2001, 06-20 Permit: 01004712 C of O. �•�ii t ri�--
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6/20/01
Date
SPOKANE COUNTY
DIVISION OF BUILDING AND CODE ENFORCEMENT
Certificate of Occupancy
Building Address:
Legal Description:
4030 South Woodruff Road
01004711
Permit No.
Parcel No. 45324.2101
Owner: Q 20 Address: 4030. S...Woodruff& .SpokaneL .inn.. 9.9206
Occupancy Group: LC -1 Land Use:
Construction Type: VNI Occupant Load:
Occupied As: Adult Family Group Bome
Additional Information: N3Proved for 1 Basement SieePin93 second floor sleepin9 room,
fcc.0 tenantO.14:01 .Ci . A .5v ticp. ge18il441 'ty.
This Certificate is issued pursuant to Section 109 of the Uniform Building Code and is to indicate the above
described structure is approved for occupancy.
Bui1ding Official's Signature
THIS CERTIFICATE MUST BE PERMANENTLY MAINTAINED IN THE BUILDING OR STRUCTURE REFERRED TO ABOVE
If the building or structure is used for any occupancy other than that listed, an application for change of use shall first be made to the Division
of Building and Code Enforcement
I��� .� ....a.. •. �,. mai. �ilir'�3�io_isriyr
-Certificate of Occupancy Worksheet
Last Update: 6/18/01 Updated by: J.D. LARSON
Address: 4030 S WOODRUFF RD
Parcel #: 45324.2101
Project #: 01004712
Site #: 44195
Owner: SESSIONS, ADAM Contact: SESSIONS, ADAM (509) 532-9813
Address: 4030 S WOODRUFF RD Architect:
SPOKANE, WA 99206 Contractor: OWNER ( ) - 0
Occupant:
Permit Use: CHANGE OF USE - RESIDENCE TO ADULT FAMILY HOME
CO Use:
e
Occupancy: LC -1 Construction Type: VNO Fire Sprinlder 0 FireAlarm 0
Assembly Area
Room # / Location Occupant Load
Special Inspection Agencies:
Approved for #1 basement sleeping room # 3
2nd floor sleeping rms. For 6 tenants will
class # 1 evacuation capability.
HS Bolts/ Soil /
NREC Concrete Masonry Steel Welding Drainage
❑ 0 ❑ 0 0 0
❑ ❑ ❑ 0 ❑ 0
O 0 0 0 0 0
❑ 0 0 0 0 ❑
Final Report
Received By
Inspector: UR MAC
Coordinat : SHATTO, JULIE
Date Complete Inii.tI
Date Complete Intials
❑ Mechanical
❑ Drainage
❑
❑ Landscaping / Irrigation
❑
❑ Parking / Paving
❑ Plumbing
❑ Smoking
❑
A ccessability
(pf)
1? -0/
REQUIRED APPROVALS
• Fire Sprinkler
M. FireAlarm 5 p ,wf'
U --(q -01
'
❑ Fire District
f, -(°7-0 I
;/
❑ WA DOT
• Fire Hydrants4-Leek-bet—
❑ Special Inspection
• Critical / Hazardous Materials
❑ Record drawings/Stormwater
El Grading
❑ Utilities / Liberty Lake Sewer Dist.
• Demolition
❑ Free Standing Signs
❑ SAM: Schools / other
❑ On Building Signs
❑ SRIF: Food Handling
❑ NREC
❑
❑
• Special Inspections
Certificate of Occupancy Worksheet
Last Update: 6/18/01
Updated by: J.D. LAKSON
Approved for TEMPORARY CO - Field Inspector.
Conditions:
Date: Code Coordinator.
Expiration Date: Fee:
Approved for FIAL CO - Field Inspector. etVC- jiriirtta Date: C ! F-0/ Code Coordinator.
Conditions:
fL .?O '—o
MAIL CO TO:
ADDRESS:
5/D,3,o —5
09-s//
�R.Jr'yy7�G
PHONE:
51 5A7— 92
Date Comments
ty
APPROVED PLAN
USTBEKEPT
ON JOB SITE
4
k...v
J: *.j
03
ti e.
20.50'
22.00'
Deck
21.00'
0
0
11.00'
Family Room
Kitchen
1/2 B
Lau. Rm.Sta- p
2 Car Garage
22.25'
ti
10.50'
Dining
Living Room
Covered Por
31.25'
Entrance Way 20.00'
44.50
O C
-r'-2a
Le_ AaThc,
(6) elizA,61
a
31.25'3
(10iri1
(1) Cl ,int -<
v
BedroomL)
0
0
Bath
no
a>
0
0
a>
0
0
U
thy' 1 fi►enr
Beedroom`S
n
0
b 9.50'
10.75' 0
In ( Stairs
M
a>
0
0
17.00'
0)1u%1. cl;e0}5
SpBedroom o
Closet
OWn t4
Master Bedroom
24'
10.50'
24:50'
28.00' �p'C_tL { _
iti
o?/rrc<s
4,9
tfrifrIcc e4/9
e44 Qat 41,0
604 coeb,49/va
yp:^,otitogNT d�
•
r
1
•
Si
20.50'
22.25'
21.00'
Unfinished
Fam. Rm.
22.50'
Stairs
(z)lvl1
U).niti� 5,�`
Office'
1 4 3'
iL
41;' Fam. Rm.
7.75'
It
20.00'
31.25'