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2001, 12-03 Permit App: 01010568 Change of Use Project Number: 01010568 Inv: 1 Application Date: 12/3/01 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: CHANGE OF USE TO STAFFED RESIDENTIAL Contact: LOWRY,ROD&SANDIE HOME FOR 6 CHILDREN Address: 13404 E 24TH AVE C-S-Z: SPOKANE,WA 99216 Setbacks:Front EM Left: EX Right: EX Rear: EX Phone: (509)926-5769 Group Name: Site Information: Project Name: -41AMI..4.M44 a- • . Plat Key: 001846 Name: OPPORTUNITY TERRACE 4TH ADD District: F Parcel Number: 45271.2459 Block: 4 Lot: 18 SiteAddress: 13319 E 24TH AVE Owner:Name: BEACON RESIDENTIAL#2 SPOKANE,WA 99216 Address: 13319 E 24TH AVE Location::SPO SPOKANE,WA 99216 Zoning: UR-3.5 Urban Residential 3.5 Water District: Hold: ❑ Area: 0 Sq Ft Width: 0 Depth: 0 Right Of Way(ft): 50 Nbr of Bldgs: 0 Nbr of Dwellings: 1 Review Plan Review J- 8 6.r090 / / Released By: tri f "L A/yr,tie fix C4.i,e' oey 6x090 c.e1 re 4;-,,/j ,vr. ��-' l/itrc��jn G' i �. .-rr; j. �... — /eat:// &da c✓a,LLgn ('C3,,(1t;l/y. f3ey✓;r l �At-A,h offs hr - "�pk eIele'/v s /cc C�J��ny✓rS/Pis iJf 1�'s� /� a� PO,J�'/�/Lti! C ,� A.,./a js v'Pl /1te n/ e4c, s/e I j roe" L'ceAlst- to Mf•� #(4/ic,te Permits: � � " ,r s ti,;,/` �r . s ,,, , s Ac - 72 �ro�^xrv-.�,>�e,�a� a.�' � �`" .__ a 'GwN necnr s ax3- M..� aw�w 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: 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 Operator: CKF Printed By: Print Date: Project Number: 01010568 Inv: 1 Application Date: 12/3/01 Page 2 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing'work without a permit Notes: ,. HOME FOR CHILDREN AGED 8-16 Payment Summary• 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 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: CKF Printed By: Print Date: iici PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT Airlik 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 509-477-3675 SPOK COUN Y SPECIFIC SITE INFORMATION Street Address: /33)9 -2-1411 Assessor's Tax Parcel Number(s): ye to �- ij/Legal Description: IA c 1 61—) Project Description: �`'/tiL� � di'' ding Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign ❑ Tenant(New/Change) ❑ Other Department Use Only Water District/Purveyor. Sewer District/Purveyor Road width Setbacks Front: Rear. School District: Fire District: Zoning Left Right: OWNER/APPLICANT INFORMATION 0 Indicate who should lie corttaded rytardirr„IN,j rrle l ❑ (Tuner: '. .e / Phone: 92 r2='7 ❑ Applicant: Phone: Mailing Address: Mailing Address: /33J? 2.9 City,State,Zip City,State,Zip ,--�/�g . Gfd)jt-,�. 972/ 6 LJ Contractor Phone ❑ Architect'I Ingineer Phone Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sg.ft. Dimensions Total habitable space 2a`t floor sq.ft. Finished basement sq.ft_ Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project I lent source(electric,gas,etc.) . Manufactured Home Sign Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: #of signs 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 Iraaminer Phone Inspectors: Address Inspector Phone O Concrete O Welding 0 Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes 0 No What is the current property size? Ifyes identify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? Ifyes,identifyonsite plan 0 Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?0 Yes O No O Don't know 0 Yes 0 No Is any part of the property within a 100 yr flood plain? Are or will there be wells located on the property? l fyes,identi,on site plan Ifyes,identify on the site plan 0 Yes O No 0 Maybe 0 Don't know O Yes O No Are there any wetlands,streams or ponds within 200 feet of the property? Is there evidence of fill or excavation on the property? If yes,identi.n,on site plan 0 Yes 0 No 0 Yes 0 No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Arc critical or hazardous materials used or stored on site? °%) O Yes O No O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? 0 Yes 0 No OYes ONo Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No 0 Ycs 0 No Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource Area? O Yes 0 No Date Received: Staff Representative: METHOD OF PAYMENT MMEMI fc�tdl" SUBTOT. L 0 CASII 0 Cl ll?Cli 0 0 ❑ FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DAT!:: I(S l'I R I:S: TOTAL FEE BANKCARD NUMBI?R: MINIMUM PERMIT FEE IS$35.00PLEASE Si AKE CHECKS I'AA ABLE TO SPOKANE .11il1IORI'/,ld)SIGNATURI:: COUNTY PERvIITCEN'IER The BEACON II t MV-_,L, , W-1‘,; 1, , (t, Ste,`c ' ' 1_c ma l tom✓ _ UPPER LEVEL --,occ_i t4..34(2-1 13 nC 1 /Jn/-c - ,✓e.c t)cr/,0„-, BEDROOM 6���04. ; BEDROOM 2 u,Al, Oa C, 47/ LIVING ROOM �-Af3 ri)O ...__.. r r V 1 I 1 t r i i G c 1 y , BEDROOM 1, Im � . () 2r'es DINING ROOM KITCHENthi • MAIH BATF 0 MSTR BATH v V0 1 aia In the event of a fire,or other emergency neccessitating the evacuation of the facility. �,,! BEACONE the bold indicated evacuation routes shall be utilized. in the event that the nearest 1 evacuation route is blocked by fire or other serious or non-removable obstacle,the L' 13319 24TU( ;kilt nearest alternate route shall be utilized. All evacuees shall make every effort to � i€ assemble on the facility front lawn as quickly as possible to be accounted for. VERA DA LE, 10F 1 " • r� F rs ` .^�.x ASNOTED Building &Co c: Enforcement Date 1217// By v" - /4 .7) L-ev'0 I1I The BEACON II n r;-,r 07,, - rM, ,• h 7 i t fey—• 1 r17 ,`7 17 6 MAIN FLOOR e LeAf;s2-1 FAMILY BEDROOM 4 ROOM LIVING ROOM ii gi 1 ,re ri hi' dd '4.( UTILITY Aswwww _ rrr ROOM DINING ROOM -,, `�' GARAGE KITCHEN 0 In the event of a fire,or other emergency neccessitating the evacuation of the facility, THE BEACON II the bold indicated evacuation routes shall be utilized. In the event that the nearest AVE route is blocked by fire or other serious or non-removable obstacle,the £ 13319 24TH A Y E nearest alternate route shall be utilized. All evacuees shall make every effort to ���.�D1� e a � assemble on the facility front lawn as quickly as possible to be accounted for. , i-,(--; r D Building &Cc 'a ErforcornLont Date .1 O" By . _ ,e _____ This site plan la being submitted far the purpose of obtaining a building permit and is a true and correct representation of the proposal.All known property linesldimensions,curb lines.structures and easements have been ide+ 'ed.Also i =icated are wetlands, bodies of wasi s or other critical areas. — Signed: /J Date: 2 - a i A tt J r -- ..,...* I \ ADDRESS f 3I f. �'�>� ZONE (.12 2 N ROAD WIDTH FRONTS FLANKING COMMENTS ' y REVIEWED BY C 4-4J ftJ ! !!�� 11 `r1F U/t 1 a/ "I � A, /,/:1