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2001, 06-18 Permit: 01004712 C of O WorksheetCertificate of Occupancy Worksheet Last Update: 6/18/01 Updated by: J.D. LARSON Y Address: 4030 S WOODRUFF RD Project #: 01004712 Parcel #: 45324.2101 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: G n9 Occupancy: LC -1 Construction Type: VN Fire Sprinkler 0 FireAlarm 0 Assembly Arca Room # / Location Occupant Load Special Inspection Agencies: HS Bolts/ Soil / NREC Concrete Masonry Steel Welding Drainage Approved for #1 basement sleeping room # 3 ❑ 0 0 0 0 ❑ 2nd floor sleeping rms. For 6 tenants will ❑ 0 ❑ 0 0 ❑ class # 1 evacuation capability. ❑ ❑ ❑ 0 ❑ ❑ 0 ❑ ❑ 0 0 ❑ Final Report Received 13y Inspector : STRAUB, MARC Coordinator : SHATTO, JULIE Date Complete Intials Date Complete Intials ❑ Drainage II Mechanical ❑ ❑ Landscaping / Irrigation ❑ ❑ Parking / Paving ❑ Plumbing ❑ Smoking ❑‘4'ir AcceNability ❑ Fire Sprinkler REQUIRED APPROVALS ❑ FireAlarm ❑ Fire District ❑ Fire Hydrants / Lock box ❑ WA DOT ❑ Critical / Hazardous Materials 1 Special inspection ❑ Grading ❑ Record drawings/Stormwater ❑ Demolition ❑ Utilities / Liberty Lake Sewer Dist ❑ SAND: Schools / other • Free Standing Signs • SRI -ID: Food Handling • On Building Signs ❑ NREC ❑ ❑ Special Inspections ❑ Certificate of Occupancy Worksheet Last Update: 6/18/01 Updated by: J.D. LARSON V Approved for TEMPORARY CO - Conditions: Field Inspector. Date: Code Coordinator. Expiration Date: Fee: Approved for FINAL CO - Field Inspector Conditions: Date: Code Coordinator. MAIL CO TO: ADDRESS: Date ei-assora_ c^mom Ya 30 - 3 CnItillIAZd/6 J"i^,.7f/G Comments 4, PHONE: