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
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Permits: � � " ,r s ti,;,/` �r . s ,,, , s Ac - 72
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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
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r r V 1
I 1 t r i
i G
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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