1997, 10-27 Permit App: 97008895 Change of UsePROJECT NUMBER= 97008895 APPLICATION
PROJECT NUMBER= 97008895 APPLICATION
DATE= 10/27/97
DATE= 10/27/97
PAGE= 01
PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 11425 E 44TH AVE PARCEL#= 45333.9104
ADDRESS= SPOKANE WA 99206
PERMIT USE= CHANGE OF USE - ADD'L BEDROOM FOR ADULT FAMILY HOME
PLAT#= 999999 PLAT NAME= RANGE
BLOCK= LOT= ZONE= UNKN DIST#= D
AREA= 00000001 F/A= A WIDTH= 124 DEPTH= 175 R/W=
# OF BLDGS= 2 # DWELLINGS= 1 WATER DIST =
OWNER= BARNHILL, WILLIAM & STARLA
STREET= 11425 E 44TH AVE
ADDRESS= SPOKANE WA 99206
PHONE= 509 927 1714
CONTACT NAME= STARLA BARNHILL PHONE NUMBER= 509 927 1714
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** REVIEW INFORMATION *****************************
DEPARTMENT REVIEW REQUIREMENT
BUILDING FIELD INSPECTION REQUIRED C)14.-bopkh/
COMMENTS:
n P 4J11 -w2. 1,0 Z- 9 7
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP. LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= #HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 210.00
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35.00
RESIDENTIAL SURCHARGE Y 7.70
STATE SURCHARGE Y 4.50
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT# PAYMENT AMOUNT
10/27/97 00010863 47.20
TOTAL DUE= .00 TOTAL PAID= 47.20
PROJECT NUMBER= 97008895 APPLICATION DATE= 10/27/97 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 47.20
47.20
47.20 .00
47.20 .00
*******************************************************************************
* PROJECT NOTE: TOPIC = CONDITIONS DEPT = BUILDING *
*******************************************************************************
(3) GROUND FLOOR SLEEPING ROOMS FOR 4 TENANTS WITH CLASS I
EVACUATION CAPABILITY.
PROCESSED BY: CAROL FRAZIER
PRINTED BY: KATHY CUMMINGS
******************************** THANK YOU ************************************
Finii
P je-l Date: /1)/2-07
CERTIFICATE OF OCCUPANCY
District:
• 1\LLLl1L.L a�ux,vy�r.......
Permit Number: 9 7 (),9 gy-yr
. --
Occupant:
❑Mechanical #
Building Address: // y ) c,/,,,</vcArchitect:
❑Site plan pulled for file
Leal Description:
g,5, -?_3.3.. 27)
Contractor:
❑ Mechanical #
Owner & Address: // //��
ii 17/2 � Y'/% 6✓C f)0 a 7 7,2-,
Plans Examiner: C4,,,/e)
❑Landscape plan pulled for file
Building Inspector. i1G�1 `
/
4%f
Occupancy Group: %i C -
Land Use: ��
Mechanical Inspector:
❑Drainage plan pulled for file
❑Other plan pulled for file
Construction Type: (7/1/
Occupant Load: 9 LC C// /
Plumbing Inspector:
•
4 -do /� Y/
Occupied as: /4_,/,,,
/ 6fey/ j/„' _Le
/ � ��'`��O`�� /
Ve
Special Inspection Agency:
NREC Inspector:
Additional information:
re
YY '/
Poor s / toil .--, j` ^a.�, a. /-e
Compliance Coordinator:
❑Demolition #
fpr ,4/
/
C/.2.(5 / e✓acti A9z—t
Other:
0 -Final inspection w/corrections
__
❑Other
ITEMS REQUIRED Complete/Date Initial
ACTION TAKEN Complete/Date Initial
❑Mechanical #
0
❑Site plan pulled for file
0
❑ Mechanical #
0
❑Landscape plan pulled for file
0
❑Mechanical #
❑
❑Drainage plan pulled for file
❑Other plan pulled for file
❑
0 / /
❑Plumbing #
0
❑Notice of completion to Assessor
I7/
OSprinkler/alarm #
0
❑Demolition #
0 -Final inspection w/corrections
0
❑Other
0
❑Reinspection w/ corrections
0
❑NREC final
❑
❑Unauthorized occupancy
(Initiate compliance)
❑
❑Special inspection final(s):
Compact/Concrete/Masonry/
Bolting/ Welding/
❑
APPROVED FOR
TEMPORARY CERTIFICATE OF .
OCCUPANCY
Date:
REVIEWED BY
❑ Landscaping/ irrigation
❑
❑Hydrants/knox box/lane
❑
Inspector:
0208 drainage
0
Fee:
Expiration Date:
❑Engineer certification/208
❑
Conditions
OParking/paving
0
❑Accessibility
0
❑Critical materials/containment
0
❑Fire District
0
APPROVED FOR
CERTIFICATE OF OCCUPANCY
Date:
REVIEWED BY
OUtilities
❑
❑Health District
0
❑Fast Track Certification
❑
Inspector.
❑Other
❑
Conditions
Release date: 1
T.C.O.:
I C.O.:
I
Mail to:
G� /t,e-7--s
Copy to:
CONSTRUCTION PLANS/ROUTING 1
Comments
Date
Date
Date
Active File
Field
/0/24 / j 2
/0/24/j
90 Day Hold
Compliance
plc. winword/certificate of occupancy
w
v
g,
EXIT ISI ER
0
to
w
0