Loading...
2002, 07-09 Permit App: 02005628 Adult Home, Remodel Project Number: 02005628 Inv: 1 Application Date: 7/9/02 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: ADULT FAMILY HOME/MINOR REMODEL Contact: WIMER,GERALD L (WINDOW ENLARGEMENT) Address: 2113 S VERA CREST DR C-S-Z: VERADALE,WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509)939-0630 Group Name: Site Information: Project Name: Plat Key: 002218 Name: RIDGEMONT ESTATES District: F Parcel Number: 45255.0215 Block: 2 Lot: 15 SiteAddress: 2113 S VERA CREST DR Owner:Name: WIMER,GERALD L VERADALE, WA USA 99037 Address: 2113 S VERA CREST DR Location::VER VERADALE,WA 99037 Zoning: UNKN Unknown Water District: Hold: ❑ Area: 14,517 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Information: -: Review Plan Review Released By: Originally Released: 7/9/02 By: jshatto Permits: . Operator: JAS Printed By: JAS Print Date: 7/9/02 Project Number: 02005628 Inv: 1 Application Date: 7/9/02 • 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 Phone: Building Characteristics Const Category: Remodel 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 Sq Ft Valuation Sq Ft Valuation RESIDENCE R-3 VN REMODEL 0 $500.00 0 $500.00 Totals: 0 $500.00 0 $500.00 Item Description Units Unit Desc Fee Amount RESIDENTIAL VALUATION 1 Y OR BLANK $35.00 CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00 STATE SURCHARGE 1 Y OR BLANK $4.50 RESIDENTIAL SURCHARGE 1 Y OR BLANK $18.70 Permit Total Fees: $108.20 Notes: (4) "NS1" SLEEPING ROOMS ADDITIONAL COOKING FACILITIES(EXISTING)ARE TO BE UTILIZED BY OCCUPANTS OF DWELLING ONLY - IT DOES NOT AND CANNOT CONSTITUTE A 2ND DWELLING Payment Summary: Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Building Permit $108.20 $108.20 $0.00 $108.20 $108.20 $108.20 $0.00 $108.20 Disclaimer: Submittal of this application certifies the owner(or person(s)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 be complied with. Subsequent issuance of a permit shall not be 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 laws or ordinances. Signature: Operator: JAS Printed By: JAS Print Date: 7/9/02 , [ • PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE,\VA 99260 SPOE CcU Y 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): g.5--aSl l Legal Descrip on: rf/ d fern F �s 6IeS. 4 IS B � // Project Description: t �V e op /Q r`5/ /i*/7a q..� �v / 7-79 ��r7-,--t2 O Building Permit ,0 Change in Use 0 Grading 0 Manufactured Home Permit O Relocation • 0 Sign 0 Tenantew Chan M e� g ) piOther fr_zkore Department Use Only Water District/Pun'etot- Sewer Distract/Purveyor - Roadwiddr Setbackt _ .. .. Front- Rear. - - School District. Fire District: - Zoning. Right OWNER/APPLICANT INFORMATION ,�.� 0 ndna/e who sbn>,Id br eonladed rrAardinn Ibir prrjn7 L7(>u-ort. Phone: l/J 3(p_ 0 i¢ 3 0 0 Applicant Phone/'4/ 26 7 ?qo l Fa Mailing Addict,: A1ai)ing:\JJress: 2//0 5'. t/€ ed'T (:in.State,lip Gr;,State,Zip ,e_esi •A h GtJ 9 0 37 Phone ■ Coniraclor 0 ArchitectiF.nginecr - Phone Fax Afadmg address - Fat Marling address Cin-,State Zip Cite,State I-p WA Stare Contractor license Contact name. • PROJECT INFORMATION Building Information Building height to peak #rtf stop s 'Main floor: ft. t / `4 Unfinished basement sq.fl- 1>irrtsnsir»,s Total habitable space 2nd floor> ft. dS / 9 Finished baxm-c7nt sq.ft. ()ccur.,nce group �( © Oe Construction type P Garage sq.ft. Deck w ft. Eco /2 o (:ost of rrnicct I Ieat source(eketne_gas,etc.) // �J Manufactured Home Sim Width: Length: What is the square Footage of the sign How high is the sign? face? Year. Make: #of signs a Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special.Inspections:Required? Non-Residential_ Energy Code Compliance? . Firm Name Phone Plans Examiner Phone �7 Inspectors: - - Address Inspector Phone 0 Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Arc there structures on the property? M Yes 0 No \X'hat is current property size? If yrs,identft OR site plait l{o uS-e.. (square feet )t acres) �// ( S-7`7 Si Is any part of the property within 250 feet of a shoreline? at is t c current use of this property? r � fyet,identz on site plan 0 Yes Or No Is your property in a designated wildlife habitat area? Will the site be sen-ed by a septic system?0 Yes ® No 0 Don't know 0 Yes .11 No Is any part of the property within a 100 yr flood plain? Arc or will there be wells located on the property? Ifyes,iderrl6,on site plan f year,identry5,on the site plan 0 Yes IR No 0 Maybe 0 Don't know D Yes ( No Are there any wetlands_streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? Ijyer,ident6,on site plan 0 Yes No 0 Yes C3 No Arc there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? 