2002, 05-22 Permit: 02002469 C of O WorksheetCertificate of Occupancy Worksheet Last Update: 5/22/02 Updated by: J.D. LARSON
Address: 18010 E SPRINGFIELD AVE Project #: 02002469
Parcel #: 55184.3114 Site #: 51963
Owner: PETERSON, MERRILL & CRAIG Contact: PETERSON, IVIERRILL & CRAIG (509) 928-7681
Address: 14523 E 6TH Architect:
SPOKANE WA 99216 Contractor: OWNER
Occupant:
Mechanical
❑
Drainage
Permit Use: ADD (2) LEVEL I CLIENTS TO EXISTING ADULT FAMILY HOME/LOWER LEVEL
CO Use: ,4&,_
❑
Occupancy: LC -1 Construction Type: VN
Fire Sprinkler ❑
FireAlarm ❑
Plumbing
Assembly Area
Room # / Location
Occupant Load
Accessability
❑
Fire Sprinkler
REQUIRED APPROVALS
HS Bolts/
Soil /
Final Report
Special Inspection Agencies:
NREC Concrete
Masonry Steel Welding
Drainage
Received By
Approved for two main floor and two lower level sleeping
❑ ❑
❑ ❑ ❑
❑
❑
rms. For six tenants with class 1 evacuation capability
❑ ❑
❑ ❑ ❑
❑
Demolition
❑
❑ ❑
❑ ❑ ❑
❑
❑
SRHD: Schools / other
❑ ❑
❑ ❑ ❑
❑
SRI D: Food Handling
Date Complete Intials Date Complete Intials
❑
Mechanical
❑
Drainage
❑
❑
landscaping / Irrigation
❑
❑
Parking / Paving
❑
Plumbing
❑
Smoking
❑
Accessability
❑
Fire Sprinkler
REQUIRED APPROVALS
❑
FiretUarm
❑
Fire District
❑
Fire I Iydrants / Lock box
❑
WA DO"I'
❑
Critical / Hazardous Materials
❑
Special Inspection
❑
Grading
❑
Record drawings/Stormwater
❑
Demolition
❑
Utilities / Liberty Lake Sewer Dist.
❑
Free Standing Signs
❑
SRHD: Schools / other
❑
On Building Signs
❑
SRI D: Food Handling
❑
NREC
❑
❑ Special Inspections
❑
Certificate of Occupancy Worksheet Last Update: 5122102 Updated by: J.D. LARSON
Approved for TEMPORARY CO - Field Inspector:
Expiration Date:
Conditions:
Date:
Fee:
Code Coordinator:
Approved for FINAL CO - Field Inspector: Date: Code Coordinator:
Conditions:
MAIL CO TO:
USE FRAME?4�= NO
ADDRESS:
Date Comments
Certi,�tcate of Occupancy Worksheet Last Update: 5/22/02 Updated by: J.D. CARSON
Address: 18010 E SPRINGFIELD AVE
Parcel #: 55184.3114
Owner: PETERSON, MERRILL & CRAIG
Address: 14523 E 6TH
SPOKANE WA 99216
Project #: 02002469
Site #: 51963
Contact: PETERSON, N ERRILL & CRAIG
Architect•.
Contractor. OWNER
(509) 928-7681
Occupant:
Permit Use: ADD (2) LEVEL I CLIENTS TO EXISTING ADULT FAIVIILY HOME/LOWER LEVEL
CO Use:
Occupancy: LC -1 Construction Type: VN Fire Sprinkler ❑ FireAlarm ❑
Assembly Area Room # / Location Occupant Load
Date Complete Intials Date Complete Intials
❑
Mechanical
❑
HS Bolts/
❑
Soil /
Final Report
Special Inspection Agencies:
NREC
Concrete
Masonry
Steel
Welding
Drainage
Received By
Approved for two main floor and two lower level sleeping
❑
❑
❑
❑
❑
❑
❑
rms. For six tenants with class 1 evacuation capability
❑
❑
❑
❑
❑
❑
❑
Critical / Hazardous Materials
❑
❑
❑
❑
❑
❑
❑
Demolition
❑
❑
❑
❑
❑
❑
❑
Date Complete Intials Date Complete Intials
❑
Mechanical
❑
Drainage
❑
❑
Landscaping / Imgation
❑
❑
Parking / Paving
❑
Plumbing
❑
Smoking
❑
Accessability -
❑
Fire Sprinkler
REQUIRED APPROVALS
❑
FireAlanm
❑
Fire District
❑
Fire Hydrants / L.ock 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
❑
0
Special Inspections
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