1996, 04-30 Permit App 96002923 Change of UsePROJECT NUMBER= 96002923 APPLICATION DATE= 04/30/96 PAGE= 01
****** THIS IS NOT A PERMIT ******
PENALTIES WILL BE ASSESSED FOR COMMENCING WORK WITHOUT A PERMIT
SITE STREET= 511 S UNIVERSITY RD PARCEL#= 45212.1224
ADDRESS= SPOKANE WA 99206
PERMIT USE= CHANGE OF USE-RES TO ADULT CARE&REMODEL BASEMENT FOR BATH/GAME
PLAT#= 001839 PLAT NAME= OPP.TR. 1-354
BLOCK= 2 LOT= 11 ZONE= UR-22 DIST#=
AREA= 00000000 F/A= F WIDTH= DEPTH=
# OF BLDGS= # DWELLINGS= 1 WATER DIST = MODERN
OWNER= DUNHAM, CHARLES
STREET= 511 S UNIVERSITY RD
ADDRESS= SPOKANE WA 99206
F
R/W=
PHONE= 509 924 7967
CONTACT NAME= LYNN WITCHER-CARBOUGH PHONE NUMBER= 509 926 7224
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *******************************
CONTRACTOR= OWNER PHONE=
NEW=
DWELL UNITS=
BLDG W X D =
REQ PARKING=
REMODEL= X
1 OCCUP. LD=
X SQ FT=
#HANDICAP=
DESCRIPTION GROUP
ADULT CARE LC
ITEM DESCRIPTION
TYPE
VN
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
ADDITION= CHANGE OF USE= X
BLDG HGT= STORIES=
SPRINKLER= N
CRITICAL MAT= N
SQ FT VALUATION
1500.00
QUANTITY FEE AMOUNT
Y
Y
Y
42.30
4.50
9.31
***************************** PLUMBING PERMIT ******************************
CONTRACTOR= OWNER
ITEM DESCRIPTION
TOILETS/BIDETS
TUBS
SINKS
PERMIT TYPE FEE AMOUNT
PHONE=
QUANTITY FEE AMOUNT
1
1
1
AMOUNT PAID
6.00
6.00
6.00
AMOUNT OWING
PROJECT NUMBER= 96002923 APPLICATION DATE= 04/30/96 PAGE= 02
PERMIT TYPE
FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 56.11 .00 56.11
PLUMBING PERMIT 18.00 .00 18.00
74.11
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
.00 74.11
******************************** THANK YOU ************************************
APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on the prope7ty deed
OWNER or OCCUPANT
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IA-111
Mailing address
Phone
9 -
cCity, state Zip
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Who should we contact regarding this project? Phone
What work is being done under this -Permit?
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a)
ce
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Mailing address
Main floor area
Unfinished basement area
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Homy
Siq
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation:
Fire Safety..
Previous address
Fire Sprinkler
Tent
Paint booth Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailina address
Fuel Storage Tanks
wummjng No9ti:
(Circle one) Above -ground
Underground
Contents of tank(s)
Contractor
Size / gallons
Size / gallons
Private
Contractor
Public/semi-private
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
Spokane County Division of Buileng & Planning
ADULT FAMILY CARE FACILITY BUILDING PERMITS
(for Licenses Care Facilities licensed after July 5, 1995 with 6 or fewer clients)
MINIMUM INFORMATION NECESSARY
FOR APPLICATION SUBMITTAL
COMPLETED APPLICATION
Site address
12--lOwner information
ElProposed remodeling information (contractor(s), cost estimate, etc.)
SITE PLAN
ElProperty dimensions & configuration
frames of street(s) adjacent to site 4-0.,4
Driveway(s)
ElLocation of other buildings, septic, sewer, well, utilities, easements, rivers, lakes, etc.
El Distance to property lines, other buildings, utilities, etc.
CONSTRUCTION DRAWINGS
ErNumber of licensed care clients to be cared for
Evacuation capability of clientel (Level I, Level II, or Level III)
Level I - Fully mobile without assistance
Level II - Mobile with mobility aids, but unable to negotiate stairs
Level III - Require assistance to walk or unable to walk
Floor plan (room dimensions, use, & arrangement) 0
cation & size of sleeping rooms for licensed care clients
Location, sze, & height of escape windows
Location & fixture layout of bathroom(s)
E3/ Location, size, & type of fire extinguishers
ErLocation of smoke detectors
Construction separation between house & garage
Additions, alterations, or remodeling details
h:lcfrazierlpermtarIcf 4/3/96