0 Yes RI No 0 Yes al No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the:ite. IS Yes 0 No D Yes fa No Is the property inside the ASA?. 0 Yes - No Is public water available to the site? Cie Yes 0 N O Yes D No Is the property inside the PSSA? D.Yes et No Is the property located within 1000 feet of a Natural Resource Area? 0 Yes pp Dare Recciscd Sul(Rcprrxnarisc: t'r� No METHOD OF PAYMENT MEM VISA IpCOVP SI'B l t)I.U. • O CAS,I ciIN K p p FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD TOTAL FEE BANKCARI)NLIM(31=R: _ _ MINIMUM'PERMIT FEE ISS3S.A9Prt_�SF _W I1O}iI%t:1)SItit ATURE: ALIKE ClBSIL PAYABLEE7-U SPOKANE cocN-11 PER>ffr Ct_\7FR Pic / REQUEST FOR INSPECTION- Adult Family Home APPLICATION NUMBER: OD-- 54 ? Applicant must complete sections I, 2, 3, and 4. Application must be complete to be processed. ��11 , SECTION 1 - PROPERTYYINFORMATION SITE ADDRESS: o2 // 3 5• x/4_44- C,€e s ASSESSOR'S TAX/PARCEL#: 51. • e. _C22-43— SECTION C21$SECTION 2-/APPLICANT INFORMATION p PROPERTY OWNER NAME: Gerf.¢ w'/J ` ���-e DAYTIME PHONE: -( 3 9 O(, 30 • LICENSEE NAME(IF DIFFERENT): e i e9.( CO 11 7A9r?NSIS DAYTIME PHONE: 9 $' — 3,3 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) SECTION 4—DISCLAIMER/SIGNATURE BLOCK I 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 authorized by the owner of the above premises to request inspection for and operate an Adult Family Home at this location. I further certify that I have made application to the Department of Social and Health Services and the 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(induding 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 retia of the jurisdiction,including its officers and employees,upon the accuracy of the information supplied to 'urisdiction as a part of this appli ion. NAME/TITLE: C��! (�f DATE: 7//i 0/02_ /rI PROPERTY OWNER PS. APPLICANT ❑ LICENSEE SECTION 5- INSPECTION CHECKLIST YES NO Home licensed (or applying for license) on or after July 1, 2001 R ❑ SLEEPING ROOMS ❑ ❑ Sleeping Room #1 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked �' ❑ Closet doors are readily openable from the inside 2' ❑ Smoke alarm is installed in the bedroom C' ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) R' ❑ Sleeping room window has a maximum sill height of 44" ❑ R1 Sleeping Room#2 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked R ❑ Closet doors are readily openable from the inside u ❑ Smoke alarm is installed in the bedroom i[' ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) C� ❑ Sleeping room window has a maximum sill height of 44" ❑ Et/ Sleeping Room #3 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked R' ❑ Closet doors are readily openable from the inside ik ❑ Smoke alarm is installed in the bedroom C4/ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) ❑ Sleeping room window has a maximum sill height of 44" ❑ 8' Sleeping Room#4 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ Closet doors are readily openable from the inside E" ❑ Smoke alarm is installed in the bedroom ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) 3/ ❑ Sleeping room window has a maximum sill height of 44" ❑ L" Sleeping Room #5 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are readily openable from the inside ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ Sleeping Room #6 ❑ S ❑ NS 1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are readily openable from the inside ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions-24"high;20"wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ GENERAL Bathroom doors are openable from the outside when locked ��' ❑ Smoke alarms are installed on all levels of the dwelling � ❑ All smoke alarms are audible in all parts of the dwelling upon activation of a single device ❑ 0 Access road and water supply approved by Fire Department Ems✓ ❑ 2 PASSED ❑ CORRECTIONS REQUIRED ❑ PERMIT REQUIRED INSPECTOR: DATE: � � 5 L ,s . ... .. ... 10 -, ' ... OK' c y4k • •,,_ 11l A....... , f.4 \ • I , . 1-11,!.7..... ._. ..._„.....„_____!...._ ......... . _ I. ..: ., . 1 fi, vi 2 ,..„. .z) — a- -,,,,.. ...s. ..,,„ .. ..:, ___ . - ----- ar,,,..• - • . ,..‘,.3 .Si.. 1.2.4 ZCAS .,...........--,..........-..A•fragg~lin..............".. i. • cd, sc., LAO?S";,C,‘ kk TNA -2°*IPASU ...- - — -- "5..tr--opetr,114\0 •44,,np,0 I - -' .- , . • 2, c.,..„0,„ . . • .. NO • . 5 ! ci,,, II •-r---. r ., I.' I i i • 'C/4. e.., * • 4 1 .1.......... 1 r 5 S • i';;I'I‘ _51_ 161 I 0i 1. a ; 14 • . , , • ... 1 ,..v... .. r.. I ....; .44,..._ z-- , o ' A ..... ! .-.4 • ..1 ,, -- NI ..* ,fr 6'49 • . . '"1.1 • . 191// , # -.‘.4.*..4 .k../ .71 i ON . r.__ , .. i 4Vb I II \\ZS '41111r.„ 1 I ....••••••••=0.1, VI.) K 111 I ........^4*""'... RI \,411......1111•11.-1.11.111`"-..."....... ...........-- - / .i ,;--vs",:)16t.., .• _..,41.4; 11-3 1 1 TY i a-z..cd./.L. • i 5 1# +IrtjL A , . a lellityv- 11,M ciA ----- 0lir .....„ . w \ Jit,trA4tili_ . i. ------- --__... -----.-- P . . - --- -:: , 1 .J. t 1 A'-----1 i --:.'r--; 11 i . . . / — N. . t 1 ________________1 a