXi 311 u5kw ,z,x. qvu i & (kopili, JAM) &kL thxQaPircl- ((,) fIttivy\lt- 4.0 0004-1 Of 114..th k•)- 2it& iAtAi k. Akn) 1-0 C3SAA-4 - "1?tYIA b „,,y5 t-v--c) .,„0_, LA-Cep-P-61-0-d- jjJt ,& --c5.mp ckic c - L 0,1) qo p.—z_vAA;U (0.41)P--- ' 4 d 'o', -tf-feLA OiLlkiA/Vt2t01 (11)-Y1--k C4161) } Project Number: 00010674 Inv: 1 Application Date: 11/21/2000 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000)000-0000 000000,00 000000 Building Characteristics Const Category: Change Of Use Group:R-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: El This Application: Total Project: Description Grp Type Notes So Ft Valuation Sci Ft Valuation RESIDENCE R-3 VN EXTERIOR 0 $650.00 0 $650.00 RAMP Totals: 0 $650.00 0 $650.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $35.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $7.70 Permit Total Fees: $47.20 Operator: CKF Printed By: CKF Print Date: 11/21/2000 Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $47.20 $47.20 $0.00 $47.20 $47.20 $47.20 $0.00 $47.20 Notes P 5 CLIENTS-LEVELS I, II,&IIIry ( alb k.'2. ) J ' s Q, c,-1 I oir\f P_ ) Project Number: 00010674 Inv: 1 Application Date: 11/21/2000 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: CHANGE OF USE TO ADULT FAMILY HOME Contact: THOMAS,SHERENE W/RAMP Address: 13906 E SHARP AVE C-S-Z: SPOKANE,WA 99216 Setbacks:Front Left: Right: Rear: Phone: (509)891-7468 Group Name: Project Name: Site Information: Plat Key: 002772 Name: VERADALE HEIGHTS 10TH ADD District: F Parcel Number: 45142.2301 Block: Lot: SiteAddress: 13906 E SHARP AVE Owner:Name: THOMAS,SHERENE SPOKANE,WA 99216 Address: 13906 E SHARP AVE Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1000 Review In formation: <a� ,. ,� P ,.u Department Review BUILDING Plan Review Released By: Hold Reasons: Permit Conditions: HEALTHDISTRICT Septic System Review Released By: f filt/40 Hold Reasons: _ Or wa9e system acssgnkrc Permit Conditions: ion- bedroon+s 011;),,. — Permits: I I PROJECT APPLICATION WORK SHEET Oil SPOKANE,WA 99260 SPOKAIV COURTY 509-477-3675 SPECIFIC SITE INFORMATION Street Address: /3 9-ie,le, f S A o—t_- Assessor's Tax Parcel Number(s): Legal Description: Project Description: y- L;,_,,�/ 1?) C it6''71 Ertuilding Permit O Change in Use 0 Grading 0 Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other it g T�� .. ,�, a,� ` ' .„. 'RR "' ' �k - .t ^ +;rte T,,,, :,1,,,,,,,,v-E., . me— • K S OWNER/APPLICANT INFORMATION Ei Indicate who should be contacted regarding this project 0 Owner: Phone: S-7) Q F-C//- '741(' 0 Applicant: Phone: ` eJ ittAr e/11L2 / noyne`j Fax: S-22 9 J% -0 t/ S £i3--YY1----e-_— Fax: Mailing Address: Mailing Address: i3 yo 6 SAS - City,State,Zip City,State,Zip 4244---- -,---' w 64-- Cll2/C 0 Contractor ,,) � Phone ❑ Architect/Engineer Phone �(.(/1t L�i�l�/ Fax S C-yy--"----_ Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license H Contact name: �,$ r VP:-- .'a ve _.-- PROJECT INFORMATION v 'yta -,,,-„,,,,,,41:74,,„.1„..,1„,„,,, . .AW.--.;`,.--- ,..xx : r. g � Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs Area of existing signs -Fr;!erf -' E ass -. �� � � `�`�� ''�„• Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value • 37... -.<aP) .',s' .e'r ., '�.' ..s ..;�.-L„C'. ,sr,,,.. a Firm Name Phone Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O No What is the current property size? If yes,identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identify on site plan O Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes O No 0 Don't know O 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? If yes,identify on site plan If yes,identify on the site plan O Yes O No O Maybe O Don't know El Yes O No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes O No If yes,identify on site plan O Yes O No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( /%) O Yes O No O Yes O No DEPARTMENT USE ONLY Ism '' .1• Date Received: Staff Representative: METHOD OF PAYMENT 1111111111. C1:40, irC fs; SUBTOTAL VISA ❑ CASH ❑ CHECK ❑ _JIM= ❑ . ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: yviso , .1 � AUTHORIZED SIGNATURE: COCTNII`PExMi>cEIalEitm i 0 or-Rt1i of\ Nioli ce..., .. ‘ -roi,v) Dv) 40v4a-rd ... '.,. Address: / GP / ., e Proj.ct#: . t 'k CORRECTION NOTICE Date: —_ 1 1" Spokane County Division of Building and Code Enforcement Prior to proceeding,the items listed must be corrected and inspected.Failure to do so may result in additional fees being assessed. Please call for reinspection when corrections have been completed. t OF' 4 .•••-• / / ' .0 ,_.... 4- .,4 / ..f 1 ' ... - 4,e •, .• - i C AC - __ I. . <-- — ,_ ' _ _ • 4 I° - ir..' _ '7 r. , ..1 P ••••-••• , • . . _. ..•• l' .Ii ' - - 0.., i 6 . . For furthei information call inspector at 477-3675 between the hours of 8 and 9 a.m.weekdays.