2001, 06-15 Permit App: 01004712 Change of UseProject Number: 01004712 Inv: 1.
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 6/15/01 Page 1 of 2
Project Information:
Permit Use: CHANGE OF USE - RESIDENCE TO ADULT Contact: SESSIONS, ADAM
FAMILY HOME Address: 4030 S WOODRUFF RD
C - S - Z: SPOKANE, WA 99206
Setbacks: Front Left: Right: Rear: Phone: (509) 532-9813
Group Name:
Site Information: Project Name:
Plat Key: 002087 Name: PONDEROSA ACRES 5TH ADD District: D
Parcel Number: 45324.2101 Block:
SiteAddress: 4030 S WOODRUFF RD
SPOKANE, WA 99206
Location:: SPO
Zoning: UNKN Unknown
Water District:
Lot:
Owner: Name: SESSIONS, ADAM
Address: 4030 S WOODRUFF RD
SPOKANE, WA 99206
Hold: ❑
Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Permits:
Review
Plan Review
Released By:
Originally Released: 6/15/01 By: jshatto
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Change Of Use Group: LC -1 Type: VN
Nbr Of Dwellings: Occupant Load: 6 Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials: ❑
Item Description Units Unit Desc Fee Amount
CHANGE OF USE/SAFETY INSP 1 Y OR BLANK $50.00
STATE SURCHARGE 1 Y OR BLANK $4.50
Permit Total Fees: $54.50
Project Number: 01004712 Inv: 1
s .
Application •
, Date: 6/15/01 Page 2 of 2
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Operator: JAS Printed By: JAS Print Date: 6/15/01
Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing
Building Permit $54.50 $54.50 $0.00 $54.50
$54.50 $54.50 $0.00 $54.50
Notes: .._.
APPROVED FOR (1) BASEMENT SLEEPING ROOM; (3) 2ND FLOOR
SLEEPING ROOMS FOR (6) TENANTS WITH CLASS I EVACUATION
CAPABILITY.